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Home My WebLink About2002-P04664 - addn/remodel/repair PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 Po4664 Crystal Bay, Minnesota 55323 P2rCTlit Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: si6i2oo2 SITE ADDRESS: 900 Partenwood Rd I.ong Lake,MN 55356 PID: os-i i�-23-2i-000s DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Sub-type(s): Addn/Remodel/Repair Pernut Type: Addition/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Yiumning iviecnanicai Eieciricai�siate� NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,150.55 Valuation: $ 128,000.00 Plan Review Fee: $ 755.23 State Surcharge Fee: $ 65.50 TOTAL FEE: $ 1,971.28 APPLICANT: Boyer Building Corporation OWNER: Robert&Ann Jackson III 18279 Minnetonka Blvd 900 Partenwood Rd 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 WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �` ' > �PC �//�Z� ��G� � -� � C�'J�c�c-� .� , APPLICANT P ITEE SIGNATURG ISSU Y SIGNATURE L� Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � � �• Total Fee: $ �� %` �� Date Received: ��T lL'�� Entered By: � ��. �� Permit#: � ��-?�� r�� f , _Ce�' F—/�:�� `�> / ) � �-_- �- �� , CITY OF ORON�"- BUILDING PERMIT APPLICATION ` _:� �. � �<<�,� All information must be submitted in full before plan review will be started. ��_ (please print all information) � �� ------------------------------------------------ -- - -----------------�`��--------------------------------------- � ,, - - ..._._. ��f THE APPLICANT IS: (circle one) OWNER O � TRACT.�---� � __._.__�_.�___.. �' '. JOB SITE ADDRESS: �� cc��e,v w vc�c:� 1�� ZIP: 55 3 S �, NAME OF OWNER: ��b r �� k l��n� �ht.�c..S o�l PHONE: (home)_QSa-�f?!-C�/��7 (work) MAILING ADDRESS: q�0 �c�r I�,,�iduvcc�{ CITY: rJ�-�o ZIP: �s--3s-� CONTRACTOR: ,�oyEr l�Vi l�►`lu cc C�J�?• PHONE: �',,Z-y7s=��y7 CONTACT PERSON: r T MOBILE/PAGER: MAILING ADDRESS: ��'�'y �� rj�,,�' CITY: �;ts�r,,,i�,F�, ZIP: .S�3<ii STATE LICENSE: # 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 detai�: f � �'�� ` �pL.'Yz.�l L�h2�� \'u�;,,)� t�L�., � f�P uvtU GEf.l \"Lt vV f LN 1Z"'U'1/1 STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � Z��dG�z� 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 Ciry and with the State Building Code; that I understand this is not a permit and work is not to start without a pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �L , DATE: ��Y�Z,/7rZ. ,, 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. S � Sec.13.04 RIGHTS OF S[JBJECTS 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 ttus secdon. Subd.2. Information required to be given individual. An individual asked ro supply private or confidential data concerning himself shall be informed of: (a)the purpose and inteaded 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 lrnown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the identity of other persons or enaties 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 com�++�ssioner of revenue mav nlace the notice rewired under this subdivision in the individual income taz or orooertv taz refiu►d inctmrNnns instead nf on those fotR15. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed 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 az�y 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 siz months thereafter unless a dispute or ac6on pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall pmvide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesdng person to pay the actual cosu of mal�►g,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal hotidays,if immediate comptiance is not possible. If he cannot comply with the request within that dme,he shall so infornt the individual,and may have an addidonal five days within which to comply with the request, excluding Samrciays,Sundays and lega!holidays. S�bd.4. Prceedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concemittg 6imself. To exercise tlus right,an individual shall notify in wridng the responsible authoriry describing the�nawre of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data fmmd to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data,i�luding 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 determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. �?ATA 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�ity of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 pr�ess 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. pv�n �e►�r,,rw� First Middle � �� Address �� 3 5� I S�i —7�.Jr-?