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Home My WebLink About2004-P07742 - new structure � � w PERMIT C I TY O F O RO N O Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P07742 Crystal Bay, Minnesota 55323 Permit Type: NeW sr�u�cu�e (952) 249-4600 Date Issued: �i23i2ooa SITE ADDRESS: 440 Stubbs Bay Rd J�l. L.ong Lake,MN 55356 PID: 32-118-23-13-9998 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 101 Permit Type: New Shucture Pernut Sub-type(s): New Home-Single Family DETAILS: Approved per resolution#: Separate permits required: i'iumoing Iviecnanicai �epiic rirepiace irrigaiion weii �s�aiej nieciricai(siaie j NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 3,946.25 Valuation: $ 650,000.00 Plan Review Fee: $ 2,565.08 State Surcharge Fee: $ 325.50 TOTAL FEE: $ 6,836.83 APPLICANT: StructuralImage OWNER: TomLindquist 1405 N. Lilac Dr. #226 4535 Roahoke Rd Minneapolis,MN 55422 Golden Valley,MN 55422 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � �� APPLICANT ERMITE S[GNATURE ISSUEDBYSIGNAT[1RE � Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 , . , Total Fee: $ t: '� `� � Date Received: Entered By: r:;-; , , , •'. ; , Permit#: . _ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infornaation) -------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: , � . (circle one) OWNER OR CONTRACTOR� �� . . Y .. :f�� i� ;r �� _ _� � _ � � - � . � , , " �� Y.� :' . .' -` JOB SITE ADDRESS: ��0 �`'r�_I;�� ;g'��✓ Q.'�.��,� ZIP: _.- __ � �jI,C�K�- 1� S'7 ca S� .dDC:�!i_)c-��,'' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �] No If yes, a special event pennit is required with Police Department and City Courzcil approval 60 days prior to the eve�at. Non-pernxitted events will not be allowed. NAME OF OWNER: !� :�►� C_�r��,� ' PHONE: (home) ._��x..-;�� ,�',�� ; (work) MAILING ADDRESS:� �'�'� Rv�� CITY: �U�� ZIP: ZZ �� CONTRACTOR: �f vGTV/�,�'.� 6� �: ��__ PHONE: -7�3 ��`-{/ S 30� CONTACT PERSON: To►��[ MOBILE/PAGER ��Z � 3�9�Z4�,Z MAILING ADDRESS: /4-(� /.l C-�(�f�C `��' �a�G- CITY: GTc�i��J v��(LIP: ' zZ � STATE LICENSE: # 4�7Z. EXPIR.ATION DATE: 2��'� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New �_ Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe iiz detazl): ��?^!'. % -�. �� t��cr��F; STORIES: Z SQ.FEET OF EACH FLOOR: Z��' NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �50�O�l�, � 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. ,--� d�. APPLICANT'S SIGNATURE:�`�/0- -� DATE: �� I '�'� 9 • • , Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as sei forth in this section. Subd.2. Informa6on requind to be given individual. An individual asked W supply private or confidential data conceming himself shall be informed of: (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 legally required to supply the requested data;(c)any known consequence arising from his supplying or rcfusing w supply private or confidential data;and(d)the identity of other penons or entities authoriud by state or federal law to receive the data. This requirement shali not apply when an individual is asked W supply investigative data,pursuant to section 13.82,subdivision 5,to a taw enforcement officer. The commissioner of revenue mav vlace the notice required under this subdivision in the individual income tax or�rooerri tax reFund instructions insuad of on those forms. Subd.3. Access to data by individual. Upon request to a rosponsible suthoriry,an individual shatl be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further requat,an individual who is the subject of sWred privau or pubtic data on individuals shap be shown the data without any charge to him and,if he desires,shatl be informed af the content and meaning of that data. After an individua!has been shown the ptivate 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 sectioa is pending or additional data on the individual has been wllected or created. The responsible authoriry shall provide copies of the private or pubtic data upon rcquat by the individual subject oE the data. The responsibie authority may require the requesting person to pay the actual costs of making,certifying,and compiling the wpies. The raponsible authority shall comply immediately,if possible,with any request made pursuant to chis subdivision,or within five days oPthe date of the request,cxcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with[he request within that time,he shall so inform the individual,and may have an additional five days within which to compiy with the requesG excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individuai may contest the accuracy or completeness of public a privatedata conceming himself. To exercise this right,an individuaf shall nati fy in writing the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either. (a)coaect the data found to be inaccurate or incomplete and attempt w notify past recipients of inaccurate or inrnmplete data,inciuding recipients named by the individual;or(b)aotiFy the individual that he believes the daq to be coirect Data in dispute shall be disclosed only if the individual's statement of disagreement is inciuded with the disclosed data. The determination of the responsible authority may be appealed pursuant W the provisioas of the administrative procedure act rela6ng to contated 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 shazed 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 rnay 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. First Middle Last Address City State Ztp Phoae I understand my rights as stated above. � ' Signature 1� � � 1 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: yY0 sr��S BAy 2oAa PID: DESCRIPTION OF WORK: N cw /1.