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Home My WebLink About2000-P02697 - addn/remodel/repairr PERMIT CITY O°F ORONO permit Number: 2750 K'el�ley Parkway- PO Box 66 P02697 Crystal Bay, Minnesota 55323 P@�I111t Typ@: Addition/RemodeURepair (612) 249-4600 Date Issued: �i19�2o0 SITE ADDRESS: 1442 Park Dr MOUND,MN 55364 PID: 07-117-23-42-0014 DESCRIPTION: UBC Occupancy � Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.25 Valuation• $ 8,000.00 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 157.25 APPLICANT: GEORGE SCHULTZ OWNER: G L SCHULTZ ETAL 1442 PARK Dr 1442 PARK DR MOiJND,MN 55364 MOiJND MN 55364 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMI'ROVIMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.DING CODE REQUIRIMENTS. L ' E I ISSiTED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 � Total Fee: $ Date Received: �-/ `/-�'� Fntered By: Permit#: � � l� f;7 - � CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- �_.,� THE APPLICANT IS: (circle one) O� WNER �R CONTRACTOR �� JOB SITE ADDRESS: 1 �'` y� �n�';L�j '��%� ZIP: NANIE OF OWNER: �r-�-,%�G� f� , �=?=�F" �3��-� -PHONE: (home) �`�� —�� (work) MAILING ADDRESS• ��G� �� / ,D CITY: �v� i�/ ZIP: ;��_:��: � CONTRACTOR: PHONE: CO�TACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N�1�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move emode Alteration Land Alteration PROPOSED WORK(describe irc detai�: /t�—�rro•r�� % C /� �- y , ��' %� G��" ' -'''`''�'� /�t t� /✓�i.5'�i �� N'S/.c/t', /Y f r� J ��.�� ,t"/�,5�'�•f,•/� /V<.c;t; C�c h.r �n��iG/� �('c uJ�cy�� , � ' —' ✓�'i`;%�-,� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. b� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ C'�J'G%C� l� ' 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 acc rdance with the approved plan. � , � �� APPLICAl�iT'S SIGNATURE: ` � �� ! ' DATE: / �� ,� NOTE! Parade of Homes events require separate permit approval by Police Department 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 tlus section. Subd.2. Information required to be given individual. An icxiividual 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 refusing to supply private or confidential data;and(d)the idendry of odier persons or enades authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigative data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or orooertv tax refund instrucdons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shaq be shown the data without any charge to hun 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 mondvs ihereaftec unless a dispute or action pursuant to this section is pending or additional data on the individual has been coilected or created. The responsible authoriry 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 costs 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 infornt the individual,and may have an addirional five days within which to compty with the request, ezcluding 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 shall notify in wridng the responsible authority describing the nawre of the disagreement. The responsible authority shall within 30 days either: (a)correct the data founi to be inaccurate or i�omplete and attempt to notify past recipients of inaccurate or incomplete data,u�cluding recipienu named by the iiulividual;or(b)nodfy 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 determinadon 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 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. First Middle Last Address City State Zip Phone I understan my rights as state �above. � Signadire 6 � -1 CHECK OFF LIST FOR ISSUANCE OF PERMITS _ FOR OFFICE USE ONLY ADDRESS OR LEGAL: _ I k�Z Q/{�y�� ,O� PID: DESCRIP'rION OF WORK: _ �,L,�.o,yc L ZONING REVIEW BY: /V�/✓�- DATE APPROVED: BUII..DING REVIEW BY: ' �„�,,.�_ DATE APPROVED: �� i 9r -n� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _L/ No PLAN REVIEW Yes No 1L SEWER CONNECTTON 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: O Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front�(Lake): Right Side: Rear(Sueet): I.eft Side: Adjacent Structures: tland: Building Height: Def. Hgt. P ak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setb k: Lot Coverage: Ezisting Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes Date of Council Approval: REMARKS(in house): 7 � �- BUILDING REVIEW CHECK LIST UBC: �Z- � CONSTRUCTION TYPE: �D� Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ ,�j Gnc� ^ Inspections Required: Work Requiring Separate Permits: Site Plumbing � Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _�Framing Fireplace Lawn Inigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) �Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT�: 8 DAT`E T�M CITY OF ORONO CALLED IN �� ` "�a �'! INSPECTION TIC SCHEDULED 9-� •'3 a PERMIT NO. � �� COMPLETED �� ADDRESS ��`( � -�^�-� OWNER CONTR. _ TELEPHONE NO. � DESCRIPTION G'v ty Ot FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WA L D. 12 WATER HOOK-UP 17 SITE INSPECTION F 14 SEWER HOOK-UP 06 PROGRESS � EMO-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 � M,�NTS: \ Q ,� /�'G''� S / o �� ` � 0 � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED C PROJECT COMPIETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. rpHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContrac r on site: Inspector. White Copyllnspecto�'s File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �_( ` �d PERMIT NO. PO��'1'� �` COMPLETED ADDRESS `��a 'r✓�'`r� ��•� OWNER G�o%c.l� SCI�v I f Z CONTR. �n �^vv��7��. TELEPHONE NO. l S� ��v� 2� `f L� � DESCRIPTION I�lr��-I lL O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a �/Lo�i/1� v�t� /►-r �r�u � ' � O � � 0 � w � Q � z W � W � j GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � Ci CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN C:STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContrac on ' e Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � �'a INSPECTION NOTICE SCHEDULED �' � PERMIT NO. ��Q.� COMPLETED ` �� , ADDRESS ty ya �0..YI{ (J1't l�e— OWNER��()��Z- CONTR. 6wh�� TELEPHONE NO. ��Ia-'�aaLl lo � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETIANDS Q 03 I 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PI.UMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO v�, COMM NTS: � a � G�� O � � O � W � Q � Z W � W � � GW i�`WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN � ❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.��/G��n � White Copyllnspector's File Canary CopylSite Notice