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HomeMy WebLinkAbout2000-P02327 - addn/remodel/repair - , PERMIT CITY O� ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po232� Crystal Bay, Minnesota 55323 P@f1711t Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: siii2000 SITE ADDRESS: 860 Forest Arms La MOUND,MN 55364 P ID: 07-117-23-12-0006 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Sub-type(s): Deck Permit Type: Addition/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,600.00 Plan Review Fee: $ 63.18 State Surcharge Fee: $ 1.80 TOTAL FEE: $ 162.23 APPLICANT: KAS SORENSON OWNER: C J SORENSEN&K M SORENSEN 860 FOREST ARMS LANE 860 FOREST ARMS LA MOUND, MN 55364 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. ��nE.,) _ ,, /�Q J '7, `�' � L '�`'-� \ ' � ,< -' �.!' (i,%:.4-/"�,.. / %�,'' . APPLI ANT PERM[TEE 1 NATURE� � UED BY SIGNATURE i Copies: City,Applicant,Assessor, Finance Page 2 , INSPECTION RECORD CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po232� Crystal Bay, Minnesota 55323 (612) 249-4600 Date Issued: a�i2�2oo0 SITE ADDRESS: 86o Forest Arms La MOUND,MN 55364 APPLICANT: Kas so�rrsorr 860 FOREST ARMS LANE MOUND,MN 55364 Proposed Use: „_..._:, �__,� ,,,.. i�,iiui��,,..,-�yYc���.Deck Permit Class: tsuildmg Permit Type: Addition/Remodel/Repair Separate inspections required: Building: Footing Framing Final GeneraL• Plumbing: , . ,; o < � - �u � ;>. . �� , . . � � . ��,..< �.......'.... > ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED INA CONSPICUOUS PLACE ON THE PREMISES ON WHICH THE WORK IS TO BE DONE. Total Fee: $ /�Pa. a.3 Date Received: �- f� �C/� Entered By: � Permit#: � � �3 � CITY OF ORONO - BI7II.DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all informarion) -------------------------- - ----------- T'HE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �,l D fo�'E5T .�42�S L w . ZIP: S'S c3 G y NANIE OF OWNER: C�9�LA L k�4� -S'o �t,.5w SE�v PHO�IE: (home) Y7 z- 7?30 (work) y7 z - liiyo �IAILING ADDRESS: �o ,co.e�sr.q.er�s �•t•. CITY: �d v�-a Z�: s s 3 C S� CONI'RACTOR: PHO�TE: CONI'ACT PERSON: MOBILE/PAGER: . NI�iII.ING ADDRESS: CTI'Y: ZIP: � . STATE LICENSE: # ARCHITECT/ENGINEER: PH0�1E: 1�IAII�ING ADDRESS: CITY: ZIP: N��,�: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �1 F P�•�c•� � �' G '�' �''`� N vs STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. ESTI�i tATED CONSTRUCTION VALUATION (excluding lanc�: $�d �, o� I hereby apply for a buildin�permit and I acknowled�e that the information above is couiplete and accurate; �hat 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 perrnit and work is not to start without a permit; and that the work will be in accordance with the approved plan. , APPLICAN'T'S SIGNAI'URE: - D�TE: y_,/z- d o NOTE! Parade of Homes events require separate permit approval by Police Deparbnent and City Counci160 days prior to the event. Non permitted events will not be allowed. Sec.13.0-i RIGFiTS OF SL'BJECTS OF DaT?, Subd. 1. Tvpe of data. The righcs ai iadividual on whom the dan is s�ored or m be storcd shall be u set forth in this secrion. Subd.?. Information reqirired to be�vea individual. �n individuai asked to supply privare or conndeadal dara coacerning himself shalI be informed of: (a)the