HomeMy WebLinkAbout2006-P10444 - stairway to lake PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10444
�Crystal Bay, Minnesota 55323 P2rmit Type: User Defined Surc Building
(952) 249-4600 Date Issued:
11/14/2006
SITE ADDRESS: 1331 North Arm Dr Unit#
Mound,MN 55364
PID: 07-117-23-41-0081
DESCRIPTION:
Proposed Use: Residenrial
Pernvt Class: General
Permit Type: User Defined Surc Building Pernvt Sub-type(s): Stairway to Lake
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Install Outdoor Incline Elevator
FEE SUMMARY: Pernut Fee: $ 60335 Valuation: $ 46,000.00
Plan Review Fee: $ 392.25
State Surcharge Fee: $ 23.00
TOTAL FEE: $ 1,018.60
APPLICANT: Hill Hiker,Inc. OWNER: 7im Peterson
3565 County Road 6 1331 North Arm Dr
Long Lake,MN 55356 � Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
.4AID AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
/
APPLICANT PE EE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ l b!�.�0(� Date Received: /�1 /�" ('lD
Entered By: � � Permit#: ,�4/D�f y y
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CITY OF ORONO - � PE IT APPLICATION
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All information must be submitted in full befo►•e plan revie�v will be started.
(please print al,l i�iformatioir)
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TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR �1) OL�
.... - `�
JOB SIT�ADDRESS: �., . : , "�: ZIP: ---��"'�"—
Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home?
❑ Yes � lv0 If yes, a specia/event peri�:il is reguired tivitl�Police Depnrtment and City Cotrnci!approvaT
60 days prior to the evej�t. Shuttle bus service rvil!be required�.inless applica��t deri�or�strntes
szrfficie�7t on-site parhing is availnble. No»-per•nritted events�vi/!not be allotived.
NAME OF OWNER: � �n'� t��=�` ' '` PHONE: (home)
(�vorlc)
MAILING ADDI2ES5: �� �� � i ��.-�t��;r ��� �,� �.�� CITY: � ZIP: - � �
CONTRACTOR: - ' �-I��,e t� . '. PHONE: ,: ,,:_ ... ,, ,.
COl�'TACTP�RSON: � ; li N�... MOBILE/PAGER t; �;.�_ �,� _�' 1 fy 7�:
MAILING ADDRESS: ,� ."> l, . � - CITY: ;� ; _ � �,; ZIP: <,.
STATE LICENSE: # �YPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeVAlteration (ie: Sidicig, Windo�vs)
Any earth movement may require MCWD review and per;nits !
PROPOSED �VORK(descr�ibe iiz d�tain: ; , - �,., 4 <
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOI�i�: GAi2AGE �TALI�S: A�'TAC#i�D D'ETACI�E'�'_
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ESTIl�1ATED CONSTRUCTION VALUATION(excluding land): � ' �V O' `�
I hereby apply for a building permit and I ackno�vledge that the information above is complete and accurate;
that the�vork will be in conformance with the ordinances and codes of the City and �vith the State Building
Code; that 1 understand this is not a permit and��ork is not to start without a permit; and that the�vork will be ,
in accordance �vith the approved plan.
APPLICANT'S SIGNATUI2E: ����� ��A'T�: � � -� � — �� ��
,��L L'_ ��✓�,✓��' L, �i � F( L A�
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Sec.13.04 RICHTS OF SUBJECTS OF DATA
Subd. 1. Type of daca. The rights of individual on whom the data is stored or to be stored shall be as set foRh in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or contidential data conceming himselfshali be
informed ofl (a)the purpose a�id intended use of tiie requested data�vithin the co�lecting state agency,political subdivision,or statewide system;(b)
whether he may reFuse or is legally required to supply the requested data;(c)any known coiisequence arising from his supplying or refusing to supply
private or contidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive Uie data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
Tl,e enmmi�ci�ner of revenue may�lace the notice req�ired under this subdivision in the individual income tax or oro�ertv tax refund
instructions instead of on those forms.
5ubd.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,and whether it is classified as publ ic,private or confidentiai. 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
meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six
months tilereaRer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collecced or created.The
responsible authority shall provide copies of tl�e private or pubiic data upon request by the individual subject of the data. The responsible authoriry
may require th�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 tive days of
the date of the request,e�cluding 5atu�days,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within diat time,lie shall so inform the individuai,and may have an additional five days within which ro comply with the roquest,excluding Saturdays,
Sundays and legal holidays.
