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Home My WebLink About2005-P09154 - addn/remodel/repair �ITI�'OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P09154 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 9/13/2005 SITE ADDRESS: 2080 Salem Ct Unit# Long Lake,MN 55356 P�� 27-118-23-31-0016 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Kitchen Bath Remodel FEE SUMMARY: Pernut Fee: $ 776•�5 vaivation: $ 69,000.00 Plan Review Fee: $ 504.89 State Surcharge Fee: $ 34.50 TOTAL FEE: $ 1,316.14 APPLICANT: Artic Homes Inc. OWNER: Laura&Robb Hirschberg 945 Ladyslipper Lane 2080 Salem Ct St.Michael,MN 55376 Long Lake,MN 55356 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. �� e �� APPLICANT PERMITEE SIGNATURE IS UED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Sepric, 1-Sepric) Page 1 , n n 9J�� L�r , �� Total Fee: $ /3/6•/� Date Receiv : �-�� Entered By: ,� Permit#: �q/J�/ CITY OF ORONO - BUILDING 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 ONTRACTOR JOB SITE ADDRESS: ��'`�D SG 1�r� L+ 7'C ZIP: _ ,��.�S�G' Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a special event permit is reguired ivith Police Department and City Council approva! 60 days prior to the event. Shttttle bz�s service will be required ttnless applicant demonstrates su�cient on-site parking is available. Non pe►•mitted events wil!not be allowed. NAME OF OWNER: Q ob� fi �c ti�� /,1�'� �.�,c�SPHONE: (home) 95�� y7�.z yoa (work) MAILING ADDRESS: a�`d"0 Sa fr.� �f CITY: ��O N c7 ZIp; ,.S".S-�S� CONTRACTOR: /�r �C �arN �s �n�L' PHONE: �/�- �6.�=5�,3 0 CONTACT PERSON: s�,` g n OBIL AGER: �'/2-�.s-� Q�a MAILINGADDRESS: � L /; �� La,,�� CITY: .S� /�'1,'�(�,�rLIP: �,�,�7` STATE LICENSE: # /�,2 � EXPIRATION DATE: ,3-3/- c�6 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration � PROPOSED WORK(describe in detai�: h :'�c� �N �a�-�i dZ Mo�e� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 9�DOO� � 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: C�%�� ' �` ' -- DATE: 1`/a -.oS 31 Sec.13.04 RIGHTS OF SUBJECTS 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 section. Subd.2.Information required to be given individual.An individual asked to supply private or confidential data conceming himself shall be informed oE (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 legal ly 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 identity of other persons or entities authoriaed by state or federal law to 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 place the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject oF stored data on individuals,and whether it is classified as public,private or confidential. Upon his fuRher request,an individual who is the subject of stored private or publ ic data on individuals shal l be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. AHer 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 on the individual has been collected or created. The responsible authority 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 authority shall comply immediately,if possible,with any request made purs�ant to this subdivision,or within five days of U�e 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 to comply with the request,excluding Saturdays, Sundays and Iegal 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 e�:ercise this right,an individual shall no[ify in writing the responsible authoriry describing the nature ofd�e disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu 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 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 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: l. The inforn�ation 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 e�ctent 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 iVI.S. ]3.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Lest Address City State Zip Phone I understand my rights as stated above. ,�� ^ Q � Signature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2c�$o s�4c..�n� Ca,�,c��- PID: DESCRIPTION OF WORK: �< � rr.�t�,–►v r G3�4T��F 12.C^v�-�a ryt L. --____-----_------- __.___ ------------------------------------------------------------ ZO�.�lYi G RE'VIEW BY: DATE APPROVED: g-i 2 -oS BUII�DII�G REVIE`V BY: DATE APPROVED: 5.