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Home My WebLink About2002-P04795 - addn/remodel/repair LITY OF ORONO PERMIT 2750 l4elley Parkway - PO Box 66 Permit Number: Po4�9s Crystal Bay, Minnesota 55323 P2CCTllt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: li3oi2oo2 SITE ADDRESS: 3aoo FoX st L,ong Lake,MN �5356 PID: OS-117-23-43-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai r,iec�ricai�sraiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 2,253.75 Valuation: $ 325,000.00 Plan Review Fee: $ 1,483.23 State Surcharge Fee: $ 165.00 TOTAL FEE: $ 3,901.98 APPLICANT: Sawhorse [nc. OWNER: James&Haity McNerney 4740 42nd Ave N. ;400 Fox St Robbinsdale, MN 55422 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 BUIL ING CODE REQUIREMENTS. �..�!� �'�-��.�r�a- PP C N I:RMITEE SIGNATURE ISSUEDBYSIGNATURE Cooies: 1-File(Signitures Required). 1-Aoplicant. 1-Monthlv Reports. 1-Assessine. 1-Finance Page 1 . - --� c� , -, ; �-,, �-_. . 'lotal Fee: $ ' `�� ' � � � Date Received: -� �� 9� Entered By: ��::'/ �� Permit#: i � _ ,�,�� CITY OF ORONO - BUILDING PERNIIT 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: 3�-Y�O �o�c �-. ZIP: NAME OF OWNER: , �� L � ��L. N e`� PHONE: (home) (work) MAILING ADDRESS: �j 4Da �ox S�. CITY: p�2c��t� ZIP: r, s 3�� CONTRACTOR: `��1t,�Nat�.s�. PHONE: T��` s33- 03 5Z- CONTACT PERSON: [�A,.� M�1�d s w�c MOBILE/PAGER: Lv►2- Z Z l.- 4 3 s-c� MAILING ADDRESS: 414� 4Z �►o �1�� t� CITY: {Z,,,3g ZIP: �� .zt STATE LICENSE: # Z 3 ;3 Z ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe in detai�: �u�51.� O�F �7u,m� ��sT '7�As�m�t-+T STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3ZS�Oob`` 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 's not a permit and work is not to start without a permit; and that the work will be i ordan with the approved plan. APPLICANT'S SIGNATURE: � DATE: 1 �I-b Z NOTE! Parade of Homes events require se rate perntit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 Sea 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. M individual asked to supply private or confidential data concerning himself shall be informed of: (a)rhe purpose and intended use of the requested data within the collecting state agency,polirical 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 to supply private or confidential dara;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 individuai is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orooertv 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 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 wirhout 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 acaon pursuant to this secrion is pending 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 authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority shall compiy immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excfuding 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[he 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 notify in writing the respo�sible authority describing the nature of the disagreement. The responsible authority shall witttin 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 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 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. First Middle Last Address City State Zip Phone I understand my 'g s as at ab ve. Signamre '� 6 . ` CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3ti�v F o x s�r: PID: DESCRIPTION OF WORK: G3,q g��.n�,n�r F�N�s�� ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: 1�1(1'� DATE APPROVED: BLTILDING REVIEW BY: _ DATE APPROVED: �-i S-o z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLAN REVIEW Yes v� 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 CI3ECK LIST Zoning District: /V0 C�-1 AN6 L: 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: W tland: 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 : Lot 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 �C: R 3 CONSTRUCTION TYPE: V/V Sq Footage $ Per Sq Ftg Basement x = lst Floor ' x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 3 2 S O o 0 ° `� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal •C Mechanical Water Connection Footing Septic Sewer Connection X Framing Fireplace Lawn Irrigation �( Insulation (Masonry) Other �Wall Boazd (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 INSPECTION NOTI scHE�u�Eo '� '' " �-n - PERMIT NO. � s�S MPLETED '7'E'� �F ADDRESS � �'�-� ��J �� OWNER CONTR.�[ TELEPHONE NO. � � ^ � " � -�c� ' �' � DESCRIPTION � lt� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATIGN 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � O ENTS: a � � C'Z-�� ,`�' S o� �� s , -�� y ��• �'G' V !G� � �Cz, C-G' �� --, W � Q , ^�c, '' � � � � � W � � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT D CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContra on site: � Inspector. �� --5 White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO�ICE � SCHEDULED �-�� GZ �t;�.� PERMIT NO. � �' COMPLETED �� ti ADDRESS �� '��- OWNER CONTR._�r�.�J��G�� TELEPHONENO. �7(,p � � ��7� � DESCRIPTION .`_�y��rC,�-�L � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z —._..—._. W � ' W �� d W �D'OORKSATISFACTORY:PROCEED ❑ PROJECTCOMP�ETE �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor s' . Inspector. hite Copyllnspector's File Canary CopylSite NoUce