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Home My WebLink About2003-P06720 - new structure * � PERMIT CITI� OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po6�2o Crystal Bay, Minnesota 55323 Permit Type: New sttu�ture (952) 249-4600 Date Issued: 9�9�2003 SITE ADDRESS: a12s xighwood Ftd Mound,MN 55364 PID: 07-117-23-44-0084 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 101 Pernut Class: g Pernut Type: New Sriucture Pernut Sub-type(s): New Home-Single Family DETAILS: Approved per resolution#: 5019 Separate permits required: i'iumoing iviecnanicai rirepiace w eii�s[aiej Eiectricai�s[aiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 2,253.75 Valuation: $ 325,000.00 Plan Review Fee: $ 1,483.23 State Surcharge Fee: $ 165.50 TOTAL FEE: $ 3,902.48 APPLICANT: Mark Daniels Inc. OWNER: 7ohn&Roberta Henrich 5817 Oregon Ave.N. 4125 Highwood Rd Minneapolis,MN 55428 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ~` � �/��-�--�— � APPLICAN ERMITEE SIGNATURE ISSUEDBY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 ��,`'1 ��Q � . ' ` �� `� c�� l 2-� , � --� -. -� p Tdtal Fee: $ -' �i- .--" ��`� ��_�(� Date Received: � � a Entered By: ��nv.. ------ Permit#: q ( 3 1��j CITY OF ORONO - BUILDING PERIVIIT APPLICATION SLu�� `�� 4, All information must be submitted in full before plan review will be started. ' (please print all information) � �. �- � � ��1� ------------------------------------------ --------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��J� ,��:lr�,��.�.; 1��., ZIP: NAI�1E OF OWNER: ��,� }�Y��i�.'l�.ti PHONE: (home) . (work) MAILINGADDRESS: %�� { , ,;;��, l. ; CITY: ;, �L . � ZIP: CO\�'RACTOR: !/,'�� J�`:��c.� 'j7 : �._ PHONE:. ��1' -j;�S-`�,�:.� � COti-TACT PERSON: f�,; �,'�i�_S MOBILE/PAGER: ��-3 �2b'�-—��t�- �-i MAILI�i 1G ADDRESS: `� ' �t ,A. CITY: � �,�"� "�' ' ZIP: �' ` r<j � ST�iT'E LICENSE: # ,.- _- ARCHITECT/ENGINEER: /5'r,,�c T L_7-�✓T:c' PHO�TE: )��- �.�'S�- ,,Z�`l C� MAII.,ING ADDRESS: ��i;, }� T CITY: ; �i , , �, c: ZIP.< ;-y,;. 7 NA�I�IE: � ;, .: � - � � REGISTRATION# TYPE OF WORK: New '�.. Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: /S�f��, ��« fjc�j��_ STORIES: ,��,. . SQ. FEET OF EACI-i FLOOR: %l.' '- r ; '" ��.-� 1��0. OF BEDROOMS: � ! GARAGE STALLS: ATT. DET.� ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ � :..% >. C�� ; I hereby apply for a buildin; permit and I acknowledge that the information above is complete and accurate; that the work will be in conforn�r�ce with the ordinances and codes of the City and with the State Building Code; that I understa�id this ' not a permit and work is not to start without a perm.it; and that the work wiR be in accorda�with the appr�,ed plan. , �. APPLICAI�;T'S SIGNATURE: ��-��_ � � --,r'�. , �� DATE: ".�`�' l� � NOTE! Parade Q Homes events require separate permit approval by Police De�artment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 ' y � R \ Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the 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 uked to supply private or confiden[ial data concerning himself shali be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,poliacal subdivision, or sta[ewide rystem;(b)whether he may refuse or is legally required to supply the requested data; (c)any lrnown consequence arising from his supplying or refusing cD suppfy privace or confidendal data;and(d)the idenary of other persons or entides authorized by srate or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav lace the notice re uired under this subdivision in the individual income taz or ro em tax refund instructions instead of on those forms. Subd. 3. Access to data by indiridual. 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 co�denrial. 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 meanin�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 secdon is pending or addidonal data on the individual has been cotlectzd or creared. The responsible authoriry shall provide copies of the privare or public dara upon request by the individual subject of the data. The responsible authority may require the requesrin�person to pay the actual cosu of making,certifyin„and compiling the copies. 'Ihe responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of[he requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that cime, he shall so inform the individual, and may have an addirional five days within which to comply with the request, excluding Sacurdays, 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 privace data conceming himself. To exer�ise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomple[e and attempt to noafy past recipients of inaccurate or incomplet�dara,including recipienu 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 disciosed data. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the adminisu�adve procedure act relating ro contested 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 �ity of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: , i. 