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Home My WebLink About2007-P11162 - addn/remodel/repair PERMIT CITY,OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11162 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 7/17/2007 SITE ADDRESS: 875 Partenwood La Unit# Long Lake,MN 55356 P�� OS-117-23-34-0013 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair YP DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Remodel entry,kitchen,MBR,nursery/powder bath etc. FEE SUMMARY: Permit Fee: $ 2,253.75 valuation: $ 325,000.00 Plan Review Fee: $ 1,464.94 State Surcharge Fee: $ 165.00 TOTAL FEE: $ 3,883.69 APPLICANT: Katherine Taylor Homes,Inc. OWNER: Gregory&Agbueszja Hatfield PO Box 35 875 Partenwood La 120 Railway Street W Long Lake,MN 55356 Loretto,MN 55357 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. l.�� ''" —' ..r-7 , �- _�� -�:--- �'---- APPLICANT PERMITEE SIGNAT[JRE SUED BY SIGNATLJRE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 f _ . �, � � �� _ � �� ` �v Total Fee: $ Date Received: � 2�'6� Entered By: '"' Permit#: A 1 / �(o� 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 CON CTOR JOB SITE ADDRESS: 8 75 ��e�►wou� G�J ziP: S.S3S 6 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a specia!event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suff cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: G ve��„� � }�K.�;e S Z�. ��T'�ie�PHONE: (home) �5 l�76�'�3 l,�w� 1,�� (work) MAILING ADDRESS: �7� v��►t�sv� I�v� CITY: 0 W�,� ZIP: S�s6 CONTRACTOR: �'��'�e�,1�e.. Tqy��,.S ��,mts PHONE: �63— ��79—°3,� CONTACT PERSON: _ �u�c,,, � MOBILE/PAGER: 76 3-y7q- a3�I MAILINGADDRESS: 1�/— R4, s-�- CITY: Gd�e{'� ZIP: .S�_3$? STATE LICENSE: # ��$ EXPIRATION DATE: ARCHITECT/ENGINEER: Ct,tn�il� SH��►P� ,--J4"sSvc i�I�S PHONE: 65I'��{`�-5�� MAILINGADDRESS: 3�13�1 L�„�v,n /� N CITY: S�WvcH`ttiJ ZIP: SSI�6 NAME: G eo�� C�vtal y REGISTRATION: # �3 v�9 TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �_ Any earth movement may require MCWD review and ermits! PROPOSED WORK(de cribe in detain: R.�w►.�� 2,�}rc, �'k�}c�u¢� �M.Fs� S.a��- �N vvs�r� /,1��cT �..t1� . .r„„��I,t I �vevv i.w!k� �t�.su� ��r (-it��ww� STORIES: R-u�^bIR.✓^ SQ.FEET OF EACH FLOOR: �v�� NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��5��(� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the wark 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•,��_ �iZ � DATE: 6 �� O 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 forch in ttus section. Subd.2.Information required to be given individual.An individual asked to supply private or coafidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data witlun 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 Imown 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 fedecal law to receive the data.This requirement shall not apply when an individual is asked to supply investigaUve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. T'�commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or rp ocerty ta�c refund instructions instead of on those forms. Subd.3.Access to data by individual.Upon request to a respoasible suthority,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 fiuther 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 iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action p�usuant 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. T'he responsible authoriry shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or withia five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediatc 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 co comply with the request,excluding Sapu�days, Sundays and legal holidays. Subd.4.Procedure when data is not accwate or wmplete.An individual may contest the accuracy or completeness ofpublic or private data concerning himself.To exercise this right,an individual shall notify in writing the respoasible authority describing the nature of the disagreement.The responsible suthority shall within 30 days either: (a)cottect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes t6e 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 deternunation 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: 1. The information you fiunish 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. pc,� � Vvt��nk First Mlddle Last � / I / ,�,� - r �y� 11a� H-tC �'(� l�OrG�D ,'W .S��S � Address �- 763-�/�9�v,�� City State Zip Phone I understand my rights as stated above. /1_l�-� /` gnature �' , , .