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Home My WebLink About2000-P02457 - pool � -� PERMIT �iTY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po24s� Crystal Bay, Minnesota 55323 Permit Type: a��essory snu�cures (612) 249-4600 Date Issued: ai2�i2oo SITE ADDRESS: 690 BROWN RD N LONG LAKE, MN 55356 PID: 34-118-23-12-0007 DESCRIPTION: Proposed Use: Census Code 329 Permit Class: Building Permit Type: Accessory Structures Permit Sub-type(s): Building-Pool DETAILS: Approved per resolution#: Separate permits required: Eiectricai(siate j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00 .��,ti�'�.-��,' ��7-i 3 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 743.88 APPLICANT: POOLS 1NC OWNER: AN�REA LARsoN 229 WEST 60TH ST 690 BROWN RD N MPLS,MN 55419 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. < + �)� / /�r�,,�y- �-� , �., ,c1��s /�/C �C, _� lT/��'�"`�� C APPUCANT PERMI'I'EE NATURE L� IS ED BY SIGNATi JRE v Copies: City, Applicant,Assessor,Finance Page 1 � . . � .� Total Fee: $ �- Date Received: �/i�fo�% Entered By: Z1� Permit#: �} ��S"� 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) �WNER OR CONTRACTOR JOB SITE ADDRESS: ��C� � �il/ /� ,(/�� ZIP: NAME OF OWNER: �,C�,D�� LH/��•''v PHONE: (home) (work) MAILING ADDRESS: � �G� ��/�vu'iU/��C�.�ITY:L�=�',� � L� ZIP: CONTRACTOR: �dLS /iG�� PHONE: D �J�� CONTACT PERSON: � �� NIOBILE/PAGER: MAILING ADDRESS: �2 1 �'�`S f G c� �'S�CITY: /�/�� ZIP:=��/ STATE LICENSE: # :�RCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New �/ Addition Accessory Structure Move Remodel/Alteration Land Alteration ��:.�r�'i'e1'� PROPOSED WORK(describe in detai�: � �j(J � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �o ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �(` , c=o t� ' 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 wi the approved plan. -- � UZ5 APPLICANT'S SIGNATURE: � C:��- S i • /� � �� 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. 5 � a.. , . . 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 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)whether he may refuse or is legaUy 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 enrities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply investigative data, pursuant ro section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or pro�ertv tax refund instructions instead of on those forms. 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 dassified 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 and,if he desires, shall be informed of the conten[and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the privare or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date 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 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 conceming himself. To exetcise this right, an individual shall notify in writing the responsib(e authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the daha 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 the data to be correct. Data in dispute shall be disclosed only if the individual's sta[ement of disagreement is included with the disclosed data. The determination of the respo�sible authoriry may be appealed pursuant ro 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 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. First Middle Last Address ��y State Zip Phone I under.la�y rights as stated above. ' � C_-�-, , .��.�. L-- �O S /l.� 'gnature 6 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��i U (,3(Low�..► I�✓�.� (�Iv PID: DESCRIPTION OF WORK: � ( ------------------------------------------------ --------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: .S-/�9-� BUILDING REVIEW BY: DATE APPROVED: J —�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes �' No SEWER CONNECTION STATE SURCHARGE Yes �� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONIl\G CHECK LIST Zoning District: C,2•/✓� Fire Department: (,c�n., (,q Post Office: �vvt G4iu3 School District: �Y��v Lot Area: Sq.ft. �v G �Acres Width Depth Survey Submitted: Yes �C No Date of Survey: DnJ �l-C Proposed Setbacks: � �(� Front (Lake): 3�� Right Side: /`� . � Rear (Street): (,l,5 Left Side: i$� �S Adjacent Structures: �-10 � Wetland: N 1�A Building Height: Def. Hgt. /�1 �✓a Peal:Hgt. — Lot Coverage: /J �/9 Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: /J � � By: – Zoning File: # � Resolution: # — Resolution Date: — Shoreland District: �.PS Avg. Setback: c�•t� Bluff Setback: /�/ //a- L.ot Coverage: U.(C Existing Proposed Hardcover: 0-75' 75-250' zso-soo� D-(�, soo-i000� Hardcover Variance Required: Yes No � Date of Council Approval: REMARKS (in house): 7 � BUILDING REVIEW CHECK LIST UBC: � CONSTRUCTION TYPE: — Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 3 V� Ot�o �� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) .[ 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'1�: 8 67/06/2600 18:23 6128612523 BAKER POOLS PAGE 02 .�. � 1�1 � y �--- -�--- --.� \ , � � - •- - � � � � � � � \ \ . i � � \ ' � � / � � �� / � � � � � � � � 4 . �^ � � � • � � \ \ \ (�� . � � � . � . \ � ` � \ \ \ \ 1 � � � � � ` . � . ' ` �\ `-\ �'� . � � ` \ � \ ` ` -- . . � ` � ,� �. , ,. , � ' ' �� • � . , � � � � . , ' .. �' � ' - - _```� � . -- ,. . 1` \ \ � _ � -` � ` ' � � � � �. � ., � • - � �\ �' � ��. , , -. �. .. , �' - �. '� � - - . � _ ` \ . '.: 1 , \�`� �\ � 1 . •, ` . _ � y� \ � ` � � \ �,,r� , - ` �'� t\ \ \ � 4 � \ � \\ + � � �.r .. � . • � . � � 1` 1 � � \ \ � ` ( /�,• ` \ � � , I I I ,. 1r �`Aj� ` ' � .� l , �►• .� •�,`� ao � 8 - � �11+'a ' � ' '. . '` . ; �, , •. . '�� . � - �l� ` �� .�,` , ,` .o, ,�• ,r. � *, � .. .' , _-��;�.��:�C;�'�.^�'�i(� ❑ ', �`. � � '� I�'� " � SN415(A�� N.LiM Q�A�-��y ❑ ` � �� . ��' � :; � ��'�, �` , �'� '� � �� Q�d a��c��a�-� �� =.:��'�'�� Nd'ld JNIflV�J ' � � . . . : 1 v NY'd 3115 � �`. . . . . - - y' � �I��O �0 �tl ��.'.,�� . : . . �� ". . � � � � ��. ' , � � _ \ \ 1 � \ � \ - `� ,. _� • � • • � . \�. �' � � � -�r ,. . .� \ � ��``� ` _� � � 1 . . \ �, . � '�'•- \\'� � 1` .� �,1 , �� t� Y�� h� � �., � � � M �, � ' _ ^ ' �� / � � ��r i / i1� 1 i�' � „ � � ti � J �� ..^-_ * �; - ��"rr �+� � • i: .� �� ; • ii - - -- -.�.. -• - .. _ .,�I ` ��` �, , - _ _ ._, - _ � , � , _ ` ` 1 ; _ , ,,` ��+ ` .- . . ' � � � . . - ' i � - ' �� • � - _„. , i - - • - � . • i �� - ' , DATE TIME CITY OF ORONO CALLED IN �� INSPECTION,h�OTICE SCHEDULED �' -� ° //, '� PERMIT NO.�� `�S 7 COMPLETED �� J- 3U ADDRESS � ��'' • OWNER �C��`� CONTR. � TELEPHONE NO. � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 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 FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � ` OM E S: �� ✓1 . � �1'►�./ /L �1�2 Q �� l�-.5� � z W � W � � d W WO K SATISFACTORY:PROCEED I PROJECT COMPLETE � CI CO RECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR flEINSPECTION TEMPORARY V FORECOVERING PERMANENT � ORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN : CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR C 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector. /�/��Z ��-'v�`3 White Copyllnspector's File Canary CopylSite Notice