HomeMy WebLinkAbout2000-P02570 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s�o
Crystal Bay, Minnesota 55323 P@I'fTllt Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 6i2�i2oo
SITE ADDRESS: 2790 Silver view Dr
LONG LAKE, MN 55356
P I D: 33-118-23-42-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Yiumoing
NOTICES/REMARKS:
a nnrTrn�.i
FEE SUMMARY: Permit Fee: $ 993.75 Valuation: $ 100,000.00
Plan Review Fee: $ 646.03
State Surcharge Fee: $ 50.00
TOTAL FEE: $ 1,689.78
APPLICANT: STONEHOUSE DESIGNS OWNER: W D HILE& K B HILE
420 EAST RICE 2790 SILVER VIEW DR
WAYZATA, MN 55391 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITI-I ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
(; I� �� ��'1.��`` /� `,
APPLICA �RMITEE SIGNATURE I D BY SIGNATURE J�
Copies: City,Applicant,Assessor,Finance Page 1
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t
Total Fee: $ ���3 l. '�c� Date Received: (o`��, Jp�
Entered By: l' , Permit#: 1 � 5-7C�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ,�7�7� j<I��� ���;�= `�� .;�� ZIP: J� ��;
NAME OF OWNER• �"U�����.��^� �,1� PHONE: (home)
. (work)
MAILING ADDRESS: c��� CITY: ZIP:
CONTRACTOR � r�I��.w�'�. �S'-��5 PHONE: �� 5 -�'3�- �
CONTACT PERSON: � S� z MOBILE/PAGER: ;��''�y 6�I
MAILINGADDRESS: ��c:l K�. ����._ CITY: �.����.��� ZIP: Sj3`��
STATE LICENSE: # �:c�3�f�3(�•
ARCHITECT/ENGINEER: ��,�� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition X Accessory Structure
Move Remodel/Alteration �C' Land Alteration
PROPOSED WORK(describe in detai�: � �k�sy �-�i�_,I 1;�c�_�� �— /�1.:c� �i:c<��a L�.,..�c�n�
ir,��_-,1�.� c,�i�, �
STORIES: � SQ. FEET OF EACH FLOOR JC�C�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �C�C,C�C'G'
I hereby apply for a building 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
permit; and that the work will be ' cordance ith the approved plan.
APPLICANT'S SIGNATURE: � DATE: ����C� !�'�%
NOTE! Parade of Homes events require separate perinit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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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�ven individual. An individual asked to supply private or confidenaal data concerning tumself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polirical subdivision,or statewide
system;(b)whe[her 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 confidenrial data;and(d)the idendty of other persons or entities authorized 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 alace the notice reauired 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 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 conf'idential. 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 secaon is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any reques[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 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 conceming 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)correct the data found to be inaccurate or incomplete and attempt to notify
past recipiencs 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 authoriry may be appealed pursuant to the provisions of the administrarive procedure act relaring
to contes[ed 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.
`,}\��;�� ���.,� <��"� z_
First � Middle Last
4�O � \�;c� �
Address
w�:�z�:_.� N�'ti �;� ��� ��3���:� (
C(�y State Zip Phone
I underst d my ri ts tat ove.
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Signamre j
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z�7�c� S � L�-�.v i�c�J �L •
PID:
DESCRIPTION OF WORK: A�Q� n �
---------------------------------------- ------ - -------------------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: 6 • 2�7 -C3�c
BUILDING REVIEW BY: DATE APPROVED: �- 2_7 -Do
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: !�/L -(�
Fire Department: Gotirc� Post Office: �i✓ ce School District: U/���
Lot Area: Sq.ft. /� C(fs9-ri-y�Acres Width Depth
Survey Submitted: Yes /� No Date of Survey: On� � CE.'
Proposed Setbacks:
Front (Lake): �0 � Right Side: �1C7 � �
i � �
Rear (Street): �b� Left Side: ( I 3
Adjacent Structures: F�-'r'�-U.� Wetland: /U (/a-
Building Height: Def. Hgt. (��f C. Peal:Hgt.
Lot Coverage: —"
Grading: Staff Approval Date: '—' By: Council Approval Date:
Septic: Staff Approval Date: � By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: (/V�V
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUII..DING REVIEW CHECK LIST
UBC: � '3 CONSTRUCTION TYPE: �N
� Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Gazage z =
R =
TOTAL
Estimated Construction Value: $ I V�,d c90�
Inspections Required: Work Requiring Separate Permits:
Site �l Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing Septic Sewer Connection
rC Framing Fireplace Lawn Inigation
_o�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well(State Permit)
•LFinal Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REV�W BY OTI�RS: DATE:
Access: Ezisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMI�:
8
DATE TIME
CITY OF ORONO CALLED IN `���
INSPECTION N TICE SCHEDULED `�r
PERMIT NO. � � D , COMPLETED
ADDRESS �`� �L� S I II�WI ec�= .�✓
OWNER CONTR. ��- �I�U'�-
TELEPHONE NO. �7��-��'�"�
� TION �C��! �'l � ._ ClZX..(' ���r-.���/
01 FOOTIN 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
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra tor on site• �
Inspector. ��� �t�
White Copyllnspector's File Canary CopylSite Notice
DATE T ME
CITY OF ORONO CALLED IN 4 `5�a� 3 �
INSPECTION NOTICE a��� SCHEDULED � —�"d� �f�
PERMIT NO. �� COMPLETED � � � v
ADDRESS o�� �U � � � Yef i.t l�f-t� �12 .
OWNER �"/��C CONTR. ��YLQ�10�,CS:� �SI�j�S
TELEPHONE NO. � �o� � ��'_�� - � �/ ��
� DESCRIPTION ��5�'`l 0.fi 61^
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
�
O 03 IN ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 0 . 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W
O ❑CORRECT WOflK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR `- CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContr t r on site:
Inspector. ��/�GK:����
White Copyllnspector's File Canary CopylSite Notice
DATE TIME p
CITY OF ORONO CALLED IN � -S�D ���//Jvr-.
INSPECTION NOTICE SCHEDULED � -_�
PERMIT NO. �5 �� COMPLETED `i �� �'
ADDRESS d��U �/ I l�'e� (�>e�v � .
" OWNER !� � � � CONTR. �'�r� Y1pLiSrz Qx��U�s
TELEPHONE NO. � �� ` ���' � 3��' �
� DESCRIPTION �rQ �'N i �
� 01 FOOT=N� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
Q
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTO TO M ET YOU:_YES_NO
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� COMMENTS: � � �' c Q h- ��'!
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O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� < BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C] STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
i� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.,�/����-+�1�
r
White Copylinspector's File Canary CopylSite Notice
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INSPECTOR — -
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V.vTF'H 009PIECTIONS AS t-40TED
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specifit;a9y.notgo 1.1 this review.
tq-.-Cp J HIS PLAN SEt Ot4 SITE AT ALL TIMES
STONEHOUSL
DTS I'G N- S
Robert D. jutz
p"'j" I A4 'g"
612-473-2221
Builders Renovators of Fine Homes
420 East Rice Street - Wayzata, MN 55391
Fax 612-473-2144 Pager: 651-908-3852 MN Lic #20034536
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Revision =NO.
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612-473-2221
Builders & Renovators of Fine Homes
420 East Rice Street - Wayzata, MN 55391
Fax 612-473-2144 MN Lic #20034536
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612-473-2221
Builders & Renovators of Fine Homes
420 East Rice Street - Wayzata, MN 55391
Fax 612-473-2144 MN Lic #20034536
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612-473-2221
Builders & Renovators of Fine Homes
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