purpose and inc:nded use of the cequcstcd daci wichin rhe collecdng 3n[L ageacy,polidcal subdivision,or satewide ryst�m: (b)whecher he may refuse or is legally required to supply the requesced data;(c)any lmown coasequeace arising from his supplyi,^.g or refusing to supply privare or conndenda!dara:and(d)the idenrity of or�er persoas or enanes au[horized by srace or fedzral law co rec�ive che da[a. This requiremen�sha!: noc appfy when an individual is asked to supply iavesri¢arive daa, pursuanc�o secdon 13.82, subdivi5ion 5, co a law enforzecitnc officer. The commissioner of r- ezu riav pls--the nodr rauired under this subdivision in the individua! ir.come cix or prooem_taz refur.d inscrucdons inscead of on chose forms. Subd. 3. ?,ccess to data by iadividuaI. lipon requesc to a responsibk au�horiry,an individual shall be informed whether he is che subjec: of scor_d dan on individuals,and whe:her it is classified�s public, private or confidenaal. liFon his further request,an individual who is[he subjecc of stord privace or public dan on individuals shall be stiown che dam wichout any charge co him and,�if he desires, shall be iniorcned of the conce�: ar:d meaniag of chac dara. Aher an individual hu be�n shown[he privace dara and informed o[iu meaaing, che data need not be disclosed m him for six mon�hs chereafur uriless a dispuce or acrion pursuanc to chis secrion is pending or addiaoaal daca on che individuai has been coilec�ed or creaced. Tne responsiblz au�horiry shall provide copies o[diz pcivaee or public daea upon requesc by[he individual subjecc of che dam. The responsible authorir� may require[he requcsring person to pay [he acaial cosc�of making,cerrifying,and compiling[he copies. 'Ihe responsible au[horiry shail comply immediately, if possible, wich any request made pursuant co this subdivision,or within five days ot the date of che r:quest,e�ciuding Saturdays,Sundays and legsl holidays,if immediace compliance is noc possible. If he canaoc comply wi[h the reques: w{�hin�ha[tirae,he shall so inform che individual,and may have an addidoaal five days wichin which to comply wi[h the request,excluding Saturdays. Sundays and legsl holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•a[e ' data concerning himself. To exercise�his righc,an individual shall noafy in wriang che respoasible auchoriry dascribing rhe nacu:e of the disagreemecc. . 'Ihe responsibla auchoriry shall within 30 days ei[.`.ee (a)correcc che dara found co be inac.ur3ce or incomplete and attempt to nodfy past recipiencs ei inaccurac�or incomplete dac�, ineiuding recipiena named by [he individual; or(b)¢orify [l:e individual thac he believes [he daca to be correct. Dac� in dispuce shali be di5c:osed only if ehe individual's stacemene of disagreemenc is ir.cluded wieh the disclosed daca. The decerminaaon of thz rzsponsible au�horiry may be appealed pursuanc to the provisions of the adminisnarive pro:edure act reladng to contested cases. DAT� PRIVACY ADVISORY In accordance with�I.S. 13.04, Subd.2, "Ri�lits of subjecu of data", we would like to inform you tha[your requesc for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidencial information. You are notified that: 1, The information you furnish will be used to determine your qualification for che permit or license requested. ? You may refuse to supply daca, buc refusal may require that the Ciry deny the perm.it or license. 