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Home My WebLink About2002-P05660 - foundation/remodel/repair � � � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos66o Crystal Bay, Minnesota 55323 PeC'CTllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 9i2si2oo2 SITE ADDRESS: 1367 North Arm Dr Mound,MN 55364 P I D: 07-117-23-41-0065 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 434 Pernut Class: g Pernut T e: Addition/RemodeURe air Pernut Sub-type(s): Foundation Only � p Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate perrr�}�s required: NOTICES/REMARKS: •tl_`"'r1""'_' _"."'_ .]__'___`_1_ ___._ rn o_ _�___'_1'`"' 1____lt ��uivi iiai:.._.._av..._.. u��ii��iv ... ... ......._.. . .....b.. t...... � :...... �"'.....,...».b.......... ..J..A FEE SUA�MARY: Pernut Fee: $ 321.25 valuation: $ 20,000.00 Plan Review Fee: State Surcharge Fee: $ 10.50 TOTAL FEE: $ 331.75 APPLICANT: Quality Basement Wateiproofing OWNER: Linda Theisen 280 Orono Orchard Rd. 1367 North Arm Dr Wayzata, MN 55391 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. � �/�—� .� ,�c�-- ��-� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 w- J � � Total Fee: $ t O. 3 Date Received: �-�5-4�' Entered By: Permit#: (�(pQ 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 CONTRACTO JOB SITE ADDRESS: 131�'l Na�TN /-��rn �R , ZIP: SS 3(o y NAME OF OWNER: L� ��a T��se r PHONE: (home) �2-�f 7 Z—��7� (work) MAILING ADDRESS: �a-w�e CITY: ZIP: CONTRACTOR: �a(•-�-y �az��e�•� lil�.�.7erpruo�a�PHONE:_ ej'SZ �7(�r-1 (�i 0 I CONTACT PERSON: �(,jl c.{C ��-<<�'.� M BILE�PAGER: to I 2-7 S�--�rt `f 0 MAILING ADDRESS: 2$0 �o.O�arw Qr��,-.i {� CITY: W�7�a.�.e ZIP: SS 3�/ � STATE LICENSE: # N ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CI1'Y: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition�_ Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: W�¢� � nepz i�r �r��'��.� � C4r� �'(1 s'` s'��"ac-�l:,�a-. � c...r�.( S T - STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ e2 D, 00 0� 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 in accordance with the approved plan. APPLICANT'S SIGNATURE: � ` DATE: �/Zs'�D Z , NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 A ,1 t r Sec.13.04 RIGHTS OF SIJBJECTS 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 required to be given individual. An individual asked to supply private oc confidentia!data concerning himself shall be informed of: (a)die purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is IegaUy 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 identiry of other persons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigative data,pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. �'he commissioner of revernre mav olace the notice rewired under this subdivision in the individual income ta or orocertv tax refund instn►crions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidenriai. 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 informed of its meaning,the data need not be .disclosed ro him for six months thereafter unless a dispute or acaon pursuant to this section is pending or addiaonal data on the individuai has been collected or created. The responsible authoriry 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,certifying,and compiling the copies. The responsible authority sl�all 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 wirh 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 concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the•nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found tb be inaccurate or incomplete and attempt to notify past recipients of inaccurate or it�omplete data,i�cluding recipients named by the individual;or(b)notify the individual that he believes the data to be conect. 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 authoriry 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 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 aze notified that: 1. 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. 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 Ciry State Zip Phone I understand my rights as stated above. . � � Signature 6 . ,r: , ', . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: I 3�-1 ��2� G�(.frh ,D2 - PID: DESCRIPTION OF WORK: t�,A�Z ��.,,►.,,a b.p �,p�,/� ZONING REVIEW BY: /V //� DATE APPROVED: BUILDING REVIEW BY: ( DATE APPROVED: 9-2�oz FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes No c/ SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTTON Number of SAC Units OTHER (specify) ZO1�tING CHECK LIST Zoning District: � GC 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: Wed d: Building Height: Def. Hgt. Peak t. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # R solution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 �� . . . ' . BUII.DING REVIEW CHECK LIST UBC: �G' S COI�STRUCTION TYPE: �[N Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor z = Gazage x = R = TOTAL Fstimated Construction Value: $ �,v.��°^ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection �o Footing Septic Sewer Connection Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) �Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): � REVIEW BY OTHERS: DATE: Access: Elcisting New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI�: 8 t� DATE TIME CITY OF ORONO • CALLED IN ,��, INSPECTION NO IC SCHEDULED -/�'a� ��`�/� PERMIT NO. � COMPLETED ADDRESS f'�'�.. �'l/i OWNER CONTR. U��rf u� ��S{t-�� TELEPHONE NO. (� �a ?.S Q/ �� S�� F j � DESCRIPTION 7'—UCJh<iT ^��%'1 � 01 FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � � �� , J�-�--- � J O � � � O � � a W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the nex inspection 24 hours in advance. (g52) 249-46�0 OwnerlContrac n Inspector. White Copyllnspector's Ffle Canary CopylSfte Notfce