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Home My WebLink About2000-P02792 - addn/remodel/repair , . " � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2�92 Crystal Bay, Minnesota 55323 P@t"t111t Typ@: Addition/RemodeURepair (612) 249-4600 Date Issued: sisi2000 SITE ADDRESS: 2615 Countryside Dr LONG LAKE, NIN 55356 P I�: 04-117-23-12-0004 DESCRIPTION: uBC occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: Eiectricai(siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 38•75 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 39.25 APPLICANT: DARRELL BECKSTROM OWNER: D BECKSTROM&K BECKSTROM 2615 COUNTRYSIDE DRIVE 2615 COUNTRYSIDE DR ORONO,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. � � �%�� ITEE I URE ISSUEDBYSIGNATURE Copies: City, Applicant,Assessor, Finance Page 1 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. (please print all information) THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: ' CO ' '►�'1 � ZIP: .�5356 OrpY�O� M �vaN� oF owrrE : a� PHONE: (riome) �73�,4-77 (work) MAII..ING ADDRESS: 26( y � CITY: �yI ' ZIP: 553�6 CONTRACTOR: e1 PHONE: C0�1'I'ACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: ST aTE LICENSE: # AP.CHITECT/ENGINEER: PHONE: 1I.�ILING ADDRESS: CITY: ZIP: �:�I�IE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK (describe in detai�: � ro o m, ! Q�v�v` ,� � vP L STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $��(�Q, �0 I hereby apply for a building pernut 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 will be i an e w'th the approved plan. APPLICANT'S SIGNATURE: DAT'E: �-'8-�� NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 . ' Sec.13.04 RIGHTS OF SUBJECTS 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 fonh in this section. Subd.2. Information required to be given individual. An individual asked ro supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide rystem;(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 confidenaal data;and(d)the idendry of other persons or enades authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcemen[officer. The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or orooertv tax refund instruccions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals, and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the 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 hun for six months thereafrer unless a dispute or acdon pursuant to this secaon is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actuai cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exciuding Saturdays,Sundays and legal holidays, if irnmediate compliance is not possible. If he cannot comply with the request within[hat time, he shall so inform the individual, and may have an additional five days within which to comply with the request, exctuding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreemenc. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy past recipiencs of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data [o be correct. Data in dispute shall be disclosed only if the individual's statement of disasreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administracive 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 inform you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 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 agencies 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 cenain righu 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. Firs2 Middle Last Address Citv State Zip Phone I un st ri ts as stated above. Sg e 6 � -- - - � I o �� I II � � ----- -- -�-- -+--- I --y •----.__ i� � � I % / / _ � ��_ _ _' . / _'� ____ J.J -- -- - - � ._-- ---- � m�,� _ � _��z - - � U; � �, o r- � > i ,�,�� , � ; .G' r- :� �� •, i f e • � O O� � `� I I ,� �• � V �� ;,�at' �rx�' ` � � ' � � , Q � , t3.. � `=� � � o Q o � ' � ( �; Ij• -�'c' . � ;, f- n� � � , � � j � -�----------�---�- o � � � � � � .•} �, L�� ..._. ,� � v -� � � V ► � � � �,-�� w� � �� .� ; � � i � , �;y ,i :cc� ►- � � � s z � � r� �I �� i � , -�-- W r v .-.`'`''c � � x' � i � 7 � � � ti v � J ., � � � � �� 3 � �o � � � I � ' � � wa � 1 i � � � o � � 1 � � Z � i, - � o �w � � � � w _ � ; i -'�-rr,^, -'rxz L,ru� - �z �- -- -- __-_- � - - ----_ �'�.� � ___�� ---ir�- . --� v= � {.—� � — _ ► _ �! —�_ � _ , ;---- ► i QJS1Q � Jj � � '' � ! r �� u � - � � � , � f ,.x,,;�,,,�, _ ��,Q �� c�� ' i _� f. t Q �,�,�� ` :� - � , � �- ��,�� a> ; �� , i � � t�. i , , s --a � � � �� I f � � � � ' r, �. . 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W i i Z � ❑ O1—�� I i i � -- — � I � � ` I � '� c 7 .�1 "c� � � � .,7.¢ .,'1 I � i y�rr��x� � � ' I � 1.�.