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Home My WebLink About2001-P03475 - plumbing PERMIT CITY OF .ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po34�s Crystal Bay, Minnesota 55323 PeC'tlllt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: i�29i2ooi SITE ADDRESS: 2995 Deer Run Tr LONG LAKE, MN 55356 P ID: 04-117-23-23-0030 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesiciential Census Code 434 Permit Class: Building Permit Sub-type(s): Addn/RemodeVRepair Permit Type: Addition/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai Eiectricai �siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 923.75 Valuation: $ 89,685.00 Plan Review Fee: $ 600.53 State Surcharge Fee: $ 44.85 TOTAL FEE: $ 1,569.13 APPLICANT: RIGHT ANGLE BUILDING CORP OWNER: R T&J E CALLAN PO BOX 643 2995 DEER RUN TR WAYZATA,MN 55391 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �F� � �� APPL ANT PE MITEE S[ UED BY SIGNATURE �— 4 A l�cant Assessor, Finance Page 1 Copies: City, pp ' , , � l �2 o I` Total Fee: $ � �, �` (�` Date Received: ' Entered By: / r�� Permit#: l�c� -3�{� ` �� CITY O��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 O CONTRACTOR�� JOB SITE ADDRESS: L��fi�r� �!� � ZIP: C�Z_�tjs_�7O ( NAME OF OWNER: �l� �J PHONE: (home)_ - �j� , (work)��--S�� - �f?�O MAILING ADDRESS: Z��_��L��l� CITY: �('��C� ZIP: � � � �� ( ' � `� �� CONTRACTOR: � � .f�C-�i C-�� -Ul� U PHONE: i�"�73 CONTACT PERSON: � � MOBILE/PAGER: (o/Z-3 f��d��(o MAILING ADDRESS: . C� ,�' CITY:�tt-�Z,q-T>4- ZIP: �3 ZQ� STATE LICENSE: # S 4-�1� N� ARCHITECT/ENGINEER:�� 74� � P O� 4-7 y � ZO�Z— MAILING ADDRESS: , �'�✓ , CITY: -L�L� ZIP: 3 � NAME: �� (.., /� �{% c� REGISTRATION# TYPE OF WORK: NPw Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: ��-{ �^ffi�-�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, t0 �� 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 Ciry and with the State Building Code; that I unde tand this is not a permit and work is not to start without a permit; and that the work will in corda w' h t e approved plan. , APPLICANT'S SIGN URE• DATE: % � � NOTE! Parade of Homes event r quire separate permit approval by Police Department and City Council 60 days prior to th ent. 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 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 supply the requested data; (c)any known consequence arising from his supplying or refusing ro supply private or contidencial data;and(d)the identiry of other pecsons or entities authorized by state or federal faw to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant ro section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice required under this subdivision in the individual income tax or arooertv tax refund instrucrions 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 subjecc of stored data on individuals, and whether it is classified as pub(ic,private or confidential. Upon his further request,an individual who is[he subject of stored private or public dara 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 action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall ptovide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the 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 to this subdivision,or within five days of the date of the request,exc(uding Saturdays, Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request, excludino 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 notify in writing the responsible au[hority describing the nature of the disagr:�ment. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete 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 to be correct. Data in dispute shall be disclosed 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 contzsted 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. First Middle Last .�ddress Ciry State Zip Phone / I,�derst d my ri�� st�d b e. /' / � Sigt�ature f � 6 - � CHECK OFF LIST FOR ISSU�\CE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z�,�S ��Z:2 �Z v nf �-24�L PID: DESCRIPTION OF WORK: Q��rn��.,T �,nri5« ------------------------------------------------- ------ ------------------------------------------------------- ZONING REVIEW BY: ��4-- DATE APPROVED: !� Z�-o� BUILDING REVIEW BY: DATE APPROVED: 1-2�� o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes J' No PLAN REVIEW Yes �/' No SEWER CONNECTTON 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: /�/d C!f/�N�GL; Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Sid : Rear (Street): Left Side. Adjacent Structures: ��e�,:nd: Building Height: Def. Hgt. P a�Hgt. Lot Coverage: Grading: Staff Approval Date: �: Council Approval Date: Septic: Staff Approval Date: Zoning File: ,# Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes I�o Date of Council Approval: REMARKS (in house): 7 BUILDING REVIEW CHECK LIST UBC: /?-3 CONSTRUCTION TYPE: V�I Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ��(�, (o g 5 °= Inspections Required: Work Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal oC Mechanical Water Connection Footing Septic Sewer Connection n Framing Fireplace Lawn Irrigation o( Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) �Final Grading/Filling pc Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTF�RS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 �/ DATE TIME CITYOFORON� rwiicnu. �i.. '7 _.l'1/ Cf: /9 �/ DATE TIME CITY OF ORONO CALLED IN INSPECTION N IC ,� SCHEDULED !1-/�" '�'f''�" PERMIT N0. 7� COMPLETED �� ( ADDRESS � Cr �� —� � OWNER �� CONTR. ��` � � TELEPHONE NO. �G� �� I � DESCRIPTION �� ' � � Ot 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �. 5. F�INA.L. 14 SEWER HOOK-UP 06 PROGRESS �--9fi'DEI410-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 � � � O � � O � W � Q � Z W � W � j - W� �0'GORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor. n site: Inspector. IWhite Copyllnspector's File Canary CopylSite Notice �f.�--��=� - . � J ,�,� ; DATE TIME CITY OF ORONO CALLED IN Z-I3lD� �=SS P/VI INSPECTION NOTICE SCHEDULED �� U PERMIT NO. P�7_� COMPLETED �'LrL— � ADDRESS �9gs /�2I' QUrt/ �2�i�- OWNER CONTR. h.� TELEPHONE NO. a — � a � DESCRIPTION ��%�I / n s�� . . G6 2�3��g�y� l�,i 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� Z04 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 INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � O MENTS: a l/� S � t.t.r� ) o �`"� � '� �v► h bv� � 03 , , � w , � S ,�y,,, ,� Q � � �.P � � �, L- r) . W � � d W ❑WORKSATISFACTORY:PROCEED i' PROJECTCOMPLETE � �CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContr ctor on site: Inspector. �/.' �� l White Copyllnspector's File Canary CopylSite Notice