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Home My WebLink About2001-P03646 - addn/remodel/repair w � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P03646 Crystal Bay, Minnesota 55323 P@�rTllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 3i3oi2ooi SITE ADDRESS: 230o Longview Cir LONG LAKE, MN 55356 P I�: 03-117-23-23-0018 DESCRIPTION: UBC Occupancy R3 Proposed Use: icesiaentiai Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Eiecuicai(siaie j NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 349.25 Valuation: $ 22,000.00 Plan Review Fee: $ 226.98 State Surchazge Fee: $ 11.00 TOTAL FEE: $ 587.23 APPLICANT: Willette Building Co. OWNER' C R&D CARL P.O.Box 85 � 2300 LONGVIEW CIR Mound,MN 55364 LONG LAKE MN 55356 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVIMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. �i'ir�-- �� N ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 .�1 � �� ' Tc=al Fee: $ '� `' ` ^� ^ Date Received: `�'�Z 7 �G / Entered By: ,C � ' Permit#: f� G -� (�� 1 � ::�',"��- _ -��:, _ , 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 JOB SITE ADDRESS: �-3d� /--�/� vv��,v ��/�G 1t_ ZIP: -�� NAI�LE OF OWNER: / (/� f� �. �F/�✓ PHONE: (home) �� , (work) $/ �—39�- �O �3 1�IAILING ADDRESS� �� O LONG(/� E'll� CITY: L�� j•c ZII':�-3=��o �� C F CO\"TRACTOR: �(�r�l��'�'E,Bu�`/�,`�� C � PHONE:��`>-z '7'�-�-�-��Z COr�TACT PERSON: /9-!lF�fii`!�F NIOBILE/P'�: Z-�.I D -�5�'.�G M.AII..ING ADDRESS: . 0 l� s CITY: DGl �ZIP: =�5.36� ST�TE LICENSE: # 0 ARCHITECT/ENGTivEER: PH0�1E: MAII.I�i tG ADDRESS: CITY: ZIP: NA.�IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�(_ Land Alteration PROPOSED WORK(describe in detai�: ma%�L � �fC,�iE N —�FP/�G � ��2— J7.t��C G111 1�11 � "' l`f r�/�'YI'�� le� L-/�1'Yl 'S / ! � /1/� _ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOVIS: GARAGE STALLS: ATT. DET. N l� ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ a ��Q G'� I hereby apply for a buildin� 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 is not a permit and work is not to start without a permit; and that the work will be in ccordance with the approved plan. APPLICANT'S SIGNATURE y �!=G DATE: � . -�-�----- NOTE! Parade of Homes events require separate permit approval by Police Department and Cily Counci160 days prior to the event. Non permitted events will not be allowed. 5 . ,, � Sec.13.04 RIGHTS OF SUBJEC'TS OF DATA ' Subd. 1. Type of data. 'Ihe rights of individual on whom the dara is stored or to be stored shall be as set forth in this secdon. Subd.2. Informaaon required to be given indiridual. An i�ividual asked ro supply private or confidential dara concerning himself shall be informed of: (a)�e purpose and intended use of the requesud dara within the collecting state agency,political subdivision,or statewide rysrem;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing ro supply private or confidenaal dam;and(d)the idenary of other persons or enaaes authorized by srate or federal law to receive the data. This requirement shail not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82, subdivision 5, to a(aw enforcement officer. , The commissioner of revenue mav olace the notice rewired under this subdivision in the individual income taz or nrooertv rax refund instrucrions instead of on those fortns. 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 ctass�ed as public,private or confidenaal. Upon his further request,an individual who is the svbject of stored private or public dara on individuals shall be shown the dara without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Afur an individual has been shown the private data and informed of its meaning,the data aeed not be disclosed to him for six months thereafter�uiless a dispute or acaon pursuant to this secaon is pending or addirional data on the individual has been collected or creared. The responsible authority shap provide copies of the privace or public data upon request by the individual subject of the data. The responsible authority may require the requesring person W pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant ro this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and tegat holidays,if immediate compliance is not possible. If he cannot comply with [he request within that time, he shall so inform the individual,and may have an addiaonal 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 privare data concerning himself. To ezercise this right,an individual shall nodfy in wriang the responsible authoriry descdbing the nature of the disagreemenG The rosponsible authoriry shall within 30 days eirher: (a)cornct�e data found ro be inaccurate or incomplete and aaempt to noafy past recipienrs of inaccurate or ituomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Dara in d'upuu shall be disclosed only if the individual's sratement of disagreement is included with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisioas of the adminis�adve 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 aze 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 Ciry 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 pemut 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 Ciry $tate Zip Phone I underscand my rights as stated above. � �� Signature 6 � . . - r CHECK OFF LIST FOR ISSUANCE OF PERMITS . FOR OFFICE USE ONLY . ADDRESS ORLEGAL: Z 3d� �^��v�EW c��2cLr` PID: DESCRIPTION OF WORK: 1��-�,P,J (2.�=vwo�0�e L- ZO�TING REVIEW BY: N I � DATE APPROVED: BUII�DING REVIEW BY: DATE APPROVED: 3 .2� . �� __________ _______ --- -------___________________________ ---- FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes � No pLAN REVIEW Yes No r/ SEOVER CONNECTION STATE SURCHARGE Yes ✓ No WAT'IIt CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /vo c i-f�nrG� 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(Sueet): Left Side: Adjacent Structures: Wetl d: Building Hei�ht: Def. Hgt. Peal: gt. Lot Covera;e: Grading: Staff Approval Date: By Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: . . • . Shoreland Disuict: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: RE�RI�S(in house): 7 , .. ' , BUILDING REVIEW CHECK LIST � � �C� � � 3 CONSTRUCTTON TYPE: �[� Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = x = TOTAL Fstimated Construction Value: $ 2 Z,o00 �`� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection F��g Septic Sewer Connection � Fr�g Fireplace Lawn Irrigation �Insulation (Masonry) Other �Wall Boazd (Mfg.) Well(State Permit) � F�� Grading/Filling �_Electrical(State Permit) Other RENIARKS(IN HOUSE): . -------------------------- REVIEW BY OTHERS: DAT'E: Access: Existing New Access Approval: Date gy; REI�ZARKS (TO BE NOT'ED ON PERMII�: ~~ N M N N 8 DATE `IME CITY OF ORONO CALLED IN �-.30 � INSPECTION NOTIC SCHEDULED �_ PERMIT N0. COMPLETED ''� "� ��L ADDRESS � �150 L.On��//��-��f� , OWNER CONTR. � ��G TELEPHON E NO. ��a - oZ/CS ' 7`��CS � � DESCRIPTION l/�f � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG Q 02 FRAMING 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 O6 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 y MMENTS: W � � �s J O � � � 6�� ° d Lr � an,s W °� �� - � G�� e��'t Q �' �c. � l� G-y�o�-- � � ��✓ r� - L�i G e C � 1.rn W � 3 � �U WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WOHK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITiONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. /� White CopyMspector'a File Canary CopylSite Notice