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Home My WebLink About2000-P02271 - addn/remodel/repair � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po22�i Crystal Bay, Minnesota 55323 P2fllllt Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 3i3oioo SITE ADDRESS: 2435 Countryside Dr LONG LAKE, MN 55356 PID: 04-117-23-11-0005 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 38•75 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 38.75 INVESTIGATION FEE TOTAL FEE: $ 78.00 APPLICANT: CASCADE BUILDERS INC OWNER: M P&C A SWENSON 8024 ALDRICH AVE N 2435 COUNTRYSIDE DR BROOKLYN PARK, MN 55444-2032 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 C[TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQU[REMENTS. f �-., � PPLICANT PERMITEE IGNATURE ISSUED BY SIGNATURE Copies: City, Applicant,Assessor,Finance Page 1 r � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDItii'G PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please prini all information) THE APPLICANT IS: (circle one) OWNER OR ONTRACTO JOB SITE ADDRESS• Z435 c��tirr�s,a� ��.. ZIP; 5535b NA1�iE OF OWNER• �'�� G�� SW��7� PH0�1E: (home) 4�6-q�`�Z � (work) MAILL�GADDRESS• zQ3� �,��T�S„� ;�� CITY: �� ZIP: -�s� C0�ITRACTOR• �•L�n,,;� �,��. w . PH0�1E: =�� - qs�, COi�1TACTPERSON: c�.�� _�uN�N 1�10BILE/PAGER: . NIAILING ADDRESS: �2� A�-�M�,� -�� ,�- CITY: �3�»��L��. "%'� ZIP: �54�t . STATE LICENSE: � 3�� Z0� ARCHITECT/ENGni TEER: PHONE: �L�II�'G ADDRESS: CITY: Z : � N�y�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Z` Land Alteration PROPOSED WORK(describe in detain: L��ss w�N��r. — STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOl�iS: GARAGE STALLS: ATT. DET. ESTII-i IATED CONSTRUCTION VALUATION (excluding land): $ 1��=�� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; chat 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 pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �� DAT'E: 3�3�/» NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. . � Sec.13.0�i RIGH'TS OF SLBJECTS OF DaTa Subd. 1. Type of data. "Ihe rights of individual on whom tbe data is stored or�be storeci shall be as sec for[h in this secdon. Subd.?. Informaaon reqirired to be�ven individual. An individual asked to supply priva[e or confidendal dard concerning himself shali be informed of: (a)[he purpose and inrended use of rhe requesscd dam within the collecdng'srate agency,polidcal subdivision,or sratewide sysum; �b)whecher he may refuse oT is legaily required to supply�e requesced dan;(c)any Imown consequence arising from his supplying or refusing to supply privace or conr.denaal data;and(d)the idendty of orherpersoas or enades auchorized by scace or federal law co receive[he dara. This requiremenc shall noc apply when an individual is uked to supply in�esrieadve dara, pursuan[to secdon 13.82, subdivision 5, co a law enforcemen�o�cer. The commissioner of r��enu r-iav pla-� the nodc- reauired under chis subdi�ision in the individua! incomz rax or properrv taz refund insrrucrions inscezd of on chose forms. Subd. 3. Access to data by indiriduaI. lipon request to a responsibte auehoriry,an individual shall be informed whether he is the subjecc of stord dara on individuals,and wherher ic is classified as public, privace or confidenrial. lipon his funher request, an individual who is the subject of stor_d privace or pubiic dan on indi�•iduals shall be shown�he dara wichout any charge co him and,�if he desires, shall be iniormed of[he concenc and meaning of chat dara. After an indi•+idua!has be�n shown�he privace data and informed or its meaning.�he data need not be disclosed to hicn for six monchs;t:ereaiter uriless a dispuce or acrion pursuanc to chis secaon is pending or addidooal data on che individuai has been collected or crea�ed. Tne responsibl�authoriry shall provide copies of chz private or public dara upon requesc by the individual subjecc of[he dara. The responsible au[horiry may require[he requesring person to pay the acaia!coses of making, certifying,and compiling the copies. "Ihe responsible aurhoriry shall comply immediately, if possible,wi[h any requesc made pursuanc to this subdivision, or wichin five days oi the dare of che requesc,ezcluding Sacu�days.Sundays and legal holidays,if immediaee compliance is noc possible. If he cannot comply wi[h the request wirhin chac cime,he shall so inform che individual,and may have an addidonal five days wichin which to comply with the request,excluding Saturdays. Sundays and legal holidays. Subd.4. Proeedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate ' data concerning himself. To exercise[his ri¢ht,an individual shall nodfy in wncing rhe responsible au[hority dzscribing the nacu:e of the disagreemeac. . The responsible authoriry shall within�0 days eicf:er: (a)corrccc the data found co be inaccura[e or incomple�_and aaempe to nodfy past recipien�s of inaccurace or incomplete dara, including recipiena named by the individual; or(b)nodfy d:e individual thac he believes che dara to be correct. Data in dispuce shall be disc'.osed only if[he individual's stacement of disagreemenc is inc(uded wich[he disclosed data. The decerminarion of the rzsponsibte auchoriry may be appealed pursuanc to the provisions of�he admuustrarive pro:edure act relaang to contested cases. DAT� PRIVACY :�DVISORY In accordance wich M.S. 13.04, Subd.2, "RiQhts of subjects of data", we would like to inform you that your request for a permit or license from che Ciry of Orono or any of its depar[ments may require you to fumish certain private or confidential information. You are notified thar. 1. The information you furnish will be used to determine your qualification for the permit or license requested. ?. You may refuse to supply data, but refusal may require that the City deny the perm.it or license. ;. The informacion may be shared with ocher local, sta[e or federal a�encies to the extent necessary to process the permit or license. 4. If your requested perm.it or license requires Council action to approve, some information may become public. j, You have certain ri�hts under M.S. 13.04 (available upon request) to review priva[e data on yourself. 6. Your full name is required [o process this application or perm.it. Firsc �tiddl� Last .address ��ry Sta�e Zip Phone I understand my ri�hts as stated above. Signa[ur DATE TIME CITY OF ORONO CALLED IN -� �y U 1 �� INSPECTION NO�T,ICE SCHEDULED .�_o c i dv PERMIT NO. � � �� COMPLETED �—Z��L � ADDRESS .S , �t OWNER �='�-��_ �- CO TR. C,2�->'LC-c�.�1�Q ��-�:-� TELEPHONE NO. � K� � -� �� '/ � DESCRIPTION �'`iLY�.��' ly 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � O-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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C,+O MENTS: a l � J O � � O � W � Q � Z W � W � � GW �l"NIORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � �U CORRECT WORK&PROCEED �`-�ISSUE CERTIFICATE OF OCCUPANCY � f7 CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN C]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED f'� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector L��,ifC.-(��1.1� l� White Copyllnspector's File Canary CopylSite Notice