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 pernut 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 �L Clry % State Zip Phone I understand my ri ts as tate above. ;� j :. ;�l�/� � �G �� ' Signature • 6 , A � • � � � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . ADDRESS OR LEGAL: �1 l 2� l-1�6N w oo�J �.AN�:. PID: DESCRIPTION OF WORK: dV C—V.s �Z,C�. Z0�1ING REVIEW BY: DATE APPROVED: �'i - �i-a 3 BUII.DING REY�W BY: DATE APPROVED: S—g -�3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No pLAN REVIEW Yes _� No SEWER COrfNECTION STATE SURCHARGE Yes v No WATER CONNECITON INVESTIGATION FEE Yes No v PARK FEE SAC Yes No ✓ SITEINSPEG"TION Number of SAC Units ��,,,,�,�,,.�., ,�,,� ��,�,, OTHER (specify) ZOr'Il�1G CHECK LIST Zoning Districr. LR-�� Fire Department: Post Office: School District: Lot Area: Sq.ft. Z�f6`1� Acres • 6 6 Width Depth Survey Submitted: Yes�_ No Date of Survey: `'�- �o � �7 Proposed Setbacks: F�ent(�,ake): Q 3� � Right Side: .S�i.2� P�(Street): 52' �I'� Left Side: 3 I•6$ Adjacent Structures: I 2 Wetland: nl �a4 Building Height: Def. Hgt. Z`( �� Peal:Hgt. �� Lot Coverage: $•3 Grading: Staff Approval Date: �- '8��3 By: � Council Approval Date: � Septic: Staff Approval Date: N� By: - Zoning File: # o3-Z'84 Resolution: # Resolution Date: g'l I'�3 . . Shoreland District: �C5 Av�. Setback: �p►�,��c� Bluff Setback: vA-��c,tr LotCoverage: $• 3 Existing Proposed Hardcover: 0-75' S.� 75-250' Z�. 2 250-500' 500-1000' Hardcover Vaziance Required: Yes J� No Date of Council Approval: � `<<' �� REMAR��S (inhouse): -- �. 7 . . . � . ' ' . BUILDING REV�W CHECK LIST � �C� 12'�S CONSTRUCTION TYPE: 1i(rJ Sq Footage $Per Sq Ftg Basement R = : lst Floor x = 2nd Floor x = Garage x = a = TOTAL Fstimated Construction Value: $ 3 z-S,o 00°= Inspections Required: Work Requiring Separate Permits: Site �(' Plumbing Fire Hudcover Removal _�_Mechanical Water Connection _ZC Footing Septic Sewer Connection _�Framing �_Fireplace Lawn Irrigation �_Insulation (Masonry) Other �Wall Boazd _�(Mfg.) ,C Well (State Permit) F' F� Grading/Filling _�Electrical(State Permit) Other RENIARKS(IN HOUSE): ------- REVIEW BY OTHERS: DATE: ------------------------------------------------ Access: Existing Ne�✓ Access Approval: Date gy. . � -------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT�: $ , � ] _ ' G�; ----' �AT TIME CITY OF ORONO CALLED IN ='-� "� INSPECTION NOTICE scHe�u�Eo � - 3 GE �" `�- PERMIT NO. f=CJ[o ��-� COMPLETED ._,__ ADDRESS �-�/��`� �I/ �i�Gt-�"c�� `� . OWNER `� CONTR. , � '�14� ,��<: r��c: �S TELEPHONE NO. �� ><��' �� ,��c%(I l,�!c� , S S � DESCRIPTION ��e��t � ��Cf I�� Ot 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O�S FINAL 14 SEWER HOOK-UP 06 PROGRESS �' E�T D MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM L 36 FOUNDATION/REMOVAL � OWNE CONTRA�T R TO MEEf YO�-YES_NO _�_�'' � COMMENTS: � W a J �— V�i ✓� � � O � � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � �RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlCon site: Inspector. �� White Copy/lnspector's File Canary Copy/Site Notice � � �� \U DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 7,(�) SCHEDULED -� �'� �iv PERMIT N0. � �� COMPLETED ADDRESS ��Z `"? l-'I i Cj l� � C�C; � �'�� OWNER CONTR. ��G�I� �i� .�k/�1 �C'lS TELEPHONE N0. '� (0 3 � �� ' �' t'�' I � DESCRIPTION �r��-�"�-�� 01 FOOTING 11 MECHANICAL RI 18 XCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 0. j O a � O � W � Q � 2 W � W � � O W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon site: Inspector. White Copyllnspector's ile Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN l,��/-03 1NSPECTION NOT��.�ZO SCHEDULED /�-�'C?3 � '�.�I PERMIT NO. COMPLETED � ADDRESS �r�5 / 9' /��G�?� OWNER CONTR. �G�!' � �( .(a,f�;�o�T�C� TELEPHONE NO. �1r1�" ��p��f � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q �2 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL �� 36 FOUNDATIOWREMOVAL � OWNERICONTRACTORTOMEETYOU:�YES_NO � COMMENTS: � W � � J O >. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIFiED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContrac n�s�te: Inspector. �v White Copy/l�spector's File Canary Copy/Site Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION N TI SCHEDULED � "a Z-�°'' PERMITNO. 67� COMPLETED �'L�� l ADDRESS y t Z S /-I(6/-�ctrQ� /lc� OWNER CONTR. TELEPHONE N0. � DESCRIPTION ty �OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a j O � � O � W � Q � W � W � � ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contr n site: inspect White Copyllnspector's File Canary Copy/Site Notice /% '✓ � �� • DATE TIME V CITY OF ORONO CALLED IN _`�2��5 INSPECTION NOTICE SCHEDULED /t/ r�� PERMIT NO. � COMPLETED /� � ADDRESS �T o��J ,I � OWNER �b�� "��r�C'�CONTR. TELEPHONE NO. ��G' �J � ��" ��-j � DESCRIPTION 1— f I�C�- � ` )�i �`YY�� , � 01 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED e171S'SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING �pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION RE�UIRED.CALI TO ARRANGE ACCESS. 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