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Home My WebLink About2008-P12061 - attached garage * � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12061 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 5/16/2008 SITE ADDRESS: 800 Forest Arnis La Unit# Mound, MN 55364 PID: 07-117-23-12-0004 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Usc: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Pcrmit Sub-type(s): Garage-Attached Permit Type: p DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: Addition of 3rd Garage Stall FEE SUMMARY: Pernut Fee: $ 434.50 Valuation: $ 26,160.00 Pian Review Fee: $ 282.43 State Surcharge Fee: $ 13.10 TOTAL FEE: $ 730.03 APPLICANT: Owner/Self OWNER: Brenda Peterson NIN 800 Forest Arms La Mound, MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � APPLICAI�T PERMIT SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l � � �� 5,,� Total Fee: $ -73G• l.� Date Received: �/ �� Entered By: _ �_ Permit#: Q CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: �'d0 �o►�e-5� �� ztP: S��`� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 1'eS Q No If yes, a special event permit is required with Police Departmen!and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: ��,5�� ,�� 'Vl�y� PHONE: (home) �l� 5 1�41 av-Z (work)_ MAILING ADDRESS: �f>U ��/�iQh��CITY: �� ZIP: S1s�� CONTRACTOR: � PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition �� Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! . PROPOSED WORK(describe in detain:��,dQ,:-r-�v � 3� ,>�..q 57`-a.�� STORIES: SQ.FEET OF EACH FLOOR: 3,�8 � "�� - NO. OF BEDROOMS: GARAGE STALLS: ATTACHED t/DETAC ED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �- �1 � � � I hereby apply far a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and wark is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE\� � ��-'� DATE: � '� � � —G � 31 � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked[o supply private or confidential data conceming himselfshall be informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally requited to supply the requested data;(c)any known consequence arising from his supplying or refusine to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or Rrooerty tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shal I provide copies of the private or publ ic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying;and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. ]3.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or . confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. � Signature Reset Forn� 32 . . . CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �Q(� F p Ct,�.3� �4�Z,�,v�,5 �,q,,�„� PID: DESCRIPTION OF WORK: G q��.T /4-�0/J ��u r --------------------------�n9-�_��__�_�____-------------------��w�______��_ ZONING REVIEW BY.• C ,� �O 1�-��-- DATEAPPROi�ED: 5 -��• v� BUILDING REi�IEW BY.• �_J',�[�_ DATEAPPROVED: 5--��—v� ----------___----------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------- ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft._�-f,3�p�p f Acres Width Depth Survey Submitted: Yes K No Date of Survey: $-ZZ-9(, (a t.r F,�� Proposed Setbacks: Front(�): S� Right Side: �/ ) y� Rear(�eet): Cj0 n1 Left Side: �p /V Adjacent Structures: /}Y�q�� Wetland: _� (/a. Building Height• Def Hgt. — C� .�� Peak Hgt. Lot Coverage: �� G�•ading.• StafJApproval Date: _p,(L By: Council Approval Date: Septic: StaffApproval Date: /J �/�1" By: Zoning File: # — Resolution.• # Resolution Date: Shoreland District: y..�y MCWD Permit: Avg. Setback: �y4 BluffSetback: �v/ar Lot Coverage: Fxisting Proposed Hardcover: 0-7.i' 75-2.i 0' 250-.i 00' 500-1000' �•�` Hardcover Variance Requi��ed: Yes No Date of Council App�-oval: REMARKS(in house): 33 y • � BUILDING REVIEW CHECK LIST UBC: 12 '3 CONSTR UCTION T YPE: �!