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Home My WebLink About2006-P09481 - bldg permit w �� PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09481 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remode l/Repair (952) 249-4600 Date Issued: 1/6/2006 SITE ADDRESS: 895 Forest Arms La Unit# Mound, MN 55364 P�� 07-117-23-12-0015 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Typc: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: 2 level addition over existing garage/New 3 stall garage/Front entry FEE SUMMARY: Permit Fee: $ 1,217.75 Valuation: $ 140,000.00 Plan Review Fee: $ 791.54 State Surcharge Fee: $ 70.00 TOTAL FEE: $ 2,079.29 APPLICANT: Owner/Self OWNER: John&Connie O'Brien MN 895 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. ,� { f r �� ''! `r"� �� ,t_� �� APP IC : PIiRMITEE SIGNATURE ISSUED E3Y SIGNATL'RE � Copies: 1-File(Signature.s Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1 • �'„' � � _ � , �'� � ��^� 7,.�e:,a,�J � � Total Fee: $ ,� , �''��•=�� Date Received: /o�-/d-D � �� ;.� Entered By: ��-�� Permit#: �p 9��/ �'\�. � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all infor•matio�r) ------------------------------------------------------------------------------------------------------------------------ T�iE APPLICANT IS: (circle one) OWNER OR CONTRACTOR Jos siTF�n�ss: ?��l� j��<��-- �- ; �-� � ziP: _ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS ❑ No Lf yes, n special e1�e�7t pernrit is reqzured lvilh Police Departnaent and Cily Council approval 60 cfavs prior to the eve��t. Shzrttle bus serl�ice ivill be required unless crpplicant demonstrates sirfficient on-site parking is avctilable. Non-perrnitted evenls tivill not be a(lotived. NAME OF O WNEa2: ��'�r��S ;._�—r� PHONE: (home) G(S Z y 7�-- 7�'_7� (work) G�z _3 ,s u .<r,�� MAILING ADDRESS: �� C��-� .'},,,,� � CITY: �,��,, ZIP: � -<.,r CONTRACTOR: }-I � ,��,�} �^� . PHONE: CONTACT PERSON: MOBILE/PAGER: ��Z �p3 2�� MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EYPIRATION DATE: Al2CHI'I'ECT/ENGINEEI2: '�; ;;;, ;� �� 4� (_ PHONE: � !z 3��-��-/Z�� MAILING ADDRESS: CITI': ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition �_ Accessory Structure Move Home Remodel/Alteration PROPO�ED WORIC(descf•ihe i�a det�ri�: S�� . �e-��!s �-, E � ;s�, ��<� ��`� r� / � 1 � � E�G�.�� i P�<y �' Sfiij� �E�l c��I L" t�J1�� :� � Nc L.-r�,�t�� /t/'�r,� ,Llc'^G4 �in'�'i?� c�i�� T s�ror�l�s: _�_ s�.��r o��;�cx F�oo�: � C`'� ZD��Z n� f z��7 I0T0. OF BED�200RZS: Z, GARAGE STAI,I.S: ATTA�HEI)�_ �E'I'A��E�_ �S�IIV�AT'ED C01�1S'TI�LTCTION VAI,UA'I'IOlV(exclu�ing land): � �(�� I hereby apply for a building permit and I acknowled�e that the information above is complete and accurate; that the�vork will be ir confor�nance ��ith the ordinances and codes ofthe City and with the State BuildinQ Code;that I understand this is not a pennit and work is l�ot to start without a permit;and that the�vork will be in accordance with the approved plan. . APPLICAN'I''S SIGIO'A'I'URE: �.. . �F.,..�.. . DA'�'E: ' �: :,. :. S _ 31 Scc.13.04 RfGHTS OF SUBdECTS OF DATA Subd. 1. Type of data. The rights of individual on�vhom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual ashed to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within d�e collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arisine from his supplying or refusing to supply private or confidential data;and(d)the identiry oY 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 im-estigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of reveiwe ma;place the notice required under this subdivision in Ihe individual income ta�or property tax refund instructions instead of on those forms. Subd.3. Access ro data by individuaL Upon request to a responsible authority,an individual shall be infonned�vhether 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 priva[e or public data on individuals shall be sho�+-n the data without any charge to him and,if he desires,shall be infonned of the content and meaning of that data. Afrer an individual has been shown the private data and infonned of its meaning,the data need not be disdosed to him tbr six months dtereaRer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible audlority shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authoriry may requfre Ihe requesting person to pay the actual costs of making,certifi�ing,and compiling the copies. The responsible aulhority shal I comply immediately,if possible,4vid�an}'request made pursuant to this subdivision,or within five da��s of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the reques[ �vithin that time,he shall so intbrm 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�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To e�ercise[his right,an individual shall notify in writin�the responsible authoriry describine the nature of[he disagreemcnt. 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,induding recipients named by the individual;or(b)notify the individual that he believes the data to be correcL Data in dispuce shall be disclosed only if the individual's statement of disagreement is included with die discfosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contesred cases. DATA PRIVACY ADVISORY �< In accordance with M.S. 13.04,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 inforn�ation you furnish will be used to determine your qualification for the permit or license requested. ?. 