�5 ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: q-z.2-oy BUILDING REVIEW BY: DATE APPROVED; � -zz-o�t FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ,/ No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No � SITE INSPECTION Number of SAC Units �T,� ,�R,,�.--p, OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: '7• 2,c�• o�l Proposed Setbacks: Front (Lake): 1 'Z2 Right Side: �f S•� � Rear (Street): f�� * Left Side: /Sa � Adjacent Structures: N /H Wetland: �9' } Building Height: Def. Hgt. 3 O Peak Hgt. 3 9•S Lot Coverage: N/A Grading: Staff Approval Date: '� -22 • �y By: � Council Approval Date: Septic: StaffApproval Date: "�-z2 —o ti By: � Zoning File: # — Resolution: # -- Resolution Date: -- Shoreland District: N c� Avg. Setback: Bluff Setback: L o t C o v e r a g e : Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): ' � � BUILDING REVIEW CHECK LIST UBG /2• '� CONSTRUCTION TYPE: VN Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage X = x = TOTAL Estimated Construction Value: $ foso.doa `� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal �_Mechanical Water Connection �_Footing �Septic Sewer Connection �Framing �_Fireplace _�Lawn [rrigation _�Insulation (Masonry) Other �_Wall Board ►� (Mfg.) �Well (State Permit) �. Final Grading/Filling _�,Electrical (State Permit) Other REMARKS ([N HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): , , . ; � .-�,�T. a .;°�, � , ; .,. ��i�� I I MNcheck COMPLIANCE REPORT I I Minnesota Enerqy Code � Permit # � MNcheck Software Version 3.0 � � � _ � � Checked by/Date ► I I COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 6-30-2004 COMPLIANCE: PASSES Required UA = 617 Your Home = 578 6.3% Better Than Code Area or Cavity Cont. Glazinq/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS: Raised Truss 2585 44.0 0.0 57 WALLS: Wood Frame, 16" O.C. 2884 19.0 4.0 147 BSMT: Conc. 8.0' ht/1.0' bq/8.0' insul 252 10.0 0.0 23 GLAZING: Windows or poors, Above Grade 941 0.350 329 DOORS 63 0.350 22 HVAC EQUIPMENT: Furnace, 90.0 AFUE HVAC EQUIPMENT: Air Conditioner, 13.0 SEER ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed buildinq desiqn described here is consistent with the buildinq plans, specifications, and other calculations submitted with the permit application. The proposed buildinq has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designe� Date �n � 09� DATE TIME " CITY OF ORONO CALLED IN �a '✓� INSPECTION NOTICE SCHEDULED �� f� �� PERMIT NO. �07"7`{Z COMPLETED �� '� ADDRESS ��IC7 �U�U�� OWNER CONTR. ��f1K_"�Uf�c� �ftil0.q� TELEPHONE NO. �v �o�+ �CP� o��i O 2 � DE TION ly FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 G 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � ��WORKSATISFACTORY:PROGEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra n te Inspector. Whi1e Copyllnspector's File Canary CopylSite Notice V �AT TIME CITY OF ORONO CALLED IN INSPECTION N��, l.� SCHEDULED "--�� i� PERMIT NO._ � `�� / � C MPLETED ADDRESS �d OWNER CONTR. / � w��a TELEPHONE � "- �� DESCRIPTI N��.d � 01 FOOTING� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next ins ection 24 hours in advance. (J52� 249-4600 OwnerlContr o sit Inspector. White Copyllnspector's File Canary CopylSite Notice � �� / � 6D TE TIME CITY OF ORON CALLED IN ( • �� T�/'� INSPECTION NO CE SCHEDULED y �•`�'� PERMIT NO. �� COMPLETED ADDRESS �u-��-� a /V OWN ER CONTR. � TELEPHONE NO. l��l� �CO� ��LU� � DESCRIPTION `" � � 01 FOOTING 11 MECHANICAL RI 8 EXCAV/G DING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 SEPT{C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � J O � � O � W � Q ti Z W � W � � d W WORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '.'CITATION ISSUED G INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ext inspection 24 hours in advance. (952� 249-46�� OwnerlContra site: Inspector. White Copyllnspector' File Canary CopylSite Notice C3 �� i � D��E j�� TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE ,�L� SCHEDULED " t o� � PERMIT NO.,�� COMPLETED ADDRESS ��"� ��-� ��S /V. OWNER CONTR. CS{�,1�,P- _ �n�a'��(1Q_ TELEPHONE NO. /�� '�� DESCRIPTION ��"`" � �� _�� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 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 FINAL 35 HARD COVER REMOVAL J �0 PLUMBING FINAL ` 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: � YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � a W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sil�: Inspector. �`('�1� White Copyllnspector's File Canary CopylSite Notice � DATE TIME v � CITY OF ORONO CALLED IN ��'�� INSPECTION NQTI}CE-7 / SCHEDULED �"L� �vS'" =�'!� PERMIT NO.�r'�f T ! �] Z COMPLETED �'� � ADDRESS `f�G ��h� �� OWNER CONTR. �S�fZL�vrr/(� sl.-�u5=� TELEPHONE NO. �� Lt�' l ��-,L'� � DESCRIPTION ll./fiLc� �,[%1tic��'f � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 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 Ob FINAL - 14 SEWER HOOK-UP O6 PROGRESS � SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOL�OW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � —`P/L-o vti►�-e �(-,�r..,p f 2�4� L S G� 5`�t�S v✓ t R� o � C�2 �/Vl.�vt� t2�5-Q�� a '_"��'�� Go�1 ar Cs+�� C�V-P� � 0 � W � Q ti Z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED '=1 ISSUE CERTIFICATE OF OCCUPANCY W o�ORRECT WORK,CALI FOR REINSPECTION TEMPORARY ��i V PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER POSTED.CALI INSPECTOR -� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contracto s' : Inspector White Copyllnspector's File Canary CopylSite Notice