HomeMy WebLinkAbout2006-P10646 - addn/remodel/repair M
PERMIT
C�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o646
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 12/28/2006
SITE ADDRESS: 1331 North Arm Dr Unit#
Mound,MN 55364
P��� 07-117-23-41-0081
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
dETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)Other-(Work started without a permit)
NOTICES/REMARKS:
basement finish-accessory structure(including sink)Replace patio door-hous
FEE SUMMARY: Pernut Fee: $ 181.25 valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
Misc.Fee: $ 181.25
TOTAL FEE: $ 485.31
APPLICANT: Maetzold Homes, Inc. OWNER: Jim Peterson
5750 Highway 25 1331 North Arm Dr
Mayer,MN 55360 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.
J
� ����G'-�' � 1
APPLICANT PERMIT S[GNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1
M `'`
\
� 41� � y�/�
� �, �`'' �� �� � �V
�� � �
,
Total Fee: � 0�� � � Date Received: /Z�Z c��0(U
Entered By: Permit#: �� j ��(„�(�z
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pYint all informatio�i)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (cii•cle one) OWNER OR CONTItACTOR
JOB SITE ADDRESS: J ;;, �1 /l�e�`,-'�I� j�,'' �.^� 1/r; v�.. ZIP: .�5 3 �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �,NO If yes, a special event�ernait is required 1�vith Police De�c�rtr�rent arid City Council approval
60 dal-s pr•ior to the eve��t. Shuttle bus service wil!be reguired zu�less npplicant deinonstrates
sufficief�t on-site parkiivg is available. Non perrnitted events tivill not be allowed.
NANYE��OWNEP.: �� �v'l I`"C�fC=r 5C-'!l P�-I�NE: (home) �/.�'�-�-5 7'�7
(work)
MAILING ADDRESS: CITY: ZIP:
con��.�cTo�: r^1��-�tzc�l�� �/�,�t��s l� � rxo�r�: 95�Z-C,�7-.�i3�'
CONTACT PERSON: T�„� r7a�fzc,i� MOBILE/PAGER: ��� —�7L��- y 7,z�
MAILING ADDRESS: � 7.5� t/,,,,,; ,�S' CITY: �� �- � ZIP: �5�3 l�d
STATE LICENSE: # �� rj � � �-S 3 n EXPIRATION DA E: 3 - �j-O �7
ARCHITECT/ENGINEER: PHONE:
1VIAILING ADI3RESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessorv Structure
Move Home RemodeVAltecation (ie: Siding, Windows) �_
Any earth movement may require MCWD review and permits !
PROP)OSED WORK(describe in rletain: jc'�7���cl ���c.c�S �✓ , ,(al,",,t��
�I �I�J( r�',k7��{G�' �C<'�i n_��C�lr Cf i 1 �'1 Gi i�/1 �.�LC/C`'��%"l Q
�
S'I'ORI�S: SQ.FEET OF EACH FLOOR:
NO. OF B�DROOMS: GARAGE STALLS: ATTACHEI) ll� ACHED
�
ESTIMATED CONSTRUCTION VALUATION(excluding land): � ;_��:! ,�,�_
I hereby appl}� for a buildin�pennit and I acknowledge that the infonnation above�complete and accur
that the work will be in confonnance with the ordinances and codes of the City and witli ttre-�ta uildin�
Code;that I understand this is not a permit and�vorl:is not to start without a permit;and that the���ork�vill be
in accordance �vith the approved plan.
i
� �
APPLTCAN'T°S S�GNATLTFtE: 17A 1�E: /'� �—/�—O�v
3�
�
Sec13.04 RIGHTS OF SUBJ�CTS OF DATA
Subd. l. 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. [nformation required to be given individual. An individual asked to supply private or contidential data concerning himselfshall be
infonned of: (a)the purpose and intended use of the requested data���ithin the collecting state aeency,politicai subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising Yrom his supplying or refusin�to supply
private or confidential data;and(d)the identity ot other persons or entities authorized by statc or federal la�v to receive the data. This requirement shal I
not apply when an individual is asked to supply investigative data,pursuant to section 13.32,subdivision�,to a law enforcement ofticer.
The commissioner of revenue mav place the notice required imder this subdivision in the individual income tax or properri�tas refund
instructions instead of on diose fonns.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned«�hether he is the subject of
stored data on individuals,and�vhether it is classitied as public,private or contidentiaL 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 ofthe content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need no[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 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 making,certitying,and compiling the copies.
The responsible authoriry shall comply immcdiately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,e�cludin�Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible, lfhe cannot comply with the request
wid�in that time,he shall so inform the individual,and may have an additional tive days�;�ithin�3hich to comply with the request,excluding Saturdays;
Swtdays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ot public or privatedata
concerning himself. To exercise diis right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreemenC The
responsible authority shali within 30 days either (a)correct the data fow�d to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes che datl to be correc[. Daca in
dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data.
