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Home My WebLink About2005-P08971 - addn/remodel/repair � � � PERMIT C.��' �b� ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08971 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 7/22/2005 SITE ADDRESS: 285 Leaf St Unit# Long Lake,MN 55356 P�� os-117-23-14-0001 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Alter interior walls,remodel kitchen, foyer&bathrooms FEE SUMMARY: Permit Fee: $ 783.75 valuation: $ 70,000.00 Plan Review Fee: $ 509.44 State Surcharge Fee: $ 35.00 TOTAL FEE: $ 1,328.19 APPLICANT: Owner/Self OWNER: Mahnaz Aghamirzai � 285 Leaf St 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. ,,. ,,!1 � , �' �/�C..—C C`�-Yl c.z�� ;ZG� " L � APP ANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE i Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1 r . Total Fee: $ /i�� ' �� Date Received: ��v S Entered By: �/Z.`� �)� Permit#: �n `',��i�! v��iV� � ' .�.-"/ �, 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 CONTRACTOR z J 515�35'�- JOB SITE ADDRESS: �S � �G�� s' ` ZIP: L.� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. d PHONE: home � Z�-�{�1��07�Z NAME OF OWNER:h�c� �r��/��i CtiN-. �Y ��'�� ( )�� p / (work) �/z-lo?�--//�Z MAILING ADDRESS: ��`-� �C'^-/� �7' = CITY: , �<� �i ZIP: " - CONTRACTOR: (� GJ i�1 � PHONE: ��/Z�--G� 7�� -%/�� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: ��T o CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: t / ARCHITECT/ENGINEER: ��G� �j� ' •-r � Y� � , PHONE: �5 Z - ��{(v - � �7 l�G� MAILING ADDRESS: ��;z � � jr,/��;,;,.,��I�. : ��✓�..-�/�-�7�P: NAME: ��,�� RL�L�"�I�TRATION: # '� TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration � PROPO ED WORK(describe in detain:��✓ •-,��-,��,��,� �� J , f'��.,..P �,� � 1 � STORIES: � , SQ.FEET OF EACH FLOOR: f Z(j U NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ �D ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��U/ �C�CJ� � 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: DATE: � O � 31 �t . , 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. Infortnation required to be given individual.An individual asked to supply private or confidential data conceming himselfshall 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 azising from his supplying or refusing to supply private or confidential 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 may nlace the notice reauired under this subdivision in the individual income tax or pronerty 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 infoRned whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fiuther 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 iu 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 authority shall provide copies of the private or public data upon request by the individual subject of the data. T'he responsible authority may require the requesting person to 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 request,excluding Sahudays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe 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,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete.An individual may contest tt�e accuracy or completeness of public or private data concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disageement.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 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 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. f�,.� LT.�;,�!�� I.� �, ` ��P��!�,� First Middle Last Z a�S� 1 e{,� � S� . Address s � - �r�i�s Z City State Zip Phone I understand rights as sta above. Signature 32 _ . . . . � . . � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: Z�� L�74F� �f PID: DESCRIPTION OF WORK: �yvwpGz.. , ZO.vI�ii G RE'VIEW BY: DATE APPROVED: 7•� -o�' BUII.DING REVIEW BY: „_ . DATE APPROVED: �.u_oS FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes e/ No PLAN REVIEW � Yes � No SEWER CO�TNECTION STATE SURCHARGE Yes _� No WATERCONNECTTON INVESTIGATION FEE Yes No � PARK FEE SAC Yes No �� SITEINSPECTION Number of SAC�Units OTHER (specify) ZO�tI�1G CHECK LIST Zoning District: �Uv C t�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 Sid Rear(Street): Left Sid : Adjacent Structures: tland: Building Height: Def. Hgt. Pe •Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av;. Setback: Bluff Setbac Lot Coverage: Ezisting Proposed Hardcover: 0-75' 75-2�0' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REviARKS (in house): . . _ , � BUILDING REYIEW CHECK LIST UBC: IZ•3 CONSTRUCTION TYPE: �L/�1 , , Sq Footage $Per Sq Ftg Basement: x = lst Floor x _ 2nd Flour