3, The informacion may be shared with o[her local, state or federal a�encies co the extent necessary to process the permit or license. :�. If your requested permit or license requires Council action co approve, some informacion may beco�e public. �, You have certain riQhts under M.S. I3.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. Finc ytiddla Lasc Address Ciry Snce Zip Phone I underscand my ri�hcs as stated above. Signantre � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 43�(� l^—c�2��"� �-rt�-�s c�►v�P PID: DESCRIPTION OF WORK: e cac -- �--------------------------------.----Y!��-vo ZO�'G REV�W BY: DATE APPROVED• BUILDPi 1G REV�W BY: DATE APPROVED; c�_ �7 -v� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ./' No PLAN REVIEW Yes ✓' No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONI�IG CH�CK LIST Zoning District: L2 -I� Fire Department: NW v r,� Post Office: M�.��� School District: w�s-r-o n�l� Lot Area: Sq.ft.Wv C rar4n<<,.� Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: S-�Z - �i Proposed Setbacks: Fron[(Lake): � 2�-( � 1" Right Side: 5�b� �-` � Rear (Street): �2 S� � Left Side: � �� Adjacent Structures: ia�r�'v-�C t�+e.� Wetland: — Building Height: Def. Hgt. — Peal:Hgt. -' Lot Coverage: — Gradin�: Staff Approval Date: -- By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # � Resolution: # Resolution Date: Shoreland District: ` Avg. Setbac : N//+ Bluff Setback: N�� L.ot Coverage: Ezisting Proposed Hardcover: 0-75' 75-250' O��L 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDI�i 1G REV�`V CHECK LIST UBC. ,�Z ' �j CONSTRUCTION TYPE: �/� Sq Footage $ Per Sq Ftg Basement x = lst Floor z = 2nd Floor x = Gazage R = z = TOTAL Estimated Construction Value: $ �,(o0p pO Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection oc Footing ` Septic Sewer Connection - 7� Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) � F�� Grading/Filling Electrical (State Permit) Other REMARK.S(IN HOUSE): . REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: RENIARKS (TO BE NOTED ON PERivII'1�: 8 GUARDR,4lL_S -- - _ __ _ _ 36" f�r4tN. HEt�HT .�'1' J'�," � 4" MAX. GPE�NI!�lGS �. _ _ �. -_.-- i � ----� �, N, � z - I � 1 lf� /, \ - Z 7� (V �2'' � . L-, v 1 \ v' � .Z n �� ��O G �- •� � 0 \ (D` ----1 !� ' —�----f (� ` ----- i O ` --.-�! i � � - U b _„ 6 ST�'�!�i� 3 - Z X(D � - 2 X l D $�� MA;�. !:;�I^�_f� �+" ��,-11'�'. TREf1D � b'-Y'' i`�1..�:. H{_,\Jl,C)�)!�1 AT LEAST C�NE F-;r",N[?i:Al;_ F�F�QU�i:ED GUAR[URAiL UPEN SIDc� sp���.�� ���� �Ro�o ��p � S�� A.i 7�',�::�--:�� ���'E7 .-:,�t��,,,� GITY OF ORON4 =�`� FGiR ►�An�x�RA!� - r'-��r i,`� � � on�+-� BUILqING P RMIT '�,`t�,i F;EViEtiN � C�DE ���.�,.,#,Y�g„����� (NSPECTOR_� (��,,,,,._ _ ---�----- ��,-.__y_l? �"--��'�N��,,-hc.__ -"____ �, ,.,�._ ,, r'if"i I�IU,:C{:i��C,�il,'L�I'J(;i-I i:!� l� 'i.r'r"?�.J•�r,:_�f�;�(!�',� :v�.'���i�l".T�Ji�.c.��S �JO{�� n ..,i'.' -';.-��. ���- �- �.: ;t � 7 . i ^.r, �^��., . .:U ' :��J�;�'ti;'. ! V. F''nI Ir1A � V • �:J.urnt ''!:�� :u!r�r^.,,,.., �r� f;; �r;�;_ ,:�a�un. Ai;v�:ry siisl!be done ir .�. ai�,r,,:? . „ a;� ��; .:ab!c bui!dmy 2r�C zoni�� cc � �' ': ' do. Ri� �." i�••,, �� .