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Home My WebLink About2004-P07144 - addn/remodel/repair < � CITY OF R N PERMIT � � � Permit Number: 2750 Kelley Parkway- PO Box 66 P07144 Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: iis�2ooa SITE ADDRESS: 1380 North Arm Dr Mound,MN 55364 PID: 08-117-23-32-0025 DESCRIPTION: UBc occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Pernrit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: riumoing Eiecmcai�siaiej NOTICES/REMARKS: T�:�_7__"_T_"._�_1 FEE SUMMARY: PermitFee: $ 307.25 Valuation• $ 18,150.00 Plan Review Fee: $ 199.68 State Surcharge Fee: $ 9.60 TOTAL FEE: $ 516.53 APPLICANT: Owner/Self OWNER: Scott&Carol Sandberg M� 1380 North Arm Dr Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUILDING COD IRE � �� APPLIC NT RMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 ! 1 Total Fee: $ � � �n • 5� Date Received: � /S/O� Entered By: '�./� - /-'�'�� .�`�� Permit#: �v 7 J c�c� r.., CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in fu116efore plan review will be started. (please print all information) T�IE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: 13 �o �,��'1 ��'rN1 �� ZIP: �5�36 �/ Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �] No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: �!- 4,/d l b PHONE: (home)_�.5��-'�71-�'� L (work)�►Sa- 'f)�-3?7� MAILING ADDRESS: i.3 gp �e✓`� �',,,,�, �CITY: (��('Oy�p ZIP: `� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: � " CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration ✓ , . , ,.Lami Alteration , PROPOSED WORK(describe in detai�: -�c4� n u.-E- Q�� .k�''�c..�p� G��tin�'�'S G�� (�y�.� d� ��e�✓'a i� �- � �e.vi-r;c�. 0�-E-(�e.:ts, �#c. • ew�A�e+e-4�Gt� � lls �t- G�e r i� STORIES: � Y SQ. FEET OF EACH FLOOR: /SUO --}-o�� NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � I hereby apply for a building permit and I aclrnowledge 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 no�o start without rmi • that the work will be in accordance with the approved plan. % � J � � APPLICANT'S SIGNATURE: ` DATE:�� c a Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. T6e rights of ladividual on whom the data Is stored or to be stored shall be as set forth in this sectioo. Subd.2. Information required to be given individual. An indlvidual asked to supply private or rnnfidential data concerning himself shall be informed o[: (a)the purpose and intended use of the requested data withln the collecting state agency,political subdlvision,or statewide system;(b) whether 6e may refuse or is legally required to supply the requested data;(c)any known rnosequence arising tmm his supplying or refusing to supply private or coaRdential data;and(d)the identity of other persons or entltles authorized by stste or federal law to recelve the data. T6is requirement shall not spply when an indlvidual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement otticer. The rnmmisstoner of revenue maY nlace the notice reauired under this subdivision in the individusl income tax or urooertv 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 whet6er he Is the subject of stored data on individuals,and whether it is classitied as public,private or contldentill. Upon his furt6er request,an individual who is the subject of store8 private or public data on individuals shall be shown the�data without any charge to him snd,lt he desires,shall be informed of the content and meaning oi that data. After an Individual has been s6own the prlvate data and informed of its meaning,the data need not be disclosed to him tor six mont6s thereatter unless a dispute or action pursuant to this sectio�is pending or additional data on t6e individual has been collected or created. T6e responsible authority shsll provide rnples of the prlvate or public data upon request by the indivldual subJect of the data. T6e responsible aut6ority may require t6e requesting person to pay the actual costs of making,certifying,and compiling the copies. . The responsible authority shall comply immediately,if possible,wlth any request made pursuant to this subdivision,or within five days of