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Home My WebLink About2006-P09721 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley F�arkway- PO Box 66 Permit Number: P09721 Crysta'r Bay, Minnesota 55323 Pe�mlt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 4/12/2006 SITE ADDRESS: 1405 Park Dr Unit# Mound,MN 55364 P�� 07-117-23-42-0016 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Pernvt Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: Plumbing Electrical(state) NOTICES/REMARKS: Remodel Bathroom,move exisring plumbing&partition wall,remodel non-load bari FEE SUMMARY: Permit Fee: $ 542.75 valuation: $ 40,000.00 Plan Review Fee: $ 352.79 State Surcharge Fee: $ 20.00 TOTAL FEE: $ 915.54 APPLICANT: SASS Construction Inc. OWNER: Fred&Karen Shearer 1330 Park Rd 1405 Park Dr Chanhassen,MN 55317 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 REQUIREMENTS. �y��e�1 >l� ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 c� � �^�� Total Fee: $ 9�S 5� Date Received: �! ��G�� Entered By: Permit#: � Q `7 Z � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print crl!informat�on) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SIT�ADDRESS: I�-�,v� � � � l(L- ZIP: SS��1--� Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �10 /fyes, a special event per•n�it is r•equired tivith Police Departrnent and City Coarncil appr•oval 60 dcrys prior to d�e event. Shidtle bus service�a�ill be�-equirea'unless app/icant de�nonstrates sa fficient on-site parking is avnllable. Non-permitted evenls�vi(l not be a/lowed. NAME OF OWNER: i-'�� +'��ONE: (home)�SZ� �-�l�Z��;,�,� (•�vork) MAILING ADDR�SS: ��-i�� -P 1�� '�- CITY: `� �'`�%��w ZIP: c>S� CONTRACTOR: 5�� y��`l�-ti C�t,-1 V ��ONE: �352 ' �--(�� `-'�`�Co� CONTACT PERSON: �4�K� J i,�-<;DiA-�.MOBILE/PAGER: `�S2 : Z2�- �{��( MAILING ADDRESS: ��?� �v� ,�'�� D CITY: C ,ZIP: S S3 t� STATE LICENSE: # �� EXPIRATION DATE: � � � � O�- ARCHITECT/ENGINEER: PSONE: .M_AiT i�r�11�1lRFSS: [�'TT�, 7I1_': NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move I-(ome RemodeUAlteration (ie: Siding, Windows) � Any earth movement may require MCWD review and permits ! PROPOS�D WORK(describe in detain: f�-�v�t,� ��_ �' -'�-1-1�'-�E-x� �M'V�L7`Z� 4��/.,�`.�rt'11N�� -P l'VV -a- �F iA��F'~-'f'1 Tl t71ti.� i.V �1�1ti_ t�-�-c��=�_ Y..�a v� �u�.� ��--� t� �tiA'�� STORIES: y SQ.FEET OF EACH FLOOR: t,v`- NO. OF BEllROOMS: GARAGE STALLS: ATTACH�D DETACHED �`�c.��'� ESTIMATED CONSTRUCTION VALUATION(excluding lancl): $ �� , �� I hereby apply for a building pennit and I acknowledge that tl�e information above is complete and accurate; that tlle work will be in conformance with the ordinances and codes of the City and wit11 the State B�iilding 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. APYLICANT'S SIGNATU DAT�: ' -l ' �� 31 Scc.13.04 RIGHTS OF SUI3JECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shali be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private orcontidential data conccrning himselfshall be informed of: (a)the purpose and intended use of the requested data witltin 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 confiden[ial data;and(d)Uie identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall not apply when an individual fs askcd to supply investigative da[a,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenuc may place the notice required under this subdivision in the individual income tax or property tax refund instruc[ions instead of on Niose forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is Uie subjectof sfored data on individuals,and whether it is