HomeMy WebLinkAbout2006-P10170 - finish basement - interior work only PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o17o
Crystal Bay, Minnesota 55323 Pel'mlt Type: Addition/RemodeURepair
(95�) 2�y-4600 Date Issued:
9/15/2006
SITE ADDRESS: 345 North Arm La Unit#
Mound,MN 55364
P��� 06-117-23-24-0015
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial Census Code 434
Permit Class: Building
Permit T e: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
YP
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Finish Basement-Interior Work Only!
FEE SUMMARY: Permit Fee: $ 1,273.75 valuation: $ 150,000.00
Plan Review Fee: $ 827.94
State Surcharge Fee: $ 75.00
TOTAL FEE: $ 2,176.69
APPLICANT: Smuckler Custom Builders,Inc. OWNER: David&Carla Sipprell
7509 Washington Ave. S. 345 North Arm La
Edina,MN 55439 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 ItEQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED 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: $ '� ��� DateReceived: g'��O�O
Entered By: '���Y�'�l S�`� Permit#: fJ !B/7p
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: 345 NORTH ARM LANE ZIP: 55364
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 Counci/approva/
60 days prior to the ei�eni. Shcdtle btrs service i��i/1 be reguired un/ess applicanl demonsb�ales
sufficient on-site parkrng is available. Non-peri�ir�ted events�vil!not be allowed
NAME OF OWNER: DAVID&KARLA SIPPRELL pHONE: �hOlTle� �y52)472-2941
(work)
MAILING ADDRESS: 345 NORTH ARM LANE CI.I.y. ORONO ZIP: 55364
CONTRACTOR: SMUCKLER CUSTOM BUILDERS,INC. PHONE: �952)828-1908
CONTACT PERSON: JACK smucKLE2 MOBILE/PAGER:
MAILING ADDRESS: 7509 WASH[NGTON AVE S CITY: EDINA ZjP; 55439
STATE LICENSE: # zo3s42s3 EXPIRATION DATE: o3i3�io�
ARCHITECT/ENGINEER: SMUCKLER ARCHITECTURE,INC pHONE: 952-828-1908
MAILING ADDRESS: �509 WASHINGTON AVE S CI'I'y: EDINA ZjP; 55439
NAME: 1ACK SMUCKLER REGISTRATION: # ��5g9
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) ✓
Any earth movement may require MCWD review and permits!
PR�P�SE�wORK�LtBSCYIdB Li1(I6lQlI�: BASEMENT FIN[SHING: NEW INTERfOR PARTITION WALLS,
LIGI IT FIXTURES,&PLUMBING.
STORIES: asMT SQ.FEET OF EACH FLOOR: 190°
NO. OF BEDROOMS: 1 GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �so,000.00
1 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 undeistand this is not a permit and work is not to s rt without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE• i��-. DATE: � /� v �
31
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' Sec.13.04 RIGHTS OF SUBJECTS 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. Infortnation required to be given individual.An individual asked to supply private or confidential data concerning himself shall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally 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 entities authorized by state or federal law to receive the 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.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or urocertv 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 whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of
stored private or publ ic 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 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 authority
may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall 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 with the request
within that time,he shall so infortn the individual,and may have an additional 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
conceming himself.To exercise this right,an individual shal I notify in writing the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be corcect. 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 authority 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 City of Orono or any of its departments may require you to furnish certain private or
confidential information.
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 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.
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First Middle Last
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Address c�ii�N/� /'r� J✓�� I /�(� ' �Z� f p��
City State Zip Phone
I understa my righ as stated above.
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CHECK OFF LIST FOR ISSUANCE OF PERIYIITS
. ' F R OFFICE USE ONLY
ADDRESS OR LEGAL: � `�s ?�c7 �'�` !��^^ �— �"f{
PID:
DESCRIPTION OF Yt�ORK: 1
---------------------------------------------�---------------------- ------------------------------------ -- ---
ZONING REYIE tV B Y: � DATEAPPRO VED: g 3 a
BUILD,ItYG REV,I'EW BY: DATEAPPROVED: � �3-�b
FEES ?'O BE CHARGED: Nlisc. Fees Calctclatecl By:
PERII�IIT Yes ✓ No
PLAN REVIEGV Yes—� No SEWER GON[VECTION
STATE SURCHARGE Yes_/ �Vo ' yVATER CO�WECTION
ItVVESTIGATIONFEE Yes No ✓ PARKFEE
SAC Yes ' 1Vo� SITE NSPECTIO�V
Nz�nxber of SAC Units OTHER (specify)
------------------
Z0IVIIYG CHECh'LIST Zanin;Disd•ict: NO C1�174Nl1-2
�1
Fire Depa�•hnent: Post Office: Sc/xool Dish•ict: . _.
Lot..�Lrea: Sq.ft. �Icres �Vidth Deptl:
Su�vey Submitte�� Yes Na Date of Swvey:
Proposed Setbac/s:
Fror:t(Lake): Right Side:
Rear(Sh•eet): Geft Side:
Acfjacent Sn•ucteu•es: b tland:
Buildi�rg Height.• Def. Xgt. Pe 'Hgt.
Lot Coverc�ge:
Gracfing: Staff'�fpprovcil Date: _ By: _ _ ^oacncil Approval Dccte:
Septic: Staff,�pprovc�l Date: ("] � 3' �� BY� `'�c�
Zoning File: # Resofutio�z: !# Resolcation Date:
Sha•eland Dish•ict:
Avg. Setbc�ck: B1uff SetbRck: Lot Coverage:
Eiisting Proposed
Hardcover•: 0-7�'
75-?50'
250-500'
500-!000'
Hardcover 1/ariance Reqccired: Yes No Date of Coiutcil�[pproval:
RELI�IARKS(in house):
31
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 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
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for th ext spection 24 hours in advance. (952� 249-4600
OwnedContr c n �t : _
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�' / � � ���� DATE TIME
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Q NSULATION 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
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContract r it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � I t � � � �EI � �� TIME V
CITY OF ORONO� �/� CALLED IN � � v
INSPECTION TIG��G��s� SCHEDULED ��D [:..
PERMIT NO. COMPLETED
ADDRESS 1��0�7� ,J�J �U � �T/� �-� '
OWNER CONTR. ' � '
TELEPHONE NO. l � -���` 'T�y� f ���5
� DESCRIPTION ��r���Q c�-- -Z
� 01 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 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
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR u CITATION ISSUED
❑ INSPECTfON REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. ��
Whiie Copylinspector's File Canary CopylSite Notice
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ITY OF ORONO cA" ��E�irv
INSPECTION N I J� SCHEDULED �7 %
PERMIT NO. � � ✓ COMPLETED
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OWNER CONTR.��( �
TELEPHONE NO. l0�Z — 2bS^ ����
� DESCRIPTION � ' �� �/
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
= 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. �J pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe nex inspection 24 hours in advance. (952� 24J-46O0
Owner/Contra� e:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice