HomeMy WebLinkAbout2004-P08127 - addn/remodel/repair " ' ` PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Poai2�
Crystal Bay, Minnesota 55323 P2CIl'llt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 11�2�2ooa
SITE ADDRESS: 1295 Loma Linda Ave
Mound,MN 55364
P I D: 07-117-23-41-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate pernuts required: ���mcai�sutej
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 38.75
Valuation: $ 1,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 39.75
APPLICANT: Owner/Self OWNER: Daniel&7ulie Ruegemer
� 1295 Loma Linda Ave
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.
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APPLICAN ERMITE GNATURE [SSUEDBYSIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
� ��• �S DateReacived: - C� ��7
Tofal Fec: �
Entered By: � v Pcruut#:
C1`I'Y OF ORONU-BUILDING PERMiT APPL�CATiON
All intormation must be submittcd In full hefure pl�.r►rcview will bc startcd.
(,please p�int of!infotmat�un)
---- --------- ---'
THE APPLICANT 1S: (circle one) OWN�L2 CONTRACTUR
JOBSITEAUDRFSS: /�.����-'�� '' L1P' S`5,�(�7
Will this be a P�rade of Homes,Remodclel'9 Showcase Home or other Di�pfuy Home?
[] Yea �o If yes,a spe.cic�l even�rrermit i.s requlred wilh Police�17epurtmerif und Crry c:oan�:ll apprc�val
� 60 days��rin�tu Ihc everr�. Shultle hus sFrvice wi11 hc rE�quired unlessr upplican�demunsrratr.s
su�J'u:icna un-sitc yurkinR rs availabLE. Nvn-pe»n1[led cvents wil�nor be allowed.
NAME OF OWNER:�/Gl� : - � � f,r PHONE�: (h���)�r2 � �
(�)
MAILING ADDRESS:��.9����-����� CITY: f�7 � Z1P: �
CON'f RACTOR: Pi����
CONTACT PERSON: MUBI[,EfPAGER:
MAlI.ING AllDRE5S: C1TY: � ��=
S'1'ATE LICENSE: # �XPIItA'�'ION DATE:
ARCH ITF.C'rlF.NGIN EL�R: PN�N�"'
MAILING AUDR�SS: Cl'TY: _ _ ZIP:
NAME: REC,IST1tAT10N: #
TY�'E OF WORK: New _.. .._. Addilion i _ Acces�ry Struct�u-c _._ ..
Move Home ._ „_ Itcmo�lcl/ ll rati ✓
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PROPOSED U (de cribe in detal�:
� af° � �
h,stt��� c� �.'i •
S'rOR1E4:' SQ.F'EET OF�ACH FL001L
NO. OF BEDROOMS: GARACE SfALLS: AT7'ACHED DETACNED�
ESTIIV�A'fFD CQL�ISTttUC'fION VALUATiUN(cxciuding land): � �
I hcreby apply for a building permi[and I ac:knowled6c that the infoz�tion ubove is complete�nd aecurate;
that t�e wc�rk will bt:in cvnfvtmancc wi��h thc ordinanees and codes�f the City and with the State 13ui1ding
Coae;th�t 1 undergtand this is not a perinit and work is not to start without a permit;and that che work wi11 be
in accurdance with lhe approvcd plan•
APPL1CaNT'S SIGNATURF:
�_ DATE: O` � �
31
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ZO'd H�-b=60 t�O—ZZ—��O
1 � 4
CHECK OFF LIST FOR ISSUANCE OF PER112ITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /Z�i 5" Cp/�9�'L i^��o/4
PID:
DESCRIPTIO:V OF yi�ORK: 'i'�c� ��� � � ���� se•,-�P
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ZONINGREVIEt�BY: �( DATEAPP�OVED:
B UILDING.REVIEW B Y: DATEAPPRO�'ED: �o• z 6•�Y
---------------------------------
FEES TO BE CHARGED: Nlisc. Fees Calczclatecf By:
PER11�fIT Yes � No
PLAN RET/IEGV Yes No � SEYVER CON�VECTION
STATE SURCHARGE Yes �� tVo tiVATER CONNECTION
I�VVESTIGATION FEE Yes �Vo PARK FEE
S�L C Yes No SITE NSPECTIO�V
Nac»zber of SAC U�zits OTHER (specify)
---------------------------------------------------------------------------------------------
ZO�YIIYG CHECh'LIST Zartirtg Dish•ict: a
Fire Departrnerrt: Post O�ce: Sch.00l Dish•ict: _..
Got.4rea: Sq.ft. Acres 6Yidtl� Depth
Sccrvey S«bmitted: Yes No Dc�te af Scuvey:
Pr•oposecf Setbncl;s:
Fract(Lake): ight Side:
Rear(Sh•eet): L t Side:
Actjacent Su•ucteu•es: 6�etla�zcf:
Buildirrg Height: Def. Hgt. Peak Kgt.
Lot Coverc�ge: �
Grading.• Stc�ffApprovcil Date: By: Council Approval Date:
Septic: Staff Approvnl Dc�te: BY�
Zoriiiig File: # Resolution # Resolictiola Date:
Shor•elancf Dish•ict:
Avg. Setback: lc�ff Setbc�ck: Lot Coverage:
�isting Proposecl
Hccrdcover: 0-7�'
75-�SO'
250-500'
500-1000'
Hardcover Var•iarice Reqccired: Yes No Date of Coiirzcil Approval:
REMARKS(in hotcse):
31
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��AT� TIME
CITY OF ORONO CALLED IN
INSPECTION Tl E SCHEDULED � :o'O
PERMIT NO. � COMPLETED
ADDRESS fa 4� ��lYV��,_�•lt��1J
OWNER�U'P��%►'rtD�l/ CONTR.
TELEPHONE NO. ��� 77a l���CO
� DESCRIPTION !
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 �EMO-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 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUEO
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL, ARRANGE ACCESS.
Call for the next in pection 24 hours in advance. (952) 249-4600
OwnedCo ct s e:
Inspector.
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