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Home My WebLink About2001-P03605 - addn/remodel/repair � - PERMIT CtiTY'OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po36os Crystal Bay, Minnesota 55323 P@1'llllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 3i2oi2ool SITE ADDRESS: 312s Fox st Long Lake,MN 55356 P I D: 04-1 17-23-3 3-0011 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: ttesidentiai Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Eiectricai(siatej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 209.25 Valuation: $ 12,000.00 Plan Review Fee: $ 135.98 State Surcharge Fee: $ 6.00 TOTAL FEE: $ 351.23 APPLICANT: Eric Hedberg OWNER: Brian&Maria Sullivan 1021 Lincoln Avenue 3125 Fox Street St. Paul, MN 55105 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 BU�b�3E�G CODE REQUIREMENTS. � , �,i' � �r ' _ E��;.. � �.�. CS`'a''2C�'y1 f 3 i G�;" , - � ' t:1 �� P ICA PERMITEE SIGNATURE � ISSU�D BY SIGNATURE ' %� /� �, Copi��:�City, Applicant,Assessor,Finance Page 1 � _�5 G� ► v� �' Date Received: -��' j/ `' � . Tatal Fee: $ Entered By: �� Permit#: ,)c�� .� �1't�'r� �� _� ,�� ,, _,; r�: )c� 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 OR<, NTRACT JOB SITE ADDRESS: �%�� ZIP� �Sa�� n C NAME OF OWNER: �� t�,��. J�%��(irjvi PHONE: (home) �J`�c ';�j�"- �� (work) MAILING ADDRESS: �L�� „Sf CITY: ��./�� ZIP: c=-�� CONTRACTOR: �i'G��/�!'�i PHONE: ., /�"��lC'Y�l,�-� CONTACT PERSON: s�G�'l� MOBILE/PAGER: -Xvrj?� MAILING ADDRESS: �'�;'�/Ci��/;�/�u' CITY: ��` �i��/ ZIP: -', 5�/l� STATE LICENSE: # �''��/-;�� ' `�� -��-,�37 ARCHITECT/ENGINEER � i�L� ;� �� , PHONE: ��- � � MAILING ADDRESS: ��,c� 5r' CITY: � .� ZIP: j % NAME; REGIST TION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: � E�r'G�.2��'� /��/� l��'��C�.�'f� ..,��r� ,,�'//�� %�� ' rN- �^� � u�� - �r STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: .� GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �C=��_J 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,�i-{nit and work is not to start without a permit; and that the work will be in a or e w' he approved plan. , ,,-+,�� ,_..__ APPLICANT'S SIGNATURE• �t DATE: >r'.� G/ NOTE! Parade of Homes ev ts �'equire separate permit approval by Police Department and City Council 60 days prior to th�event. Non permitted events will not be allowed. 5 r. _ , . . .. . � Sec.13.04 RIGH'TS OF SIJBJECTS 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 wi[hin the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required ro supply the requested data;(c)any known consequence arising from his supplying or refusing ro supply private or confidential data;and(d)the idenuty of other persons or entities authorized by state or federaf 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 nlace the notice required under this subdivision in the individual income tax or oroperri tax refund instructions 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 stored 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 tha[data. After an individual has been shown the private data and informed of its meaning, the da[a 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 bee❑ collecred 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 authority ma��require the requesting person[o pay the actual costs 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 reques[,excluding 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 wi[h the request, excludine 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 privare data concerning himself. To exercise this right,an individual shall notify in writing the responsible audioriry describing the nature of the disagreement. The responsible authority 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 determinaUon 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 ha�•e 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 Address City �� State Zip Phone � �/ I und tand ted above. �-. �? �- j� ------. . Sig /i � i �-� 6 _ . - � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3� Z,S �' O x ST PID: DESCRIPTION OF WORK: �'Z,�;,�►�,�p�. ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: � DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: '�_ �S--c�, 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: /(/v C�-f-r�r�vC�t 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: Wetlan : Building Height: Def. Hgt. Peak H . Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # R solution Date: . Shoreland District: Avg. Setback: Bluff Setback: I.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: 2� 3 CONSTRUCTION TYPE: y/�J Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 1 Z, �po °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 _,, Wall Board (Mfg.) Well (State Permit) � 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 - C INSPECTION N TICEf SCHEDULED �0 v U PERMIT N0. �� .� �-� COMPLETED Ll^' —�� -' �' o ADDRESS �� OWNER ' �� CONTR. f �'�-C./ TELEPHONE NO. � S � ` ,� L �� -' � l � � � DESCRIPTION lL 01 FOOT Lr------� 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG � RAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � N 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 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 � J O a � O � W � Q � Z W � W � � d C ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � J CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W Ot_:� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED i INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector. /�� l�� White Copyllnspector's File Canary CopylSite Notice ✓ �q7E TIME CITY OF ORONO CALLED IN �� // 3� INSPECTION N E � SCHEDULED �-��-a/ J�•" d PERMIT NO. � 3� 6 � COMPLETED L�l� "� � ADDRESS � �� OWNER �'�'�-�- CONTR. .� /� � TELEPHONE NO. `� �� v j � `� S � DESCRIPTION �'��'t-�t' ti ty� 01 FOOTING 11 MECHANICA 18 EXCAV/GRADING/FILLING � FRAMI 13 MECHANICA INAL 19 LAKESHORE/WETLANDS y I ULATION 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 � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED -� PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN I' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContr tor on si e: Inspector.�/1ill�'� �L/+� White Copyllnspector's File Canary CopylSite Notice ^ P Y < . � � d � �� cJ i„ = �� JS � .c � � c j��f .. h Z � � W t �/1 � ` }{� � � U II, r� � y� F � n � � [� y l:l � ,_ - d L �n . � i �1� Q� O �f �.<. � �N - ; � � N ' < '(� � S� � 7 V V� � 7 Z; : z - i .� � J � - ,, ,; '^ � p �� Zp Q — m " o � <� ' feF � � � � ,� � � � � � `�" ��E �� J `3 v`� � E O O '� ;a t c.� . "' � `�' �� a� a � O v� ~ � � �.l r� � Z _ m �,,, .� _� � �'� I � � � � �'`w F- � � ' 1 vi � 1,� — S U LLI `m �r F� B. � lA� � ,+�. !�!1 � n nOi tl pw ,.,�,p '> � U: U� �.p.0 L�=�i �� r:,. �� ,: ts.l p cru'�� i � ;'�a Cl. � O ff� � � o i— Q � . C� ( ; i i �: ! __ c` f a �TW � �~ �` � �J � �� U � 9 � I ..s � �- ;7 � L�.I '� 1 � ss. � � � ""` " "� � �, ,, iz .c QD � `. I _ — il.I ;. L� �.) � , y � a � h Y � C) ��- R �� t 1 ; t^ � � � �� ,� . _, " `"W VJ W ^ �d, i � �? �;c:�Z �^ �.A V �� :. �� 1 N j J _ —V� � � ... 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