� ;,� �.,� 32 , �HE�J[� OFF i�IST FOR ISSUANCE OF �ER�.tiiITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �� `� �`'�"`� PID: DESCRIPTION' OF WORK: 'v](�� N�/ ;'��"'c�c�� /��9 ------------------------- ZOV�IG REVIE`V BY: ------ l�'w /� !� z� DATE APPPtiOVED: Z SUII�DING RE'VIEtiV BY: . . DATE APPROVED: 7. 2 - ----=--------- ---- ---------------------------=-----------------------o------- F`EES TO BE CHARGED: Misc. Fees Caiculated By: PERMIT Yes � No PLAN REVIE`V Yes � No S�VER COVNECTION STATE SURCHAR.GE Yes —� No `VAT'ERCONNECTTON INVESTIGATION FEE Yes No .� PARK FEE SAC Yes No ✓ STTEINSPECTION Number of SAC�Uruts OTHER (specify) ZON'L�IG C�iE.CK LIST Zoning Districc: N� t �. Fire Department: Post�ffice: School District: � I,ot Area: Sq.ft. Acres � Width DepCh Survey Submitted; Yes No Date of Survey: Proposed Setbacks: � Froat(Lake): Ri�t Side: Rear(Street}: Left Side: Adjaceat Strucrures: � ttand: Suil�lin�Height: Def. Hgt, Fe Hgt. Lot Covera�e: Gradino: Staff Approval Date: By Council Approval Date: ' Sepcic: Stzff Approval Date: rV� �Y� l-'�� Zo�n� File: � Resolutioa: � Resolution Date: Shoreland District: Av;. Setback; Bluff Setback: � - L.ot Coverage: Evstin� Prcposed D Hardcover: 0-75' 75-250' 2�Q-SGO' • � 500-l OC`0' . �iz:�.c�4�zr V�iance P.equi;ed� Yes `�o Dac_ o` Cc�u.cil Approvz_': F.E�L��s (L_rousel; BUILDING REV��y CHECK LIST �C: �"3 CONSTRUCTION TYPE: �N Sq Footage $ Per Sq Ftg Basement x _ lst Floar x _ 2nd Floor x _ . Garaoe x _ z — TOTAL Estimated Construction value: $_ 3ZSOd0 °o Inspections Required: �York Requiring Separate Permits: Stte �Plumbing Fire Hardcover Removal __,L Mechanical Water Coanectio❑ Footing � Septic Sewer Connectioa —2�Fr��° Fireplace Lawn Irrigatian �Insulation (Masonry) Other Wall Board (Mfg,) Well (State Perm.it) _L� F�� Grading/Fillin; �_ Elec[rical (State Permit) Other REMA.RKS (1N HOUSE): � ----------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DA�E: Access: Existing New Access Approval: Date gy: ------------------------------------------------------------------------------------------------------------------ REI�IARKS ('Z'O �E NC)1'ED �DN PERi�'�: 8 w�`�-� � ✓ �`"�CITY OF ORONO ca� w r��o7(p Q'� TIME INSPECTION . CE SCHEDULED 7 � PERMIT NO. COMPL ED ADDRESS �� OWNER CONTR. �f�� !�-Lj�� TELEPHONE N0. ( 4/� -" �C.l l_O , I�� ✓ ` � DESCRIPTION ~ /'YIa �. � ❑ FOOTING ❑ MECHANICAL RI XCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W � o . '��Lt � � TC� ,�<<P G� � �� 13 k'1 � G � 0 � �-t,s hIr J��C� � x Q � z W � w � j d W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �� W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ,�/ r� White Copyllnspector's File Canary Copy/Site Notice C�� DATE O� TIME l+l I T OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �� PERMIT NO. �� // �D Z- COMPLETE ADDRESS (� � , / OWN ER CONTR. / TELEPHONE NO. �� — �L�UJ� �� r �-_ 1 � � DESCRIPTION �{!/ ��'�^-'C"`' ' � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO • YES_NO � COMMENTS: � W a Q �l� �i � �5( 1�.��-S�" � � � O � W � Q � Z W � W � � d W� K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CdRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractur.•o site: Inspector. White Copy/lnspector' File Canary Copy/Site Notice � OLC./� ATE TIME v CI OF ORONO CALLED IN / S� INSPECTION I SCHEDULED �D:�,� PERMIT NO. COMPLETED ADDRESS 7 s �LC�D � OWNER CONTR. .S TELEPHONE N0. � - 3 ' �. - /v`�9 � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION i��INAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i � PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W C o �c .� ;�G� d�� l� � �or' G • C� � �r�}-Pc�-� r,S 0 � W � Q z �^.-� �f ;o t p� l � W � W � � � d W��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �� l� �^ � � S White Copyllnspector's File Canary Copy/Site Notfce