x = Garage x _ z — TOTAL Estimated Construction Value: $ '7v,�o p O0 Inspections Requirec�: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hazdcover Removal _�Mechanicai � Water Connection _�Footing ` Septic Sewer Connection �Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other �Wall Boazd (Mfg.) Well (State Permit) F�� Grading/Filling �t Electrical (State Permit) Other REI�ZARKS(IN HOUSE): . REVIEW BY OTHERS: ~ DATE: ------------------------------------------------ Access: Existing New Access Approval: Date gy; ------------------------------------------ RENIARKS (TO BE NOTED ON PERl�: 8 � � DATE �- TIME " CITY OF ORONO CALLED IN 2 7�� INSPECTION NOTICE SCHEDULED '2`�-0� /� PERMIT N0. p�� 7 � COMPLETED ADDRESS � g� L e� � � fi OWNER �cts Cr:.I CONTR. O(.Wf�.Q.i'� TELEPHONE NO. � � � G2 �7 O � I S� � DES ION ��ZVYI v� � FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 F G 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 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 � OWNER/CONTRACTOfl TO MEET YOU:_YES_NO � COMMENTS: � W C i o r��:'i�� (� �-�a � �r��-� �i� � r�l '� .� ��Z (� ( �'�x �'� �� Js � 0 � �y�lnca `"( � �� Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: . Inspector. White Copyllnspector's File Canary CopylSite Notice I�J�� .e�-� _ ✓ �AT� TIME CITY OF ORONO CALLED IN "'� INSPECTION N TI SCHEDULED - - //:�3"0 PERMIT NO. COMPLETED # � —�S � � :X=� ADDRESS aC�J� G�C�]'Cs7� OWNER�aSo� ��-L� CONTR. TELEPHONE N0. l�/Z l0 7O ��Z- � DESCRIPTION "— � 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o �L ^�� -�-��c�� I n c �c �-� � � ��/l S v � �7 -f rf L� �' ,� '� �'�� t� � � �� "�'/� �� c� � � S� c -��L�n S W ^ � Q � � ��Q ��-+-1 � 2 W � W � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal{for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. !Z-ti��Y�.� �iC�/ White Copyllnspector's File Canary CopylSite Notice �� DATE � TIME CITY OF ORONO CALLED IN ' /'d INSPECTION NOT CE SCHEDULED �;�-CZS ./ I=c�t��J'wf PERMIT NO. �� COMPLETED ADDRESS �g� �� f • OWNER �� 1 CONTR. �T�hE'�/" TELEPHONE NO. L�� ,�(� /fS �` � DESCRIPTION �1f/l� . � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 3 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � J R � � .` '� \ O a � O n � � � i W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR CJ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the n t inspection 24 hours in advance. (952� 249-46�� Owner/C r n ite: Inspector. White Copyllnspector's ile Canary CopylSite Notice 9JuA j �f 1 DATE TIME CITY OF ORONO CALLED w �,3��05 INSPECTION NOT CE SCHEDULED 9-i •-US t/f30 P�t�l PERMIT NO. �C)�1'7/ COMPLETED ADDRESS .��5 G � � � �i � � OWNER l� �OGc-I CONTR. �i�'G�/�.4'/" TELEPHONE NO. Lr�.�� 7U I�S � � DESCRIPTION_�/��1�. � 01 FOOTING� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ��U2_FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 I ON 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS � W a j �� O � � O Q c � W � `+ � ��`e � Q � Z W � W � � W CyYCRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �/O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR C INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the ne t inspection 24 hours in advance. (952� 24J-4600 OwnerlContr te: Inspector. White Copyllnspector's File Canary CopylSite Notice �� ATE TIME '1 CITY OF ORONO �D IN �� INSPECTION NmOTICE Q -7 SCHEDULED /D-L7-G� '�'D PERMIT NO. ITO�-i' r l COMPLETED ��r ADDRESS a 0 S L�� OWNER�a.1� lY'ZGt-c. CONTR. TELEPHONE N0. Zn��- �'7.3 al3 �� DESCRIPTION /' /��-� �" ��d � � 01 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 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FiNAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME S: a - A�' -�- �Cc.S 0. � � O � (�i�il.t Pi (..(.l.l �'G l� O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ Owner/Contrac site: Inspector. �� White Copyllnspector's File Canary Copy/Site Notice ; D� � D T TIME j,i; ' lb-�j� CITY OF ORONO ��CALLED IN ' INSPECTION CE SCHEDULED �,_Cro?� ,'40 PERMIT NO. 1 COMPLETED ADDRESS � OWNER, GtC��tM%�7-GGc CONTR. TELEPHONE NO. (l��Z' �7 O �d 7 Z � DESCRIPTION I' G"�l�/`''� � rC.�i�� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE 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 v 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 � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED � PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �� ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � /L3�� ❑ PHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (J52� 249-46�� Owner/Contr o ite: Inspector. — White Copyllnspector's le Canary CopylSite Notice