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Home My WebLink About2004-P07977 - addn/remodel/repair � " PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P07977 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 9/27/2004 SITE ADDRESS: 930 Partenwood Rd I.ong Lake,NIN 55356 PID: os-ii�-23-2i-000� DESCRIPTION: uBc o��uP��y � Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: .,_--_ -- - - - ---�.,�, --��-.-�- ---� --.,_=-�-_ .._.,��...�..:b�.:.... ,., ��.,...,:..,....��.,...,:W FEE SUMMARY: Pernut Fee: $ 167.25 Valuation• $ 9,000.00 Plan Review Fee: $ 108.68 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 280.93 APPLICANT' Stonehouse Designs OWNER: Maland&7o Elle Hurr � 420 East Rice 930 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. � _ PPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Auulicant 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 ` q 2� �� Total Fee: $ °�8�,9� Date Received: 9-zz-oy Entered By: o�'m-- Permit#: ^ �g 7 7 CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all informatioiz) ----------------------------------------------------------------------------- --------�_ ------------------------------- THE APPLICANT IS: (circle one) OWNER TRACTOR JOB SITE ADDRESS: �3� f��'� �,��o��G� ZIP: S�3__�� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ,�No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: JO�.�� .�v�"/' PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR:�7�,� �D� D�i1's� PHONE: 95.2-�j�-�.2,/ CONTACT PERSON: ��-, S�,Sn--� MOBILE/PAGER: cJ'��-�2/O-�,2 5�.� MAILING ADDRESS: �`r20�sr- ,P,cc Sf CITY: lJ�su� ZIP: SS� -r'i/ STATE LICENSE: #�pD.�f�s'3� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration � Land Alteration PROP S D WORK(describe in detai�: � �D-� ov �- �s7�7 �� "o cc.� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: .� GARAGE STALLS: ATT. � DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I'�', OOo � 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 pernut and work is not to start without a pernvt; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 9�2 OS� Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc rights of individual on whom the data is stored or to be stored shall be as set forth in thls 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) �vhether 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 suthorized by state or federai law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to sectio�13.82,subdivision 5,to a law entorcement officer. The commissioner of revenue mav alace the notice reautred under thls subdivision in the individual income taz or arooertv 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 tn[ormed whether he is the subject of stored data on indivlduals,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 a�d,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 disciosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additio�al data on the individual has becn collected or created. The responsible authority shall provide copics 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 thc actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,it possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturday�,Sundays and legal holidays,if immediate complisnce is not possible.If he cannot comply with the requestwithin 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 of public or private data concerning himself. To exercise this right,an individual shall notify In writing the responsible authority describing the nature of the dlsagreement.The responsible authority shall within 30 days either: (a)rnrrect the data found to be Inaccurate or Inrnmplete and attempt to notify past recipients of inaccurute or incomplete data,including recipten[s 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 o[disagreement is included with the disclosed data. The determinatlon 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 furnish wili 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 apptication or permit. V Dh� --�i✓C,,siso�i Flrst Middle Last �1D / oe-�� s� Address �G-�2s� �� 9/ ��_2/I -S�2 J�.2 C;ty State Zip Phone I understand my ri ts as stated above. Si tur a CHECK OF'F LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��j v /�i9��o o� PID: DES CRIPTION OF WORK: (lz�o=' �x —�v5i��✓ a.