� �;:�. .�, 'to��.r 2;;;tiCB!iy nOtBd I�th�S f�)JiBW. F'.tE.P "i Nlb FIAW S�'C UN StTE A�A1.L Ttf4tE5 c� �, 1 Q � � .�'NIS ItEM NAS BEEN M1CROfILMED j ��0�� C � ��� \ ;.�rti=ic���� �,. �,_:,� �y. f�;-.,. ��-�:s �,, , �r;-�_��;c�� .1� c� e? L,ct s, F�l��c'r, _, .ci��st �,•-„� � ��2T :??r.r.�pir CullT:ty� ;�;1PP.�SOLF1 �-- �O CIT�' 0� 0��0 �� � -�,. X Si7E FLAN GRAt�3ii�G Pl.Ar� 9 y��'�,, o � A�phO'JED - l��c.►� .�� • , ❑ /���F'RUVrD �1�ITN REY�SfOtdS `'� �' � /� \ � Dl;�� ��i►`Ea s �Y �� i�1TE �+ - - o� � o^ �A' ti �� 6 : �� �J �,J' h� rtH . . S�.r �� �- `���=. S?li. � ' y,^p'r -lr'. f` ��� R- � � e. -'� ; 1 q�` o� tih\ _ y6r ,� /' \ � ,} � ' I �?c:I'c.^_. r�i'�1:j� �:1"'.� ho +1�1L 1` � �.'.it:` ':GQ C�?'— Z��o a5 _==rt Z'�-':?,'�«:�.�•��l.�ri Or �C�� �9"� � �.:I't"t_'�i C. i('.�'^�OL._^.G�c3I'1'�S FST %r9 c`' :,r'�t 3, _��c_+. 1, cb:e s t �ys- h:_:.�, ��.: _^c,L��r ��_`' :I1 -9,Q� ex_is��r� t��i?;:i:_,-s, if any, -s t�:e"�cr. _:c `'. �^o:.o:�d \ ln('Ff,� r'-.r ❑ 'l". .�i_�'Sn.� �1,.1�Q1'. ' `�'�� I� uo�s, ^�t o:s����� to s'r.o� otr�r 1�,J?'0�•� :�"..�� n.., a^Crr;�i!'r.L:�iit`�. , — - - ------Y—J=- -- . JC?�... . t�� = i"'� .L�2'C:`:< <. .^.`�fi.^ :_=� . b�ifJ� �:�E' . 1 ', ' ' �.,. „r, ' � . –1.._–;L .E3:lC _�..�I'V�_' �':.�'_' :a._.� :i�. _;F'_i o . Ircr. --�r��r �:�^_, :�n�, ,•�_:.ne�ot? DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED �f'l3"� oZ.��C� PERMIT NO. COMPLETED � Z�UJ ADDRESS�9� �f S� �m� /�G4't�� OWNER ;��`1��1 CONTR. TELEPHONE NO. y 7� "���v � DESCRIPTION P�� lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 5 FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O a � O � W � Q � Z W � W � � �ORKSATISFACTORY:PROCEED �ROJECT COMPLETE W W �� CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr c,�or on site: Inspector��(���,1,.f"�[ v'I% White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN d n INSPECTION N Tlc� 3a� SCHEDULED � �=� PERMIT N0. �� COMPLETED irr--Z`��(1 l' O� ADDRESS �� C� � OWNER CONTR. TELEPHONE N0. ��-� '�� '�� � DESCRIPTION ��-c.f� LL 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL =�MBING FINAL 36 FOUNDATION/REMOVAL J �� OWN RICONTRACTOR TO MEET YOU:l.�YES_NO Z � COMMENTS: � w a � t I/1G � G� �t- 0 � .f�c� G� S 0 � W � Q � z W � W � j � ❑WORK SATISFACTORY:PROCEED i PROJECT COMPLETE W � Ci CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W A�, Q I)QGORRECT WORK,CALL FOR REINSPECTION TEMPORARY � � BEFORECOVERING C) PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN r. CITATION ISSUED ❑ STOP OROER POSTED.CALL INSPECTOR Cl I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-46�0 OwnerlContr tor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice DATE T�ME1 Q CITY OF ORONO CALLED IN -r(� `�� � INSPECTION N TICE SCHEDULED �,�, 00 � PERMIT NO. D � o� COMPLETED � — S da `b ADDRESS F��o � �� �-� �� OWNER��Q�,i►�CONTR. �� � TELEPHONE N0. � DESC 1P_Il N � FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W '� � � J O � � O � W � Q � Z W � W � � d ❑ ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W ORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN Cl STOP ORDER POSTED.CAL�INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContrac r on site: Inspector. � Whiie Copylinspector's File Canary CopylSite Notice