The determination of the responsible authority tnay 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 lihe to infonn you that your request
for a permit or license from the City of Oirono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
l. The information you furnish 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 shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. [f your requested permit or license requires Council action to approve, some information may become
ptiblic.
5. You have certain ri�hts 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 �[iddlc Last
.�ddress
City Statc "Lip Phonc
I underst��d mv rights as stated above.
/��f _.
��,E,�'
Sigi�at 'c
Reset Form �2
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFI E USE ONLY
ADDRESS OR LEGAL: ��3 I G,✓f GI �✓/�'I �YlL��
PID: �
DESCRIPTION OF W�RK C ---------------------�H e��cl�K y s�M k�
---------�/•�_-���t o�Ic�- ��------------------------------------
ZONING REVIEW BY.• � DATEAPPRO[jED: Z �7 0
BUILDINGREVIEWBY: DATEAPPROi�ED: �z� 2� - o t,
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes�� No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
ti� � INVESTIGA7'ION FEE Yes_� No PARK FEE
���' SAC Yes No SITEINSPECTION
Nirmber of SAC Units � OTHER (spec�)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning Districl: C..I ' I
Fire DeparUnerlt: Post Office: School Distyict:
Lot Area: Sq.ft. Acres tiVicfth Depth
Survev Sa�bniitted: Yes No Date of Sz�rvey:
Proposed Setbacks:
F�•ont(Lake): Right Side:
Rear(Street): Left Side: C�p�l�(�
h°
Adjacent Strtictz�res: G6'etland:
Building f/eight: Def Hgt. Peak Hgt.
Lot Coverage:
Grading: Staf,J'Approva/Date: By: Council Approval Date:
Septrc: StaffApp��oval Date: By:
Zoning File: # Resolirtion: # ResoJirtion Date:
Shor•ela��d Dis[ricl: NICGf'D Permit:
r1tig. Setback: 6larff Setbac% Lot Coverage. __
Existing Pi•oposed
f/ardcover: 0-�.5'
�s-�sn�
zso-�no�
soo-roon�
Hurdcover ��"aria��ce Reqa�ii•ed: }-es ��'o Date of Cocrncil flpproval:
REMARKS(in house): CCe Sh'v�-n,v� u/ Gy! /i� l
D f/
-fv e✓Y u
-�- (�u 02!<. 5�92TZ.� (••f�d �cYt✓� , �
33
B UILDING RE vIEW CHECK LIST
UBC: � ' 3 • CONSTRUCTION TYPE: \//J
Sq Footage $Per Sq Ftg
Basen�ent x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
o�
Estimated Corrstructiorr Value: $ � ����`� '�
Inspections Req«ired: 6i�ork Re�uiri�tg Sepnrnte Permits:
Site _�C Pli�n�ibing Fire
Hardcover Rer�roval o< tilechanical id�ater•Con��ection
Footing Seplic Seiver Ca�nectio�r
X Framing Fireplace Lmvn Irrigation
_�Insulatioi� (�tifaso�ary) Other•
� 6Val!Boai�d (Mfg.) GYell(Stnte Per�nxit)
�_Fina! Gr•ading/Filling x Electyical(State Per�nit)
Other
REMARKS(INHOUSE):
----------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Exrsting New
,�lccess Approval: Date By:
--------------------------------------------------------------------------------------------------------/-----------------
REMARKS (TO BE NOTED ONPERMIT): � SIx]�5 ZC�1'I/`!�!' C'oC�e �
To r�e,f Cs) ,h ,4c�cs��sh-��J-�r� m vs t� rcmcn•�c. .
H P ��..0 ur u � .
34
-..,
'� ,, /'i �n c��/v ,/,^ p aj'-�''r.` l �- ;s ,, i �i./ '�i
i
s sa���� f ,
._ _ _ ._ __--- ---------_____. ,.____ __� _ _.
� �_..�F.d..� .�.._ -� +;v'�"'� '�_ --\-�A_ _-�__ ',
���_N_ _;i.��;�`s-^�i� ��
�� G b'FT �
� .�. ..':.. . , , > a s. , � '� � . , ��.____.--.
r � � � � ,��,� . �� � ?,'� �'�� ���'� • �E
� � '�' a �, � �� �� �. �
�� _ ,, 4 � , ..�� ��� � �_� °_ _.
� �_.'.:�.==7.�a.��'ss�� � ���`.� �� d 's`� ��n 4�� —--- -�'
� ..Y � � 6.� ...G' � . d � \. �� .
7 � �' ..q.i .� .t r..i� 1 Y .�'" � �' �
JI . f n
9 �
� �;! M1 :� �, "�9 _y��`.. �} a+ � .
' � �t i' ` M J �
, , i � a d�'.� w ns h�%�,..,�i�p-9� � Y �,._.�-,. :._ ` y.._ �....��...d...v.......d
s �:__ _ _ . . . �
d � � (L , ,-.
