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Home My WebLink About2001-P03472 - add/remodel/repair � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po3a�2 Crystal Bay, Minnesota 55323 P2CfYtlt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: 1i31i2oo1 SITE ADDRESS: 1020 Brown Rd N LONG LAKE, MN 55356 PID: 27-118-23-42-0019 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai �iecu�icai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 522.55 Valuation: $ 38,000.00 Plan Review Fee: $ 339.69 State Surcharge Fee: $ 19.00 TOTAL FEE: $ 881 Z4 APPLICANT: NORTHERN SUNROOMS OWNER: M J ROSE& D A KIRBY 1060 BROWN ROAD N. 1020 BROWN RD N 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. � �� ' �� ; APPLI A ERMITEE SIGNA"I'URE ISSUEDBY SIGNATURE � ��i Copies: City,Applicant,Assessor, Finance Page 1 . � t ` - _ Tntal Fee: $ % � '` Date Received: �'-- /C�C�� _ Entered By: �l✓ Permit#: �„��-- � % _ � � CITY OF ORONO - BUILDING PERNIIT APPLICATION All information mul�be submitted in full before plan review will be started. (please print all information) � --------------------------------------------------------------------------�--- - ------------------------- THE APPLICANT IS: (circle one) OWNER OR ON CTOR JOB SITE ADDRESS: D Z(> �� I�l�t,t;(� Z�: �� :��V/1>i S �5Z . NA.�iE OF OWNER: E �� i � PHONE: (home) y�(� g,��Z �� Q� (work) NIAILING ADDRESS: i�Z(� l V IJ(Ol.c)� �� CITY: ZIP: CO\�T'RACTOR: D f � n �U►'�('C�l�M S PHOl�'E:_ 95Z-�/�lo--�8�D 3 COr�TACT PERSON: �E � IOBILE/PAGER: �i"Z - �/Z- z� l M.AII.I�i TG ADDRESS: /D�vO �U - �vi..�,� CITY: l�RU,N tj ZIP: SS 3 STaTE LICENSE: # �-�� ARCHITECT/ENGINEER: PH0�1E: vIAII,I�i iG ADDRESS: CITY: Z�� N��; REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration /�/� . . � PROPOSED WORK(describe in detai�: NEW / � �►45T �� E��'U�/Y� lTC STORIES: SQ. FEET OF EACH FLOOR: �'O. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. � EST�IATED CONSTRUCTION VALUATION (excluding land): $ � � Ei�� 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 Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work wi1T be in a cordance it the approved plan. APPLICANT'S SIGNATURE: DATE: l'�/� �� 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 � . r � Sec.13.04 RIGFiTS OF SIJB.TECTS 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 secuon. Subd.2. Information required to be given indiridual. An individual asked to supply private or confidenpal data conceming himself shall be informed of: (a)[he purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refiuing w supply privar�or confidential dam;and(d)the idendry of other persons or endries authorized by state or federa(law to receive the data. This requirement shall not apply when an individual is asked to supply investiga6ve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the norice reouired under[his subdivision in the individual income taz or orooem tax refund instrucrions mstead 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 data 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 data on individuals shall be shown the data without any char�e to hun and,if he desires,shall be informed of the content and meanin�of that data. Aher 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 acdon pursuant to this secoon is pending or addirional dara on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon reques[by the individual subject of the data. The responsible authoriry may require the requesring person to pay the acrual cosu of making,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 dace of the request,excluding 5aturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with thz request within that cime, he shall so inform the individual, and may have an addirional 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 dara conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nacure of the disagreement. The responsib(e authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplece and attempt to nodfy past recipients of inaccurate or incomplete dara,including recipients named by the individual;or(b)nocify 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 adminis�aave procedure act relaang 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 Ciry of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified chat: 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 a?encies 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. Jos�;� ►�-y �� First / � A ' � Middle �{ i Last /� x'15-� Address �r�c �''�'I �53s7� ��-�1� ��/ C��Y State Zip Phone I underst my rights as stated above. Signa 6 . �, ' CHECK OFF LIST FOR ISSUANCE OF PERlI'IITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: (U'z..o N o R n� c3 2 o v�nt iZA�a�/J PID: DESCRIPTION OF WORK: R�:w�•�+��.Z — ZO�tING REVIEW BY: DATE APPROVED: /- 2�, -t�/ BUILDING REV�W BY: DATE APPROVED: 1- Z� -o ( FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/' No pLAN REVIEW Yes r� No SEWER CONNECI'ION STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZOti�ING CHECK LIST Zoning Disuict: /'l!c, G�-H4r^�G C� Fire Departmen[: 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: Adjacent Structures: Wetl d: Building HeiQht: Def. Hgt. Peak gt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: . Shoreland District: Av�. Setback: Bluff Setback: Lo[Coverage: Existin� Proposed 0 Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REVIARKS (in house): 7 � . � BUILDII�TG REVIEW CHECK LIST �C� �Z'3 CONSTRUCTION TYPE: V 1'�l Sq Footage $ Per Sq Ftg Basement R = lst Floor x = 2nd Floor x = Garage R = R c TOTAL Estimated Construction Value: $ 3��vQ"" Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal v( Mechanical Water Connection Footing Septic Sewer Connection pC 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: Existin� New Access Approval: Date By: ----------------------------------------------------------------------------------------------------------------------- REv1ARKS (TO BE NOTED ON PERMI�: 8 � DATE TIME CITY OF ORONO CALLED IN 3�5 -U% �" 2`I A� INSPECTION NO CE SCHEDULED 33r ��a/ �--30 PERMIT N0. ��3��Z COMPLETED -��J�=.F �_ ADDRESS �GaZ� /U� �/"ZCu.�1.,� �� OWNER CONTR.-�U��IZT/-��AJ S��t K��'l�S TELEPHONE NO. CG�o� U �� G� � DESCRIPTION �5��fc.��/,� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q � �ULATIO_ 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C j � � ��L �7'P; � �;�'"�� /�i >. ' � O � W � Q � Z W � W � � � � �B WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVEFING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContr tor on site: Inspecto�L�r/l �� White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN �-�� r� �y� �-�c INSPECTION NO t F�/./��7 scHE�u�Eo U/ / ' �- PERMIT N0. � � '7 /� COMPLETED � • �a ADDRESS `Q��U +6�iJL�� ,��'' �L1• OWNER CONTR. ,1 t�D�£�2h-� J vc' I��f TELEPHONE NO. Ls��<� �l� 1 - C) �:�-5 � DESCRIPTION �� 1�'1 ��S,� W 0/ 1� 11 MECH� ICAL RI 18 EXCAV/GRADING/FILLING Q�02 FRA ' 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 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 � OW NERICONTRACTOR TO MEET YOU:_YES_NO � CO TS: � � � C �. , � 0 � � � Q � z W � W � � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-Q6Q� OwnerlContract n site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � �f � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC �s�c HE�u�E� � �L� PERMIT NO. " �¢bMPLEfED ADDRESS OWNER CONTR. � TELEPHONE N0. ��J� - c�-9c� " C�=�� ' �f'19 � DESCRIPTION � �� . � � ly Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O >. � O � Q 'l�� c�t� Vr��_� � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next�nspection 24 hours in advance. (952� 249-4600 .� " OwnedContrac:f -on s �: Inspector. White Copy/InspectoPs Ffle . Canary Copy/Site Notice �