�� _ , �- e�' ZO�PIG RE'VIE`V BY: � N DATE APPROVED: S-Z Y `� '� BUII.,DI�IG REV�`V BY: DATE APPROVED; q- L y-�y FEES TO BE CHA.RGED: Misc. Fees Calculated By: PER.NIIT Yes � No PLAN REVIEW Yes � No SEWER CO�INECTION STATE SURCHARGE Yes � No WATERCOiVNECI'ION INVESTIGATION FEE � Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC-Units OTHER (specify) ZOivIi�1G CH�CK LIST Zoning District: �d G/-�'�°�"� Fire Departmenc: Post Office: School Distric[: � Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes o Date of Survey: Progosed Setbacks: Froat(Lake): 'ght Side: Rear (Street): Left ide: Adjaceat Structures: �Vetland: Building Hei�ht: Def. Hgt. Peak Hgt. Loc Coveraoe: Gradina: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: BY� Zoning File: # Resolution. # Resolutioa Date: Shoreland District: Avg. Setback: Bluff Se ack: LocCovera�e: Ezistin� Proposed 0 Hazdcover: 0-75' 75-250' 250-500' 500-1OQ0' Hardcover Variance Required: Yes No Da[e of Council Approval: REMA.RKS (in house): n-..¢�.�5 A-��.e. /�-^� �' � ��uE �,n� s�� S-e�' ��-c�res - 7 BUILDING REVIEW CHECK LIST �C� �' 3 ' CONSTRUCTTON TYPE: V✓� _ Sq Footage $Per Sq Ftg Basemen[ . . , x _ � lst Floor x . _ . 2nd floor x = Garage x = � x — TOTAL Estimated Construction Value: $ g,�oo� Inspectioas Required: `Vork Requiring Separate Permitr: S ite Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ` Septic Sewer Connection � _ei�,Framing Fireplace Lawn Irrigation _o�Iasula[ion (Masonry) Other Wall Boazd � (Mfg.) Well (Scate Permit) —.�.F�� Grading/Filling Electrical (State Permit) Other . REbZ4RKS(IN HOUSE): � . REVIEW BY OTHERS: �MDA1'E: ----------------------------------------------- Access: Existing New . Access Approval: Date gy; � --------------------------------------------------------------- RENLARKS (TO BE NOTED ON PERNII'I�: 8 . . ��+ � �'�+r �jI r yy 4�i �, � x ' �a � � �� t � �� H H�L,.15 C�..,'t � d• +' Bob Stewart �e�'� �� '. '"'`,'k:3 From: "Robert Stewart" <rstew651 @earthlink.net> L�!i � �:. r�„ - � y �:,;,,� To: "Robert stewart" <rstew@stonehousedesigns.com> ��4 "� __ � � - - __ _�------ Sent: Thursday, June 24, 2004 7:02 PM � , ___ _q.�6{,.e,c�� Attach: HPIM0346.jpg �� Subject: HPIM0346.JPG � �. -.__. _____ - .. . . � .. ,..';� T.•_ I . .. . � . � .. ' ... . . . . . . .. ......� . _ _ • . , . ... ,. ;:,�:a F . ' ., _ ae. � F�.�.:- ..� .�.I'. �, v. , �} ..,i�'. f� . _J'.. t -.��`rm.�.i� \ � � C�� G�� n,� j � � �2v�� `� ( � ` w'� o L1 e�,.�� p�,�� '�� L`� �5�� . `� HPIM0346.JPG ax\� Lc�e r �1�"j� �x�s��•�• --- r��S�. ScC'° �k.�— � c�� :t7 �va� �-� (�C��- S��..�h C�1 kS r_._--� -�--- -- -- ,� be�-C.�s�,� `c�.s � c. ',��rr � ��(�-C,� _ �\\p, a�J \� �;%�JS. �`�� " ; vL�' � ��,,,�.� •�, i �� ,� , �a�� - -- aw_.�. ---...._.__.. �._.�..__,.:___M..._�-�----------._..__ �. _._____ _ _. __ � � �,x� 5�-�,� � 7.�p �'�. ^ �. , � ! + 6/29/04 i I � PERMIT FEE CALCULATION(S)' ' 13ASrD OFF - 2002 S7'A"CF STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meeCs all three of the following requirements: ]. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. ls improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies, Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicablel $ 1.50 Total Permit Fee $ PERMIT FEE CALCLLATIQN(S)>-JOBS OVER�500.00 � ', If above does not apply; follow guidelines below: i. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ,� n Q Q E"%�- /`\ �j '�l.>�i) x .0125 $ �L/� � (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) t�� • x .0005 $ � , (contract price) (minimum$ .SO) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.SSL ` �% 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pern�itted work including materials, labor, profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by :he c�.rne:-, tena:�t or a��y ether pa:-ky, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of tl�e actual contract. ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPL]CATION,AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wock in strict accordance with the ordinances of the City and the regulations of the State of Minnesot�a, and certifies that all statements made on t�his application are complete, true and correct. Applicant's Signature: Date: �(l' Reset Form 3 G� � i DATE � TIME CITY OF ORONO CALLED IN �/3a/� INSPECTION NO ICE SCHEDULE�a �� PERMIT NO. � �7 COMPLETED ADDRESS �.3� /�'�-�" {-'P� �OOG� � •l�d, OWNER CONTR. L��j'p liLt,�Z,�.d.Q. Y1?�J , TELEPHONE NO. �� v ��' � DESCRIPTION '- � �(-� � 01 FOOTING 11 MECHANICAL /�'� 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANIC W C./ � 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 OS 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 TO MEET YOU;�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next i pection 24 hours in advance. (J52� 249-4600 Owner/Contrac s e Inspector. White Copyllnspector's File Canary CopylSite Notice