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 Councii action to approve, some information may become public. 5. You have certain rights under NLS. 13.0�1(available upon request)to review private data on yourself. 6. Your full name is required to process this application or pern�it. First Nliddle Last Address Cit}� State 7_ip Phonc � understand iaay rights as st�ted above. Signature �? I C�CK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��t S �= o cz.�.�� Az� 5 PID: DESCRIPTION OF WORK: ��p i;�� r� ZO�t�tG REVIE`V BY: �_ Nh^ DATE APPROVED: /- S -o t5 BUILDING REVIE`V BY: DATE APPROVED: ( - S-- D� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLAN REVIEW Yes No SEWER CONNEC'ITON STATE SURCHARGE Yes � No WATERCONNECTTON INVESTIGATION FEE Yes No � PARK FEE SAC Yes No —� SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- ZO��tG CH�CK LIST Zoning District: Fire Department: Post O�ce: School District: L.ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: 1 - 3� t> � Proposed Setbacks: � � Froat (Lake): �= Right Side: �10 '—' Rear (Street): 35 t Left Side: � t � � Adjacent Structures: N I�WZ- Wetland: /t/��- Buildin; Hei�ht: Def. Hgt. C9•��- Peal:Hgt. '�' Lot Covera�e: U 1� 7.6�o Grading: Staff Approval Date: �-S-�'� By: /X Council Approval Date: Septic: Staff Approval Date: /�1 I/-1 By: Zoaing File: # — Resolution: # Resolution Date: Shoreland District: N�5 Av�. Setback: �•t�- Bluff Setback: � �✓a- L.ot Coverage: '�•b EustinQ Proposed a Hardcover: 0-75' 75-250' 2�0-500' Z � 500-1000' Hardcover Variance Required: Yes No� Date of Council Approval: RE1��L4RKS (in house): 7 BUII..DING REVIEtiV CHECK LIST �C� ��" � CONSTRUCTION TYPE: �!^1 Sq Footage $ Per Sq Ftg Basement z _ lst Floor x = 2nd F1oor x = Garage z = z — TOTAL pU Estimated Construction Value: $ J `-(U'�Uv Inspections Required: �Vork Requiring Separate Permits: Site �_Plumbing Fire Hardcover Removal _�Mechanical Water Connection _�Footing � Septic Sewer Connection �C Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �_Wall Board (Mfg,) Well (State Perm.it) � F�� Grading/Filling _�Elecuical (State Permit) Other REMARKS (IN HOUSE): �� -------------------------------------------------------- RE'VIEW BY OTfiERS: DA�; Access: Ezisting New Access Approval: Date gy; ------------------------------------------------------- REI�IARKS (TO BE NOTED ON PERiI�II'1�: 8 /' �}qlL Z � _)?TE TIME ✓ �CITY OF ORONO � � CALLED W �f! � � 1/ INSPECTION N TICE V SCHEDULED _�� . .'�i PERMIT NO. connP�ETEo ADDRESS t�� S � OWNER '��Gl��e�NTR. TELEPHONE NO. �.�,�1.1 �G �r� �Ci_� d -�� DESCRIPTION t, �Dl �� Iy� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL�NG � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLAND � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q ti Z W � W � � d W ❑WORKSATISFACTORY:PROCEED CI PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContr e: Inspector. White Copylinspector's File Canary CopylSite Notice �ID �(/�� DATE TIME � y� CITY OF ORONO CALLED IN ��d' INSPECTION NOTI SCHEDULED �-/3-Olo a��s PERMIT NO. � COMPLETED ADDRESS �� `� OWNER CONTR. TELEPHONE NO. /�J Z ��O 77 Z� � DESCRIPTION ��U l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. �2 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED (-� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O G C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail tor the next i spection 24 hours in advance. (952� 249-4600 OwnerlContra t n sit Inspector. White Copyllnspector's File Canary CopylSite Notice I/'�� _DATE TIME � ! � CITY OF ORONO CALLED IN S �� INSPECTION NOTICE�� /(� SCHEDULED ��- L' ., �i�l PERMIT NO. pL� �Y d � COMPLETED ADDRESS �fS Fu�'c� S �,�/l.tif-S OWNER TG I�'� C�� ,'�t r,�,�� CONTR. G'li;'vl,i�� TELEPHONE N0.� �' ( :� �7C) � 0 �J 7� �annc..; � DESCRIPTION � Ot FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � ti � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CA TO ARRANGE ACCESS. Call for the ne i pection 24 hours in advance. (952� 249-46�� OwnerlContr o on s e: Inspector. White C yllnspector's File Canary CopylSite Notice ,�, � �� DATE TIME ' / '�ITY Of ORONO �ED IN �� " � � INSPECTION OTICE O�� SCHEDULED � �� PERMIT NO. COMPLETED ADDRESS ' OWNE TELEPHONE NO�S�I'��o��7��5 CONTRACTOR >: DESCRIPTION - � � ❑ FOOTING ❑ PLUMBING FI AL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS y ❑ FF�AMING ❑ MECHANICAL FINA TREE REMOVAL Z ❑ IN�.ILATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑ CORRECT WORK�PROCEED ISSUE CERTIFICATE OF CCUPANCY 0 ❑ C�RRECT WORK,CA�L FOR REINSPECTION RARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on te: Inspector. �i( J'� s � -P_�-o--�u White Copyllnspector's File Canary CopylSite Notice � �(�/ � ��=T TI M E ✓ CITY OF ORONO Q CALLED IN � INSPECTION O CE7�z� SCHEDULED Lb—,IZ-�Y� � PERMIT NO. Z� COMPLETED ADDRESS a�IS ��-�" L�/�i'K�J LI'�, OWNER JO kn TELEPHONE NO. q�z y7Z z�7� CONTRACTOR >; DESCRIPTION ��a'�' � ��'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTfON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ��I I�E'- 7C ��l�K ��C A i e c� o ��'A �j '� t �}�c� ef �1�6!� � � O c..�J �1.1 a � �'7 � �� ...1� 7.�'T��t� �� '� � ��'' C_ .1-/�S �C'�� Q � � Z � �� l n C l.ft-i�Q B Q �4 � (C�'/1 W j jc��;-�ll��e a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V ORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `�CITATION ISSUED � INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copylinspector's File Canary CopylSite Notice