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Home My WebLink About2000-P02295 - addn/remodel/repair � ' I PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P02295 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 4/13/00 SITE ADDRESS: 1850 Fox Ridge Rd LONG LAKE, MN 55356 PID: 03-117-23-13-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: BuildingCensus Code 434 Permit Class: Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Porch DETAILS: Approved per resolution#: Separate permits required: Eieciricai(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 9,300.00 Plan Review Fee: $ 117.78 State Surcharge Fee: $ 4.65 TOTAL FEE: $ 303.68 APPLICANT: M HEADRICK OWNER: M C HEADRICK&L S HEADRICK 1850 FOX RIDGE ROAD 1850 FOX RIDGE RD LONG LAKE,MN 55356 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. axonAPPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Pagel Notal Fee: $ ,303. ('08 Date Received: �• �`''� Entered By: av t; Permit#:1919 j 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) WNE R CONTRACTOR JOB SITE ADDRESS• ZIP: NAN E OF OWNER: 1`_l L (L l-�( K L- PHONE: (home) AILI�i TG ADDRESS: l �� ('� �. (.! ,L CITY: ��_;_ ZIP: M 5` CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: INIAILINi'G ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: _ ?.LkILLN'G ADDRESS: CITY: ZIP: N A1vtE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration 7/— Land Alteration PROPOSED WORK(describe in detail): . STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTL IATED CONSTRUCTION VALUATION (excluding land): $ 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; DATE: /1k ' - --r 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. c o ` 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 forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential dam concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting Sate agency,political subdivision,or statewide system: (b)whether he may refuse of is Legally required to supply the requested data;(c)any known ccusequence arising from his supplying or refusing to supply privare or confidential data;and(d)the identity of other persons or entities authorized by stain or federal law to receive the dam. This requirement shall not apply when an individual is asked to supply investigative dam,pursuant to section 13.82.subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice recuired 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 dam 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 dam on individuals shall be shown the dam without any charge m him and:if he desires,shall be informed of the content, and meaning of that dam. After an individual has been shown the private dam and infoime-1 of its meaning,the dam need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public dam upon request by t~'individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of making.certifying,and comp ing the copies. The responsible authority shall comply immediately,if possible,with any requemade pursuant m this subdivision,or within five days of _a the dace of the request.excluding Saturdays.Sundays 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 wit"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 rhe resp=Bible authority describing the nature of the disagreement. .. The responsible authority shall within 30 days either: (a)correct the dam found to be inac.`.rare or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify ire individual that he believes the dam to be correct. Data in dispute shall be disclosed only if the individual's smtement of disagreement is included v.^:th the disclosed dam. The determination 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 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 tr 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. Lip�,I SW i9'� ti 6A1 First 12 (b6 �1tdd1K—V�U Last Address ) — /,r/ 4f !6, -�-(�l 7 ✓ City State Zip Phone I understand my rights as stated above. Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: r S--b F^o x 12, 0 PID: DESCRIPTION OF WORK: �;� Rte'�^ ►�-e �— scu••> �--� 3 s��+3 e•-�] ----- --- - - ---------------------------------------------- -`----- ZONING REVIEW BY: 64 DATE APPROVED: 41- o BUILDING REVIEW BY: DATE APPROVED: k-' 3-o J FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONNING CHECK LIST Zoning District: l-,�� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear (Street): Left Side: i Adjacent Structures: Wet�and: 9 Building Height: Def. Hgt. Peak�Hgt. i Lot Coverage: I Grading: Staff Approval Date: Bye Council Approval Date: Septic: Staff Approval Date: By Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Eusting i Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' i Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 1 � BUILDING REVIEW CHECK LIST UBC: /2. 3 CONSTRUCTION TYPE: Y� Sq Footage $Per Sq Ftg Basement x 1st Floor x = 2nd Floor x = Garage x = x TOTAL Estimated Construction Value: $ T 3 Oo "= Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection - oC Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) sc Final Grading/Filling br, Electrical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REN ARKS (TO BE NOTED ON PERIMM: 8 �j 4-0-� L � �tC-' ie6D Fvx ��6c LoNb ORONO COPY CITY OF ORONO `- BUILDING P MIT LAN REVIEW INSPECTOR ni DATE 4i-13 'vo PERMIT NO. s� A PROVED AS A 'i �Ea—>TPD Clra:r4-r'ts are for your'sn}o r�ai�r.All wak,h90Ire dors♦ r .-.._•_-_.__...M...._,_..._ - if, LSIi?t 2H aM!:iabfe IJua ing and zoning rte, 1 Re" ;wrt7S not;,)gacarty ncted in ft-s iyiew 1 DEEP THIS PLAN SET ON SITE AT ALLTIMES SPECIAL NOTE SEE ATTACHED SHEETIs- � i' FOR CODE REQUIREMEN " c ( '� ,r, 1i 0� rI.ItS 15 A avi2t1jiluar 't-L/lC-' ALX T t N TVA(N - oil. j j ; I V 'I , DATE TIME CITY OF ORONO CALLED IN �-10—e:20 INSPECTION NOTICE SCHEDULED — y'C)d PERMITNO. r002Z-'7S COMPLETED [ ADS RESS/ 5� oX OWNER 11i1a r H(f_1,d r;CLL CONTR. TELEPHON E NO. DESCRIPTIOWA&gigk W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q<Z 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: CC W W cc O O cc O W W QC Q Z W z W OW ORKSATISFACTORY:PROCEED __6ROJECTCOMPLETE CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT L' CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN F'STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED i i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contra t on site: Inspector. �t�� 7 White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /�- c.% /,213 INSPECTION N TICE� _ SCHEDULED �' JIQy�Gci , 3 c, PERMIT NO. COMPLETED ADDRESS OWNER CONTn�c/ hlno.� .� TELEPHONE NO. DESCRIPTION lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO COMMENTS: CC W W cc 0 l .� L✓C2 cc O W cc Q Z W W CC j O W WORK SATISFACTORY:PROCEED PROJECTCOMPLETE W _l CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT L CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN F'.STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED E INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contractor on site: Inspector-. &,_, f r White Copy/inspector's File Canary Copy/Site Notice