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Home My WebLink About2000-P02240 - windows � PERMIT tC I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 Po22ao Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (612) 249�600 Date Issued: 3i23�oo SITE ADDRESS: 950 North Arm Dr MOUND,MN 55364 PID: o�-i i�-23-i i-oois DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,500.00 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 99.00 APPLICANT: JOHN OLSON OWNER: J T OLSON&C L OLSON 950 NORTH ARM DR 950 NORTH ARM DR MOIJND,MN 55364 MOLJND MN 55364 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE'TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. �� OC�so.� .� � SSUED B SIGNATURE ��+ � ��c.�� E� Copies: City,Applicant,Assessor,Finance Page 1 � � d �� ' Total Fee: $ Date Received: Entered By: ,�'� Permit#: p��a CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) WNER R CONTRACTOR ofit Ptft� �� JOB SITE ADDRESS: ^O ZIP: NAME OF OWNER: Jo�,�.,,, C�L S O�J PHONE: (home) �7Z-�60� (work) MAILING ADDRESS: S f�w.,G. CITY: d Q q�V � ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: �t ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration f Land Alteration PROPOSED WORK(describe in detai�: iL �e.,r t s S W �-�c�.c w S STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 3�� , 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 ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be ' cord ce with the approved plan. APPLICANT'S SIGNA - DATE: �� Z-�' �� NOTE! Parade of Homes events r quire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 1. � � �� • � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of i�ividual 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 iiuiividual asked to supply private or confidential data concerning 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 Irnown consequence arising from his supplying or refusing w supply private or wnfidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. 1'his 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 revernie m�v�lace the notice reauired under this subdivision in the individual income taz or orocerN tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,ancl whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stoced 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 meaning 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 ro this section is pending or additional data on the individual has been collected or createcl. The responsible authority shall provide copies of the private or 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 maldng,certifying,and compiling the copies. The responsible authoriry 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 immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infortn 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 when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himcelf. To exercise this right,an individual shall notify in writing the responsible authoriry describing the tiature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or i�omplete data,ic�luding 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 determinaaon of the responsible authority may be appealed pursuant to the provisions of the administra6ve procedure act relating 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 fumish 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 Ciry 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 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. � o� .� b �. � o � First Middle Last � 5�o c� � s � uo�.-, H ��• a ��,,�-,� Address O 2 0 �v � lrn o� w CS d� r�J, S�3 6� ' Ci�y , 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: g,s"� /VO R77-/ /�lNr� �/Z PID: DESCRIPTION OF WORK: ��'S'S L��Oa�5 ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: /'�! �� DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 3' -2.3-�c� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t,� No PLAN REVIEW Yes No � SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: O Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: W land: Building Height: Def. Hgt. Pe � Hgt. Lot Coverage: Grading: Staff Approval Date: B : Council Approval Date: Septic: Staff Approval Date: B : Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' � 250-500' �� 500-1000' � H r, Hardcover Vaziance Required: Yes No A Date of Council Approval: i REMARKS (in house): � � - 7 .. s. :. . "�!._ . BUII..DING REVIEW CHECK LIST UBC: �• 3 CONSTRUCTION TYP�s � VN Sq Footage $Per Sq Ftg Basement x = lst Floor x = ` 2nd Floor x = Gazage z = R = TOTAL Estimated Construction Value: $ 3��1�t7� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing � Septic Sewer Connection � Framing Fireplace Lawn Inigation 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 PERMI�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION T SCHEDULED �/ ��%`�v �� PERMIT NO � COMPLETED �'^�' �� ADDRESS q�b N��I�� pY' OWNER ��>��il'1 CONTR. ��`�r�'� TELEPHONE NO. ��a� I�L I � DESCRIPTION ��ic'��-� !� �\� �C51N �-�- ly 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 Z-D4 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION -Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-91TE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � NTS: � �5 a �-/ , � J O >. � O � W � Q � Z W � W k j d � �ORKSATISFACTORY:PROCEED [ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector. //IQ-��-"�`' White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �-� 6O ��3 � INSPECTION TICE (�f SCHEDULED .�'Z_ ��)� �, o PERMITNO. �D�-lO COMPLETED T`��0�/ �� < �� ADDRESS S N � ✓�� OW CONTR. _ TELEPHONE NO. �' � DESCRIPTION _ __ _ — L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �-s � � � 0 � W � Q � Z W � W � � d W��WORK SATISFACTORY:PROCEED ROJECT COMPLETE W CORRECT WORK 8 PROCEED '.l ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.//��''C Q�✓►�� White Copyllnspector's File Canary CopylSite Notice