. ., ,
` .�.«:e.:.�,.-..�..m.,«...............�.a.-y.,.,.,...,....�.......�.4��.a+.<. �.. j��`� . � � : .. ;
�� ' � ' . � . � . , �, ,
��� � .�y l .. . � .. .. ,.
f` � t l , 11 r
v � ``` ` d
,,
� � �q^vc:�-.i�.a:���.a�-a�3aaor�.�zs��s,.<r s'>��,.':a2r:.��c.ii="d��t4r.a.=;:4;Ri1
S�
..� i wy
~j p��E'al��S`��iJ �1���.�`t.L�i+�� �
F� I .,, ,. . ..! .�.a�:Ji,A���
,���-t F , � h T y C
._
� ��"Ps���$��:�5,�;y�
� .,W.F,
,
_��� �_�
�.I...��,�,.�.. ,� ,� ,- ' --_..:�-�,.- :,� ______----._. _._...�__. --__
---- _______ _._....
{ ��..��9� f. �� '�9♦ 1LY��� ���1'tm.^� � "
6 ` . J
�Q�_'U_'��..':�'�)G�l/U�S �c��a.
,..ea��.�."�}IS"��o.. +a.�.:c��,.o�w��uL :�ry r��y.,i e:�,'i �
}�Q.'�..�6Q�'� �•, t.��'°�'� ,e�.� � S�t/d41'i'1H.P_�'f�!!�,t+SO L�6 Al�� SiH.�'cf�.�ta
'� ���nm,� ���ar: � •rtnai.�, iu w pe o��l;e� �1
uR�,.. �ro-v�s.�aa:ssdv4 �tr3�0�6 �( �'. .. � � � 1 --.il
:.�MM,�/� � .,�9nC1 �r r�� ,�- s> >1 N� s y -'' euo�e< � � -
� �� < < r s
� � Q � 1/d-�---'o�--I-� ?/� �a ru !-L_�-'d� --- J.;� . ,. . ..
�
� �1'C� d 17;.i. . . .,, . , ... , _<i . .��
�a r�_'�L� �J __. . _;����: .:'�' _�
----.--_.__.-----�___.� .
:.;_;^':.`; p wo-Lz-Z � '�.�,f�
%S f�'1�A YyP-k�l"1J1S �OSS�7��/ !V/ �.S�y�"�) /,— _.__-------� z�� ���.L�:+�aPJ6
�Cl � �rw� f�fQ'Z. �-1 5 l! +�s' O I� 6�/i�l-,- = ,�"� id .[.iv;°c1�� :;i`�iC1�T1(lII
�G���+� �O ��.I�
, �r� ����/ - :� :�,� ��.r�(�- �.i !J ,..:�!. �f�,5' �rJ l�'�,� S �' ',
% / ` '
`�,�,�� j�/� _,o J�,,,;�� _I' �'7 1��� S l �!�� _....� 7,, ��. L� , i��t
�T
1e�2:���a����� !�/�?/ .�c 1.�1 i /�1 � 1 v/.J.S 1-� I �J „ t;� � ,�� :� 5�1 l� /� y�r�� ,�
l, �' �, �, � /� / , (
' �J�„�''�JJ ../ ��/�77 � ',':F/�'1 _1c?�L• / ,)� �L/ 5��� ���� l/ S` L`r;�
� —G'
_ ._.__...__ --- ----- __ __.__........_._...
_,__,__.__.__-- .----- -____ _ ____ , _.____..__.__.__.
_.�____. _....__,_ _._--. . �
�� u � ��� ' ��/' � z�. ����� ��`��
j�/ `�� -� �� �' -� ,t� �j.-�-� �.� ��> �, �� � ���,��.:�t
�
.•
�� ���� D E TIME �
CITY OF ORONO 1b6� CALLED IN � �
INSPECTION TIC � SCHEDULED � �
PERMIT NO. COMPLETED
ADDRESS l 3 3 � N1S�('`}'n �W1 IJ�
OWNER CONTR. 1���/v��ZD�G�
TELEPHONE NO. !D��-' ��� — -I 7a�
� DESCRIPTION ���
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMM S:
� — r
o �
� �
�--
° -- s �, ` . �o �
W
�
Q
Z — 1
W
�
� �`r�
�
O
W ORKSATISFA TORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the ext inspection 2a hours in advance. (952) 249-4600
OwnerlContr r site:
Inspector. ��-
White Copyllnspector' File Canary CopylSite Notice
�� c,� /D TE � TIME �
CITY OF ORONO CALLED W ( � �
INSPECTION NO�ICQE, / SCHEDULED d • �
PERMIT NO. �`�-•�lC�'�'1 COMPLETED
ADDRESS f�J? l / v ' ���I ,�i6Z •
OWNER CONTR. /�-� ���� I��
TELEPHONE NO. D��� �`�� — �� �d ✓
, �lo /��G�C 53
� DESCRIPTION ��.�� ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLI[V
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
a {�J
�
J
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
j
d
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ext inspection 24 hours in advance. (952� 249-4600
OwnerlContr site:
Inspector.
White Copyilnspect r's File Canary CopylSite Notice