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Home My WebLink About2006-P10001 - plumbing � � '' PERMIT CITY O� ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10001 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Addition/RemodeURepair Date Issued: 6/22/2006 SITE ADDRESS: 960 Brown Rd N Unit# Long Lake,MN 55356 PID: 27_118-23-43-0025 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Finish Lower Level FEE SUMMARY: Permit Fee: $ 1,004.95 Valuation: $ 101,369.00 Plan Review Fee: $ 653.22 State Surcharge Fee: $ 55.00 TOTAL FEE: $ 1,71317 APPLICANT: LeGran Homes OWNER: Garry& Shannon Banks 1521 94th Lane NE 960 Brown Rd N Blaine,MN 55449 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. �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), l-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 , � ��aalg� _ � Jue-;5-200� 01:52Pm From-CITY OF ORONO C(,�� +9522494616 T-298 P.001/002 F-611 , ` )� 'T'otal Fee: $ /7/3•�7 Date Received: �� Entered By: Permit#: ;�1 � ' " CITX U�' OR.ON'O - BU�LD�IG p�RN�T A..P��CA'�'ION' All information n�ust be submitted ix�.full before plan review will be sta�ted. ' (please print all inforrnation} T� Ap�'LICANT IS: ^ (circle one) OW�ER 0 CONTRACT�12 � , aros sz� �nnx�ss: , . � � �r� z�: �� NANiE O� 4'VYNER: C��t�r �� 5i�� `� �PkiONE: (home) . (�vork) 1�IAYLING AAD�SS: O �. �fov�r� �-� . CITY:_��a� —�' `��-� C�N"I'RA.CT4R- ' �raY, �� Ll,L Pk�ONE: �03""7�� - S �5� CONTACTPERSC}N:. , � ��C.a�`.,�e,� 1IOBILE/PAGE�:�iZ`G�`t��'�8�`-% — �YI,�NG ADD�SS: ti► i✓v iJ� C�'Y: ��a�v�-a ZIP:5�� =-1 ST�iTE LYC�i�TS�: #,o7-D 5S l0 31 ARCH�'�'ECT/ENGINEER: P�TOYE: . ��,�iG A.I.aDRESS: CITY: �T�':�.�— NAN1E: �GISTRATIQN# Typ� p�' 'WORK: New � Addition Accesso�y Stiucture, Nlove � k�emodeUAlteracion_� Lan.d Alteration P�20POSEp WQR�(describe in detai�: � t u�.iS 1D 1�� l�� C� — S'J'OR�ES: SQ.FE�T O�`�ACk�FLOQR: No. Q�' B�URQOiV1S:- � GARAG�E STALLS: ATT: • I)�ET.�•->,:-..��... �•_:__.__.- ,• . , �� ESTu1dA.'I'EA CONS�UCTYON VALUA.TIO\ {excluding Iaxtd): �.J�� I hereby appiy for a buildiug pernz,it and I ac�cnowled�e that the in�ormation above is complete and aecurate; that the work will be in conformance with the ordina�aces aud codes of the City and with Lhe State Buildina Code; that X understand this is noc a permic and wo�k is not to start without a permit; and that the work will be in accordance with the approved plan. � � APpLYCANr'S SYGNATURE: � �L-��- DATE: Co I'j �L� NO�'E! g.arad'e af�mes events re�uire separate permzt approvaY by Palice .l�e,partment and Crty Council 60 days prior ta the event. 1Von permitted events will not be allowed. Sec.13A4 RIGHTS OF SUBJECTS OF DATA Subd. l. Type of data. The righLs 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 himselfshall 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 legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or contidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision�,to a law enforcement officer. The commissioner of revenue ma�place the notice required under d�is subdivision in the individual income tax or propertv taa refund instructions instead of on those forms. Subd.3. Access to data by individuaL Upon requestto a responsible au[hority,an individual shall be infonned whether he is the subject of stored data on individuals,and wilether it is classified as public,private or contidentiaL Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dafa without any charge to him and,if he desires,shall be informed ofthe 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 six months thereatter 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 che private or puUlic data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shali comply immediately,if possible,with any request made pursuant to this subdivision,or��ithin tive days of the date ofthe request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which to comply with[he 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 oCpublic or private data conceming himself. To e�ercise this right,an individual shall notity in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notiiy past recipients of inaccurate or incomplete data,including recipients named by die individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disdosed only if the individual's statement of disa�reement is included with the disclosed data. 