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Home My WebLink About2000-P02989 - addn/remodel/repair ' ' � PERMIT CITY OF ORONO 2750 Kelley Park�vay - FO Box 66 Permit Number: Po29s9 Crystal Bay, Minnesota 55323 PefCillt Typ2: Addition/Remodel/Repair (612) 249-4600 Date Issued: 9�22�200 SITE ADDRESS: 175 Crystal Creek Rd LONG LAKE, MN 55356 PID: 33-118-23-33-0006 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: iviecnanicai Eiecuicai(siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 29,500.00 Plan Review Fee: $ 287.13 State Surcharge Fee: $ 14.75 TOTAL FEE: $ 743.63 APPLICANT: RVC HOMES OWNER: JYLAND DEVELOPMENT INC 15500 WAYZATA Blvd 913 38 ADDRESS PENDING WAYZATA, MN 55391 MN 00000 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED ' AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'lY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. > � � /�,,-� .�/�c �-C�� _C' ��r�C�r. � PL NT PERMI E IGNATURE IS UED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � -, � ""1 � .* 'I otal Fee: $ , �; �,=� Date Received: 1`� �% �'� Entered By: . Permit#: /-1 �?< <%�`� 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 CONTRACTOR__�,, ; JOB SITE ADDRESS: I� 5 L€'�Si�1-- �-�=�-k ZIP: NANIE OF OWNER: Z��- �`'�V"¢--�� PHONE: (home) L�`Z-3�Z� -+��L 1 (work) -� �-i��a - c/�3�-� � �-t MAILTivG ADDRESS: /SSo� �u-t�,�� c3�� CITY: V..s z��-,r--�.- ZIP: ��-�� 5-�lt q�3 � CONTRACTOR: '2 ��- �" �''�"`��S PHONE: �iZ-'3 �� Z-� CONTACT PERSON: 2-�� MOBILE/PAGER: -- �1AILING ADDRESS: ��-a� :�z�t�,w-�3�va, s'„�t��CITY: w-`i�'Z,�-,�/�-- ZIP: �3"3F� � STATE LICENSE: # � („�Zr— ARCHITECT/ENGINEER: !��'P ��^�� PHONE: (vs i- �- �� " �� MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition�� Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detain: ��-� YScz��+ ,��2-� � v►-e-s�� /Lc.u✓� �,.f,l�f��-, �%��LG-�3 � �crc�Z STORIES: -� SQ. FEET OF EACH FLOOR: l vu NO. OF BEDROOiVIS: Y-z-- GARAGE STALLS: ATT. DET. ESTLIIATED CONSTRUCTION VALUATION (excluding land): $ `�� S'Uf� I hereby apply for a building permit 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 Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. � APPLICANT'S SIGNATUR.E: ��-�- DAT'E: � �� fJ� NOTE! Parade of Homes events require separate perntit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 � ` .� 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 forth in this section. Subd.2. Information required to be given individual. An individual asked to 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, political subdivision, or statewide system; (b) whether he may refuse or is legally required to supp(y the requested data; (c)any known consequence arising from his supplying or refusing to supply private or confidenual data; and (d)the identity of other persons or entities 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 enforcement officer. The commissioner of revenue mav place the nofice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he is the subject of srored data on individuals,and whether it is classified as public,private or confidentiaL Upon his further request, an