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Home My WebLink About2000-P02041 - addn/remodel/repair ► PERMIT C1-�Y OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2o4i Crystal Bay, Minnesota 55323 Permit Type: Addition/ttemodel/Repair (612) 249-4600 Date Issued: 2itsioo SITE ADDRESS: 2879 Farview La LONG C,AKE, MN 55356 PID: 04-]17-23-34-0002 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family � DETAILS: Approved per resolution#: Separate permits required: i'iumoing iviecnanicai Giecuicai �siaiej NOTICES/REMARKS: RACFnAFNT FTNICI-T FEE SUMMARY: Permit Fee: $ 223•25 Valuation: $ 12,200.00 Plan Review Fee: $ 145.08 State Surcharge Fee: $ 6.10 TOTAL FEE: $ 374.43 APPLICANT: WYman Haberer OWNER: W&J HABERER 2879 Farview Lane 2879 FARVIEW LA Long Lake, 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. �l � � �� ri�."�'''i -�� 2� a � �,��:�c.� APPLICA E SI U ISS BY SIGNAT 1 Copies: City,Applicant,Assessor, Finance Page 1 • �/ !l� Total Fee: $ Date Received: a � b Entered By: Permit#: -�6 a,�� CITY OF ORONO - BUILDING PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � S,� 7 � r' (�� C w �- f�t�1� Zg'� S 5 3 S� NAME OF OWNER: �,,,,�� .� �g F r PHONE: (home) � �� - 7 kv � (work) .y-�ti- i � i �� MAILING ADDRESS: "z,�79 �=A-�v i � w �.A�.,� CITY: ��: G ,tA KE ZIP: s 5 3.s[_ CONTRACTOR: �� .,�. ►� ►.� N �g �.Q�2 PHONE: ..� 7 �� -7 � Q �. /ti 7�r --1�� i�7 CONTACT PERSON:��p�� 2 MOBILE/PAGER: 3 � �, _ y „ �, y MAILING ADDRESS: z s�-rti r-A-R v �� ; �. �, CITY: �,�� .r C� ZIP: 3 S STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAI��E: REGISTRATION# TYPE OF WOItK: N�w ✓ Addition Accessory Structure Move Remodel/Alteration i/ Land Alteration PROPOSED WORK(describe in detai�: � �,,,�� ,a r2 r-_ � �2 N Q r�n �, ;�-'r��s,� ��,,� �. �� 7 I� �'� i I� 1!J l.e� � - �.r i. �V i; L STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �. �,�� `% 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 ardinances 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 SIGNATURE: J�.� _ - DATE: ,Z - l f�- �.o�--v NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 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 righu of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information required to be given individual. An individual asked to supply private or co�dential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the col►ecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is Iegalty required[o supply the requested data;(c)any known consequeoce arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entides 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 notice required under this subdivision in the individual income tax or vrooertv 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 stored daca on individuals,and whether it is classified as public,private or confidential. Upon his further request, an individual who is the subject of srored 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 iu meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or acdon pursuant to this secoon 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 ro pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediacely, if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that dme, 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 dara concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement. The respo�vsible authority shall within 30 days either. (a)correct the data found ro 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. Da[a in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The deterntinarion of the responsible authority 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 �ity 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. ` �.I--.-,,, v.�. a � O r� L � f-1 A iC-S� �2 E ►2 F t i Middle Last � � �7 c( �- F�c(� � 1 � Lc: y- 0�IJ E Address f7 \ c� L- r4K � VV� N SS.3S 6 �v ( ;�� 173 7b'i��Z C��y State Zip Phone I understand my rights as stated above. � �� S�gnature 6 � _ . . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z�d-1`� �'/�2u<<=.w l..p N L PID: DESCRIPTION OF WORK: (3A S,e w�a�,.� C=.rr�s�� ZONING REVIEW BY: N I� DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: 2 . 23-pa FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------------------------------------------------------------------------- ZONING CHECK LIST zoning District: rv o c �fyq.rv�� 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 Side: Rear (Street): Left Side: Adjacent Structures: We land: Building Height: Def. Hgt. Pe �Hgt. Lot Coverage: Grading: Staff Approval Date: y: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setbac : L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 . . _ � BUILDING REVIEW CHECK LIST UBC: �� ' 3 CONSTRUCTION TYPE: �!� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ (Z, zo� �' Inspections Required: Work Requiring Separate Permits: Site x Plumbing Fire Hardcover Removal oC Mechanical Water Connection Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other x Wall Board (Mfg.) Well (State Permit) o�- 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 ORONO CALLED IN INSPECTION N ICE SCHEDULED �/ R-�� PERMIT NO. �d� COMPLETED �1�Z7�a �� ADDRESS v��7GI 7-��`f ��'�- OWNER 1 /�r C�a.��°�� CONTR. «�J�✓ TELEPHONENO. y�� 7SU� �-{ �C( -'�7�� DESCRIPTION C�SC�'1llN1'f" l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 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: z w � � � O � � O � W � Q � Z W � W � j d ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � C�i CORRECT WORK&PROCEED f: ISSUE CERTIFICATE OF OCCUPANCY W O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT CI CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContract r on site: Inspector.��C.�L�� riCt t1I S White Copyllnspector's File Canary CopylSite Notice DATE TIME CITYOFORONO CALLEDIN `'1-iv-� ��«'r�� INSPECTION NQTICE SCHEDULED ��- L'�' `� ��<<M PERMIT NO. f�� L��/ COMPLETED `�� ' � ADDRESS o�� 1 �- «� vi �i..c_> OWNER ��1��IrY i�� F-1��l�c r'E'�CONTR. �iL�i i/'�'�� /� l��-�''�r TELEPHONE N0. �� l -�� 'Z � DESCRIPTION �� ` ��C� / � �-�— ��-�-�v�-� Ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/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 DEMO-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 � COM ENTS: � � � vh s 2-s oc�5� .eL,,. �2 � , �e �- l . � 0 � Q �- Cc� -��- � � �� 1n� l,� �� G�� z W � W � j ��ORK SATISFACTORY:PROCEED �OJECT COMPLETE �� T WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY OO �ORRECT WORK,CALL FOR REINSPECTI TEMPORARY V BEFORECOVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL REfURN C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C] INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContra t on site: Inspector.7 ��-L%�d/IJ White Copyllnspector's File Canary CopylSite Notice moi 01 - V< 01 7 - y yu L* U-6 c, viS PROVIDE MATED PLATES WHEN LAyW ON CONCRM - SPECIAL NOTE SEE ATTACHED SHEEN FOR T - j_ �� ISS AN TL OZ D IR CODE 510 Typo A at iwrock '�j Underside Of Stairs And Walls 41, If T u- 14 AVbavft 444- LCL - 01 7: He, fill YJ -.z N Type X Shoerock' Underside Of Stairs And W*84S C. fS. X r .7 -7 41-o-0 L V-- I ( ". v . 24 444-- �A -s CITY OF ORONO�- BUILDING P MIT LA!v REVIEW P E �F L- 'TNO. � SUB" ..4i F 12D ti CCIRRECTIOP4S AS NOTED vour information. All work sPah be done N appiicab;e buiilling and zoning, code, Mml-111 not sPe6 r f1caNy noted in this review, SET ON SiTL AT ALL TIMES ORONO COPY j rl-..- 1"If - /11/1") c)