the date of t6e request,excluding Saturdays,Sundays and legal holidays,if Immediate compllance is not possible.I[he caneot rnmply wit6 the requestwithln tNat tlme,he shall so inform the individual,and may have an addittonal 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.Aq individual may contest t6e accuracy or completeness of publtc or private data concernIng himselL To exercise this right,an indlvidusl shall notify in writing the responsible authority describing the nature of the dlsagreemen� The responsible authorlty shall within 30 days either: (a)correct the data found to be Inaccurate or inrnmplete and attempt to notify past recipients ot inaccurate or inrnmplete data,Including recipients named by the individusl;or(b)nodfy the individual that 6e belleves the data to be correct. Data in dispute shall be disclosed only if the indlvidual's statement of disagreement is lncluded with the dlsclosed data. T6e determination ot the responsible suthority may be appealed pursuant to the provisions of the administrative procedure aM 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 City of Orono or any of its departments may require you to furnish certain private or confidential informarion. You are 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 eztent 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 requ' to proces lication or permit. C� � �( First Middle I �� . Last 7(/ /.�t��/.f � U�� Address ` '—�`{ � �� r-�. � ., � �it� �3�`P . r.�� `r� �G6� City State Zip Phone �— I understa ri ts as stat d a ove. . Signature . . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A.DDRESS OR LEGAL: t 3 43f� /UORTt� A2N'� �J2 PID: DESCRIPTION OF WORK: �fL �r�,(.{.��J lZC:r►^�oO�.Z— ZOVLIIG REVIE�V BY: DATE APPROVED: p�/� BUILD�IG REVIE`V BY: DAT'E APPROVID; i- � -o�y FEES TO BE CHA.RGED: Misc. Fees Calculated By: PERNIIT Yes �/ No PLAi�t REVIEW Yes t/ No SEWER CONNECITON STATE SURCHARGE Yes _� No WATERCONNECITON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) Z01�1PiG CH�CK LIST Zoning District: fv'� C �f7'4r�C� Fire Department: Post Office: School District: Lot Area: Sq.fr. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: �Vetl . Building Hei�ht: Def. Hgt. Peal: t. L,ot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Existina Proposed 0 Hardcover: 0-75' 75-250' 250-500' � 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: � RENIARKS (in house): 7 BUILDING REVIE`i� CHECK LIST �C' �? � CONSTRUCTION TYPE: y/u _ Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ z = TOTAL Fstimated Construction Value: $_ i��1 S 0�� Inspections Required: `Vork Requiring Separate Permits: Site K Plumbing Fire Hardcover Removal hiechanical Water Connection Footing ` Septic Sewer Connection o� Framing Fireplace Lawn Irrigation Insulation Wall Boazd ��0�'� Other . (D'Ifg•) Well (State Permit) °� F�� Grading/Filling _�Electrical (State Permit) Other REN�ARKS(P�'HOUSE): -_-----------------_ -- - - --------------- ------------------------ REV�W BY OTHERS: DATE: Access: Ezisting hreW Access Approval: Date BY: --- -------------------------------------------------- REi�ZARKS (TO BE NOTED ON PER�vII1�: 8 �, P�}c.23 03 09: 59a Sean Carrie Brown (651 ) 774-0849 p. 6 , � . —.��_.__��1,��_--.�� . . ..._ __. � i �� : _--•� ��\--- - � --___ ._ . --� ._. ._----- _� . ; � � � t : , ; i � � ' ; � I �,, , . � ! � � � -. .. .._ -- ._._.__ � � i � �--- - �_- -_--___:- -;._--. -�,,' I � �: ;�` . � � ,;-- � �. \ ;, . � __— ,� , / � i . �- .� �� \ �\ �, � ��. ------,�� \`��9 `�� -�' � � _�� •— ;:; � — _.��' �` '' . �-- �. j i � \ :- `., � I � � — , � 1 . ,�. , , � � i� ti , � �� f--- ----- � i 1 I — i I J' � �ol� .__��5 0 � . • a� �a �ant� ° // � i � .� o �=.n ►1 � I� --�- -- �� . � �a' 6�' a l�� ! ! i '^ ,� a� /�J `� �t ;�i ! � . IC � � f' ! /� -'. - - I— 1 i n o ^ �� //� ; i �� + �� —��/ ��_� ��. � , y - � - \ � �$ S G � �' �/�j 1 r�� T �r; �� d.. ��;%� 1� !J �, �,I��, —., \ 'Z� n9 G. �� ( V v�� r� � I i4 9Rn) � % , �r. � l:;II, ` �"1 p � / � �/f� ��I�V� \ � ! /� /�� ---r-.��-.-- .._� �� 5 �/ I j �/ � -- �� o I J / ;� � �\`. �� a � '� � / ��` . °� -�;/ •.�:. � �� ;'x ;�i J% \. I °' �o s� . � �� ;� � , . , �;i E�� ------- , . :y r :�G , �--^___—._.__—_ ..:_ ._ __..—___._— _—._--_„_.'_.'�� ` �'`� F� �� I ��T'� t�F �i��nN� � I� �� f I �?U�L�if�iG �' �.',:; ;�;_i'_�,� ::;i�.'vii:_�N : : !E � _, / I I�v:w=:�..,`�pR - -------- I ,_. i� �� _ _ .. 'Oo � �gal / nr -_� �_ ...�� ...__. _ . . .. �`:•.J._.------ ` . L�_y_i y�L,..^j�-- . � .....,..-•--'� . �'` , ( � ; � ^��_ ._��,,._�'__�.. �_..___ _C�'L1.r2?�-j'�L�`f`T��U .� ...�_ "'_.. " j ', � ... ... . �� . < ...i:�ii.��l�l ' ,.. ♦, '" i '� . r,ll 1YGfiC Stli:li UB C10fIB � ^ �,u„� Ir � { ;; .�i �`e i � ing and zUniny coda. .,v. .- YYlc�1C,�. C��..'R .._ �._,.._ � , .�.__ . _ _ r il��,. , '!.0,�;� �.: ..,,ct.r�r.c,�i...,i.�.notad in this review. _� :..-:, � iCE�i' TNiS PLAN 5ET ON 31TE AT ALL TIMES , - _ , OT •d " _.---._ ,_�_, .. _ _ . db5 �20 EO I I I�C � Dec' 23 03 09: 59a Sean Carrie Brown (651 ) 774-0849 p. 5 Jul il 03 02:53p P. s �. .._. ._.. �_�.__.�. _ — �--— i --•---------�No'_. �i . ��L � r I � ^p '3; � e� . �Y�, Q � i !�`I i � �al ; � , � _, : a� n; s Wi � u � � �Mp j I � q �� I ' n� ` � _....—. ,a:�-- ��c 4 I ^ � �� _� � .�•—�Q'— '_'��T�EM 7 y O (`I � � f 6 pp� F 0 . f—Zr i J1'-•1,.'��7D-�-•1!'� t 1}'� "C �1 L (iJ� ' � O p 11 I `2r_.a._�_ �0�" 5 0 9 Q i y J G �a-. �•—�e••—•�.r fi--ec tr-� i,� � � c � -�--r� r-�--�--�-- y._.___- -�----c t I� �i <� i ' � : : �� i v�us w�osaeo ( w�ea�� ;� �I � i � n M i CQ , --:-- - -+-�-�:—=' : Il11,g Q 1 � ^ � ' � I S 6 .TY ,e o Gsu�� xo �i ; � _ : -�- �;,;,� = .'_ .__ . _.:_=�--= rm-1 .� �l ; I i -r _ , -}-,s�--,•• '°°• � i ? � j + ; �:"� � <� I � ' w �' O � � i>� z' � ; i A � y�- � : o ��`r l�� • I � i �t.... -------. __. ( � e � e � � 1=�'" c �i � � r � R I �� ~4°.� Nu.a�o•.t iii a � � I � ' : m o� �� I � � � � -w�:.... --- � -} -� i ; I�� $ a� � � � j .I I e►ztaM avrxenn 1 avzroun � � � _ �_ � � d e � � , �_ ..1 ..�_...�.� lt.,. I 1a . � ' � V � m� ' ��' —� � ' .� _� � �� U' i ° ... ..,�c ----�-t•:... ..z. -.ot� i _ � •.�i:G �l . } � . � ��•tii' O y� N 1 � :--,►L••�.--. ...._.►�._..._..-.--� ...- -cs—� I�4 u ~i It--..y�..-•-._.a—.---�_ .ee--'� 'E u� ^. —.es- . • ..�c—_ < �� d� .1 i %----� .oa-----: � I � , . ( { , ( ; � � � � i � � i � I DATE TIME CITY OF ORONO CALLED IN �r INSPECTION NOTICE SCHEDULED �'�'" f��I� PERMIT N0. F'b7l�/� COMPLEfED �' �� ADDRESS � �>�� I�C?f�T�-f C2:'II� 1�� , OWNER o 5��.� � CONTR. TELEPHONE NO. � � C'z- � DESCRIPTION �ia s�� y�'a� � 07 FOOTING 11 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNEFiICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a i ..�. O u� j � �� O � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � J�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAII INSPECTOR 0 INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on ' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice i� U� DATE TIME CITY OF ORONO CALLED IN '� - � INSPECTION NOTIC SCHEDULED / -�'-U�/ ,�,� • %� PERMIT NO. COMPLETED ADDRESS_ / �i ��,�/�� i�Y� OWNER CONTR. TELEPHONE N0. � � DESCRIPTION `f ��'�� 01 FOOTING 11 MECHANICAL RI 1 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 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 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 � V ► �� r � � j (� � C O � � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITH�N HOURS. p pHOTOTAKEN INSPEC70R W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon n i e: Inspector. White Copy/lnspector's File Canary Copy/Sfte Notice � DATE TIME CITY OF ORONO CALLED IN �' �/� INSPECTION NO�J,�E ' f SCHEDULED �� i�G!'l PERMITN0. l"O��LI`7 COMPLETED ADDRESS �JO� �O�/��,'i/� �/� • OWNER -s�ti�-- �u� CONTR. �1G��lv�" TELEPHONE N0. � � . � DESCRIPTION t� � 01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG Q � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z U4 WAI-L BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL �� 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU: '_YES_NO h COMMENTS: o� W a j O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN iNSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe 'nspection 24 hours in advance. (g52) 249-4600 OwnerlContra��l�t : Inspector. White CopyMspector's File Canary Copy/Sfte Notice