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Home My WebLink About2003-P06761 - new main master br, new kitchen, laundry, bath and attached f � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P06761 Crystal Bay, Minnesota 55323 PePCYIIt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: io�9�2003 SITE ADDRESS: 4590 North Arm Dr W Mound,MN 55364 PI D: 06-117-23-24-0016 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Pernut Sub-type(s): Addn/RemodeURepair Permit Type: Addition/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanicai Eiecmcai�siaiej NOTICES/REMARKS: ,.,------=- �----� -------�--- -----�--�-�--- �-----,_— ,—�,- � -----�--, __.. ._.._. ::��.: ...,.. .-W:::..,..,.:.:.::.��: ... .._.. .._.. ., .�........... ..:�...,.->> :,»�...�.».��,,....,.i FEE SUMMARY: Permit Fee: $ 1,805.75 Valuation: $ 245,000.00 Plan Review Fee: $ 1,192.03 State Surcharge Fee: $ 125.50 TOTAL FEE: $ 3,123.28 APPLICANT: JimNoreen OWNER: Barry&7anice Haglund 497 Kuntz Dr 4590 North Arm Dr W Maple Plain,MN 55359 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. ,i ., ./ / J .. , ' � � t � � � � //'-�� -„A �� /�i,/�/�_-�� i`%i ��_y APPLICANT R EE IGNATURE ISSUEDBYSIGNATURE / Conies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 � ' � 1 � � �� _ Total Fee: $ �� ' Date Received: �� ' Entered By: ��f�,�( i k'��,C�' Permit#: �l 1, �� h 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) OWNER�R CONTRACTOR JOB SITE ADDRESS: �}5 9 O i�o�-�i�, 14�w, D�� z�:_ �5� ��I- ��'c>r'�a NA.�IE OF OWNER: �� n�PI�P, � l t,,t�,�PHONE: (home)q S 2- 4 72 '3�,Z(o : (work) �5 Z ` �R�'S SC�7 MAILL�IG ADDRESS: �S�l� l�(• �k1i Yvi � CITY: ('c�;�n�-�i ZIP: S� CO\�TRACTOR: ��m �E�^E�'1 PHONE:_ COr''I'ACT PERSON: �l v�i� .�v�hY'��.�. MOBILE/PAGER: �� Z _ �2,�� 3 f36 0 NL4LT�ING ADDRESS: �y 1 � �n,-r-z CITY: ��%p��a�„� ZIP: 3� ST�TE LICENSE: # 2 0 3��-( ARCHITECT/ENGINEER:�� T�. PHO�IE: MAII.,ING ADDRESS: CITY: . � ZIP: NA.�IIE; REGIS„�R�i�'fON# � / � TYPE OF WORK: New Addition �_ Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: �-_ ( � � � STORIES: I 5��ry1�Vt}- SQ. FEET OF EACH FLOOR: � �S�- NO. OF BEDROOMS: � I GARAGE STALLS: ATT. �_ DET. ESTZ�IATED CONSTRUCTION VALUATION (excluding land): $ Z.�4�'J�G'E�C I hereby apply for a buildin� pernut 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 perm.it; and that the work wiR be in accordance with the approved plan. r ` ) APPLICANT'S SIGNATURE: ' j2 ' � DATE: �l �Z/ a� . NOTE! Parade of Homes eve s require separate permit approval by Police Department and Ciiy Council 60 days prior to the event. Non permitted events will not be allowed. 5 �� , Sec.13.04 RIGFiTS OF SCTB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to supply privare or co�dendal data conceming himself shall be informed of: (a)the purpose and incer�ed use of the requested data within the collecting state agency,polidcal subdivision,or statewide sysum;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidenaal data;aad(d)the idenary of other persons or enddes authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. � The commissioner of revenue mav olace the norice roauired under this bdivision in the individual income taz or o ertv tax refvnd instrucdons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown rhe dara without any ct�arge 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 acdon pursuant to this secaon is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or pubtic data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. 'Iha 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 Samrdays,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 additiona!five days within 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 data concerning himself. To exercise this right,an individual shall nodfy in writing the responsibie authoriry describing the tiature of the disagreement. The responsbte authoriry shall within 30 days eid�er: (a)correct the data found to be inaccurate or incomplete and aaempt to noafy past recipiencs of inaccurare or incomple[e dara,inc(uding recipients named by the individual;or(b)notify the individual that he believes the data m be coaect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determina6on of the responsibie authoriry may be appealed pursuant w the provisions of the adminisuaave procedure act relating to contested cases. pATA PRIVACY ADVI ORY 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 ��ty 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 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. �av�i�c� 1�, i-Eaol� v�� F�rst Middle �� `Jq O l�d r{-� �rt�vi �r t e� Address �rov�o �it�1 55�� 5 2� 7Z-36�b C�ry State Zip Phone I understand my rights as stated above. Signam , , 6 � • . _� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . ADDRESS OR LEGAL: �/5 9 O ivo2Tt/ fI/Ltn D2 PID: DFSCRIPTION OF WORK: i4ov i n o.�J ZO�tING REVIEW BY: DATE APPROVED: �t-3 n -�3 BUII..DING REVIEW BY: DATE APPROVED: p_3� - �3 FEES TO BE CHARGED: Misc. Fees Calculated By: pERMIT Yes � No pLAN REVIEW Yes l/ No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONiVECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC Units OTHER (specify) ZOti'ING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Wid[h Depth Survey Submitted: Yes_�, No Date of Survey: 9•2'3-0 3 Proposed Setbacks: Front(Lake): 112 � Right Side: 10�•3 Reaz(Street): /50 I.eft Side: t c�b Adjacent Structures: 7L� Wetland: �✓'/� Building Height: Def. Hgt. p.lL Peak Hgt. Lot Covera,e: O,Ic Grading: Staff Approval Date: — By: Council Approval Date: _ 3 �x�sn�,S a�a�a»..s + � a�,wow, = y Septic: Staff Approval Date: �r— By: — -gyst�.'� O�esi�,,•,e9 ��ti ti T Sruoy 2oor� sffts8�,�� ..i :r+�i�w� .oN� ,t Zoning File: # - Resolution: # Resolution Date: Na r h �ce�t� !o Ruo.�.< <s nraT �a Q�cP.wo-r-� Shoreland Disuicr, y Av?. Setback. �v//a Bluff Setback: �/�,�'— LotCoverage: Existing Proposed Hardcover: 0-75' 75-250' d. �� 250-500' 500-1000' Hardcover Variance Required: Yes No� Date of Council Approval: RENIARKS (in house): �� 7 . ,•_ • BUII.DING REVIEW CHECK LIST � . UBC: �• 3 CONSTRUCTION TYPE: vN Sq Footage $Per Sq Ftg Basement x = lst Floor R = 2nd Floor x = Garage x = R o TOTAL Estimated Construction Value: $ 2y'�, p pp o= Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal _�Mechanical Water Co�nection _,�F��g Septic Sewer Connection _�Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other �Wall Boazd (Mfg.) Well(State Permit) F�� Grading/Filling _�c Electrical(State Permit) Other RENIARKS(IN HOUSE): . . -------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing Ne�,+ Access Approval: Date By; _�----------------------- - ------_______�_-------------------------------------------------------- REMARI�S (TO BE NOTED ON PERMI'I�: . $ . . %�� DATE TIME CITY OF ORONO CALLED IN �`��5�'�� INSPECTION N TI E SCHEDULED /��"I�7-D 3 '3: 3o P�t.j PERMIT N0. COMPLETED ADDRESS /� OWNER CONTR. � c-- . TELEPHONE NO. -� �v j�� o�� rPc�'�J � D�SGR�IP�TION � C 1 OOTINGJ 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS y 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 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 PLUMB , � 36 FOUNDATION/REMOVAL � OW RICONTRACTOR MEET YOUF/ YES_NO � C MENTS: � W � � � � O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owner/Contra�erQn i e: Inspector. White Copy/lnspector's File Canary Copy/Sfte Notice � " � DATE TIME CITY OF ORONO CALLED IN b 20 �"�i INSPECTION N TIC SCHEDULED 3 PERMIT N0. �� COMPLEfED ADDRESS �� Y� l-�� OWNER CONTR. -�i��-`�'�-`—r'�' TELEPHONE Na � i��a - ��- 5��' � DESCRIPTION �L>llf�Q.C,'� G�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICA�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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPlA1NT 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOH TO MEET YOU: YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALLTO ARFiANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContrac site: Inspector. - White Copyllnspector's ile Canary CopylSite Notice �� v �a�� TIME CITY OF ORONO CALLED IN INSPECTION N C SCHEDULED /o�-//-�� 3:30 PERMIT NO. ��0� COMPLETED �' �' ADDRESS 7"-Sg� /U l�/rf �/^ • OWNER CONTR. C��M. TELEPHONE NO. 7�3 �3� 7�`�-3 �'f�,'�.� � DESCRIPTION /�S� tL 01 FOOTING 11 MECHANICAL RI / 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI 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 INSTALI. 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 � J O >. � O � W � Q � 2 W � W � � W�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspectio 24 hours in advance. (952) 249-46�� OwnerlContractor o i Inspector. White Copy/InspectoPs Ffle Canary Copy/Site Notice DA E " / � TIME CITY OF ORONO CALLED IN �_ INSPECTION N TICE SCHEDULED PERMIT NO. �� COMPLETED ADDRESS �� D � • ��/�YJ � OWNER CONTR.�� TELEPHONE NO. � � DESCRIPTION � ✓/ �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINCa Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAI 14 SEWER HOOK-UP O6 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a �Ir l� �►� t`S C�C S� j O � � O � W � Q � W � W aC � d ��RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR O INSPECTION flEQUiRED.CALLTOAHRANGEACCESS. Ca11 for the n xt inspection 2a hours in advance. (g52) 249-4600 OwnerlConUa ite: Inspector. White Copyflnspector's FI Canary CopylSite Notics /V� DATE TIME � CITY OF ORONO CALLED IN � �7��` INSPECTION NO�1C,E SCHEDULED "�� `L��- ✓ PERMIT N0. r-�' CP MPLETED / ADDRESS `� � G��f"1 , �-/�(/(� ,�� . OWNER CONTR.� /:�l .�(�)�E� I� TELEPHONE N0. _ L-C� I � �2- C, �(� � ,/ -/ � � DESCRIPTION_ �;�'�--%C;��C,.-2� f�d�-�'t�. � 01 FOOTING 11 MECHANICAL RI 18 EXCAY/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 5 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: fl'ES_NO � COMMENTS: � W 0. � J O � � O � W � Q ti Z W � W � � d W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-460� OwnerlConUact s' Inspector. White Copy/lnspector's File Canary Copy/Site Notice