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)
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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):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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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
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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:
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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:
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��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
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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: