HomeMy WebLinkAbout2001-P03727 - add/remodel/repair ' � ��' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3�2�
Crystal Bay, Minnesota 55323 P2�I111t Typ2: Addition/RemodeURepair
(952) 249�600 Date Issued: si3i2ooi
SITE ADDRESS: 4590 North Arm Dr W
MOUND,MN 55364
P I D: 06-117-23-24-0006
DESCRIPTION: uBc occupancy R3
Construction Type VN
Proposed Use: Itesicientiai
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 251.25 Valuation• $ 15,000.00
Plan Review Fee: $ 163.28
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 422.03
APPLICANT: BL&JR HAGLUND OWNER: B L&J R HAGLUND
4590 NORTH ARM Dr W 4590 NORTH ARM DR W
MOiJND,MN 55364 MOLJND MN 55364
THE 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.
` ��� �� �
ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
' ` '� otal Fee: $ lj�� _ D 2
Date Received: � f`� � 20 c� �
Entered By: ����_; ^ � �/ Permit#: ,�U ;�2 7
��'�`L� / I `� -
r CITY OF ORONO - BUILDING PERMIT APPLICATION
��` All information must be submitted in full before plan review will be started.
(please prant all information)
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THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR �
JOB SITE ADDRESS: �S�D /�, D��✓G" ZIP: _���(� ,�_
a�-Uit/O��Y
/�, 2,Ef�G'Gcr�c/D
NAME OF OWNER: f7`i��Sr ,�, �� ���t/lG� PHONE: (home) y.-5�-y��--.3��
MAILING ADDRESS: 7�J9'� /j�4, ��i/ ��. CITY: �work) 1�� ZIP:'S 3/
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CONTRACTOR: C� ,l�-
CONTACT PERSON: �, ; � ��
MAILING ADDRESS: `� �' �
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STATE LICENSE: # � `�j
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ARCHITECT/ENGINEER: �i�,; J�r. �Cj C�
MAILING �RE�SS: /0 c ' /" /� �--' � � ` _ 2� �
NAME: �� �^�r.e���.-r, '
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TYPE OF WORK: New �'�` Addition ��L � / � �
Move Remodel/Alteration ' �
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PROPOSED WORK(describe in detai \
�: /�./�
'�.�'G� '-.
STORIES:
SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (exclud.ing land): $ �s (/U-�
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 sta wi out a
permit; and that the work will be in a ance w' h e prov plan. '�
� ,'� ��c�/
APPLICANT'S SIGNATURE• DATE: -
NOTE! Parade of r o� events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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•� � . CHECb OFF LIST FOR ISSUA�.�'CE OF PERLti1TTS
FOR OFFICE USE ONI.Y . ' •
�DgESS ORLEGAL: `'ISW O NOQ Th �4Rw� Dll� �rP
PID:
DFS CRIPTION OF�'VORK: �4 d r,� � n o N
. .
ZOr�G REVIEti�BY: DATE APPROVED: �_I`vt. .
BUILDI�'G REYIE�BY: . D�.TE APPROYED• 5- I
FEES TO BE CB4RGED: biisc. Fees Calcula[ed By: �
PERMIT Yes �/ No �•
pl,p,N gEVIEW Yes c/ No SEW�R CONNECTION
STATE SURCHARGE Yes ✓ No �ATERCONNECTION
Ii�,'VESTIGATION FEE Yes No PARK�EE
SAC Yes � No SITEINSPECTION
Number of SAC•Unics OTHER (specify)
ZO`�I:1IG CH�CK LTST Zonin�Districc: GR-IA _ .
� ent: wtw�rv� Post Office: r✓vo✓�v.4 School District: ��s"�/'�1� '
Fire Departm •
Lot Area: Sq.fc.�d C H�n�trC Acies ' Widch Depth
gurve;f Sub�itted: Yes,�_ No Date of Survey: oN �1 L'�°-9 0
Proposed Setbacks: , -
Front(La.ke): 2?S� } Ri�ht Side: ' I.SD
. � �
Rear (Street): �ua �' Lefr Side: (.S
Adjacent Structures: '73� �Vetland: c� .l� •
Buil�in�Hei�ht: Def. H�t. p.K., Peak Hat. o.��
Lot Covera�e: N I� �
Gradin�: Stah Approval Date: _ gy: _ Council Approval Date:
Septic: Staff Approval Date: '—' By: _
Zoain;File: � i Resolution: � Resolution Date: •
Shoretand District: N J ��Ca�•em�e:
Av?. Setback: Btufi Setback: •
E���g proposed
� Hardcover: 0 75' -- �
75-250'
ti0.500'
500-I000' -
Hazdcover Variance Required: Yes No _ Dace of Council Aoproval:
gE�,�;S (in house):
7
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BUILDING REVIEZi� CHECK LIST
UBC: fZ • 3 _ CONSTRUCTTON TYPE: �1N
Sq Foota�e � Per Sq Ftg .
Sasement x =
lst Floor z . —
2nd Floor x =
Garage z —
x =
TOTAL
Fstimated Construction Value: $ /S�VO� �
Inspections Required: Si�ork Requiring Separate Permits:
Site - Plumbing ' Fire •
Hardcover RemovaI Mechanical � Water Coanection
�Footin� Septic Sewer Connection
_�Framin� Fireplace Lawn Irrigation �
_� (Nlasonry) Other
Wall Board (Mfg.} Well(State Permit) ' �
_�Final Grading/Filling �Electrical(State Pecmit)
Other
REI�•IARKS(IN HOUSE): .
RE'VIEW BY OTHERS: ' DATE:
Access: Ezistin� New
Access Approval: Date By;
RE1�L4RKS (TO BE\'OTED ON PERMII�:
8
� AT TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOT E ''') SCHEDULED .5'"-'� �
PERMIT NO. �D��� / COMPLETE-Dl
ADDRESS �-IS�� �. ��- ��'�v
OWNER f--�d�.cl(U� CONTR. _. ��. Q�'��
TELEPHONE N0./rZ i� 7� 3GP��P
� DESCRIPTION ��S _1 ����Q�I� •
� Oi 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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:
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� �tIORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contr r on site:
Inspector. ����
White Copyllnspector's Ffle Canary CopylSite Notice
, / DATE TIME
CITY OF ORONO �� CALLED IN ���
INSPECTION NOT�E SCHEDULED -_� -c�
PERMIT NO. a ��o�� COMPLETED � � g c�
ADDRESS �U�� Nt- �/L �
OWNER�Q�,;�.( . CONTR. �/ �o�u.—
TELEPHONE N0. `�� � '7 �ati -��O a'-Cd
� DESCRIPTION �/�/�-(.V� �/' SC�"n �r���-
W �� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 N 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 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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GW �1?'9JORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W!LT�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site•
Inspector.��'� 3
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White Copyllnspector's Ffie Canary Copy/Site Notice
CITY OF ORONO `� �T�'� T�ZS ,�
CALLE�IN
WSPECTION NOTICE SCHEDULED � �
PERMIT N0. /�(�.� �70� 7 COMPLETED �� '
ADDRESS C
OWNER � CONTR. �� f7�
TELEPHONENO. 5�" ��a ����
� DESCRIPTION �O 7�%�
ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATIGN 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 HARO COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContrac o it
inspector.
White Copylinspeclor's File Canary CopylSite Notice
,DA�T � TIME
CITY OF ORONO CALLED IN �'S�
INSPECTION NOT�E SCHEDULED �
PERMIT NO. O.37a7 COMPLETED -�/ �
ADDRESS `�S�'1� �� ��M ,�� -
OWNER��L(1rV t'� CONTR._ _�'�t • Ol�kr
TELEPHONE NO. _ "1 S� �7vZ .S L.��fi
� DESCRIPTION �1 N�}C. � �D/�[� ��.C-�
� O7 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
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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU:_YES_NO
� COMMENTS:
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WlU WORKSATISFACTORY:PROCEED �] ROJECTCOMPLETE
�❑CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector.
White Copylinspector's Ffle Canary CopylSite Notice
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ared by me or under my d�rect supervision
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