individual who is the subject 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 him for six months thereafter unless a dispute or aceon pursuant to this section is pendine or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require [he requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant ro this subdivision, or within five days of the date of the request,excluding Satuniays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that ame,he shall so inform the individual, and may have an additional five days within which to comply with the request, excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right, an individual shall norify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incompiete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual; or(b)notify the individual that he believes the data ro be correct. Data in dispute shall be disdosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 furnish 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 certain rights 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. �il 1 <�cr� �. �,�� \c,�_�.��,�-, _ First Middle Last �`i C�� t��Ltit:•.;�- �lL�) - Address /y �— k r f�["�Z.`�C '� � L--L�� /V�.�� j� .?`l / — ��y State Zip Phone I understand my rights as stated above. �� F Signarure 10 , • CHECK OFF LIST FOR ISSUA��rCE OF PER1tiIITS _ FOR OFFICE USE ONLY ADDRESS OR LEGAL: !-7 S C2�5 T�t- ��-P—� PID: DESCRIPri'ION OF WORK: �q-,�� , -�—i � N ZO�'G REVIE`�% BY: DATE APPROVED: S- �-�� BUILDI�i tG REY�ti� BY: DATE APPROVED: S - z-� -�o FEES TO BE CHARGED: Misc. Fees Calculated By: pEg1VIIT Yes � No : pLAN REVIEW Yes � No SEWF�CONNECTION STATE SURCHARGE Yes v No WATERCONNECTION I'�1�VESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) ZONI:�iG C�CK LIST zoning Districc: 0�� Gc-t-�w�, Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres idth Depth Surve; Submitted: Yes � No Date of Survey: Oti Proposed Setbacks: Fron[ (La.ke): �D` = Ri�ht Side: ►y 0 Rear (Screet): 23'2-� �' Left Side: ln 3 Adjacent Structures: f4'rrr��-� tiVetland: N�✓� � Buildin� Hei�h[: Def. Hgt. (.?-1�-- Peaic Hot. d'1 Lot Covera�e: — Gradin�: S�aff Approval Date: � By: Council Approval Date: SeQtic: Staff Approval Dace: — By: Zoning File: � Resolution: n Resolution Date: Shoreland District: N � Av�. Secback: Blufi Setback: L.ot Covera�e: Eusting Proposed Hardcover: 0-7�' 75-250' ti0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�LARKS (in house): 7 BUII.,DING REVIEW CHECK LIST UBC: � ' � CONSTRUCTION TYPE: �i-� Sq Footage $ Per Sq Ftg Basement x = lst Floor z = 2ad Floor z = Garage x = R = TOTAL Estimated Construction Value: $ Z� 5�v � Inspections Required: Work Requiring Separate Permits: Site Plumbing � Fire Hardcover Removal _a�Mechanical Water Connection _� Footing Septic Sewer Connection Framing Fireplace Lawn Irrijation Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) _,� Final Grading/Filling o Electrical (State Pemut) Other REI�iARKS(IN HOUSE): REVIEW BY OTHERS: � DATE: Access: Existing New Access Approval: Date By: REI�LARKS (TO BE I�TOTED ON PERIVIII�: 8 � . � `�7:•1P�' � ' . � CITY OF ORONO BUILDING E Ml PLAlV REViEW , � iNSPECTGR n.