�7C�� I � � � �- ��- -� ` � � � ' � � � . �. , r I I � � I�__. , ---- '---- .f � � � __ ---- ----- •--- � I , ,.� -- -• F— ,�-- � ��„� i" , / -- ---- -;:�-- . -_. __ _ —•-- � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �'��„rT.�, Sj� PID: DESCRIPTION OF WORK: IY�,�' ��^+�_ ------------------------------------------------ --- --------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: N//'� BUILDING REVIEW BY: DATE APPROVED: g - b •O J FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes No �/ SEWER CONNECTION STATE SURCHARGE Yes �" No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: N C.� � Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Sur��ey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetl d: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: " Grading: Staff Approval Date: B � Council Approval Date: � Septic: Staff Approval Date: By� Zoning File: # Resolution: #� Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: F Lot Coverage: Existing ` Proposed Hardcover: 0-75' �' 75-250' � 250-500' � 500-1000' �ir (, Hardcover Variance Required: Yes No�_ Date of Council Approval: �r REVIARKS (in house : � � � �A t� � w/��►�ii �20�.�. � � � BUILDING REVIEW CHECK LIST UBC: /?•3 CONSTRUCTION TYPE: v/� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL O Estimated Construction Value: $ 1+ (� p O �' Inspections Required: Work Requiring Separate Permits: Site Plumbing � Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other �L Wall Board (Mfg.) Well (State Permit) _�L Final Grading/Filling �_Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 DATE TIME CITY OF ORGNO CALLED IN sy��_ �� 3Co INSPECTION NOTICE SCHEDULED �� PERMIT NO. �GI o��— COMPLETED �� U ADDRESS �o C�I,S CG9Z.+�'`�i"�1�� • OWNER CONTR. TELEPHONE NO. y 73'��7� � DESCRIPTION �4�� 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 Z4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O � � O � W � Q � Z W � W � j d ��JORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ��i CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WOFK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,. pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED f; INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContra r on site: � Inspector.,��_��.�-�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN lL-� INSPECTION N TIC SCHEDULED lLt-- �d _� '� PERMIT NO. � 9 `�`��i" COMPLETED ADDRESS v?��•� �✓u^�"e� �A ' `� OWNER ,�.�tn!.�.4�� CONTR. ..t1�� TELEPHONE NO. � �3 0� �� DESCRIPTION � ly� 01 FOOTING 11 NIECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION FINAL 14 SEWER HOOK-UP 06 PROGRESS � 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � J O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � Ci CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT [7CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nexf inspection 24 hours in advance. 249-46�0 OwnerlContrac�br on site: Inspector.,.�� .�-v� (��C��t��/ � White Copyllnspector's Fi�e Canary CopylSite Notice DqT T�— CITY OF ORONO CALLED IN � � INSPECTION OTICE SCHEDULED 41�� Y� PERMIT NO. a� a COMPLETED � �� ADDRESS a�I s C 4�L►'��/ S!�►Z. OWNER �f'C'+�-��'t CONTR. �T�L� TELEPHONE NO. �l 7 3^�� DESCRIPTION ,f��7"�W76" lV .�F9IITI� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACT TO MEET YOU: YES_NO ° COM ENTS: [ ��e t�(4��/ �-s � S �wVl� � � 0 a � 0 � w � Q � z W � W � � d ❑WORK SATISFACTORY:PROCEED i= PROJECT COMPLETE W � L,' CORRECT WORK&PROCEED : ISSUE CERTIFICATE OF OCCUPANCY W O �GORRECT WORK,CALL FOR REINSPECTION TEMPORARY � � �EFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN INSPECTOR WILL RETURN [7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. --.,._-- Call for the next inspection 24 hours in adva�._249-46�0 OwnerlContractor on site: Inspector.��=�`�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �'"7`�G� INSPECTION NOTICE SCHEDULED ��—�--c� FS:o a PERMIT NO. Q�-�^--7� � COMPLETED � � �',�� ADDRESS L6/� C�n7r�� ;.��' .r'r OWNER�%r Y� ��,lc`.�f��^-� CONTR. TELEPHONE NO. �/i' � - �`1 / i n � DESCRIPTION `: r�. �%�L,�� . , �.r lL 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 Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 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 � C� ENTS• � W � � J O / , / � � � (� �� a . �( ' `� � � v <� �S � Q -� �D/��- � Z W � W � j � �NORKSATISFACTORY:PFIOCEED C PROJECTCOMPLETE W � C7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O I l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ; PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED Cl STOP ORDER POSTED.CALL INSPECTOR C 1 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContra tor on site: I n spector��,��,!� � White Copyllnspector's Fite Canary CopylSite Nofice