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Home My WebLink About2000-P02044 - addn/remodel/repair ✓ PERMIT ° CI�YOF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: -�ztm� Po zo�!�f Crystal Bay, Minnesota 55323 (612) 249-4600 Date Issued: 1/voo SITE ADDRESS: 3so NortliArniLa MOUND,MN 55364 PI D: o<-ii�-z3-z=�-ooi-� DESCRIPTION: Proposed Use: Resideiltial UBC Occupancy: R3 Permit Class: Building � Construction Type: V(J Permit Type: Addition/Rcmodcl/Repair Ccnsus Code: 434 Pcrmit Sub-tvpe: Single Fatnily DETAILS: Resolution#: O.pO Separate pernlits requir�cf. /�l�r-h�i�.,� , I�P��an;Ca�> �l��r;e_a.( (5fh�fe�. Separate inspcctions requirc NOTICES: FEE SUMMARY: Pe�,,,;tF��: $ �13.�� va�u.►t�on:$ fo,000.00 Plan Review Fee: $ 464.03 �0•G7L' State Surcharge Fee: $ �-�--}� •�l�G Fe,�: °' r,i-�r.;;rr TOTAL FEE: � �,2�)'7,'7g APPLICANT: OWNER: �oN MPENDI.ETON 350 NORTH ARM LA MOUND MN �5364 THE UNDERSIUNLD HERI�BY REQUESTS PEI�Iv1ISSION TO MI�KE THC REAL IMPROVEIvIENTS SPECII I�D AND nUREES TO ll0 ALL WOIZK IN S'I'RTCT COMPLIANCE WITH ALL CITY OI�ORONO ORDINANCES AND STATE OF MINNESO'1'A BUILllING CODE RF,QUIREMENTS. � ��UGG 1��, r� �� z-�c,..� �YPLICAN' ]?RMI'I'h;1 SI(�NA'I�URI? ` • i ' .�,( i Today's Date: 1/7/0o Page 1 � "' Total Fee: $ j ��;0 7 •� 7�� Date Received: �/-' ;�� . Entered By: � Permit#: �7_z'�J CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: ��(') �Q�'�"�} TT►�YVI �►�J ZIP: �.,�j,�j(pl-�- � ') NAME OF OWNER � �= ��C �1'C�'i' (, t T i� PHONE: (home) ��y,�•J(��r7 (work) 1.-�(c 1�f-�C: MAILING ADDRESS: �>� Nprf'h Av r�n 1--►>� CITY: �;��,,�. ZIP: r G"� CON'TRACTOR: C,Q��II�� e c c�2 PHONE:_ � Z� -��'�2 CONTACT PERSON: - s�.� .— MOBILE/PAGER: MAILING ADDRESS: a `C�`2 Z l�rZ�-;Ti>�'CC� �'F�( CITY: /�1��i1•�a��l�i ZIP: S S �"!C STATE LICENSE: # ARCHITECT/ENGINEER ----- PHONE: MAILING ADDRESS: CITY: ZIP: NE1ME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED ORK(describe in detai�: ('r �� -+- c3-��Z_ ��=,e� ��e,�- �; <,��.��:- ,1+-� t��t,�.= ''1 6::-f�,�ti L�., ;�.�� STORIES• / SQ. FEET OF EACH FLOOR• _S 3 �'� = ��Ci;�� ;�h��. =��i��,e.-�s�, ,c� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �, �'�Z' 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: ��L�t��'"r�� DATE: 1� Z 3(S �� NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � ..- Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu 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 or co�dential 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 refusin,to supply private or confidential data;and(d)the identity 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 investi�ative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav alace the notice reauired under this subdivision in the individual income tax or orooertv 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 conf'idential. 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 i of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to this secuon is pending or additional data on the individual 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. j The responsible authority may require the requesring 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 inform the individual, and may have an addidonal five days wiihin which ro 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 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 recipienu of inaccurate or incomplete data,including recipienu named by the individual;or(b)notify the individual that he believes the data to be correct. 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 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 fumish 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. �� c.� �'t ��.c�� ` ��c n c{ �',�C.z First Middle Last �-�;"O �V , -�� ,��'t �.�,r�-�C Address �';� ,,, (�.j ;v' �S ''��(' C: I 2 � `( ?Z - j b Q � City State Zip Phone I understand my rights as stated above. ✓�[ ��;�, � /� Signature 6 , - � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3�C7 t�vo2-rt-i ,�2.v,� �rv-�. � PID: DESCRIPTION OF WORK: „q��J i 7� o� 0� � ��4 2�-6-�. ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: �i -�a-g y BUILDING REVIEW BY: D�TE APPROVED: //• 3c�-�i4 ----------------------------------------------�= ---------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes +� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: I'V� G 11`�S1 'I Fire Department: Post Office: School District: ' Lot Area: Sq.ft. Acres Width Depth I Survey Submitted: Yes No Date of Survey: II i Proposed Setbacks: Front(Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wet and: Building Height: Def. Hgt. Pe Hgt. Lot Coverage: Grading: Staff Approval Date: B • Council Approval Date: Septic: Staff Approval Date: ��—,j4 -`�f By � Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: I.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): `�°` �� t� ��v G S r r� =�v� `{� �c-� .9-c_.,� — /Z LFY��O �-v � �L � u � ?7C S Si � �+'S�e.I 7 � _. � , � . . BUII.DING REVIEW CHECK LIST : UBC: IZ '3 CONSTRUCTION TYPE: '�� . Sq Footage $Per Sq Ftg $asement z . _ lst Floor x = 2nd Floor x = Gazage x = R = TOTAL ey2- Fstimated Construction Value: $ b C9F VO(� Inspections Required: Work Requiring Separate Permits: Site pC Plumbing Fire Hazdcover Removal OC. Mechanical Water Connection �. Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _�Wall Boazd (Mfg.) . Well(State Permit) ,.�'inal Grading/Filling et Electrical(State Permit) Other ' REI�ZARI�S(IN HOUSE): � � - - REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARI�.S (TO BE NOTED ON PERNIII�: . . . . .. 8 . , . - . . _ . , ; . � � , . : . , DAT/E� TIME CITY OF ORONO CALLED IN J �/� � INSPECTION NOTIC �� SCHEDULED � 8�d a � -�d PERMIT NO. - coMP�ErEo ` � '�U �`l�C� ADDRESS �� OWNER CONTR. � TELEPHONE NO. �7� " ��8s � DESCRIPTION _ l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL� 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � �:� $: � � � J O � � O � W � Q � Z W � W � � d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,— pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector./�/��I/1!s White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED -�� PERMIT NO. �� COMPLETED � ADDRESS �� m �L-',YLP OWNER CONTR. Lu� II�cL�rt ��C��e�'►`�. TELEPHONE NO. `�7��•-t � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 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 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 FOUNDATION/REMOVAL � OWNEHICONTRACZ R T OU�_YES_NO � C MEN S� � � �� r�l�� _ oL �i�'� �. ove � � � S �t �v� � W � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE � �ORRECT 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 G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTtON NOTICE SCHEDULED •Z/ a // : t9 0 PERMIT NO. � COMPLETED �t '� ADDRESS OWNER CONTR. TELEPHONE NO. '�7� - �Co S� � DESCRIPTION �Q�� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O ION 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL JCV NG FINAL 36 FOUNDATION/REMOVAL OWNERI NTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. 249-46�� OwnedContrac o�,��it�: Inspector. � White Copyllnspector's File Canary CopylSite Notice f MIN. WOOD TO EARTH SEPARATION S' ELE Vr�-T 16, L Fkc, 1 fft ATM VvmvUjM 11110TH ATTIC AREA. If 50% oil MORE IS PROVIDED IN UPPER PORT*N OF 40OF AND REMAINDER IS PROVIDSp IN SOFFIT VENTS, IT MAY BE REDUCtr, TO 1P4WTN ATTIC ARFA. ftyt&12, Lopm Of 15L8 Felt Sotid Mopped Together 24" Inside EXT. Wall Line 36" For Wood Shingles Or SWs6 V ) T)01) AIQT�l -77- 0 a I–LX:1vff 116 IN 1�10(-)Tit 1A, 01yy OF ORONO BUILDING r Pt m REVIEW INSPECTOR DATE= '1 k 4 PIMMIT —2z--� 0 ApppoVEI) sU8*:ArT'TED OVED AS N -S .RAPPROVED WITH CORFIEOT10 AS NOTED U NUT,pp,n,CIVED CO"FIRim. &REAS s' tM bo d0f lvpi vic t * and z0NC4 13" cd, fww WE? v LPI J7, - - - - - - - - - - - - - - CON VE)q� MR X WALL BD. TO ROOF UMS/rTypis 9U 01EAMM. IF CEILING I- USED FC pREWALLITMIEN 5UPPC3RTI iGD Wr ALIS MUST ALSO TROT ECM j0QM TAPED - GARAGE FIREDOOR SOLID copk. SFLP CLOSING SUBW TRUSS DESIGN TO ISWCT(W AT MAMING INSMMOi" L,x tlov,�c /7,,r 60F�, -T W; wT's /�, lei Ic -ce4r,i- !�- �W#O- �vemi j� AL4 } _. t rte...._ 'I V /Ai-DOP0 IV WTYPE X WALL BD - T0 RO(V IS USED FOR MAT'IUNG• IF cEILING FIREWALL THEN SUPPORTING WTECrED ALSO pt WALLS MUST BE - FIREDOOR ''TAPED - GARAGE KANTS SELF CLOSP40 SoLXD COW, tP 14 2Y6 V&t's — m 9&WVF, S; Rli2 0- 69/6LPle-7yP�'-G Fr' p-