HomeMy WebLinkAbout2002-P05059 - addn/remodel/repair � - PERMIT
ClTY .OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Posos9
Crystal Bay, Minnesota 55323 P21"Clllt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 5/16/2002
SITE ADDRESS: 880 Partenwood Rd
I,ong Lake,MN 55356
P I D: OS-117-23-43-0001
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code O/S-Building
Pernut Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,300.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 3.15
TOTAL FEE: $ 209.78
APPLICANT: L.Cramer Design OWNER: 7erry&Cynthia Gray
5500 Lincoln Drive 880 Partenwood Rd
Edina,MN 55436 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRIC I'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
Apr-18-02 09 : 22A P.02
' N�r-2^3-2002 03:16vm From-CITY OF ORONO +g522A9�6i6 T-9R6 P.U05/006 F-8T3
• : TotaJ Fec: $� �U y. $ �
� En[ered By: D��e Yteceivcd: � -��� - ���
yl��p� � Pec�tuc#: �� � C-�
� CI
� T Y O F O�t Q N O - B U I I,I)T�(;- p E R�T A p�LICATIUN
� .
A[1 Informat�on must be submitted in full before plan revte�v w�ll be stacted.
(please pri��r al! i�forn�rivn)
_ . .------ ---------------_
----------- --
--- --• -�--
TAE AFPLICAlti ------------------
'T Y�� (circ-le vne) (iWNER OK 'UN�I�KACTQ
JOS SITE ADDRESS: �i�d �G,��., �,,,��,� R� Zip: S�s-3S"�
NAME OF OWNER: «� G��, FI�01V�: (home)�
(wurk) I� - 7' S3�3 --
M11YI.IlYG ADDRESS: $�D �a���^woo.� 2J ,C1I'Y: Lona l•ak� ZIP: ---
_. 5s"3S'�
CONTR.ACTOR: �C r�,,.� 2 1.,�� p���; 9S�-�j 3 =�y 1
�__��Csr4�1 / � �Jy.•
CONTACTPERSON: f3��c� C.�,,,,�l��,� MOBII,E/Y�AG�R: 6/a - 39� 'SSG'� -�
MAIL,ING•A)7DRESS: S�''Oca L.'..ce 1.1 /�yL __CYTY: Eo��••��, �:IP: SSy3
STAT'E LICENSE: A' �' �t�(^
AItCHITECT/ENGINEER: � ►�n _�� PHONE; ��� - 3,3� - I�3 Y
�iNC ADbRFSS: a oo .� .i �__CiT'S': M.��P.�.•i ZIP: rs�
1�GISTRATION 1t
TYPE OF WORK; rTew Addicion Accessory Suucture
Niove _ KemodeVAlteration � Land Al[eracion �
----�
PROPOSED Wp�(descRbe in detai�: 1� �' �
�---��--�^ s"�s a.,�4 1� �..JS
' STORIES: SQ.��ET pF EACH FLOOY�:
NO. OF EEDROOti15: GARAGE STAY..LS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ s 3 Uv —'
I hereby apply for a building permit and I acknow]edge that the information abovc is complete and
accurace; that the work will bP ui conformance with the ordinances and codes c►f tt�� City and with
the State Building Code; chat I uaderscand [his is i�oc a pecmi� and work is noc co scart �vichout a
pernlic; and that the work wifl be in accordance with che approved plan.
APPLICANT'S SIGNATURE: �__ D�,�,E; � ��/d �
NpTE! ��o Homec eveRts reguire separ�e permit approval by Police Depqnr,tent aRd
City Councll 60 dQys prior to the event_ Non permitted evenrs will not be allowed.
5
,
CHECB OFF LIST FOR ISSUANCE OF PERMITS
' ' ' FOR OFFICE USE ONLY
� ADDRESS ORLEGAL: ��v PAR�^1woo�
PID: °
DESCRIPTION OF WORK: (�o� �-x-r�r.�s�o,.► -c P,4�o �Q ooQ
ZO�TPi TG REVIEW BY: -� C� l��w—_ ~� N DATE APPROVED: _ S- iS •o Z
BUII.DING REVIEW BY: DATE APPROVED: s_, 7.n z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓� No
PLAN REVIEW Yes 1//� No SEWER COrfNECTION
STATE SURCHARGE Yes �/ No WATER CONNEC"ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SIT`EINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHECK LIST Zoning District: /Uc� C,�1��rv`�� .
Fire Department: Post Office: School District: �
Lot Area: Sq.ft. Acres Wi th Depth
Survey Submitted: Yes No te of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Reaz(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peal:Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: �t Resolution: # Resol tion Date:
Shoreland District:
Avg. Setback: Bluff Setback: L,ot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No ate of Council Approval:
RENIA.RKS(in house)•
7
.
BUII.DING REV�W CHECK LIST
�C� 12' 3 CONSTRUCTION TYPE: l/N
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x _
2nd F1oor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $_�`�,o o p°
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing ' Septic Sewer Connection
_�,Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
—2GF�� Grading/Filling Electrical(State Permit)
Other
REMAR��.S(IN HOUSE): .
__________________________�_________w__
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
�_��---------------------------------- ---
REMAR��S (TO BE NOTED ON PERMIT�:
8
Apr-18-02 09: 22A P•�3
. I�r-11-t002 03:19p� Fro�-CITY OF ORONO +l6Y21p/616 T-p/6 P.006/006 F-9t3
� � Sec.17.0a RIGlti3 O��{��S Oi Dw7'A
5ubd. 1. 7yp�ol data. Tlu�4thcs of indi.i�ni on whom tlie da�a is storod ot!o�e seored�ha110e a�set foc�h in d�is:eedon.
Su6d.1. Watm�tiep�p be arp�6�Ai�idml. M ioOirldWl t'sked o0
ih�1U be infot�ned oF (a)�e pu�poie ted i�nded use of ibe rs �Y Ptivt�e ot ooididen6�l dwtt eoqcen�hieoself
rys�em:A+)wl�e�her he nqr«fine or if k 1 9�+�ed dan wid�in tlu eolbai�soa�r.po�hk�1 medlr(sion.or sntewidc
�eNtlry m suPP�Y V�vte�or c �b nWired ro aupply t�e nqne�rcd Aaa:(c)ar4'moau coneequenea uuirK fran Ns supplyitf(o�
onfid�od�l d�a:oM t�die iaer�ry of odnr persoas cr eneid��u�orizea by aaee or�cdeAT IaW�s_c�eiw d�s daa.
This req�inm�n�sh•ti�ron�pp1r whtn an individuv ia i�d b�r in�es�i�ulve dso1.p����on 13.a2,sypdivision S.oo i law
tnforoement ottker.
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Subd.�. Acetst to dau by ladi�Wual. Ilpnn nquen a�a rriponsiWc�wlw�icy.�n in0irid�ui�1n1i be
�thjecc et i0ercd d�on iidividwl�.��w�r ic is ela��p�ak.O��e or conC�ncal. Vpoe hit Ihrd�tr�ue�4p(�i i�sl wlsp
Is�e sltbjeu of noted pria�or publi,.d�o ort i►�ividwls shW be tUown fie d�v widwuc�nY��ro ALn ond.if he desttes.shtll Ee ia�o►mcd
of die eonatK snd meininr o1�ar dia. �ltbef an inQividwl AAc been shown�IK privau dss�nQ iefotqud Ot io mtonin=.�Qad nted aa be
diulosed�o hiru br si:monms dierealFu uNe�s s dispua or�edon puqua�ro dvs neccbn�pe�or sd4idansl dau on d�.in�iripuat Ms betn
colktad or cneNed. The rcsponti3la audwdb thall ptovide oopies ot the privaa o�publie dan upen rc
ThC Rsponsibla a�dw�lb miyr t,Wite d�o�tqYesalls ptpOn m�y d,.unw�o:u or� 9�n by A+�indi�iduaf ap��ol du dan.
7T�e respae►s101s audrorip�s4sl!eompar;�4io�ly il M,eert;yin��and eompi4n�M eopip.
ot d�e eaoe o�ON re Po++�(e,with.�r�quesc m�de pwn�nc w tt�is wbdlvitan.or wimin fiv�deys
qu.n.exeludin���Ys.Sund�y�s�0lqal eolidey�.if;mnxeiarc eompliana is aor posn'6k. If M eaeuwc eaaply wi�
me nqam wi�in Oa�tiene.M�11 so in�one�d�e inaivi0wi.and n�ay lo�a an�ddinen.l fl��d�ys witl�ln wblch ro eo+rp�y�rid�dr,r�sr_n.
exctudirig Sanndays,Sund�ys�rd iqat hoiidays.
Subd_4. Procedurs aheo dNa t�eet seeurat�er eaopUte. M indiridu�m.y eom�a dx�ceur�ay or eompk�eoeu ot pnDlle or
priva�dan eonam6�hinudt. To e+crreise d�it r(���n inalridu��rMll rority In wrldn�the
disuneasr�cnc 7T�s nspon+bl�w0a 10�P°����d dartrlbenj the esture o�the
�ry slaU wltl+in 30 d�yt etdrce: (a)oomec�du da�s found ro De iwcauaoe or ixoeepleR�ad ae�empt��ily
puc re:iFiann o!ineeura�e or 4rcon�le�4io.inctud+n=raipiar�u�u,m�d by du indi�idual�or(b)noo(y Oa bdividust dnc d�bslie.e�drc daeo
m be eomet. Dara ia alspuro sh�Il bs diseloxd only if dro Mdi�idus!'�wtemenc af disun�emertt is ineluded�v�h yx disclosed dan.
21w deen+ai�fon ol ae nsppnsblo axtlae4Y nay De nppealed pursuant ra d�e provisions of rhe sAmiNnradve pror.aftt!e tet r_hcr,q
w comcstid cases.
�
Ia accordaaee with M.S. 13.04, Subd. 2, "Righc�of subjeccs of daia"�we would lilce w iatocm you zhat your
roquesc fo�a permic o�Ifcensa from rhe Cicy of Orono or any ot ics depanments may requin yeu�o �����«�
privete or contldenti�l inform�tion.
You�re no�itied cha�:
1. ?he ioformetion you fuuaisti wilt be wcd to detennine your qutlification for rhe permi� or license
cequea[ed.
?. You msy refus�to supply data� but iefusal a�ay tequire that the City ckay du pecen;t ar license.
3. Tbe intorma�ioa may�:hued with ad�er la�l, s�a�e o�federal age�cfes w che excem neoeteuy co
procas the permit or license.
, �• If yaur requeseed permic or liaaue rcquir�s Council aecion to approve,soene information may becotne
puDlic.
3• You have cenain ri�yndec M.S. 13.Oa(sv�apie�pon requesq to review p�vace data on yourself.
6• Yoar tutl aame is raq�ired to pcaess�his appliea�ion or petmu.
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Firs� Middlt �� + �u=���Q3
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BUILDiNG PEF�JVIIT P�L�N REVIEW
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�RE�GFi�CK BETITZ/NpW h�OM�.aOW/ROBERI RIlffClW ING$6pp FDSHq�I TpyyH�IyWdl�ap�.MIfW�SOTA 58402(81 y 332-7 234
GRAY RESfDENCE oN�A i REv(5ED pRAWINGS
B80 PARTEMWOD RD. �,°j` ..:V��s_ I APRIL 26.10�
OR�10,P'1N 55391 Q - -., , A 7��
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� FREDERICK BENTl/MILO THOMPSON/ROB9�T RIETOW INC.2B00 FOSHAY TOWER MINNFJ1i'OLIS,MINNESOTA 55402(612)332-1234
� CsRAY RESIDENCE oN•q
o ' 880 PARTENUJODD RD. oy� �?� . SITE PLAN - PROPOSED I
� ORONO, MN 55391 y
N APRIL 26, 2002 �n.��c
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l/ DATE TIME
CITY OF OROMO " CALLED IN
INSPECTION NO CE SCHEDULED � _��:O�i
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W �� F l` 11 MECHANICAL R 18 EXCA�//GRADING/FILLING
02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
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