3ubd.4.Procedure when data is not accurate or complete. An individual may contest the accuracy or compieteness of public or private data
concerning himself. To exercise 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)cortect the data found to be inaccurate or incompiete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual tha[he bel ieves 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 determination of the responsible au[horiry may be appealed pursuant to the provisions of the administrative 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 inforni you that your request
for a pern�it or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified tl�at:
1. The information you furnish will be used to deterrnine 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 ertent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
pttblic.
5. You have certain rights under Ni.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 �'Iiddle LHst
Address
Ci��• � 7_ip Phone
I understa m,y rights state ve.
Signat c
i�
Reset Form �2
� . �HE�� OFF i�IST FOR ISSUANCE OF i'ER.i.�fITS
FOR OFFICE USE ONL�.'� . ,
p,pp�2ESSORLEGAL: �33� IU�fzTx ►q,Zvv� �'J2�� --
PID:
DESCRIP'TIO�I OF WORI�: CL,��� �'L��?-o 2 L,r41u3 c
ZOY .nTG REVIE'4V BY: ---- -- ----------- pA.TE APPROVED: /1-�-o�
� � � DATE APPROVED: � I•�- �
gUZLDTrIG REV1EtiV BY: , � , .
FEES TO BE CHA.RGED:^ Misc. Fees Calculated By:
pEg�T Yes � No
PLAN REVIEtiV Xes ,/ No SEti�ER CO�'NECTION
STATE SURCHARGE Yes �/ No �VATERCONNECI'ION
INVESTIGATION FEE Yes No �/' PARK FEE
SAC Yes No ✓ SITEINSPECTION
Number of SAC�Units OTHER (specify)
..-__-_-__--.._.._-..--....__------------- J
ZONii1IG CHE.CK LIST Zoning Discrict: /v C�H� o/t �•��• .
Fize Department: Post.Office: School District: • '
Lot Area: Sq.ft. Acres ' Width Depth
Survey 5ubmitted:� Yes_� No Date of Survey: 8nr �_�c�
Proposed Setbacks': , S � • :
Front(Lake): Ri�t 'de: 7 ,
Rear(Strezt): Left Side:
Adjacent Structures: �Ve land:
Builclin�Hei�ht: Def. Hgt, Pe • Hgt.
Lot Covera�e:
Grading: Staff Approval Date: By: Cauncil Apprcval Date: '
Sep�ic: S�aff Approval Dace: �Y�
Zoaing File: R Resolutioa: � Resolution Date:
Shorelzr_d District: I,,o�Coveca;e:
Av�. Setback: Btuff Setba k:
Etisting Proposed
Hzr�,cover. 0-75'
75-25Q'
2�0-500'
�00-1OC�0'
� ' ':es " D�:: n`C_'pu�c�� '�PP'ovz:
�izdco•�e- `;�:znce °�qu!:�c: .��o
RE:��L�S (inhouse):
. �
Etna�,nn�t� x�vrEtiv cx�cx LisT
�C� — ' CONSTRUCTION TYFE: '— .
Sq Footage $Per Sq Ftg
' Basemeat • . .. X _ . .
lst Floor ' x • . • � � '
2nd Floor x _ � .
Garaoe X = ,
x =
TOTAL
Estimated Construction VaIue: $ '-f 6 ,0 0 0 °''
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
� Hardcover Removal Mechaaical Water Connection
_ !�Footing � Septic Sewer Connection ��
' Framing . Pireplace Lawn Irrigation
Insulation (Masonry) Other
�Vall Boazd (Mfg.} Well (State Perm.it)
_�F�� Grading/Fillin; _Lc Elec[rical (State Percnit)
Other
REMARKS (IK HOUSE): . -. - . -
--- ----------------------------------------------
REVIE�V SY OTHERS: DAZ'E:
Access: Existing New •
Access Approval: Date gy; '
- -----------------------------------
REI�.fARKS ('I'0 SE NQ'�ED Q`I PEF.�l�:
8
Q� DATE TIME v
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'✓CITY OF ORONO CALLED IN ��!�
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INSPECTION N TIC SCHEDULED �
PERMIT NO. � D � COMPLETED
ADDRESS�� 33 I � "Lg7�� ��YI �/ _
OWNER CONTR.t7"/l� �P,/`
TELEPHONENO. %�� `t�Z�o z--�2Z'
� DESCRIPTION I d 7�1/�
l� 01 FOOTING 11 MECHANICA I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA AL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for th next inspection 24 hours in advance. (952� 249-4600
OwnerlCont�p�',on site:
Inspector. '� v �
White Copyllnspector's File Canary CopylSite Notice