/'l� Sq Footage $Per Sq Ftg Basement x = � 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ z 6.��o� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fi��e Hardcover Removal Mechanical YG'ater Connection _�C Footing __Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permitl _�C Final Grading/Filling �c Electrical(State Permit) Other REMARKS(INHDUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New Access Approval: Date B��: _ REMARKS (TO BE NOTED ON PERMIT): 34 l �� J �C� t`CH.�.�(X�.�i:�'_ ��, � ti � �:-H y r��; � � �"'�", p •�;; Certificate of Survey �` " ` '� " � _ `, , . � for Robert W. Bonnema -� � Lot 1 , Block 1 , Forest Arms : � ` Hennepin County, P�linnesota 0 a � � Co p l.U S+5¢ I��qC� �1 5p' R, o. 9�1-,y3 �5j d=12a .W ��'�.}-•. GO � �t ' � 0 z � , N Proposecl dy � _ __ _ �-_ se� �91 _9'l o g8� l44 b � 54.�3 0 �99.� � .i'� �.._J n J ,'V j O a n y.. 1.7 � . }.o � o � �� _ _ 1 1N � � � Q' ,m , 18.0 =�10D-' -� � 20.0 - c..�_•� �94.�ia.ss' '� ' L -�-� , � Z : p v --- � ��o �S`X �R,Q� � 4,: � �� 1 k • }' . ;{ � q�. �� . i SCd12: 1 " - b0' �� o�o�� Date : 8-2�-86 �� o Iron marker �. � q� , ��oo.o� : Saot elevation �_. �i°l�� A�1 �--_ ��IIQIMQ ,'�.�� ' Datum: Assumed iR�-�i�'�"i`��,��+�� 21.6 G/4fLIG� f�00 , � .c. /2'.. ,�H,.� f �:.�� `��I�i� NC�1�10NS � � ,- ��ap�. f_=� i'�� , tl��t��*� , ^, �iur��"��J G -' ' � � � ^ � �° a � �... � �* 7 �V h � �� ,:, � „�� `-;;� �� ,� � ' , : ' a �.�ka' _? L)A1� 5 -lb-�$ � h-�, Y ii�� p i \c� -��.'1 � f �.„ �.i , t . 'f e�."t' I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot 1 , Block 1 , Forest Arms, the location of all existing buildings, if any, thereon, and the proposed location of a proposed building. It does not purport to show other improvements or encroachments. COFFIN & GRONBERG, INC. � ,+ , �,,�. `v� ��z�....�'��'-, �". Mark S. Gronberg, Lic. PJo. 12755 Engineers, Land Surveyors & Planners Long Lake, Minnesota �� "' — � AT TIME / CITY OF ORONO CALLED IN � a �� INSPECTION �� r SCHEDULED �•1� PERMIT NO. � COMPLETED ADDRESS �� S OWNER��e��!GONTR. TELEPHONE NO. � DESCRIPTION /'��1��'1 � ❑ FOOTING � MECHANICAL ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � t� �'� �G� � �� 0 � �o�.��3 c e �d�� fi� ��f � � � J ; -f-�(2 �c=t� ��A �� W Q �.� � .� —r r-�:� -� ��c>c�v � Z w � W � � GW�� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑DQRRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on s' e: � Inspector. v� -� _ _-_- White Copyllnspector's File Canary CopylSite Notice � � � ('/'� � T � T � CITY OF ORONO CALLED IN � � ` v INSPECTION NOy1�E� � /-/ SCHEDULED l l� �; � PERMIT NO. �� COMPLETED ADDRESS � OWNER ONTR. TELEPHONE N0. �' ��a —�l� T y7� � DESCRIPTION ��ING � MECHANICAL RI ❑ EXCAV ADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o C� �- �� 0 � w � Q � z W � W � ' � d W� ❑ ORKSATISFACTORY:PROCEED fl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit � Inspector. � ,t_/ // �. White Copyllnspector's File Canary CopylSite Notice r 5 �`;� � D TIME CITY OF ORONO CALLED IN �� i� INSPECTION NOTI E SCHEDULED — • � � PERMIT NO. ��a D�-o I COMPLETED ADDRESS �� : �C_�l��,�"��—/��'�,� �/ll OWNER �IG�.U�S CONTR. TELEPHONE N0. �� ! c�(�� DESCRIPTION �� .1�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FfREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a j �'��'�VI �G�-,1 ti(L I � •'� �•-j-�� i � O � i�'VLO�'C� �Q'��C •-i--�c) c'� `�n.' ��G L� � ° (3�> c�n�a,c.� � C .c��s �r<� f � Q � z W � W � j d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE ��' ORRECT WORK&PROCEED I� I SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: d Inspector. � White Copyllnspector's File Canary CopylSite Notice