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Home My WebLink About2001-P03505 - foundation only ~ PERMIT C'iTY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P03505 Crystal Bay, Minnesota 55323 P@ffTllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2i6i2oo1 SITE ADDRESS: 1453 Park Dr MOUND,MN 55364 P ID: 07-117-23-42-0022 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: tcesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Foundation Only DETAILS: Approved per resolution#: Separate permits required: NOTIC ES/REMARKS: FEE SUMMARY: Permit Fee: $ 349.25 Valuation: $ 21,103.00 Plan Review Fee: $ 226.98 State Surcharge Fee: $ 10.60 TOTAL FEE: $ 586.83 APPLICANT: J•G. CONCRETE&MASONARY OWNER: B A BENTROTT& K S BENTROTT 7927 230TH STREET LANE N. 1453 PARK DR FOREST LAKE, MN 53025 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. � � �- � . APPLICANT PERMITEE SIGNATURE SLJED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 � /) Total Fee: $ �� `�1 Date Received: G �' �� Entered By: �C� Permit#: ,� o �:�c��: _ ��; - � CITY OF ORONO - BUII,DING 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 OR CONTRACTOR JOB SITE ADDRESS: I `��J � ��r� ��,'vf� C��,��/L ZIP: S��G��J NAME OF OWNER: r�i-�en � I�c�n-�rc�� PHONE: (home) �15 Z — �1'1 L$LJ(�z� (work) MAILING ADDRESS: �Lf�� c�r�,dr�� CITY: G�U vc� ZIP: SS:SG��I � CONTRACTOR: �,1 G- (.�;nc;r� {� � JV�-v,c;�;nr-) PHONE: �,5�— J�'LY�SZ�'J CONTACT PERSON: ,'�',n �r,�e Y� MOBILE/PAGER: C�1 i — (1 Z-3(�,y-71 L3 MAILING ADDRESS: '��Z� Z?�C>ih �. L� �- CITY: �� L�.r.� ZIP: ��ZS STATE LICEN5E: # Zc�l Z�l��I ARCHITECT/ENGINEER: PHONE: MAILI�i TG ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ('c�nrre�� JrnqS�nf.f F�vn�k�f�c-� �;cYk {Lr�1c-� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: G�RAGE STALLS: ATT. DET. � c�G ESTIMATED CONSTRUCTION VALL?ATION (excluding land): $ z �� d, • 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: if1�-� DATE: Z� IS �G) �� NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Couneil 60 days prior to the event. Non permitted events will not be allowed. 5 Sea 13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. 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. Information 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 ro 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 required under this subdivision in the individual income tax or vrooertv tax refund instructions 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 pub(ic,private or confidentiaL 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 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 oo the individual has been collected or created. The responsible authoriry shal(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 immediatety,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 additional five days within 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 conceming himself. To exercise this right,an individual sha►1 notify in writing[he responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found ro 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 correct. Data in dispute shall be disdosed only if[he individual's siatement of disagreement is included with the disclosed data. The detertnination 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 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. � 1�1�,�N�,n �r�NSr First Middle Last `�I�/Z'� Lso 1� S�f rrti t l�c,�� h/ Address -1�cYfs� [.�,K-� �� S��ZS ��i -��'z-1$�� City State Zip Phone I understand my rights as stated above. ��,'" C��'`�--z—- ature 6 � CHEC�' OFF LIST FOR ISSUA.��TCE OF PERII�IITS _ ` FOR OFFICE USE ONI.Y . � . ADDRESS OR LEGAL: I y 5 3 �R 2� �2�� PID: DESCR�TION OF�ORK: /-��D i � a�! S — ��a�n a� ��l1 c.