classified as public,private or confiden[ial. Upon his further request,an individual who is the su6ject of stored private or public data on individuals shall be shown the data without any chargc to him and,if he desires,shall be informed of the content and meaning of that data. Atter an individ�al has been shown thc 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 dafa 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 audiority may require the requesting person[o pay dle actual costs of making,certifying,and compiling the copies. Thc responsible authority shall comply immediately,iPpossible,with any requesl made pursuant to this subdivision,or within tive days of the date of the request,e�cluding Saturdays,Sundays and legal holidays,if inunediate compl iance is not possible. lf he cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,e�cluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is no[accurale or complele. An individual may contest the accuracy or compieteness of public or private data concerning himself. To exercise this right,an individual shall notity in writing Ute responsible authority describingthe nature of the disagrcement. The responsible authority shall within 30 days either (a)correct the data fow�d 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 thedatato be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination ofthe responsible authority may be appealed pursuant to the provisions ofthe adminis[rative procedure act relating to contes[ed cases. DATA PRTVACY 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 infonnation. You are notified that: 1. The information you furnish will be used to detennine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the pennit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pern�it or license. 4. If your requested permit or license requires Council action to approve, some inforniation 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. � ��_ �J�'ll ' � ��,�. First Middle Lasf ��v `� �-�� Address (' � � -��/G'`--' l'`'�-�'�— �__��l�' s�'22--� � City Statc Zip Phone �� I understand my rpgh s as stated above. I Signature � Reset Form 32 CHEC� Ok'F i�IST FOR ISSUANCE OF �ERMITS . FOR OFFICE USE ONLY ADDRESS ORLEGAL: ►y l�5 P�4�z�c �(J2 PID: DESCRIP'1'TO�T OF WORK: �?x ww�ec- �a-n-� w�-� �'�'�— ZO�.�TP�i G REVLEtiV BY: r~ -- — DATE APPROVED: �I- 5-o � SUII�DING REVIE�� B . DATE AP P R O V ED; y_ �o�b � FEES TO BE C�IARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No PLAN REVIEtiV �� Yes � No ✓ SEWE.R CO�TNECTION STATE SURCHARGE Yes _� No WATERCONNECI'ION INVESTIGATION FEE Yes No _�� PARK FEE SAC Yes No � SITEINSPECTTON Number of SAC�Units OTHER (specify) ZO�tI1IG CH�CK LIST Zoning District: C'it . Fire Deparcment: Post Office: School District: � � Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: . . Froat(Lake): Right Side: Reaz(Street): Left Side: Adjacent Structures: W tland: Buildin� Heieht: Def. Hgt. ak Hgt. Lot Coveraae: Gradin;: Staff Approval Date: Council Approval Date: ' Septic: Staff Approval Date: BY• Zonin; File: !# Resolution: # Resolution Date: Shoreland District: Avo. Setback: Bluff Setback: L.ot Covera?e: Ezistin� Proposed 0 Hardcover; 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Da[e oE Council Approval: REl�L4RKS (in house): � BUII�DING RE'VIEtiY CHECK LIST �C� - - (z" � ' CONSTRUCTION TYPE: �I� Sq Footage $Per Sq Ftg Basement . . , x _ . lst Floor � x • — � 2nd Floor x = • Garage x = x = TOTAL Estimated Construction Value: $ `�0,0 c�O � Inspections Required: Work Requiring Separate Permits: Site _�Plumbiag Fire � Hazdcover Removal Mechaaical Water Connection Footing � Septic Sewer Connection � ' D� Framing Fireplace Lawn Irrigation _�,Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Perm.it) _�.,F�� Grading/FIIling _�c Electrical (State Permit) Other REMARKS (IN FIOUSE): . -------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By; � REI�IARKS (TO BE NOTED ON PERA�IIZ�: 8 . .