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Home My WebLink About2000-P02423 - addn/remodel/repair �. PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2423 Crystal Bay, Minnesota 55323 P@I'lllit Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: si4ioo SITE ADDRESS: 2150 Colin Dr LONG LAKE, MN 55356 P ID: 03-l 17-23-21-00]5 DESCRIPTION: Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Per►nit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,400.00 State Surcharge Fee: $ 2.70 TOTAL FEE: $ 127.95 APPLICANT: COLIN SHAUGHNESSY OWNER: C K SHAUGHNESSY ET AL 2150 COLIN DRIVE 2150 COLIN DR 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. � v � �:�/�C/�+--� APPL C T R E I UR UED BY SIGNATURE �^ Copies: City, Applicant, Assessor, Finance Page 1 ti I`�� - �/�' � Total Fee: $ � 7 � Date Receiv �-� Entered B fr � Permit#: �d -� •,�� Y• �� CITY OF ORONO - BUII.,DN� G PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) 'I'HE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � � �� G� L��. p� Z�= � NAME OF OWNER: ��t�n s�,c�.� �.n e-ss PHONE: (home,�i'la-�/7S !�!�( (work) �LAILING ADDRESS:a �SQ G./�� , CITY:�C� �LIP: S'S,3S� C0�1'I'RACTOR: ��?�-�� i- �� PH0�1E: ��" ��l CON'TACT PERSON: �/`� Sh.c�sl��cs�-� MOBILE/PAGER: � <//Q=3-c�' MAILING ADDRESS: �� CIT'Y: ZIP: � . STATE LICEI�TSE: # ARCHITECT/ENGI�1i EER: PHONE: �L4ILING ADDRESS: CITY: ZIP: N�,�;�: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration .��-- Land Alteration PROPOSED`V RK(describe in detai�: �� r'6d�'�'' �+� �� ' l�� 7 e STORIES: _�_ SQ.FEET OF EACH FLOOR: NO. OF BEDR001�IS: GARAGE STALLS: ATT. DET. ESTII�i IATED CONSTRUCTION VALUATIO�xcludi.ng land): $S yd� __-- �-- I hereby aoply for a buildinJ perm.it and I acknowY�B�e that the information above is complete and accurate; �hat the work will be in conformance with tt}e ordinances and codes of the City and with the State Buildin� Code; that I understand this is no� a permit and work is not to start without a permit; and that the work will be in accordance wit�ff� proved plan. ,- APPLICANT'S SIGNATLTRE: DATE: S�� d NOTE! �rade of Homes events � ire par permit approval by Police Department and City Couneil 60 days prior to the event. Non permitted events will not be allowed. { Sec.13.04 RIGFiTS OF SLBJECTS OF DaT�+, Subd. 1. Tvpe of data. The righcs or icdividual on whom[he data is stored or w be stoctd shall be u set for�in this sraon. Subd."_'. Informaaon reqtrired to be�ven individual. An individual asked to supply privare or confidendal daa concera�:.g himself shall be informed of: (a)[he purpose and inc:nded use of che requestcd dam wichin the collecdng's�ce agency,potidcal subdivisioa,or s�.:.wide ryst:m: �b)whether he may r.fuse or is le3ally required ro supply rhe requested data;(c)any Imown coasequeace arising from his Supply:�g or rius.ng to suppty privace or conndendai dara;and(d)�he idenrity of orher persoas or enades au[horiz:d by sra[-.or federal law to receive che da=. "Ihis �r:�uir_men[shall not apply when an ir.dividual is asked to supply iavesrigadve dam, pursuanc ro secdon 13.82, subdivision 5, co a law enioreWent occe:. 'ihe commissioner of r�enu nav pia- che nodc- re�uired under�his subdivision in the individual income as or pro�er.v mz refur.d instrucrions insce�d of on�hose forms. Subd. 3. ?.ccess to data by individuai. lipon request to a responsible auchority,aa individual shall be inform�whether he is the subjecc of scor_d data on individuals,and wherher it is clusifed as public, priva�e or confidenaal. ligon his fuczher request,an izdiv;dual who is the subjecc of scord privace or public dan on indi�•iduals shall be shown[he dact wichout any charge tn him and,'if he desires, shall te iniomed of rhe concenc ar.d meaning oi rhac dan. After an individual hu been shown�he privare daca and informed oi iu meaniag,the data need no�be disclosed co him for six monchs cheraiv.r unless a dispute or acrion pursuanc to ehis secrion is pending or addidooal dac3 on che individual has beea collrt:d or creared. Tne responsible auchoriry shall providz copies of che privace or public data upon requesc by che