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Home My WebLink About2000-P02290 - addn/remodel/repair ti � ` PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2290 Crystal Bay, Minnesota 55323 P2�PYllt TypG': Addition/RemodeURepair (612) 249-4600 Date Issued: a�i2�oo SITE ADDRESS: 1485 Long Lake B1vd LONG LAKE, MN 55356 P I D: 3 5-118-23-22-0001 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Sub-type(s): Deck Permit Type: Addition/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: T1F(`KTN(:.Q�R ATT RFPT A('FT�TFNT(1NT V_T(ITCT RFPT A(`F�� ,e,�quiR,�s �v�Q7Tf�,e ,ppp�Pay/+�., FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,285.00 State Surcharge Fee: $ 3.15 TOTAL FEE: $ 142.40 APPUCANT: �GHT ANGLE BUILDING CORP OWNER: KURTIS A GREENLEY&WIFE PO BOX 643 1485 LONG LAKE BLVD WAYZATA,MN 55391 LONG LAKE MN 55356 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMl'ROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BiJII.,DING CODE REQUIREMENTS. . V'./1t�GsG ISSUED BY SIGNATURE Copies:Ci ,Applicant,Assessor,Finance Page 1 � � CHECK OFF LIST FOR ISSUA:rCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �L1�5 LON C� LAKE 3LV� PID: DESCRIPTION OF WORK: I�EGK 2EPA�R _--_-- ______---------- --------_---_---------------------------- ZONING REVIEW BY: DATE APPROVED: y�1,� -ao BUII.DING REVIEW BY: DATE APPROVED: y-/r-v o FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes No � SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNEC"TION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /U 0 G H�4NG+e 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 and: Building Height: Def. Hgt. Pe Hgt. Lot Coverage: G � Grading: Staff Approva�'Date: �y: Council Approval Date: � Septic: Staff Approval Date: �y: Zoning File: # Resolution: !t_� Resolution Date: Shoreland District: I' i Avg. Setback: Bluff Setbac : Lot Coverage: Existing ; Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vaziance Required: Yes No Date of Council Approval: REMARKS(in house): 7 � � BUII.DING REVIEW CHECK LIST � � UBC: /2• 3 CONSTRUCTION TYPE: �NI , Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = � TOTAL b$ Estimated Construction Value: $ (s�Z�s Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing Septic Sewer Connection - �Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) _�[ Final Grading/Filling Elecuical(State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ____�_------- ----------------- REMARKS (TO BE NOTED ON PERMII�: ��du rrG AN� �8'l R��- ��lA Gt��` 1'v(� � ' �GP a 1C 3�0�ST 1 tJl /lti �v2 71 /47�10.�id✓I�1 8 . , ' • , Total Fee: $ /��.�c� Date Received: �/�/d o Entered By: � Permit�#: A �.t,29 a CITY OF ORONO - BUII.DING 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� O ZIP: NAME OF OWNER: ,�� C�J�� l�� PHONE: ome) �3' �90� �fp (work) 4� 3 7/ - 3 ZZ� MAILING ADDRESS: ��S �r�E� C�/�� CTTY: Le� l� ZIP: ��, 1 I/, �� CONTRACTOR: � '� (� 1G%Ul �/�`` �'PHONE: � 3-O 3 CONTACT PERSON: MOBILE/PA ER: � - MAILING ADDRESS: , , CITY: -f} ZIP:�3�'-/ � STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �f�S'�-�- /V�J �1��Lr� �� - �l�l�C, � ST"��2� - STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �p2��, � I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confom�ance with the ordinances and codes of the Ciry and with the State Building Code; that I understand this is not a emut and work�is not to start without a permit; and that the work will in ccord ce e approved plan. APPLICANT'S SIGNA DATE: NOTE! Parade of Homes events re uire separate permit approval by Police Department and Ciry Council 60 days prior to the ent. Non permitted events witl not be allowed. 5 , � . . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of iixlividual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Informa4on req�rired to be given mdividual. Aa individual asked to supply private or confidential data concerning himself shall be informed of: (a)the pucpose and inte�ed use of the requested data withii►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 to supply private or confidential dara;and(d)the ideatity of od�er persons or entiaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigative data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The co m�ssioner of revernie mav olace the nodce reauired under this subdivision in the individual income tax or orooertv taz refund insauctions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infora►ed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. 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 that data. After an irulividual 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 ro this secdon is pending or addirional 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 i�ividual subject of the data. The responsibte authoriry may require the requesring person w 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,ezcluding 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 die individual,and may have an additional five days within which to comply with the request, ezcluding Samrdays,Suadays 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 co�erning himself. To ezercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagreement. The responsibie authoriry shall within 30 days either: (a)coract the data found to be inaccurate or i�omplete aitti attempt to notify past recipients of inaccurate or i�omplete data,i�luding recipients named by the individual;or(b)notify the i�ividual that he believes the data to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinaaon of the rosponsible 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�iry of Orono or any of its departments may require you to furnish certain private or confidential information. You aze notified that: 1. The information you fumish 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. �� . . ��- Fi Middl �Z�l� -�f�L �� • � ' A ss ,�fo � C'l� 5�3� q��-Z��1 ih, Srate Z�p Phone I derstand y right st d ove. ! cure 6 ATE TIME CITY OF ORONO CALLED IN i a a INSPECTION N ICE SCHEDULED i //=oa PERMIT NO. COMPLETED � — '� � = �� ADDRESS ��S� �� ' OWNER CONTR.(��_` TELEPHONE NO. �3 -03 7z� � DESCRIPTION G�c.�CJ � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 2 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 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � � � � /� / � � Y l�� W ��''( �P W � Q � Z W � W � j d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr r on site: Inspector.�� /�S White Copyllnspector's File Canary CopylSite Notice