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Home My WebLink About2001-P04079 - addn/remodel/repair � ' PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: po4o�9 Crystal Bay, Minnesota 55323 PeCllllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: �i2��2ooi SITE ADDRESS: 105o Cox Farm Rd Long Lake,MN 55356 PID: 27-118-23-32-0017 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviec;nanicai rirepiace r,iectricai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 713.75 Valuation: $ 60,000.00 Plan Review Fee: $ 464.03 State Surcharge Fee: $ 30.00 TOTAL FEE: $ 1,207.78 APPLICANT: Shading Space, inc. �WNER: Alan&Cyndi Lloyd 41 14 Nicollet Avenue 1050 Cox Farm Rd Minneapolis,MN 55409 Long Lake MN 55356 Sfi�� r?� S ��a� � THE UNDERSIGNED HEREBY REQUESTS PERNIISSION TO MAKE TI-IE 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. `�ila,�� `—�-1--C1,��lti— �7/y.�D��. ��1 A PLI ANT PERMITEG SI NATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � Total Fee: $ '� � �� Date Received: �--/�-a � Entered By: Permit#: �C �� j T '�� ., . ,_. . '. , . _. . CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICAN'T IS: (circle one) OWNER O ONTRACTORj �f JOB SITE ADDRESS: 10�b Cox F�t' �L� iz-i� ZIP: '�; 3�(�, . NA.�iE OF OWNER: Lii.��! ;��7'�l�>i Z L c�YD PHONE: (home) j5 Z - 973• S�=�5 . (work) NIAII.ING�iDDRESS: Io�c Ga� F F,2 �-r /z� CITY: o�c�lo ZIP: �3 3�cP , CO\�'RACTOR: .S't/�!�f^�� S'P�1�'F , �NC� PHOi�'E: Co i 2 N2 l� �j��` CO\-TACT PERSON: Sr�=f-=�•lrC K✓C—c,�=� l�IOBILE/PAGER: 1L�II.,L�1G ADDRESS: 4 r i y- �l/eou.�i ��- CITY: n-�i��- ZIP: �� o ST�iTE LICENSE: # z��l y I 1 %{1s ARCHITE CT/ENGItYEER: I`t� C°<��l l��( � /\�,o� _ PHONE: vIAILING ADDRESS: CITY: +-'(Y�-� ZIP: NA.�IE: �h R �`�T��i ��T�ti t�� REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK (describe in detain: �i�/i 5F/ �ow�n C�ii�� vi�-�c� S��c.F /�/�'L Ui�/�� ll Rt��Yo��'�-4, T-�tThl, ��/��tF �P<\C��, �f2 G £=n/r�l2T7�i��i t�.Z;�_ �'L-� . STORIES: SQ. FEET OF EACH FLOOR: \O. OF BEDROO�IS: / GARAGE STALLS: ATT. DET. ESTLIIATED CONSTRUCTION VALUATIOv (excluding land): $. coo, o� - �� I hereby apply for a building pernut and I acknowled�e that the information above i� complete and accurate; that 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 permit; and that the work win be in accordance with the approved plan. APPLICAitiT'S SIGNATURE�� „�- `' , .,��. �% DATE: � u-�- ��, �`�"i , 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 SLTB,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 s_=;.a. Subd.2. Information required to be given individual. An individual�sked ro supply private or confiden�al dara concer�.�-:imself shall be informed of: (a)the purpose and intended use of the requested data within[he collecdng state agency,political subdivision,c-::-�,widz systeri�;(b)wht4f�e�he may refuse or is legally required to supply the requested data; (c)any lrnown cocuequence arising from his s�-:,ing or refu3ing co svpply private or confidendal dara;and(d)[he idenrity of o[her persons or entides authorized by smte or federal law ro recei•:o=a data. '•, 'I'his requirement shall not apply when an individual is asked to supply invesri;ative data, pursuant to secrion 13.82, subdivision:. = a law enforcement officer. The commissioner of revenue mav lace the norice re uired under this subdivision in the individual income taz or ro em _-refund instrucrions instead of on those forms. Subd. 3. Access to data by indiridual. Upon request to a responsible authoriry,an individual shall be informed whe�:e-=e is the subject of stored data on individuals,and whether it is classified as public,private or confidennal. Upon his further request,an ind:��^1 who is[he subject of stored private or public daa on individuals shall be shown che data without any char;e to him and, if he desires,shall t�=�rmed of[he conrent and meaning of that data. After an individual has been shown the private data and informed of its meanic�, the data;_--��oc be disclosed co him for six months thereafter unless a dispute or action pursuant to dus secoon is pending or addirional data on che individ��been collected or creared. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject c.'�_data. The responsible au[horiry may require the requesring person to pay the actual costs of making,certifying,and compilir.g the copies. The responsible authoriry shall comply immediately,if possible,with any requesc made pursuant ro this subdivision,or withir.`-:�days of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot cc=_:�, with the request within that dme, he shall so inform the individual, and may have an additional five days within which to comply with c_ _-��uest, excluding Saturdays, Sundays and legal holidays. ' Subd.4. Procedure when data is not accurate or complete. An individuai may concest the accuracy or comple�eness e'�__Iic or private data concerning himself. To exer�ise this right,an individual sha(1 nodfy in writing the responsible authoriry describing the ra_:of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the dara found to be inaccurate or incomplz�,and atter.:��odfy pasc recipiena of inaccurate or incomplete dara,including recipienu named by the individual;or(b)notify the individual tY�ac he belie�_s�:data to be correct. Data in dispute shall be disclosed only if th�individual's statement of disagreement is included with the disclosed dae. The dererminarion of the resporuible authoriry may bz appealed pursuan[co the provisions of the adminis�ao�e procedure a�:-:!adng to contested cases. D�TA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you t:=:your request for a permit or license from the City of Orono or any of its departments may require you to furnish �e:tain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or ��nse requested. 2 You may refuse to supply data, but refusal may require that the Ciry deny the permit or lice�_. 3. The information may be shared with other local, state or federal agencies to the extent nece_:�-y to process the permit or license. 4. If your requested pemut or license requires Council action to approve, some information may�=�ome public. 5. You have certain rights under N1.S. 13.04 (available upon request) to review private data on}�r�self. 6. Your full name is required to process this application or permit. �'7��LJC E h ,L�t�'�c"�� F�rst Middle Last 4r�� /�/ieou.�=; AV� . Address �� i�v�Jt=� poc.�5 '`�'V S��c�� /2- ��l- �� Pc� C�ry Srate Zip Phone I understand my rights as stated above. � - �� c�e-L-� Signantre / G f 6 � ' . � CHECK OFF LIST FOR ISSU�vCE OF PERivIITS FOR OFFICE USE ONLY ADDRESS OR LEGAI.: 1 b s� C�n K'�R t�n r"c�- PID: DESCRIPTION OF titi ORK: �►'�S�vv�t�-rJ� �,v,�,+ --------------________ . ----------------__----------------------- ZONIl�iG REVIE`V BY. � �.w- DATE APPROVED: -7—�1 - n► BUII.DING REV�`V BY: DATE APPROVED: —�-i�- o , FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No pLAN REVIEW Yes �� No SEWER CONNECITON STATE SURCHARGE Yes �� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEI�i 1SPECTION Number of SAC Units OTHER (specify) ZO�T�1i G CHECK LIST Zoning Discricc: N4 C!-tAN6L Fire Department: Post Office: School Dis[rict: Lot Area: Sq.ft. Acres Width Dep[h Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Ri�ht Side: Rear (Street): Left Side: � Adjacent Structures: edand: Buildin� Heig.ht: Def. H�t. ak H;t. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zonin; File: �# Resolution: # Resolution Date: Shoreland District: Av�. Setback: Bluff S tback: L,ot Coverage: Existin Proposed Hardcover: 0-7�' 7�-2�0' 2�0-500' 500-1000' � Hardcover Variance Required: Yes No Date of Council Approval: REVIARKS (in house)• 7 ' • . s BUILDING REVIE`V CHECK LIST LBC: IZ- 3 CONSTRUCTION TYPE: VN Sq Foota�e $ Per Sq Ftg Basement x = lst Floor R = 2nd Floor x = Garage R = R - TOTAL Estimated Construction Value: $ C�c�, C.�;� �� Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Hardcover Removal _�Mechanical Water Coanection _�Footing Septic Sewer Connection �Framing x Fireplace Lawn Irrigation � Insulation (Masonry) Other �Wall Board o� (Mfg.) Well (State Permit) _�Final Grading/Filling _,�Electrical (State Permit) Other RENIARKS (IN HOUSE): ----______ ------------ ---------------- REVIEW BY OTHERS: DATE: Access: Existin� New Access Approval: Date gy: -------------- --------------- REVIARKS (TO BE \OTED ON PERi'�II'1�: 8 4 / ✓ /1 � DATE TIME CITY OF ORONO �l CALLED IN INSPECTION�t�O�IC SCHEDULED -�5-�' ' �� PERMIT N0.` � �� C� COMPLETED Z ' 'O 7/ %�> i� , ADDRESS �f?`-��C �cg'� ��z'trn/ /�Q� OWNER � � �� CONTR. ' TELEPHONE N0. � C�Q�-C� �o(� ��-�S c� 7'-�f � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCP.V/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 12 WATER HOOK-UP 17 SITE INSPECTION OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � EMO-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 FEMOVAL � 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � CO M�NTS: � � �� O y 1� S i'�'c`�� 4'. 4� hv :� P o ( ,�SP �-�.S ct: � - ,,�t . � � - ` o �� . W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORFiECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContrac o on site: inspector.��i Jc�r� White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN � INSPECTION NO ICE SCHEDULED ��_ PERMIT NO. � COMPLETED � `��C� ADDRESS f()S�'i CC)X j=rg-�2Jf�t I�� OWNER CONTR. � � TELEPHONE NO. l c� c� � I �t � � � p U j ,�l �� 1 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 PFiOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL � OWNER/CONTRACTOR TO MEETYOU:_YES_NO � COMMENTS: � W a j �) L ��,c�y�' o - a � 0 � W � Q � Z W � W � � � � �lORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-�6�� OwnerlContra t r on site: Inspector. � C'�-�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� /L� PERMIT NO. ��`�C� �� connP�ETE� -�`,-�� O �U' ADDRESS--_!��Q ��'X ��1 r�-, /� , OWNER CONTR. �`fl�,�iv�-�c� �c�t.e.-c� TELEPHONE N0. �� I,�. ��a�- � �I 7� � ' � DESCRIPTION �/��I:.�-,�1G�(� � 01 FOOTING 17 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 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: ��L a !��- U�'^-- W a � J O � � O � W � Q � 2 W �C W � � � �p'1�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W y�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Own�rlContractor on sit • Inspector.�� Z 3 White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO � CALLED IN lo- _a/ INSPECTION �OTICE SCHEDULED I��/ � �J� PERMITNO.��?�� COMPLETED 1�� " '�a ADDRESS /�5v ��--i�� OWNER �� CONTR. � TELEPHONE N0. � � — O � DESCRIPTION � � � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G ADING/FILLING Q 02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 3 INSUTATIUN � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z� . 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � �% �� o �%�,_�� -y�.�r � � � 0 � W � Q � 2 w � W � j � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �9�j2� 249-46QQ OwnerlContrac or,on site: Inspector. ' �� - l�,l" ��i > White Copy/inspector's File Canary CopylSite Notice