�2-0�-1— FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,� No PLAN REVIEW � Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECI'ION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No �i/ SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CEi�CK LIST Zoning District: wo Gf� Fire Department: Post O�ce: School District: Lot Area: Sc.ft. Acres idth Depch Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Righ ide: Rear(Street): Left ide: Adjacent Structures: etland: Building Height: Def. Hgt. P ' Hgt• Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REI�IARKS (in house): BLTII.DING REVIE`V CHECK LIST �C� --_ �Z '3 CONSTRUCTION TYPE: � Sq Footage $Per Sq Ftg Basement x _ 1st Floor x _ 2nd Floor x _ Garage x = x — TOTAL Estimated Construction Value: $ (�9,QOa o0 Inspections Required: tiVork Requiring Separate Permits: Site c� Plumbing Fire Hardcover Removal ec Mechanical Water Connection F��g � Septic Sewer Connection X Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other _�Wall Boazd (1�Ifg.) Well(State Permit) � F�� Grading/Filling K Electrical (State Permit) Other ' REMARKS(IN HOUSE): . -- - ---- ------------------------------------ REV�W BY OTHERS: DAT'E: Access: Ezisting New Access Approval: Date gy; ----------------------------- RENIARKS (TO BE NOTED ON PERIVIII�: _ �.;k. �N;��"�Fi�s � �� o � � � � �� ` � � , �� o� � � � � - ��; � �� , � u `� ;: �� „ �, � �.. , r'� [} �` Artic Homes Inc 945 LadySlipper Lane NE Date: 9-08-2005 St Michaei MN 55376 Phone 763-497-1546 FE1X 763-497-5091 Cell 612-865-8230 LC1721 �y a_V..�; V, ,�.. A +I�r�:(�t�� Job l�ame: �AwwE��+�f;�__:a P' '� i:''.��.: ;-;_. :�tAf °�� - - -_q-r z-o�s7"`___-->;------ Hirshberg —------- -- ��r,.,�� .. ---- y� . . �. _ .. .;) _ Bid for: .. ,, _'?' , , .... ,. . ,.,r!^;vD Rob and Laura Hirsberg _ -. _ , •. �. �:; ... - . _ :, �; :�_. '.;1+� 2080 Salem court ~ - - . ' ,� :r�x�e . . ... �: . r: �� Long Lake MN � '.. , �::��.a. ��r ,..• .. �� f,--- . ��, 952-473-2400 _ �. _. . _ . .. ._ .,. -�; We are pleased to submit the following bid: SPEG�AL ��E Job I)e�ca-iptio�a: RemodeY ��rE ATTA►Ci-{ED Si-iEET SE�Z�IICE r Cj r'� S'/�� D�T�-z� 2 C4�iDE RE�[J1��1':^�NTS IDESCRIP'�'IOl� — ._._____ Artic Homes responsibility Permit Hauling ail deba�is away T�emo Master bath tile f�oor and walls, Remove shc��wer, Rerr�ove�u'b, New Master bath shower to stay ir�sa.rrie location,I�tew tile floor and shower, change fari in ,,� bat1�by sl�awer, f x s�eetr�cl� ai�d��.pe �y Main bath second floor To stay no changes Demo Back enhy Remove closet New Back entry Add smaller closet by exterior door, fix sheet rock and tape Demo Kitchen remove all cabinets,remove all sheet rock ceiling and walls kitchen and hall, Remove walls in ha11, Remove window in kitchen, Remove patio door in kitchen, New Add 1 picture window with double hung windows on each side in Kitchen,add new patio door in Kitchen,Patch hard wood floor in kitchen and ha11,Re Plumb kitchen,re wire kitchen,Fix sheetrock and tape kitchen and hall,move door to office. Demo Enhy remove tile floor New Add hard wood floor Demo Sun room Re move tile floor,re move door to porch New Add hard wood floor,close up opening to porch,Fix sheet rock and tape Demo Family room cut in new door to porch • New Put in old door to porch Fix sheet rock and tape. Demo Dining room Scrap ceiling to re spay Office no work to be done Bath no work to be done Laundry room No work to be done All hard wood floors to be re finished All ceiling on main floor to be knock down Owner's responsibility All Cabinets to be pre fmished and installed,All counter top to be installed, Supply all appliances, Supply sink and faucet for kitchen, To move all wall hangings and furniture out of any room that will be work on. All Painting and Staining Total service charges: $69,066.05 Price valid until: 10-19-2005 All changes to be at$50..00 hr. Options: Additiona!charge-Not included in total service charges Payments to be made as follows: 20%Down there after Monthly payment is due by the l Oth Of every month amounts are at Artic Homes Inc. discretion If payment are not met all work will stop until payment aze met Any and all legal fees to collect unpaid balance will be paid by contractor/owner All late payments are subject to a finance charge of 16%monthly The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Sagnature 1)ate � ! � � �� ' I I � DATE TIME �� CITY OF ORONO CALLED IN � �Z L� INSPECTION N TICE ✓ SCHEDULED 2 Z� � ' ' ' P E R M I T N 0. � ` � `f COMPLETED i.,7 �i�-1 -b s !a:ac� ADDRESS �-�_/Z,��% �Cx � .� ��f OWNER CONTR. �r. �-��,�'t�c�� TELEPHONE NO. �� l v� -��S T �� DESCRIPTION � � �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 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 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 i09 PLUMBING RI 23 SEPTIC FINAL ` 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �r�+-, YFOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO� 'r�, / �--� i/ �7 � COMMENTS: ��U�� ' 9O� � a /-'c� �- �'� ,-�� Po�i� j �� O a � O � � �. �,/fa �S v l� � Q � Z W � w � � � ❑WORK SATISFACTORY:PROCEED �'P�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � C 1SSUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �,(/ � ) �� White Copyllnspector's File Canary CopylSite Notice