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Home My WebLink About2003-P06670 - temporary trailer , t ' PERMIT � C��Y �F RO N O Permit Number: � 2750 Kelley Park ay- PO Box 66 Po66�o Crystal Bay, Min esota 55323 Permit Type: User Define (952) 249-4600 Date Issued: si2si2oo3 SITE ADDRESS: 2500 Kelley Parkway(Un-Official Addres (For Sales Trailer Only),MN PID: 33-118-23-11- 003 DESCRIPTION: Proposed Use: Other Permit Class: General Permit Type: User Defined Permit Sub-type(s): Temporary ailer ' DETAILS: Approved per resoluri n#: Separate permits requ ed: NOTICES/RE RKS: FEE SUMMARY Permit Fee: $ 30.00 Valuation: $ 0.00 ITOTAL F'EE: $ 30.00 APPLICANT: 7ohn Terrance Homes OWNER: Dahlstrom Developmen LLC 5033 Xene Lane 7745 Polaris Lane Maple Grove,MN 55311 Maple Grove,MN 553 1 Tf�UNDERSI NED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF D AND AGREES DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES ND STATE OF MINNESOTA B ILDING CODE REQUIREMENT'S. � �_ P T P RMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File( Qnitures Required).1-Avnlicant 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 . � �'z-2�� ,� X k 1�' Total Fee: $ �' � � Date Received: � � �� l v� Entere By: ��D � Permit#: �-{�� (r �?�; � _ �r� � �'C CITY OF ORONO - B G PERNIIT APPLICATION N � All information must be submitted in full before plan review will be started. (please print all information) � -------------------------------- -------------------- --- - - - -- ----------------------------- THE APPLICANT I� ' ��-'- ----` Q�NE bR CON�'RACTOR ..�3- !I�� -3--=-��: �� `JOB SITE ADDRESS: ' �� ? ZIP: �j�-�� _ �� ` NA1�iE OF OWNER: �n�p �r('�� ,�(��. �-}'Qy1i P C PHONE: (home)`7(�-�-J�_�� : �Work) l�l�► -�� —5��8" I�IAILING ADDRESS: �(c��[j��0.,�� CITY: � � �/ ZIP: �' 3 . CO\�'R.ACTOR: ��n ��r('��;�e�, �OYY1�s PHONE:_IpI o� A�Ln�D'��I`�� COti�T'ACT PERSON: y, � li�iOBILE/PAGER: - -�<' NL4II..I�i TG ADDRESS: � j- � CITY: � - ZIP: 3/ ST�TE LICENSE: # . ` ,3 � ARCHITECT/ENGINEER: PHONE: MAII..I1i tG ADDRESS: CITY: ZIP: NA.1IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure I1�Iove Remodel/Alteration Land Alteration � PROPOSED WORK(describe in detai�: ��l��S �(�(�-�� , �� e_.(c'., STORIES: SQ. FEET OF EACH�LOOR: �(oC� NO. OF BEDROOviS: � � GAR.AGE STALLS: ATT. DET. ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building permit and I acknowled�e 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 Buildin� Code; that I understand t ' is not a permit and work is not to start without a perm.it; and that the work wiR be in acc ce with the approved plan. APPLICANT'S SIGNATURE: DATE: � '� NOTE! Parade of Homes events re uir separate permit approval by Police De�ariment and City Counci160 days prior to the event. Non permitted events wi11 not be allowed. 5 , � . Sea 13.04 RIGHTS OF SiJBJECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Informarion required to be given individual. An individual asked to supply private or co�dendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whecher he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing ro supply priva�e or confidendal dara;and(d)the idenary of other persons or enades auchorized by state or federal law to receive[he data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a law ertforcement o�cer. "Ihe commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taz or orooertv tax refund instrucrions!nstead 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 individuais,and whether it is classified as public,private