��, Ci�y State Zip Phone I underst my rights as stated above. � Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 9�o PA 2�nr w o o� F2:u A.p - PID: DESCRIPTION OF WORK: (Lc-w�.,�t-Z � ---------------- ----------------------------------- ----------------3--`-------- ZONING REV�W BY: C� _ DATEAPPROVED• �1• o oz BUILDING REVIEW BY: , DATE APPROVED:. y- 3a • o z: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/' No PLAN REVIEW Yes �' No SEWER CONNECTION STATE SURCHARGE Yes (i No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units 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: p� l=�c.c.s Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: P�� Grading: Staff Approval Date: By: Council Approval Date: L Septic: Staff Approval Date: By: Zoning File: # Resolution: �{ Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hudcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUII.DING REVIEW CH�CK LIST � UBC: 2• 3 CONSTRUCTION TYPE: �� Sq�ootage $Per Sq Ftg Basement a = 1 st Floor x = 2nd Floor x = Gazage z = R = TOTAL Fstimated Construction Value: $ ��.��(�jo°1� Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hazdcover Removal _�Mechanical Water Connection _�Footing Septic Sewer Connection ' _pS Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other _�cWall Board (Mfg.) Well(State Permit) _�C Final Grading/Filling �Electrical(State Permit) Other , REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI�: 8 OATE TIME CITY OF ORONO CALLED IN INSPECTION N ICE SCHEDULED S-7-°1-- • � � PERMIT N0. r COMPLETED ADDRESS � � �'�k-�� OWNER ��u�'�t_ CONTR._� TELEPHO E N0. �� — �J �'�C � D N � FOOTI 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATiON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL SD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � ' �� J � � ��.-' �u �%�� G�1��_� ° T/'��T�S�-�72 W _ � Q � z W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCGUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: ' � . Inspector. , �, . �_ � _ f Whit opy/lnspector's File / Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI O`�� r f SCHEDULED �*�— ' C? PERMIT N0. `� � COMPLETED ADDRESS ��- - OWNER CONTR. �'� � . TELEPHONE NO. �S_� �/7.!"— ��1� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 IGN 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 � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMEN��: W � � � O � p� ----____.. O � W � Q � Z W � W � � O W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspe t 24 hour in ad nce. (95 ) 249-46�� Ow tractor on site: � — Inspector. " h' Copylinspector's File Can ry Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE /�, SCHEDULED '7- ?� ;� PERMIT NO. �""/�`� COMPLETED ADDRESS RQD C�T�►�� OWNER CONTR. � e� � TELEPHONE NO. `7` �`� c�7S� �C3 "�17 � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y INSU IG 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 OEMO-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: � � �E��D`v�T�� J O � � O W � Q � . 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p 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. (g52) 249-4600 OwnedCo tor on site: � Inspector. hite Copylinspector's File Canary CopylSite Nofice DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICsE/ SCHEDULED 1�--la-��— � 1�j0��v( PERMIT N0. `7��_ COMPLETED � ADDRESS �'IOO /"G�-/-�el]Gc�OcJC��/ �G�10 OWNER _ CONTR.�G�/Q� �� TELEPHONE NO. `�� 7� �0� � � DESCRIPTION _ iC.�.FLC� . � 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 ZWALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 0 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL J 10 PLUM81 36 FOUNDATION/REMOVAL � OWNE ONTRACTO TO MEEf YOU: YES NO � COMME � � . ' � � - a ��v\ Cl. l • i S ��5 J �l,/GS�N, S O � 4� � ��.2 30 C :� 4 o � � � (.T'��2 ��`�' i �GGQ �.1�i Q z 5 5 t� W � � � � d W� WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WOFiK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIFED.C�LLTO ARRANGE ACCESS. � Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor site: Inspector. _ White Copyllnspect 's File Canary CopylSite Notice 'Ile 4�0 I':' i 5-- FF Cl m c) 0 0 m 3lge CZ) '40 m rTl,, In 75 0 M 0 Z b- CONZ -4 M, >9 C= C= mo C= mm C= 0 m z cp -- 9 >lj M z eStFn 0 ftlic m 'R�' Zi Me rf I r Vi