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 infonn 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: L The information you furnish will be used to detennine your qualification for the permit or license requested. 2. You may refuse to supply data,but rePusal 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 rec�uested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under NI.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. ,"�t l f�E l� /� �vlylE% `� -��..5( �C `— First �liddle Last /-�� -/r� �� Address �% �j��L Z�" f�� c/��/ Citv State Zip Phone I understand m,y rights as stated above. l� � Signaturc Reset Form �� Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p/ease print all i�iformation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia!event permit is required with Police Deparbnenl and City Council approval 60 days p��ioi•to the event. Shtrtlle bz�s service will be r•egzrired unless applicant demonsh�ates su�cient on-site parking is avnilable. Non-perrnitted events will not be allowed NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Rny earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detain: STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED 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�vill 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: 3t CHEC� OFF i,IST FOR ISSUANCE O�k' PE�'VIITS FOR OFFICE USE ONLY ADDRESS ORLEGAL: �Co� �� E'.�-/'t)c�ti� !2C`.A� PID: DESCR�'ION OF WORK: C,owc�iz L��v c��- F�NtSH ZO�tG REVIE`V BY: `---N I A^^ DATE APPROVED: SUII�DING REVIE�V EY: DATE APPROVED: 6•Z Z�06 FEES TO BE CHA.RGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIE`V � Yes �/ No SEtiVER CONNECTION STATE SURCHARGE Yes ✓ No tiVATERCONNECTTON INVESTIGATION FEE Yes No _�/ PARK FEE SAC Yes No ,/ SITEINSPECTION Number of SAC Units OTHER (specify) ZOi�PIi�l'G CH�CK LIST zoning Discricr. N� e . Fire Departmenc: Pos[Office: School District: I,ot Area: Sq.ft. Acres 'dch Depth Survey Submicted: Yes No ate of Survey: Proposed Setbacks: Froat(Lake}; Ri�t Side: Rear(Street): Left Side: Au;��P�r gr�,�n,res; Wetland: �� Buildin� Hei�t: Def. Hgt. Peak H . Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: � Septic: Staff Approval Date: �_ BY� ��,� Zonin; File: !# Resolution: � solution Date: Shoreland District: Av�. Se[back: B1uff Setback: LotCoverage: EtistinQ Proposed 0 Hardcover: 0-7�' 7�-250' 2�0-500' 500-1040' Hardcover Variance Required: Yes No Da�e of Council Approvzl: RE�L�S (in house): . • � BUII�DING REVIEtiY CHECK LIST �C� (Z''-� CONSTRUCTION TYPE: �[/�( Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage X = x = TOTAL Estimated Coastruction Value: $ 10 1,'3�.`( °= Inspections Required: �York Requiring Separate Permiks: Site _�Plumbing Fire Hardcover Removal �c Mechanical Water Coaaection Footing ` Septic Sewer Connectioa � �( Framing Fireplace Lawn Irrigation ,! Insulation (Masoary) Ocher oc Wal1 Board (Mfg.) Well (State Perm.it) _�F�� Grading/Filling �_Eleccrical (State Permit) O the r REMAR.KS (IN HOUSE): -------------------------- REVIE`V BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By; ------------------- REI�IARKS (TO BE NOTED ON PERiI�IIT�: 8 �1-�, ��-�- �/U�t � � ,-�- , / DATE TIM� / CITY OF ORONO CALLED IN - '�� V INSPECTION NO ICE SCHEDULED �(.� �� PERMIT NO. '�-, COMPLETED ADDRESS �� I�U�� UW✓�l� OWNER CONTR. I�•l�Y��lVI�'', �S TELEPHONE NO. �� ' �� " �} ��-(�� DESCRIPTION J � �I �' `�- tve. t��01 F�OOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING � UZ�FRAMING 13 MECHANI FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 0. o � �_��t� � �v c ��H � � ��i-�=�,".�� 0 � W � Q � z w � W � � d W ORK SATISFACTORY:PROCEED [i PROJECT COMPLETE � ❑ RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24g-4600 Owner/Contractor on ite: Inspector. � White Copyllnspector's File Canary Copy/Site Nofice � �� ) l , \� DATE TI �Y ORONO CALLED IN ��Vln � 'C' INSPECT C Q f` SCHEDULED �� PERMIT NO. r I v�� co LETED ADDRESS � OWNER CONTR. � TELEPHONE NO. � ' � DESCRIPTION l�, U �� ' �" \ l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS h O 43 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 J 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 4 o �-/l�.S:s r - -�i G � v � �v CIC 0 � w � Q � z W � W � � d ^ - � �ORK SATISFACTORY:PROCEED [:�, PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. 1� �� White Copyllnspector's File Canary CopylSite Notice