or co�denrial. Upon his further request,an individual who is the subject of scored privace or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the contenc and meanin�of that data. After an individual has been shown the private data and informed of its meaning, the data need noc be disc(osed co him for six months thereafter uniess a dispute or acdon pursuant to this secoon is pending or addirional data on the individual has been collected or created. The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of the data. The responsibie authoriry may require the requesring person to pay the actual costs of making,cer[ifying, 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 che request wi[hin that time, he shall so inform the individual, and may have an addidonal five days wichin which to 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 daci concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correc[the dara found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data,including recipienu named by the individual;or(b)noafy the individual that he believes the data [o 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 bz appealed pursuant to the provisions of the administraave procedure act relatin� 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 [hat: 1. The information you furnish will be used to determine your qualification for the permi[ or license requested. 2. You may refuse co supply data, bu[refusal may require that the City deny the permit or license. 3. The information may be shared with ocher local, state or federal agencies to [he extent necessary to process the permit or license. 4. If your requested pemut 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. ��Oh n 1 r��c�-r�Ce- �rnecs First 'ddle Lasc _. �(. '� �ddress �r v �t 0 /��' .`��35� �pla1- �Cdo'��`-0 g C��Y State Zip Phone I understan rights as stated above. Signamre , 6 . i � . � . " _ o _ -� .a � 0 � � �"° � t �/ �' _%`�,f I"�'��=� _ �. -�-�� `r-�` ��;�;`�i, , w �� f� / /�,� ,y�~ � f ,�'T:.�ii=-=�'--�,� -- ,I ? µ �� r/ ?� � t��_�:.�� ' i!-�_` v -� _� _ . .. . . � � � � �- � .. �. �. ✓`� � '�!.� - ' ./ - . . "i] r ' '�C / �! � � �-�� . .t .'s� `✓ �`� � �,c. �;�!'�K rr'� '� _ �� .. � ,r `� ��!, j // � '/' �' � — � �•`. J �' .�!• Z. '� / i:' , ./ �,• . ro r 1�v �x'' / � Iy ( � r sni � � fd � � /,5 • . \.,f� �,. - .- ��i . ti�\ - M �� / 5 ;� � ��^ � � �'r ��__ � �'N f� — � ' O 1--�f t. V �l� liMs ._ �- " � r ;'-- � .�l �%• .t` . , Y - � -`sr:�- cea..e_ . ��{y �Y � '� �� — 'T4Yiti i : _ y {L% � /' E _ _—_��__ � , Vf -/� -xr•,:•c � �~� y � � — ' , a v��c:,j �`� �E �— - " _ _ � � r!.c^�� —i�.. y a�-�_ t 5 e w.nr�-/ ,� � C" �__ �/ wuya. '`ur��.c � , . .� . •y � ' � . ;�; ��-� �= f'�� ;, � � � �'�• :X 'i� ' \� � �f.' . __.�r i \�d i,, �1 . ��\ \;�'i ,� � � . .. . ; .�,., � , , �,�.y;, i � ,.� ; .. __. � � ; �: s. �;il _ � .i .. . . �EY..dF'C'LE S7GhEH47'tEY1�+OJ�RARY TRAIL� `-r! - ` -- -- - -. ; � J:,f I . - •b.;'7�1p1 �TC.EEI.Y T..�. !O,C1j�["1�Y2F SIR.ECi-J L1NY;� f �. _� _ ' _� .:,- ( � � � �: C ♦ —.' : ..., �O J:FJ _ .... .. _. ..... . i � T�'��i�%"-'\-_, _ ` _ . :f�%�/r j� ---___" � ..... . . � . . t _ .. . . _ . . . .. . . .. � ac er � r�� ' — —----- A �� a'.* a �n � ST't�l'�IEBAY 7EMPORARY TRAILER St`I'�_PLAN � _ _�.. ��, ,�..._ �� _ _ _z� ,..:. _�..-�� STONEBAY ....e. ..��...,.. a+�.,,�..� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRES OR LEGAL: � � PID: DESC ON OF WORK: ,Sfl�i s '�R�i c�;� ZOY.ni TG 'VIEW BY: DATE APPROVED: �2 6 '°3 BUILDIN REV�W BY: ,;._._ DATE APPROVED: � •� � . FEES TO E CHARGED: Misc. Fees Calculated By: __� PER11iIIT Yes _�L/ No PLAN RE W Yes No ✓ SEWER CONNECTIO STATE S CHARGE Yes _� No WATERCONNECTTO INVESTI ATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTTON Number f SAC�Units OTHER (specify) ZOIVI�TG I3�CK LIST Zoning District: C �F Cf(� C�.[� , Fire Dep nt: � Post O�ce: School District: • Lot Area: S �.ft. Acres ' Width Depth Survey Sub 'tted: Yes No Date of urvey: Proposed Set acks: � � Fro t(Lake): Right Side: Re (Street): Left Side: Adj cent Structures: �Vetland: . Building Hei t: Def. Hgt. Pea�:Hgt. Lot Coverag : Gradino: St f Approval Date: By: C uncil Approval Date: Septic: Staf Approval Date: By: Zoning File: # Resolution: # Resolutio Date: � Shoreland D strict: Av . Setback: Bluff Setback: Lot Coverage: Existmg Proposed Har�lcover: 0-?5' . I 75-250' 250-500' 500-1000' Har cover Variance Required: Yes No Date of Council Approval: RE (in house): �� . . . . � BUII,DING REY,�W C�Cg LIST ' . UBC: — � CONSTRUCTION TYPE: -- . - Sq F°°tage $Per Sq Ftg � Basement . . x lst Floor � � x . . . _ . . - 2nd Floor x . _ � . � � � Garage x = � " x TOTAL � � Estimated Construction Value: $ �-- � Inspections Required: , `Vork Requiring Separate Permits: Site PIumbing Fire Hazdcover Removal Mechanical F��g - Water Connection � � Framing Septic Sewer Connection . • Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd . _�Final • (�1fg•) Well(State Permit) _ ... ---.,._. .._ ._ . Grading/Filling Elec�ical(State Permit) Other . � RE1�LA,RKS(11T HOUSE): . ---------------------------------_�_ REV�W BY OTHER,S: DATE: � Access: Ezisting New . Access Approval: Date � By: � _____--_------------_------------ � REMARKS (TO BE NOTED -----------------�" ON PERi1�IIZ�; 8 ' DATE TIME CITY OF ORONO CALLED IN INSPECTION N��'O SCHEDULED PERMIT NO. COMPLETED `a'�2--�3 l �•�-t ' ADDRESS �,��av i"�"yZ�� --`L(� i OWN ER CONTR. TELEPHONE NO. � DESCRIPTION _. �-�C�� Gu-�-C. � Ot 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 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 J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a `" �ll,o v c✓� �ks�r�� 5 i 6.��G e � e�� o -_ �.E-�cc�� L�i/� FFeZ��t A-7 � � 0 � W � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContract o s' . Inspecto . White Copy/lnspector's File Canary CopylSite Notice k �� - �1� ` �`� -I1 �� /� DATE TIME CITY OF ORONO t��0 ��-�ALLED IN c�-^ �� INSPECTION N.Q�ICE , SCHEDULED �` � PERMIT NO. ��1 COMPLETED ' Y ' II � 3 ADDRESS ��C� �JL�%�=�-1�-1� /�/l.�( OWNER CONTR. ' ii�`161 �,1V� .�{v�� TELEPHONE NO. C�J�:� �' � � � �� DESCRIPTION �� 1�S Y 1 V(� % ��/� "� �If'�.c_I � 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 REMOVA� Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ��FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU.• YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,GALL FOR REINSPECTION TEM PORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlConUactor Inspector. White Copyllnspector's File Canary CopylSite Notice ^ " �� N r�i` _ � ��_� J ��,�� 3 � � , v .-+ ,.,..� .. � � � Q� .-� `p � � � � I `� r. � � Q. �D d o � � � r N � � � �D . Rl v 11�-7 l��w \W L� v 7'-0' 7'-3 1/2' CWL) ❑THER 4' ,� : CTYP) � �' . 3�; I , RESTR��M �,O 1 t�R`I :o � —j ` � �� ` �?'� '� CL�SET ��_� I I iv .. I Q � `v ; t � � --� � � - �, � � v- � ��.--u � � � / ��,y �1'-7• \�// \�/ � i I ,, � � �'<��aR� 510 e � I �' O, D1 � O �� ,.� � ❑�FICE #3 . � �=--�1��'� � � i 'I �_____-- � �J1� � `�� i D1 7 1/2' �PEN ,REA `f-_-_ - - J �_____-- D1 � �) - -