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Home My WebLink About2003-P07063 - create larger wall openings in kitchen � PERMIT CITY OF ORONO Permit Number: 2750 �:elley Parkway - PO Box 66 Po�o63 Crystal Bay, Minnesota 55323 P21"t111t Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: 12�4i2oo3 SITE ADDRESS: 4070 Dahl Rd Mound,MN 55364 PID: o�-ii�-23-ii-ooi9 DESCRI PTION: Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: ; �� s � i � �� c c �- �1.e ��iy�c `L — NOTICES/REMARKS: - �� .-e� /��1. CX�L-�!�'�L"� "--- '- --- -" - ---'--- =- '-=�-'--- ....,.,.., ..::bc: '...,..:;t;cttc"b:,t"'....,...,.. � t.�G�-(�-��7 � �� J_ FEE SUMMARY: Permit Fee: $ 83.25 Valuation: � 2,500.00 Plan Review Fee: State Surcharge Fee: $ 1.75 TOTAL FEE: $ 85.00 APPLICANT: Project Facilitators OWNER: Mr. &Mrs.Dahlquist 5057 Three Point Blvd 4070 Dahl Rd Mound,MN 55364 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. �� --�� L ,'�' t ( C t( `(Jl'�.�. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 PERMIT CITY OF ORONO Permit Number: 2750 4�elley Parkway - PO Box 66 P07063 Crystal Bay, Minnesota 55323 Permit Type: M�nor aiterac�ons (952) 249-4600 Date Issued: i2i4i2oo3 SITE ADDRESS: 4070 Dahl Rd Mound,MN 55364 PID: 07-117-23-11-0019 DESCRIPTION: Proposed Use: Residential Census Code 434 Pernut Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: ,..---- �- - -->> - --=--- - �----�--�- -- ----------�--- --- —�--- :,:�.;:� :... - ...._......- .::..:..,.:�.:... ..�:,: '.�.::. ..r..,.....b.. FEE SUMMARY: PermitFee: $ g3•25 Valuation: $ 2,500.00 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 85.00 APPLICANT: Project Facilitators OWNER: Mr. &Mrs. Dahlquist 5057 Three Point Blvd 4070 Dahl Rd Mound,MN 55364 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. � /��ti--- � �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . � � �'otal Fee: $ Date Received: E�tered By: Permit#: CITY OF ORONO - BUILDING PERIVIIT APPLICATIOti All information must be submitted in full before plan review �rill be started. (please print all information) -------------------------------- ------------------------------ ..�----------------------------------------- ------- THE APPLICAIVT IS: (circle one) ��-OR CONTRACTOR JOB SITE ADDRESS: 4��I� � F�t-�L- �� 1�Ivo ZIP: �Vill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �, No If yes, a special event permit is reqt�ired with Police Department and City Cotcncil approva160 days prior to the event. Non permitted events will not be allowed. NA:11E OF O�VNER: l� Iti'l+ �.i �CNN .1��F4�G1 t��S�, pHONE: (home) �'� Z- 3� to (work)C'e-�-�. �t Z �i�'�7 1056 NiAILING ADDRESS: l�-S ��-`�=- CITY: ZIP: CO�TRACTOR: p�,��zT �-��- � ��S PHONE: �5� �-IZ i�Zc CO�TACT PERSON: �r�-� $ �.r�r�,�--�_ �IOBILE/F��t: �=i s 2 2�..� �-�3E, MAILING ADDRESS: .�uS`� � po;tiiT ��V� CITY: Y1�L�u�� ZIP: 5'S 3� �}- STATE LICENSE: # $C� 20'��"�i-7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA�`IE: REGISTRATION# TYPE OF�VORK: New Accessory Structure Addidon l�love RemodeUAlteration_-� Land Alteration PROPOSED «'ORIi(deseribe in detain: Cy��=� �c�(Z t��E,�`-,-,�,-,c;S 1 N 1��zc�-� �� C,c�`1'1/l�� Pc'\�: �� C�l�lL=Z � ��`-3 L.�►v"TL_=12 �TZ-)i L1�'C.-�\• STORIES: SQ. FEET OF EACH FLOOR: �10. OF BEDROO�IS: GARAGE STALLS: ATT. DET. ESTI�TATED CONSTRUCTIO�' VALUATI0�1 (excluding land): $ �� a ~� I hereby apply for a buildinQ permit and I aclalowledge that the information above is complete and accurate;that the work will be in conformance �tzth 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: _. �z.�.� ��a� �;,�,�_(�' DATE: � �� 'S ... . Sea13.04 RIGHTS OF SUBJECTS OF DATA . Subd.1. Type of data. The rights o[individual on whom the data is stored or to be stored shall be as sct forth in this sectiom + Subd.2. Information required to be given individual. An indi�idual asked ro supply private or confidential data concemins himulf shall be informed of: (a)[he purpose and intended use o[the requested data within the collecting state agency,political subdicision,or state�cide s}-siem;(b) whether he may refuse or is legaily required ro supply the requested data;(c)any I:nown consequence arising from his supplying or refusiag to supph� private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to recei�e the data. This reqnaement shall not appiy when an individual is asked to supply investigative data,pursuaot to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav lace the notice re uired under this subdivision in the individual inrnme tax or ro ertc tax refund instructions instead of on those[orms. Subd.3. Access to data by individual. Gpon request to a responsible aut6ority,an individual shali be informed whether he is tbe subject of stored data on individuals,and whether it is classitied as public,private or confidentiaJ. lipon 6is further request,an individual N ho is t�e subject o[ stored private or public