individual subjecc of�he da�a. T'ne resporsible auchoriry may requir �he requadng penon to pay the acn�l costs of making.cerrifying,and compiling[he copies. The cesponsible auchoriry shall compiy immediate(y, if possible, wirh any request madz pursuane co chis subdivis:on,or wis�in five days oi the dar^of ehe request,exciuding Sanirdays,Sundays and legal holidays,if immediace compliance is noc possible. If he canzoc comply wi[h che reques� wichin rha�time,he shall so inform rhe individual,and may have an addidonal five days wi�hin wtiich co comply with the re.;.:est,exdediag Saturdays, Sundays and legsl holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest�he accuracy or comp:�raess of pubtic or pri�•ate - data conceming himseif. To exercise t�is righc,an individual shall noafy in wridng[he respoasible aurhoriry describing che na^�re oi�e disagreemeac. .. The responsible authoriry shall within 3�days ei[l:er. (a)corrnct the dara found ro be inaccurate or incomplete and aaemnc w nodfy gast recipienrs of inaccurar or incomplece dara, including recipiena named by �he individual;or(6)aorify cl:e individual chac he believes th:dara to be correcc. Dara in dispu�e shall be disc:osed only if[he individual's sntemenc of disagreemen�is ir.cluded wich che disclosed dara. The dece:minaaon of the responsibte au�horiry may be appealed pursuanc to the provisions of the administrari�•e procedcr_act relaring to contes:ed c�ses. DATA PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Rights of subjeccs of data", we would like to inforn you that your requesc for a permic or license from che Ciry of Orono or any of its departments may require you to fumish certa_in private or confidencial information. You are nocified that: 1. The information you furnish will be used to de�ermine your qualification for the perm.i�or licerse requested. ?. You may refuse to supply daca, but refusal may require thac the City deny the perait or license. ;. The informa�ion may be shared wich ocher local, stace or federai agencies to the exten�necessary to process the permit or license. :}. If your requested permit or license requires Council action co approve, some informatioa may become public. j, You have certa'in riQhts under M.S. 13.04 (available upon request) to review priva�e data on yourself. 6. Your full name is required to process this applica[ion or permit. � ' �L f�.�I,PS First �fiddla Last aZ-1,S'� c� l� �_ - - �, / ' .��. �7s" - �aiy �,aa 55 / �/ V JJ�� l� — �� -�Y� / Ciry Snce Zip Pta�e I understand my righcs �s scaced above. Signacuro DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �/-�� '� PERMIT NO. POa�� COMPLETED �5�" � 2," 3 ADDRESS OWNER ` CONTR. TELEPHONE NO. � ��-��`� � DESCRIPTION � 01 FOOTING 1-1 HANICAL RI 18 EXCAV/GRADING/FI�LING Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q O5 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 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � GC. � � ' C 7 vl 0 � �� '�� 0 � w � Q � z W � W � � d � I�JORK SATISFACTORY:PROCEED =' PROJECT COMPLETE W � �❑ CORRECT WORK&PROCEED i- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT C�CORRECT UNSAFE CONDITION WITHIN HOURS. i PHOTOTAKEN INSPECTOR WILL RETURN [7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C i INSPECTION REQUI RED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector. ��-�J,-�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN . -�` ��Z��v INSPECTION NO CE SCHEDULED ✓ �" O� v2 '3 D PERMIT NO. s Z3 COMPLETED �`"'/s"G�` 2- ``� ADDRESS .�7 �i-<-� OWNER�J` �.G�J CONTR. TELEPHONE NO. ��= Co S� -'dZ � � "' �O y�/ � DESCRIPTION .�,1�iTU� W 01 FOOTWG MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 0 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � -SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � � O � � O k W � Q � Z W � W � j d f�'VORK SATISFACTORY:PROCEED �ROJECT COMPLETE � � [,CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O C1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL REfURN [ ' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.�/��C��G�l S White Copyllnspector's File Canary CopylSite Notice