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Home My WebLink About2000-P02499 - windows � � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2499 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (612) 249-4600 Date Issued: si26ioo SITE ADDRESS: 2450 Countryside Dr LONG LAKE, MN 55356 PID: 04-117-23-11-0004 DESCRIPTION: Proposed Use: Census Code 434 Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows DETAILS: Approved per resolution #: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97•25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 99.25 APPLICANT: RENEWAL BY ANDERSON OWNER: L A KRETCHMAN& S D GRANDE 350 73RD AVE NE 2450 COUNTRYSIDE DR FRIDLEY,MN 55432 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 REQUTREMENTS. `�G A LICANT PE TEG SIGNATURE ISSUED BY SIGNATi_1RE Copies: City, Applicant,Assessor, Finance Page 1 ��TY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 _ _ � Tota1 Fee: $ Dato Rec�ived: Entered By: Permit�1: CYTY OF ORUNO - BUILDING P�RMIT APPLICAI'ION All ir��ormatlon must 6e submitted in full before plan review will be started. � , � �please print all informatton) _..�--------------- - _ .- ----___.___ __.- - -...�------------.___--------.-____-�----------------------- TH� APPT:ICANT IS: (circle one) O'WNER O CONTRACTOR ; �. . , , ,,, � JOB SITE ADDRESS: ��C�' �G�l ��U�,��l�IP: �� C_D ..�„ �, NE111�IE OF OWNER: ��( ��1� Q. C��r�_ PHONE: (home)(�la��I�5�69��j (work) MAILING ADDRESS: � CITY: �.� C�'r�� ZIP:_�>��S(.o � � � (,l.� . CONTRACT4R: �enewa� B� A�e..�Sezv E; � � 350 -�3�� Au.a.NE. ' CONTACT PERSON:. �:dl�.�t mru ss4 3a t� . MAII.1NG ADDRES3, cc��a� soa•y'��'� ZIP. ��'AT� LICENSE: N ��c..�riSe� 0�0130�83 . ARCHYTF.CT/F.rTG1NEER: PHONF: MAILING A.DDRESS: CiTY: ZIP: NAME: REGISTRATIUN# TYPT OF"WVORK: New Addition Accessory Structur� Move Remodel/Alteratian�_ Land Alteration PROPOSED VVURK(describe in detai�: i.�Y _ �,v� t�� —r f � ! �� , �T,i�.1 �� 6� 1 - . ST4IZIES: SQ.FEET OF EACA FLOO�t: NO. OF BEDi�00MS: GARAGE STALLS: ATT. DET. FSTIMATED CONSTRUCTION VALUATION (excludfng lan�: $ �-{��O(� �� I hareby apply for a bullding permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and �odes of the City and with ' the Stxte Building Code; that I understand this is not a permit and work is not ta start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � � �� ,�-E � �� DA1"E: � � 1��"� �� NOTE! P� � of Ha��s events requtre sepamte permit approval by Police Deparhieent and G�ily Counc�l 84 days prdor to the event. Nun perm�tted eveRts w�ll not be ollowed. RRCPIVPl� �'imn Cnn �A 1 ��A�( Drin� Tirnn Cnn �A i � A�D�� TY OF ORONO � 6124730510 09/24/96 14:00 � :03/03 N�:522� Sec.13.04 RIGI�TS OF SUBJ�CTS OF DAT.1 Suhd. 1. Type o�dscs. 'Itie [1yh�s of indlvidud on whom the da4 is smred or to be:tored sh�ll be u set fonh!n thfs secdan. Subd.3. Wormatlon riqtdnd ta be ei►en iadtoidual. M Individuol as�ed to supply private or conRdeeutl dna¢onceriilng hLnaelf Rhall be fnfo�mM of; (�)�te purpose�nd inunded use af the requesuxJ data withia the colleednQ 1nu agency,poUdcal subdivisian,or stue�.�ide rystem: (b)wfiether he may reruse or i�legtlfy tequired ro supply rhe roquesced dva:(c)uny known eonuquence arising from his supplyln�or rofl�sing to supply privaca or co�(Iden�i�I data;and(d)�11e Idenriry of odur persont or endoes author+zed by suie or fedetal l�w[n rCceive rhe dara. 1'ht1 requlremetu shull noi apply wheo an fndividual i�nsked co fnpply investigadve daa, pursunn�io ceedon 13.62, subdivision S,to a law enforcement o[ficer. Tha cum�ni"ssgnC[ f �venue ma� alace �he nonce reauirad under t1 is subdi�isio in �he irtdividu�l income rax or oroosttv �x:�el�nd i{�p��,►on��q�s ad uf on�►o�c form�. �� SuDd, 3. Aeee�a to data by indlvidual. Upon rcques�to a rcspunsiDie au�horiti,�n lnAi�idual shall be informed whecher he le ihe s�ibjeec ot�wred dara on individuals,and whethar ie is cl�ssified a�public, private or conPldenrial. Upon 6is tUrther rcquest,an individual who 1�d�e subjact �f�wred pri��ce or public da�a nn individunls shall be sho�+rn �he dan wi�houc any chu�e u�him end;if he deairos,she11 be infonned of rhe eonront rnd meaning of d��e data. After�n individua!has been shown�he printa dnta�nd iafortned of its meaning,d►.e daa need noc be diaclosed to him for tlx ewnrhs thcreafur unlet� a dispu�e or�ction pursuan[ro �hia secdon is pendin�or addi�ional daa on the individual hos been eollec[ed 4r crear�d. 