data on individuals shall be shown the data without any cha se to him and,if he desires,s6a11 be informed of the content and meaning o[that data. After an individual has been shown the private data and informed o[its meaning,the data need not be disctosed to him[or six months therea[ter unless a dispute or action pursuant to this section is pending or additional data on the individual has been coilectrd or a-eated. "The responsible authority shall provide copies o[the private or public data upoo request bc the individual subject of the data. The responsible a�ority may require the requesting person to pay the actual costs of making,certifying,and compi]ing the copies. The responsible authority shall comply immediately,if possible,w ith any request made pursuant to this su6di�ision,orµithin Cn e days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie.If he cannot compk H ith the reqnest within that time,he shall so inform the individual,and may have an additional fi�e days within which to compiy with the request,exciudin;Satarda�s,Sunda}�s and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual mar�contest the accuracy or cnmpleteness of public or private data concerning himselL To exercise this right,an individual shall noti[y in writing the responsible authority describine the oature of the disagre,�ment. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete aod attempt to noti(� p�st reciPients o( Inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the indi�idual that he belie�a the data to be correLL 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 authority may be appealed pursuant to the provisions of the administrative procedure aa relating to contested cases. DaTA PRIVACY AD�TSORY In accordance with�I.S.13.04,Subd.2,"Rights of subjects of data",we w•ould like to inform you that}-our request for a permit or license from the City of Orono or any of its departments may require you to furnish certain pri�•ate or confidential information. You are notified that: 1. The information you furnish will be used to determine}-our qualification for the permit or license re�uested. 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 estent necessar�-to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information ma�- become public. - 5. You have certain rights under i�I.S. 13.04 (a��ailable upon request) to review pri��ate data on�•ourself. 6. Your full name is required to process this applicatio�or permit. � First �Iiddle Last Address City State Zip P6one I understand my rights as stated above. . Signature , - �. ` CHECK OFF LIST FOR ISSUA�CE OF PER��iITS FOR OFFICE USE 01VLY '' ADDRESS OR LEGAL: ' PID: � DESCRIPTION OF WORK ZONING REVIEW BY.• DATE APPROVED: B UILDING REVIEW BY.• DATE APPROVED: FEES TD BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLANREVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECI70N INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECI70N Number of SAC Units OTHER (specify) ZONING CHECK LIS�' Zoning Distrct.• Fire Depanment: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes 11'o Date of Survey: Proposed Setbacks: Front (Lake): Righr Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septie: Staff Approval Date: By: Zoning File: # Resolution: r Resolz�^on Date: Shoreland District: Avg.Setbaek: BlufJ Setback: Lot Coverage: Exisring Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 32 r - , f BUILDING REVIEW CHECK LIST UBC: , CONSTRUCTION TYPE: Sq Foorage $Per Sq Ftg Barement X Ist Floor x 2nd Floor X Garage x = x TOTAL Estimated Construction Va1ue: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Footing uater Connection Septic Setitier Connection Framing Fireplace Lmtin Irrigation Insulation Ltlasonry) Other Wall Board (tlfg.) Well (State Permit) Final Grcding/Filling Electrical (State Pernut) Other _� ----------- REMARKS(INHOUSE): '-'�--- ---------------------------- ------------------------- ------------ REVIEW BY OTHERS: DATE: Access: Existing �,��;,, Access Approval: Date BY: --------------- -------------------- - ---------- ----------------- REMARKS (TO BE NOTED ON PERI�IIT): 33 � � SDATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED a- -03 02� PERMIT NO. G10 COMPLETED �. ADDRESS � 7� .QJG��(,� /�C�L• � OWNER CONTR.I4IQ�Yl ��%4� � TELEPHONE N0. 9s2 � z� d7�� y . �, � � DESCRIPTION �r "' � 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING � 02 MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS� - Q03 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 f� � 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWN ERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: — a D�S c.u_s�S c�c��e,� � � � � 0 � � o , W � Q � z W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cal1 for the ne inspection 24 hours in advance. (952) 249-4600 OwnerlCo o s te• Inspector. White Copyllnspector's File Canary Copy/Site Notice