��„_ �0�0 �OP ATE g- � • `PE!�M;7NO.�___ ^ APPRO`�/tD AS SUd1"�"1"�!=D ❑ APF'°OVED!�JI i 11 COR�CCTlC)r�S,45 NO-�_D � � ❑ NGT APFRGVFD---CC;j�%CT&�CS!�3r�tiT 'fFkse corr.mer�ts 8f8 fCi )'Qu(1fifU.'f'.l"r.(ICfI. i�i�VrOr�:S�'cl��;>f� in f�i; comr,Gance with nH appticab!e b4'.��dir.a a,d zo^ing s��de. � R�;.;;em�rris irc�u::ing i'.eris not speci`icaliy no�2d in this r�;a.v. �� '—� t:tEP'CHIS PLAN S�cT ON SIT�AT ALL TIME6 �� . �� , � � � 3`'�''�-�'.,..?'�� P . �' � ��--� I �� i� � �� L Iz�!�„" - - � ' L _ �� 1 � ' ( �-�7G��_"J , ;"" /l � , � . �� ta o�5 �.� �s . � �� . __._.. � , _. _ , �-�--- �' ��,,c`�-��?`, . . . , . - . t.�r�roNe vE�1�R ��. . . . . . . . ' �� `�' �� , �,,rc;� �y �.e� �� . ��"�� `� _�D'�/+r�(, �+�''�'j a 3� . �� . . � � ,= a 4 `.� ~-_ '" , '�, c6 ' 1 ❑ , -- � � �c _ - , �= 1 e ;- ^ . � � � � � � � ! . D � � � " �..� i ...,. � � �� — h � c ►�� • ' � � �. ao �� _ � � :, a � '�---�' � �tCEBb � ' + — � � cn 1 - � � � w � 1._ ..._ _...J � � p` � � I o '� ��./ 1 � ( i � � i �N � �l 1 �� i ; � � Q i ` i �I �D � � � 1 ,� � c� �s �� S�w .o � I � � o i 3! aE ;�5 � I � � ' � r' ^ �� Z _ = n' ' t j � 1 � '� � ,E — �_ —_�_ �- —_ �' - -- — _=--_� H�Et GIRDER � ===—=t-k-=== � � � � �' --- -- , t . 1�-- --1 �w �a' Y'•�• 3�-a"� � i a � ��=op i o ~ �� ♦ � w � �a VANI?7� � � �� i (�) {� c��' �----------------- --`�� / �/ �� , - — �y� �M� .�.,Yv� �y'y�4x'�' �,..,�'.,-n'1�•^`=-p.'''"^".,�LI(� . ' �J -OW � �� `� , � �3s-0" c, �'��..=� -� r. s�� . PU t:_ � -rC � �`� � � � , � �� r � � � � (_ N �' �� \ � - + ► �� 3. �� . � � �� a� �'y� ., � �,,� . � S/ � ' � � %s T �� , � . J'�"'7tl nlx� � t � � � � - �: '.r{ �� :s: �- ,,y;� .:� ': ;�,_- .� �;. :; .„, •� �:�7 .!S �;� �� O � � J �S ,,�„� ,,,.,�!°I�',� �� '� '' ,� ,�,�,�� J �. . �, N � , � � � . �� v _. -��► ��v��w+„z� e , . ,.. _ -,r.- , ; __. _ .� _. � �1b� " �o�— ,�ya � � �� ± — � � � �,, �"�.(� � � � �� N N�/ � .�� ,/�� , -��_ • � ` �� . N � � (� � -c�v � < �Q � � � � � '� `.s — �"' � .� 1 � �� V !� . � �� -�____1 i � � ,; i � � �,� �� M 1-\ !r+ , � - -- �J i � ��t�� c�b �I ,3, Su ��i !. 5� J �+ �/ �.�'r � J tl? � �� i � � ��Z-�c �� . __.., -�` ,�,�� I III \ �ni \ �iiii tu.�ro�t t�n� �� m a uu . `int nQ�_'g ti�u� �ia•�� r� —111t p9-�9 �111! °° � � �11f! � `� � Iill ��'�6t . I I11 n..�� .... � CITY OF ORONO CALLED IN /�� / �� INSPECTION NOTICE � SCHEDULED �' �'� � PERMIT N0. -� �-�� COMP ETE�� 2:�d ADDRESS � � � �J OWNER ��-. CONTR� .,�CC.�-f' �_��c�� TELEPHONE NO. �D ��_�-3 � ��--3 � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 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 W 09 PLUMBING RI 23 SEPTIC FINAL ,./ 35 HARD COVER REMOVAL � 10 PLUMBING FINAL `'� �y � 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � CO MENTS: � !) d1�,2 �v o c��.�/,�- �-/�� v � � ��i ��.,��r �?��iyl�r� 0 � w � Q � z W � W � � d ❑WORK SATISFACTORY:PROCEED �: PROJECT COMPLETE W � ❑ CORRECT WORK 8 PROCEED i � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REWSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN I l STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED }�}NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /v I Call for the next inspection 24 hours in advance. Z49-46�� OwnerlContractor on site: Inspector. d�.