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HomeMy WebLinkAbout2000-P02834 - addn/remodel/repair � PERMIT C I TY O F O RO N O Permit Number: 2750 Keiley Parkway - PO Box 66 P02834 Crystal Bay, Minnesota 55323 PeCll'llt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: 8�2a�2oo SITE ADDRESS: 460 North Arm Dr MOUND,MN 55364 PID: 06-117-23-31-0004 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai r,iectricai �siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 401.35 Valuation: $ 26,000.00 Plan Review Fee: $ 260.85 State Surcharge Fee: $ 13.00 TOTAL FEE: $ 675.20 APPLICANT: Bruce Bren Homes OWNER: T J& S J WANNER 106 Broadway Ave S 460 NORTH ARM DR Wayzata, MN 55391 MOUND MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF�D AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF I�IINNESOTA BUILDING CODE REQUIREMENTS. _ ��C.,e_ �.�?���--�,�_ APPLICAN PERMI EE SI NATURE ISSUED BY SIGNATURE �s �� C.�l Copies: City,Applicant,Assessor, Finance Page 1 . . �f_��C�C�'�° �-�� �- �G�-Q 2 L� ��� . Total Fee: $ �% �5 Date Received: � �f� '�� Entered By: �Z�� Permit#: '�C>�g 3�� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �(� ,�,�o�� o� ZIP: 5�j'�9'/ NAME OF OWNER: �jU� �a���p� PHONE: (home) �p � (work) MAILING ADDRESS: ���o� ���Q,�P CITY: pp�a p ZIP: ,��'/ CONTRACTOR: ��L � � ��� PHONE: �9�2� �j,�^-�/g CONTACT PERSON:�-�7'o�p MOBILE/PAGER: ,�,r.r�.�Ls� MAILING ADDRESS: /�p J$Y�YE, S CITY: ���1� ZIP: 553�/ STATE LICENSE: # ,� � ARCHITECT/ENGINEER: ��R PHONE: MAILING ADDRESS: CITY: ZIP: N:��IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK (describe in detai�: �i N�S H bW�R ����L �r� b2 �/V1illG ��AG� . STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. ESTINIATED CONSTRUCTION VALUATION (excluding land): $_�pr,�, o� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ardinances and codes of the City and with the State Building Code; that I u erstand this is not a permit and work is not to start without a permit; and that the work ill be in acc ance with the approved plan. APPLICANT'S SIGNATURE: DATE: �3 -/(a - od NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SLJBJECTS 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 reqirired to be given individual. An individual asked w supply private or confidentiai data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the 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 arising from his supplying or refusing 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 secdon 13.82, subdivision 5, to a law enforcement officer. The comm�ssioner of revenue mav nlace the notice reauired u�er this subdivision in the individual income tax or orocertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Lipnn reyuest to a responsibl�aqthority,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 daha on individuals shall be shown the data without any charge to hun and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private daCa 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 authoriry shall provide copies of the private ot public data•upon request by the individual subject of the data. The responsible authoriry 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 of the request,excluding Saturdays,Sundays and legal holidays,if iaunediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal 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 himgelf. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct�e data found UD be u�accurate or incomplete and attempt to notify past recipients of inaccucate or incompiete 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 determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaang to 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: 1. The information you fumish 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 shazed 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 Ciiy State Zip Phone I understand my rights as stated above. Signature 6 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY � ADDRESS OR LEGAL: LI�O ►'V 0�ZTFI A2Y� ��� PID: DESCRIPTION OF WORK: A��W�� `'�k�S 1-� -----------------------------_____-----_--- ____------------------------------ • -- - --------------- ZONING REVIEW BY: �lJ �V� DATE APPROVED• BUII..DING REVIEW BY: � DATE APPROVED: g •2z-c�u FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ,/ No SEWER CONNEC'TION STATE SURCHARGE Yes �/ No WATER CONNECI'ION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: No G�.