'I1ia rs�pntuible�uthpriry thtll pro�ide copiea of rhe private or public dara upon rcquest by�he individual subjecc of the dara, The rceponsible au�ho�iry �vy require the roque�tin�person ro pay die ac�uel c�s�i of making,certifyino.uid compiling�e eopies. The�sponsible auth�riry shall comply immedi�taly,if poesible,wi�h anr requea�made�x,rsuant m rhis subdivision,or wiihln fi�e days of rhe date of the Teques�,excludinQ Saturd�ys.Sundays�nd legd holldays,if immedlaea complignce is not possible. INhe eartno�comply with�he rcques� wld�ia chac dme,he�hall w inform rha Individual,and may ha�e sn addirionzl five deys wid�in which co comply wf�h che roquesc,exeluding Saa�rdays. Sbnd�ye nnd IeQwl holldaye. Subd.4. Roeedure when dnta is net oceurste or eomplete. An inJiv�fual m�y conms�rhe accuracy er complerenoa�of public or priv��e d�a eoneernlnj himself. To exercise rhis right,vn individuel shall nodl�in wridnp�he roapunsible su�hudty describing d�a nen�ro of�he dfsegroemenc. The ro�penalble�uthoriry dtell wid�in 30 days ei�her: (a)correcc the dam found�a be inaccun►te or incomple�e And stcempt ta nodfy p��e recipfents ef inaeeurtte or incaroplete dpra, Includin�{reoipienta named by [he individual;or(b)nopfy�he individual chec he belleves the dan�ro be oorrec� Dara �p d�pute ih�ll be diaclosed only if the indlvidusl's sniement of dls9Oroemnnt is includad wirh�he dieclosed dara. 'i'he detem►inn[ion ol�F,e rrsponsiblt au�horiry may bo appealed pursuani eo the pm�fsionc ot�he adminixwrive procedure act relatine co concested ca�es. . � pAT�i PRIVACY ADVI$QRY ln a�eordanee with M.S. 13.04,Subd.2, "�tighcs of su6Jects of data", we would]ike to inform you that your requesc for a parmit or license from the City af orono or any of its depar[ments may require you to turnish certain private or confidential information. You are notified that: 1. The informetion you fumish will be used to determine your qualiftcation for�he permit or iicense requosted. 2. You may refusc to suppiy d:ua, bu� refusal may require that the City deny the permit or licc�tse. 3. The information may be shared with o�hcr loeal, state or federal agencies to the extent nec�ssary to process thc permic or lkensa � 4. . 1f your requested permit or license requireo Council action co approve, some infarmat[on may becomc ' public. 5. You have cena�n rights under M.S. 13.04 (available upon roquest) to review private data on yourself. 6, Your full name is required to process this application or permit. � . . � ��'�i�CA � -- . � Fi i C- •�� le Lut. .1.�..�� - AAd�s �1� � ��-1�—=��`// �� .�.�� J�� Clcy Sd�e 2ip Phon� �� . 1•uaderstand my rights as s[aced above. ( Si�n��un D.,,.. . .._ ] m� n n, � �nn,r n_ � � in, � .. . . ,...... � DATE_, TIMEV' CITY OF ORONO CALLEO IN � �S"C INSPECTION NO C C SCHEOULED � / •��1� / PERMIT N0. �� COMPLETED ADDRESS �`�' ��S C� C�� i�yJ�' ��t ✓�'�- OWNER CONTR. �%'.-�P�� .�-�� '�-` TELEPHONE NO. �1�S �-�� " ��j 3� , � � DESCRIPTION ��.�1--z�'2�'� j��.�"C'�z-�.�.°�z/' � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION !r!j 14 SEWER HOOK-UP 06 PROGRESS � L7EM0-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:�YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � " ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-460� OwnerlContra r o te- Inspector. White Copylinspector's File Canary CopylSite Notice