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Home My WebLink About2001-P03953 - addn/remodel/repair PERMIT CITE &FORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P03953 Crystal Bay, N nnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-460 Date Issued: 6/28/2001 SITE ADDRESS: 320 Turnham Rd Maple Plain, MN 55359 PID: 31-118-23-42-0013 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai BuildingCensus Code 434 Permit Class: Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Piumbing iviechanicai Eiecuicai(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,161.75 Valuation: $ 130,000.00 Plan Review Fee: $ 755.23 State Surcharge Fee: $ 65.00 TOTAL FEE: $ 1,981.98 APPLICANT: Stonehouse Designs OWNER: Mr. &Mrs.Zelinsky 420 East Rice 320 Turnham Rd Wayzata,MN 55391 Maple Plain MN 55359 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. 012'L—cam APPLICANT PERMITEE SI AT SSUED BY SIGNATURE Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Pagel Total kee: $ Date Received: �.-, '�� Entered By: / Permit #: ,'0 3 9,1�5 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 CONTRA �9R- JOB SITE ADDRESS: 3Z O ? a ��`� P- 0 ZIP: NAME OF OWNER: Q uT G H Zd--b r-5 K Y PHONE: (home) (work) MAILING ADDRESS: CITY: O A ZIP: CONTRACTOR: S Tom e y-a,4,5 F l YG • PHONE: 951- -y7 3 -.2-2-2- CONTACT CONTACT PERSON: MOBILE/PAGER: 3 y fj MAILING ADDRESS: If1G EP S'T /Z lc F CITY: tk-&y5i^T,4 ZIP: 553 9/ STATE LICENSE: 6 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): !V�-''`� Da�,h�sZ j'✓AS T��. Sw/TC— R,FI-oG-E STORIES: Z' SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. AP DET. L ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /30 G� 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: NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 L + Sec.13.04 RIGHTS OF SUBJECTS OFDA TA Subdivision 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 concerning 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 refusing to supply private or confidential data;and(d)the identity 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 may place the notice required under this subdivision in the individual income tax or property 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 confidential. 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 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 pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundatis 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 ojpubl is or private data concerning himself To exercise this right, an individual shall notes in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to notes past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notes 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 maybe appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACYADVISORY In accordance with M.S.13.04,Subd.2,"Rights ofsubjects ofdata",we would like to inform you thatyour requestfor apermit 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 f urnish 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. Ifyour requested permit or license requires Council action to approve,some information may become public. 5. You have certain rights under MS. 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRINT 570r�'1�� c- First _lfiddle Last *12-6F E 12. 1GE S T Address I4-RYX^7-P ,MA-1 3-3-3-7 -y73- iii/ City State Zip Phone I and island my ri his as state above. J Signature 10 f CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: DESCRIPTION OF WORK: n 2.vw� ,�},p,Q t-r7 o►',--) ----------------------------------------------- ----------- ------------------------------ ZONING REVIEWBY. DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: -2 -v l FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLANREVIEW Yes tv- No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECKLIST Zoning District: 4!o Fire Department: Post Office: oSchool District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wet nd: Building Height: Def. Hgt. Pe Hgt. Lot Coverage: Grading: Staff Approval Date: Council Approval Date: Septic: Staff Approval Date: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setbac : 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): 32 BUILDING REVIEW CHECK LIST UBC: R• 3 CONSTRUCTION TYPE: VA-f Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 130,o0005! Inspections Required: Work Requiring Separate Permits: Site X Plumbing Fire Hardcover Removal _mac Mechanical Water Connection Footing Septic Sewer Connection X Framing Fireplace Laixn Irrigation P., Insulation (Masonry) Other y Wall Board (Mfg.) Well (State Permit) I'--Final Grading/Filling K Electrical (State Permit) Other REMARKS(INHOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 33 DATE / TIME CITY OF ORONO V CALLED IN INSPECTION NOT I SCHEDULED PERMIT NO. 3 g'S COMPLETED_ ADDRESS OWNER CONTR. TELEPHONE NO. DESCRIPTION 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 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMM NTS: cc CL 0 cc 0 W QC Q 2 W W cc ORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contr for on site: Inspector. _ White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED r O PERMIT NO. COMPLETED ADDRESS 3 OWNER CONTR. 04'e h a LS'e— TELEPHONE NO. DESCRIPTION 4 01 FOOTING 1 MECHANICAL RI 18 EXCAWGRADING/FILLING 'q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 v 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 cc Q z W W c O Wcc ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner1ContrqSAemmkSitp, Inspector. ' W iteyMspector's File Canary Cop yISH.Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICA SCHEDULED PERMIT NO. COMPLETED ADDRESS ?i 7-6 OWNER CONTR. �977A0 1 is A . TELEPHONE N0. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND,S y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL (7C/nt 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a cc J O O W cc Q 2 W Z W cc cc j LQ ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra or on site: _ Inspector. Ime � ��til/l1 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO V CALLED IN INSPECTION NOT I SCHEDULED /J -0 0 PERMIT NO. 3953 COMPLETED `d a ADDRESS o— /W. OWNER CONTR. waw TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03ZINSLATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 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 INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a O cc O LL W CC Q Z W Z W Ir- UjORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME/ CITY OF ORONO CALLED IN �$- -V I oZ-% S INSPECTION IJQTICE SCHEDULED �( / r '� PERMIT NO. 3�`J COMPLETED ADDRESS OWNER e l "n:S,C.�. CONTR. TELEPHONE NO. NO. DESCRIPTION Sh-p_'tj 1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W a J O O W cc Q Z W W CC Z) \^ �]NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE cc W 1/❑_CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract on site: Inspectors White Copy/Inspector's File Canary Copy/Site Notice i ATE TIME CITY OF ORONO CALLED IN ) INSPECTIN TTI� SCHEDULED PERMIT N0. _ t��=5 3 COMPLETED id � ADDRESS 2> 10 _TU rn K&-r-\ OWNER CONTR. CII g G1[ Q TELEPHONE NO.(O ''l DESCRIPTIONTIQ t4j 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q_ OS FINA 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CZ W 0. a Cr 0 W cc Q z W W cc d W ,&ORKSATISFACTORY:PROCEED _10ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contrac r on site: Inspector. While Copy/Inspector's File Canary Copy/Site Notice /CALLED DATE TIME CITY OF ORONO IN INSPECTION TICE EDULED o �C5 dr PERI'l COMPLETED ADDRESS O ` OWNER CONTR. TELEPHONENO. DESCRIPTION A — 01 FOOTING 11 MECHANICAL R 18 EXCAV/ DING/FILLING Q 02 FRAMING 13 MECHANICAL(I NAL 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TOMEET YOU•_YES NO COMMENTS: cc W a O O cc O U_ W cc Q 2 W z W cc WFORK SATISFACTORY.PROCEED ROJECT COMPLETE kl ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contras or on site: f Inspector. White Copy/inspector's File Canary Copy/Site Notice