� ;k:. �.�� .,..� .:.��. �-� CIfY flF OROINb '�� ' � ` .'`��' �� BUiLDl�iG -' �,ry�fi PL,"1!�! R�`/fEW `��51�� it�wP�cu�R._.�__� �1L�._, .,.� ---- � D.-,.��..._.._��S'C��'"_... __ �'=.:F`irr�C._- � ' .. .'! . _� , . .. � ;, -- • ,�� r... , r.-.. .., j��• r . \ ^�r�.� �- .., rr. i�� .!�. . 1 . �-. r � .• . . - .. . ., i _ .. L�!:i 2 � �,+ .�. .)� ..' . t `�C'..`.�.3A LG'i IY.1f'� .. ` .r, 5: i:� , �( .-:�� _`•,.f(',.'f�@. r ^ ':a +' � _ ; �' ,��.% E. ..�.N. ��r.� t f� ..st. h-' Y..�f V�'Y v.i r f1;�i � ��f i:�il . — �� .y.� �� — —7 � ��/ -��ir. � r� ��E�� 6 `Y�� --�. I l --.-� �` s�� -�.c�� -r ,.-;Pk �''(��- JWIAK.Is �,�'Tc.—Z�O� � C�ie7� �v��.3',.,��.'��i�'Y!„�"�"� � .__._._____.__...._. �/' �' I�� W.�.,._- _ �_� ~�`_--- - .�" r' C�'=` `_`_ '�`� � i �'r �� . `" t , �s{� ��ft 1 � '^,.:✓ ` �,i , ....... � t Fr,,�� ' � i x; �C Y r� � i �� . .' �6 t t �yl '�, � i ��1 r ;� � � � ��"� �.,1 r, '�� t PRC7VIDE ��'!��,.��,��.'�� ;� ; ; , , PL��' ��j'��`� ,,� ., 3 = • ; � THR�OUGH T� t��lrtJ'�� ' � �� .__..--� ;: ! ; �""f�`'" -`......y,..___��-. ",.� .� ., �......,� w..�,.,.. > : -.,, "..-,_. , �T . �?. i �j �.`�...._..�_ .._. ....._ .,�..C-'�� ' � �� I� �-�t--'��- �-- ,� f �" -.-----� ��i/��34 R�� i r s�.�� . �� .='� e �`� �{/ � � � YS �,6� e� � � 1 `,��"`�� y � ` 4 1 v � � � � ti t.mt' :`�.�,-�' '��; � ��=� ��%� °�'..� � � � � � � � � .� . 1 � � � � l. � � �� 0 �a� � � DATE/ TIME CITY OF ORONO CALLED IN �� l U�(? INSPECTION NOTIC SCHEDULED �'�l�� ,�o � PERMIT N0. �� COMPLETED ADDRESS l `�I� � �� IC- ��z- OWNER CONTR. �y� �� TELEPHONE NO. �� ` �l � 'D 7.�� DESCRIPTION ��-t�""f'l t� , tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI / ILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 v 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 � COMMENTS: � W C o a'� � � ` � �- v c� t.�i I� 0 1_ __ � � � AQ � � < Q � z W � W � � d W� ❑ RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY p ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETUflN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor it : Inspector. White Copyllnspector's File Canary CopylSite Notice �� DA TI R NO L " ALLED IN � CITY OF O 0 INSPECTION TI E SCHEDULED �� PERMITNO. 7°1'I COMPLETED ADDRESS OS ��'/`� OWNER CONTR. v�'d ' TELEPHONE NO. /5 a �7� `f'�/�U C� � DESCRIPTION �I�I�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL Z 04 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME TS: � �2" � ul, a � J O � � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN _❑}�TOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the n inspection 24 hours in advance. (g52) 249-4600 OwnerlContr on i e: Inspector. � White Copyllnspector's File Canary CopylSite Notice �'� �� "D�ATE,,' � ME CITY OF ORONO CALLED IN �SL INSPECTION I SCHEDULED X.I I•U l.P I n�•�O PERMIT NO. COMPLETED ADDRESS � ��r, '�►� _ OWNER CONTR._ �� TELEPHONE N0.T��• � � �( � "I�� DESCRIPTION �Y �G�.�� G�� 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 �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 � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � a W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � '❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-46�� OwnerlContr on te: Inspector. White Copyllnspector's File Canary Copy/Site Notice