�1 . ZO�G REVIEti'V BY: DATE APPROVED: 2 � S �01 BUIIrDTir'G REY��BY: . DATE APPROVE.D: Z- s-01. . FEES TO BE CH.4RGED: biisc. Fees Calculated By: pERNIIT Yes ✓� No :• pI,AN REVIEW Yes �/' No Sbw�CO�INECI iON _ STATE SURCHARGE Yes � No WATERCONNECITON Ir,'VESTIGATION FEE Yes No P�'►RK FEE SAC Yes � No SITEINSPECTION Number of SAC•Units OTHER (specify) ZO\�L•1IG CH�CK LIST Zonia;Districc: �� I ,(�-�v►'� � _ � Fire Deparcment: Post Office: School District: • � • Lot Area: Sq.fr. Acres � Widch Depth Survey Subritted: Yes No Date of Survey: proposed Setbacks` � Froat(La.ke): Riaht Side: � Rear(Screet): Left Side: Adjacent Struccures: `Vetland: • Building Hei�hc: Def. H�t. Peal:Hgt. Lot Covera�e: Gradin�: Staff Approval Date: gy: Council Approval Date: Septic: StafE Approvai Date: By: Zoaing File: � Resolution: : Resolutioa Dace: . Shoreland District: Av�. Setback: Blufi Setback: Lot Cocera�e: E�� Proposed Hardcover: 0-?5' 75-250' 2i0-500' 500-1000' - Hazdcover Variance Required: Yes No Date of Couacil Approval: gEI�IAR�;S (in house): 7 BUII.DING REVIEW CHECK LIST UBC: R ' 3 - CONST'RUCTTON TYPE: U� Sq Footage $ Per Sq Ftg 8asement x = lst Floor x = 2nd F1oor z = Gara�e x = x = TOTAL do Estimated Construction Value: $ 2 i� l 0,3 InspectiocLs Required: Work Requiring Separate Permits: Site - Plumbing ' Fire Hardcover Removal Mechanical Water Connection C Footin� Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other �Vall Board (Mfg.) Well (State Permit) _�Final Grading/Filling Etectrical(State Permit) Other RE1�•iARKS(1N HOUSE): � REVIEW BY OTHERS: ' DATE: Access: Eaisting New Access Approval: Date By: RE�LA.RKS (TO BE NOTED ON PERMIT�: 8 �ll��; w nJe� �l9vr 1 � ✓ DATE TIME CITY OF ORONO CALLED IN �� " �'� �'�� "��-�� ' . INSPECTION N0 CE ., _ �..�scHEou�E� �� PERMIT NO. �t� � �� COMPLETED � ��DT� 3a,� ADDRESS /� � � �'�'�-/ �-/w'"� OWNER�•.-Qir.�`��{,� CONTR. �- TELEPHONE NO. �� ..— Y� � DE��R1P_. ,ON l� 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAM 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 OS 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � CO ENTS: � c��. a -�� ,LC � J O a � O � W � Q � Z W � W � j d W RK SATISFACTORY:PROCEED = PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next' s ion 24 hours in advance. 249-4600 OwnerlContractor s' . Inspector. White Copyllnspector's File Canary CopylSite Notice v DATE TIME CITY OF ORONO CALLED IN `� �� Gj �� /�- / INSPECTION NOTICE SCHEDULED � � ' �� PERMIT NO. P0,.3�UJ COMPLETED �_ � ADDRESS �4�53 /��-/'k /�a� • OWNER CONTR.,)�T C O.tic r�7-e TELEPHONE N��2 �C� 7 �� 7 � � D ION %�o fii ti�i ..L�? S�"�-�.0 . ��_' . l� 1 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 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � , W a � �� L , �� o `',,. � 0 � w � Q � z W � W � � d \/' W� �.INORKSATISFACTORY:PROCEED �rPROJECTCOMPLETE W ��CORRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT [] COFRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WILL RETURN C]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C i INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. White Copyll�spector's File Canary CopylSite Notice LAKE M�� T oNK A CERTIFIC 929.4 CONTOUR LINE g R � 1 �R,P RAP-_----X - 0F L0T 9, BL� _�_ � -- _--_ �____-_ - - -- _ HENNEPI� �i - -��., " o i ;:^�. : + � . : , .;. . . cs �;:::: ` ' LEGAL DESCRIPTiON 0 o .. . , � „,- �� Lot 9, B�ock 15, �a: " E'��' also that part of vac $��0�� 2o plat of "Saya Hill fzev N 5�'a� between the Northwes � (3�G(L � ��P"Q'`�'y ao 00 �- --— 3 5� � _..,. ...- —�" erly line of Lot 9, Bic � ��a � �i•l j''"� �� _ Minnesot��" and thF st L�� (I.�,c�c1 t 11�1� � ��,��; � 5`' s a i d L o t 9 �-�- / ' �`',a� �� c� �.{ WIA�-i, .,,� �:,,, ',�� o : Iron marker 7� fU�K ��NE- ,o, � : Existing SPOt �T BA _----- � - - ' Bearings shown are b �;�:� = Z8, (9�5.J) , �� •osE-a .�� y This survey intends t � '��° EXI�TING U `T property, the locat��on � "' 94j�� "hardcover " the/�on, �� r� �o� • HOUSE � A�c additions thereon. It - .��Y F oRa�o _ _ :�� PAO � �mprovement_� or enc , � �4�'E PL�,N t��1N� �1.,AN �.; // ST `, T1 ��.r�,�• �� l"4�e) ❑ APPROVED ""�'` �-�,� ��osEo �, �•�•' ��<�� qPPRO�l►Q 4"J1 H R�V1510NS , �` ��nE� , - �; T ❑ DtiS�PQ � 50 . } sz �� . iiY .s - o c ,z 9 ,oa � Z � �` . � -1J' I..Rii7f�.N _.,.., �oPosE[�4 �vs� !> . noanoN �e �X1S'�\N o NpUSE �� Z � � o�o o io �a , � � vVr,.i �� p J N��"� G� Of'� y o , "�' �� — _ � T�� j �� ' . �.'J ifi.1) ' ' � � { � ',o '� � � a .. �\.�,' ��, �n � � � El_EC ��i `.;�. � � � a`'r' ,� ,� ``, � .. 0 :' . ' i�a5 i) N ._ ^ �'. ,�Y -:,IK�AR 1�g; _,..�,:; • , J ' Cfl �,�. = � ( � EX�ISTING � � � 2. G� � � °' �ARAGE o �� - r : c� , o N � ,8? � � t3� :�. ,:; �� a�.�l � 'v Q� .. � � �, 8:° . �� >�.i�,_:E- 9 ! � U �',�.': ',X.� ,� Q � . �E_F 'i ' ; ��Drh' 'y� f ..i.. 'i ' '1 . ty� ' \ �� 1 T ' t�:t�1P1.�,� ..,\ ."�l .. �% � ,<,��c} � EXISTIN( 5� ��t tNF �._ ` GARAC � � SETBP — -- _ — "-� - " ty`� �) _�}��- (s�; .Si �4°, .�1 _- _ -" � ` ._. 'T;`Acr � (`�:�E, 61 � :'l��r:' _ i�5 5 r, - l,�- EXISTING r - " HOU;C . � .-�;