%//��Gt�� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN _ ''��'+' �".3�'U� j��'C �'� INSPECTION NOT E - pCf` SCHEDULED %-3 / -G/ 3 '; 3� P ti1 PERMIT N0. �� / COMPLETED �� ADDRESS � ! � G�-/S��-� �/�� OWNER CONTR. �1�CIC �ZVC- /�� TELEPHONE NO. CP /o� - :�n��— ��oZ� � DESCRIPTION `�.�1,�f"i G f:�vS��C � C'�►"�� F G��. lu 01 FOOTWG �MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04„)[YALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � �"OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � "07 DEMO-SITE 27 SEPTIC MAWT. 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � - r�;�� c��. � p2� � 2 � �-��, �-��r � � O a � O � W � Q � \ � � � �``o � � � � �. d �WORKSATISFACTORY:PROCEED �/�F�ROJECTCOMPLETE � [l CORRECT WORK&PROCEED ISSUE C RTIFICATE OF OCGUPANCY W O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY f � BEFORECOVERING �gqMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL REfURN ❑ STOPORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS. Cali for the next insp 'on 24 hours in advance. 249-46�0 OwnerlContrac it . Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO - ca��Eo iN 9— z(c�C�� lc�-ZE� Am INSPECTION N�TICE SCHEDULED _ ¢�zf' �� C '��''�m PERMIT NO. � C'�:�/� COMPLETED ^� � � ADDRESS � �75 C�'"c S/�-� �`�'�'i�_ iZGI OWNER - CONTR. �� '1Y� � TELEPHONENO. �� ` � �� CkStctc! � DESCRIPTION �—fJO-}��►'�Jl � ��:�� t i �� l� O1 FOOTING 11 tv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTAL�. 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� �Q WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W ({_ CORRECT WORK&PROCEED : ISSUE CERTIFICATE OF OCCUPANCY � C'. CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pH0T0TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED CJ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr r on site: Inspector./��/,�f.l��S White Copyllnspector's File Canary CopylSite Notice � ■ HY-LAND SURVEYING TEL�493-5781 Sep 14.00 13�47 No.002 P.O1 1a06,7 P�apoNd iap d 9ock ,�l, , N ►ee6�L v,�..e o«oa.vwo, '�°�� J V .L�, V � F O R �y� hepawd Lornl/loor { T�o.a eww►+o- q�,�h y�r F�ll 0as�vK��n{" � �� E ,��w� � � R. V. C. ES' ,��" .. ,-+� �� O ,o �� 1 s ti O S� �� 1 �A 0 4o ao � 20 �.'� .t� o r.iL•� �,dr.� �i I .m .� � ,' ; SCALE: 1 INCH = 40 FEET �°` o�,�,Q . I 34, rp`'o.� �� j �q„ � h'.' yA �� I o aa' . S F� ��vO��v 1,` 4a � �\° /� I i 1 0 0.�01..rw,Mwr.n«�� , �� O � .0`:> / � z O D�etw Mood NuD SN � �Q�l/ �. /� i N g ia E.cowtbn Ordy ~ �- � o, ,� �N a000.0 Owwl�s Cd.�hq fb.dwn � _/ � �J �` g. �� 8`O+: -�! /� I N� O Drrotrs PraWNd Mvetbn `g�, � ��O�ry� a / �� f (� �►— DnotM Surlaa�Aak�oql a Q /� 0 o /� i� �c�5�,50 I � � ,.�b p� /y1�/1 ` ,�� ,/ — � 1Y �V� / � ��'� .. �� „�� ?��p„ . \�'` � �p�,� {�-�� ,�y,�/ � AREA OF HOUSE: � ;�.. ,r �' �`� `'�� .' ii�� 2,557.00 SQ. FT. ,�,a.,�o �� 6, �°ry �� --� '�/,��'� //.�'" /,�%i AREA OF LOT: r o `� 'e° .� .; �� ° �. ��i � ,� �i 145,105.00 SQ. FT. . . , � �a. �,�. 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