��p Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres W dth Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front (Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: � Wetland � Building Height: Def. Hgt. Peak H t. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDING REVIEW CHECK LIST UBC: (Z- � CONSTRUCTION TYPE: V N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL �u Estimated Construction Value: $ 2��C�C�� Inspections Required: Work Requiring Separate Permits: Site o� Plumbing - Fire Hardcover Removal oC Mechanical Water Connection Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling � Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 � DATE TIME CITY OF ORONO CALLED IN ��-'����'�_'����� INSPECTION NOTICE ,` SCHEDULED /�:��� PERMIT NO. Q(�� �-37` COMPLETED ����'�j �;C� ADDRESS �L�D N �Qm ,��-' � OWNER CONTR. ��C-Q- /�� �/�S TELEPHONE NO. �,rsf 5�> � - ys�y ��u��� � DESCRIPTION /-���-/��� `� ��-�-�-��''���� lL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � w a � � � S�. c� 0 a � 0 � w � Q � z W � W � � d�ORK SATISFACTORY:PROCEED �_; PROJECT COMPLETE W. � C i CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. i� pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector./�'/��'✓U �a-�S White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN Ic�"���� 1�' �• 2� INSPECTION NOTICE SCHEDULED /��� �� PERMIT NO.^���a"��� COMPLETED /2' ��L . �CJ ADDRESS �b� �'1 �"'�'V�'1 �Y' OWNER CONTR. ��''"�C- ��'�-�._ TELEPHONE NO. :��� r� � /� � DESCRIPTION l�C�t�-✓ 1.��-G1 lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 3-fNSII�Tf�N� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT � 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 a � � O >. . � O � W � Q , � Z W � W � � d W��I,WORK SATISFACTORY:PROCEED i- PROJECT COMPLETE v W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. :- pH0T0 TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContrac on site: inspector.��G���G-� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO LLED IN J� ZZ �'i/ ��� INSPECTION NO Q SCHEDULED �� PERMITNO. 'J � COMPLETED� ` 2 �"1 ADDRESS C� /�.� � � � OWNER CONTR. l.C..F_ S : � TELEPHONEN0. � ���' " � �`5 C-���/ � DESCRIPTION 1`'"�f'1 � � � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/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 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 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � ��1(VORK SATISFACTORY:PROCEED �ROJECT COMPLETE �� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �t� 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector.����.�C�/ White Copyllnspector's File Canary Copy/Site Notice r2E'0LD"-M0C1I'rN 0. M W lND(:)klV FIRE EXIT Rx L1II',I u'll 24-1 CLEAR!-jElGIT' �,q -9.7 SQ.- F -l-- (),PENIN 44" MAX. SILL HEIG xHT m 0. PROVIDE TREATED PLATES WHEN LAYED ON CONCRETE VeSlf 710e 7;;?4?Z 4 r FIRE SEPARATION MIN 5/8- TYPE X WALL BD. TO ROOF SBEATIUNG. IF CEILING IS USED FOR FIREWALL THEN SUPPORTING WALLS MUST ALSO ly PROTECTED JOINTS TAPED - GARAGE FIREDOOR SOLD) CORE - SELF CLOSM /, SPECIAL NOTE SEE ATT,�CHED SHEET frOR21��-LQ-5 Q cT--V-� CODE R.---Q,,-#'i7Arl--7,?,4ENTS CITY OF ORONO BUILDING R I -ANt REVIE-W INSPECTOR DATE5 I Z -L PERMIT . NO. APPROVED AS St,'Rjv�i: IVI! tO';S AQ U N! 40!k chall to done o!i and zonlng :.,Jlq. orpied in tihii, t. jw. KEEP THIS PLAN SET ON SITE AT ALL TIMES Iowa 46C NORTH ARM DRIVE, ORONO, MN Contractor: Bruce Bren Homes W,.avzataMN Pfirted: