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Home My WebLink About2004-P07723 - addn remodel/repair � , . CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: p07723 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 8/3/2004 SITE ADDRESS: 4041 North Shore Dr Mound,MN 55364 P I D: 07-117-23-44-0077 DESCRIPTION: UBC Occupancy � Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: T_"'_"_�."L:.�a_�`_.�_�_:::� .��..-.::?�:.:: ..Ot:.:.. w.......G...............w.............w FEE SUMMARY: Pernut Fee: $ 83.25 Valuation• $ 3,000.00 State Surcharge Fee: $ 2,00 TOTAL FEE: $ 85.25 APPLICANT: Owner/Self OWNER: Dale McCurdy M� 4041 North Shore Dr Mound MN 55364 Tf�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMII�ITS. � ` � �� APPLICANTPE ESIGNATCTRE ISSUEDBYSIGNATURE Copies: 1-File(Si¢nitzcres Required),1-Atmlicant 1-Monthlv Reports, 1-Assessin¢,1-Finance Page 1 . . • Total Fee: $ g'S��•`:rJ Date Received: ?-2� -D� Entered By: y Permit#: ,qo��a 3 op��, r;,�' CITY OF ORONO — BUILDING PERMIT APPLICATION v� \�\v\ 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: 4 a 4-i �o �T K Sµa�� D �� V E ZIP: 5 � 3 6 �- 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 �/�L[, �. 5�1 �� 1-E�{ M�CU�.��PHONE: (home)��Z--4--72�- 4!��3 (work) MAILING ADDRESS: 4��4-1 (�, 5�1�� (�� p P., CITY:�(� Q t� ZIP: 5 ��-` ��, b � MOU f"1!liL1 �JCr- ,r� Dp/L.�'S� CONTRACTOR: 0 V�/I�j��'�. PHONE: � 5 2- �}-�l L - �6 '�,3 CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: —'f PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration�_ Land Alteration PROPOSED WORK(describe in detai�: S �� n'i'TA�M M��.I TS c�nl��V�11TK 4�/� L►�t,� �� T C�Pt 5�M=�.,'�i STORIES: V' SQ. FEET OF EACH FLOOR: �� (1 NO. OF BEDROOMS: Z. GARAGE STALLS: ATT. O DET. `}- t � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��C7 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 not to start without a permit; and that the work will be in accordance with the approved plan. i�- APPLICANT'S SIGNATURE� � `` � DATE: 47 Z c� c��- � s e Sec.13.04 RIGHTS OF SUBJECrTS�O�DATA Subd.l. Type of data. The rlg6ts of Individual on whom the data Is stored or to be stored s6all be as set fort6 in thls sectlon. Subd.2. Informatlon requtred to be gtven individaal.An individual asked to supply prtvate or contidentlal data conceroing htmself shall be� informed of: (a)the purpose and intended use of the reqaested data within the collecUng state agency,polltical subdlvision,or statewide system;(b) whet6er he may refuse or is►egally requlred to supply the requested data;(c)any Imown consequence arising from his supplyfng or refusing W supply private or confldential data;and(d)the identlty of other persons or entlties aut6orized 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 S,to a law enforcement officer. T6e commisstoner of revenue mav olace the noHce reauired under this subdivision in the ladividual income tax or orooertv taz refund Instrucdons instead of on those forms. Subd.3. Access to data by Indlvtdual. Upon reqnest to a responsible author[ty,an individual shall be informed whether he is t6e subject of stored data on indtviduals,and w6ether it is classlfled as pablic,private or coatidential. Upon his further reqnest,an individual who is the subject of stored prlvate or pubHc data on individuals shall be shown ffie data wlt6out any charge to hlm aud,lf he dcslres,shall be informed of the content and meaning ot t6at data. After an individual has been shown the prlvate data and Informed of its meaning,the data need not be disclosed to him for sia months t6ereafter unless a dtspute or actlon pursuant to thLs sectton(s pending or add(tloaal data on the tadividual6as been collected or created. T6e responsible authority s6aII provide cop(es of the private or pabHc data upon reque.st by t6e indlviduai subJect of t6e data.The re.cponsible aut6orlty may require the requesdng person to pay t6e actual costs of maldng,certifying,and compiling the copies. The responsible authorlty shall comply immediately,if possible,w(th any request made pursuant to this subdivlsion,or wit6in ttve days of the date of the request,eacluding Saturdays,Sundays and legal holidays,if immediate compltance is not possible.If he cannot comply w(th the request within that Hme,he shall so inform t6e(ndlvidual,and may have an addittonal tive days wit6ln which to comply wit6 the request,eacluding Saturdays,Sundays and legal holldays. Subd.4. Procedure when data Is not accurate or complete. An individual may contest the accuracy or completeness otpublic or private data wncern[ag himself. To eaerclse this rlg6t,an ind[vidual shall notify[n writing the responsible suthority descrlbing t6e nature of the d(sagreemenw The responslble authorlty shall wit6ln 30 days eit6er. (a)correct the data found to be inaccurate or incomplete and attempt to notlfy past rec(ptents of Inaccurate or incomplete data,including recipieets named by the individual;or(b)notify t6e iudivtduai that he belleves the data to be correct. Data in dispute shall he disclosed anly!f the individual's statement of dLsagreement is included with the dlsdosed data. The determination of t6e r�ponsible aut6orlty may be appealed pursuant to the provtsions of t6e administrative procedure act relatlng 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 egtent 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 bi.S.13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. _�A L� �", �M G.G V,R•c�`� S L-1 I J�� ', M �. C C! t�.�`t� Flrst ' Middle Last 40 �' l I11 �1kfi N �al�ldR.� bCZ1V� Address IVL �U N � . 1`�\ N e � �� -L �� 'r� ! Z�� JJ C�tY State Zip Phone I understand my rights as stated above. . G � � � Signature , . • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �pt-I 1 vV o 2T�t .S t�o cu: '�R � PID: DESCRIPTION OF WORK: 1'�= 'P��e .�..�,o�n..o.J un,�at. c.�r-� ;�--------------------------------------------=------------o____ ZO�IG REVIE�� BY: I,y-�..— DATE APPROVED: � -3 - Y BLTII,DTivG REYIE`Y BY: Z DATE APPROVED: $ -3 -o� F'EES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �' No PLAIV REVIEW Yes • Na c/ SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECITON INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SI'TEINSPECTION Number of SAC�Units OTHER (specify} ZOivING CHE.CK LIST zoning District: � c!��',.? Fire Department: Post O e: School District: • Lot Area: Sq�.ft. Acres ' Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � � Front(Lake): Right Side: Reaz(Sueet): Left Side: Adjacent Structures: `Vet! d: , Building Height: Def. Hgt. Pe Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Agproval Date: By: Zoning File: # Resolution: # Resolutioa Date: � Shoreland District: � Avg. Setback: Bluff S tback: Lot Coverage: Existin Proposed Hardcover: 0-75' 75-250' ' 25d-500` 500-2000' Hazdcover Variaace Required: Yes o Date of Council Approval: REl�'LA.RKS(in house): 7 • . , BUILDING REY�W CHECK LIST �C� -- � �.� � CONSTRUCTTON TYPE: VN _ Sq Footage $Per Sq Ftg � Basement . . x _ lst Floor x � � _ . . 2nd floor x • _ � . Gazage x = � x — TOTAL Estimated Construction Value: $ �,Vo� �- Inspections Required: 1��ork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection ., —1L F�a��g Septic Sewer Connection • ' Framing Fireplace Lawa Irrigadon Insulatioa (Mason,r}r) Other Wall Boazd • (Mfg.) Well(State Permit) —�F�� Grading/Filling Electrical (State Permit) Other . RE1�ZA.RKS(IN HOUSE): � � . � REVIEW BY OTHERS: DAT'E: ��------------ --�� ---__ Access: Eusting New . Access Approval: Date gy; � ____�Y _________-- ---��--- -------------------------- RE1VZ4�iKS (TO BE NOTED ON PERiVII1�: 8 . , ;�� - _ . ,__ .:--� _.> - -__ _--- --- -- - - — ----- --._t.-- -- - _` � - - --� - ' � � . p.: � � - -- - �� ; ; ; _a_.. _.�.. - _. _ __ . --- -- _ �___� , , ! _ _- -- ____ _ _ __r_ , � , . _ __ � � � � � _ ; � � . . _ __ � - - � � N _j_ �!� �� K , � .. �_ __..__' _ '-...__,{.___. _ _..._.. ...__._ __._.. . � , ..._'_.A..__.. . a � . . . . 1 . _ .. . . . � . � QA �� A ►� p sN� ��.r�l M� cv�b� � � � _ 4•0 �-1 i_ t�d(z.T1� S 1-�o R� ��. 1��. � _�. �� _ � �' o -� � � � � � __ _�_ ;_ ; _ � Z 0 : d-.� �✓ +i __ o ' _ o � -- - � ' �� ° �� I �� .� LA� E , TI-I I 5 1 S �I-1 C M R t r�l Et�iZ`�r� �� T o �{ o v S � A ri p o N L`t� � � ` � o �l.0 Inl �Tt-1 A K E Y� P - ___ --- _ �_ _ ._ _ .--- __ �-- -- _ �-� � � • , �_ _ . I� U U � �... � ° VEnS�� C'> 1��o �' N E� P�U. — - � � c�rY OF opoNo . ��' ' _ eu��oirvG��»iT r�,cti �c�,��w _ Do o fZ HF R �lES C'P�CfL`� NJ9PECTOR �� . '- r � t — _ _ j�q7� �'L'°�_^Pc�A1[T id'J. �__ -- -- � � 'N ( � TFR. G� V S � (`.) � ❑` -.�.,.-, -�., � �:,�,,. -� V S �`� C3-� �-.c� C ��,G L> 1"',�. !'iJJL'.�r�.� ..v.�iL::�:_J .R�F,^;t=::?L'E�'11'!TH �CKF.c�,!J.�l�.-^,S�v7cD Q u �� / � � � � C � - : p "��TA=FR`vJ�' C'.:P..�',LCTu�?�^�5:'�i,iT � �_— -- , ��;9 C�:T(" i.?�fi�c,��0';�CJf rnfQ:R di�df] i��1 �� i:��b9 C'Of19 ' . . ' 1(1`�_�: G):'!(;��<!!1SQ Wl�:�l u�l 8�r,'C;;iJiB ryU,�.Ci^�; u'i�� 2Cri�.'�.�i G�. _ ��. _ � ��.�3, :�., r..,l� ,�y1�t��I�a ��..37:t'._�,:::��y'fMit6't�. f}i�"il.".(Z'�I@lA8 . ._--}---� � - —�__�__� -' KEEP THtS PLAN SET ON 9tTE A7 Alt�.TfM�;� _ .� _ -- A O b i 1vG� f=o✓.vOr!-T7�,:.�""'vN� Go�/l�� ,-- - — Wt��, 4 Z'' O-t�n-� � f�� 5 c.us5 t�.0 � - � - - ---- . y� . ' � -_ Q _ - __�_.. : ; : ; ; � . , , — — --- —t--- - -- ---� � 1.- 'lS�+ _ - — - , _ _ _ � - , � , , -- _ _- -_ __ � i � ,. _ � I +i :_ _ � __L___ _ _ ; ,� .c -` ; �, � , ; _ � � ^; ` ,. � , � . i , __... �__.. � �_ � , L _ ��. _ , 1___ � , � ; � � � � ; ; ,__ - �-_-�__ -- -- _ __ Nt � � N � �o � K. /� - -- --� __ i_ _ �_�`. , _--}--- - , � , , � •� Attachment to City of Orono - Building Permit Application for Dale and Shirley McCurdy Proposed Work: The main entrance to our house, and the only door with a keyed lock, heaves during the Winter months. The result is a blocked entrance door. Recently we had to have a locksmitb come and remove the entire lack because it was jammed into the door frame and we could not get the door open. We also had to trim down the door to fit in the opening. At best this was only a temporary solution to the problem. To prevent the future reoccurance we plan to remove parts of the door and structure, etc. and replace, as needed. � �. � D�E �� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED C� " . '� PERMIT N0. ,�D ��T� COMPLETED ADDRESS �� l � S�1 C�� /�-- OWNER � NTR. TELEPHONE NO._ �� `y �� .� � DESCRIPTION � ' � ��"l � Ot FOOTING 11 MECHANICAL RI 18 XCAV/GRADING/FIL ING 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContr it : Inspector. White Copyllnspector's File Canary CopylSite Notice DA TIME � CITY OF ORONO CALLED IN 9 INSPECTION N �1 SCHEDULED - - �D� _'3D PERMIT NO. �- COMPLETED ADDRESS �D�� L��7�- �S�C.�LQ� �� OWNER CONTR. �� . /"LC � TELEPHONE(d0. 95� ��a. ��S � 1 � DESCRIPTION � 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 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC IIdSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 WARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a J O a � O � W � Q � 2 W � W � � d W� WORKSATISFRCTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS_ Ca11 for t ext inspection 24 hours in advance. (952) 249-4600 Owner/Contr site: Inspector. White Copyllnspecto File Canary Copy/Slte Notice �� ✓ DATE TIME CITY OF ORONO CALLED IN �� I� I�� INSPECTION NOTICE SCHEDULED / /•�— PERMIT NO. PG '`7 �7a 3 COMPLETED ADDRESS �Ci��f �V SL'1�%�'e �� OWNER �� -��-l�CONTR. TELEPHOIVE NO._ ��S � �{ 7a - ��[n S.3 � DESCRIPTION �i �'1 c3 / -- 1��(�C�d� � 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 D. 12 WATER HOOK-UP 17 SITE INSPECTION Q INA 14 SEWER HOOK-UP 06 PROGRESS MO-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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlIL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�� OwnerlContrac s : Inspector. � White Copyllnspector's File Canary CopylSite Notice SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO. -� ` �`�,3 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 55420 • (952)881-9000 TEST RECORD ADDRESS T C1�� / `—�r�-� �SI'�-C1r c C'�'r- CITY � �� l�� OCCUPANT OWNER �� C`�/ SOLD BY ��'--'�C� INSTALLED BY MAKE � Z`V'v U-{ MODEL � l� ( M I'�✓ `.3�i � Ll 7 � SERIAL NO. S /C(G G�,�y r 9� INPUT�,U��> — THERMOSTAT�� "�'1 �J�' VENT SIZE �� ✓L VALVE ��_��+/�LG TYPE OF LINER�Z[!�� tl LIMIT �"��`�� LINER SIZE � LIMIT SETTING Z�-�/ FILTERS: SIZE �L CC., NUMBER FAN SETTING A lJ'T(,�s�n.�1Y'��. WIRING S 11:�L 2Fj'f1,v) PILOT TYPE .7�%� ��LT�C��-��^+� TEST TAG IGNITION MODEL �� LIGHTING INST. ' PILOTTIMING �'i S�L. � /ZS�21� DATE TESTED PRESSURE �� - L✓.L-, PERCENT COz �% L �/ COMPANY TESTING ^/�D�� INPUT CFH �� PERCENT OZ � /!� /� C STACK TEMP. �Z� PERCENT CO (J�n NAME OF TESTER Zw+ �� FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPV-CITY