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Home My WebLink About2004-P08295 - addn/remodel/repair PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P08295 Crystal Bay, Minnesota 55323 Permit Type: Accessory-Staures i --f / -I (952) 249-4600 Date Issued: 12/15/2004 SITE ADDRESS: 1565 Orono Oaks Dr Long Lake,MN 55356 PID: 35-118-23-33-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 tuI Permit Sub-type(s): Addn/Remodel/Repair Permit Type: Accessory Strucres c ci I- ' -e r DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: ---- ----- - Lyiz FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 9,000.00 Plan Review Fee: $ 108.68 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 280.93 APPLICANT: Merit Building Co.,Inc. OWNER: John Dalbec 2393 Coon Rapids Blvd#204 1565 Orono Oaks Dr Coon Rapids,MN 55433 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. APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 :.4c-13-2004 10:47am From—CITY OF ORONO U!�1 U� 9,322494616 1-296 P.001/002 F-538 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � '�\\�) (please print all information) 1' THE APPLICANT IS: (circle one) OWNER OI CONTRACT R> JOB SITE ADDRESS: )S5 ��0 P 0042-S PIN .ZIP:5� ) �p Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? E Yes ►_� No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF O`VNER D fl PHl NE: (home) S y 7�aOS (p/,-`=i4 6- I Ll0 MAILING ADDRESS: o J S Le S 0 y no ocx�S LC CITY: /1 ZIP: Sa aSL CONTRACTOR: rl-v.,e i i 4 i 1 AWL, . PHONE: CONTACT PERSON'. EL V1 ♦ i iViat M$e: MAILING ADDRESS•.:.1. IEE/PAGER: ��I�� ;��- _L CO b (Z •;ck V, CITY: &7r p i G ZIP:5-3q 3 } STATE LICENSE: #ao3. . ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: NAME: ZIP: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration X Land Alteration PROPOSED WORK(describe in detail): V/ v n-F--Fi L STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. ESTIMATED CONSTRUCTION VALUATION (excluding land): $____51.10_01:Z4:____ 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 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: /4 DATE: _ZZ- /S -ey SEC 11. 2fin# Qpc-13-2004 10:47am From-CITY OF ORONO ORIGIN 616 1-296 P.002/002 F-538 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. 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 within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(e)any known consequence arising 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. e commissioner of revenue ma a rice re aired under this. 'iSion in the instructions instead of on those forma, ideal incomer Qr property tar refit tett 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 without any charge to him and,if he desires,shall be informed of the content and meaning ot 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 slit 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. The 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 Saturdays,Sundays and legal holidays,if immediate compliance Is not possible. If he cannot comply with the request within that time,tie 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 the accuracy or completeness of public or private data concerning himselff. To exercise this right,an individual shall notify in writing the responsible authority 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 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, Ifler,+ -BidcJ, Co , Inc , First Middle Last Z 3q Coo Zotet'el Iy d Address city f /-)'\ n c-5 4-13' :-7Cc3—3Z 3-73(.(3 State 'Lip Phone I understa my rights as stated above. Signature" °EC . 3 4 1 r t r I' Ir 4.N. ,. \ \ \ \\\ `,\. ``�, �, • I r t 211i j }I r r , t_ \`v t It I T , j_ C I r - -f- t r i r j,( _it l 1Xr tVT t l t �_ t t f+ '- 1 1Q+ i_ A i ? r I } I- : j a { i� 1 I j T r n I f t , a f I ; I (fit • s � • II Ir r if_ 1 , T r CCC , r ' 'W. ; r ! t I T r : 1N •nt C): t r O fV I !' li+ Pd (X t� om ; _ i ii3.....; r 4 r it ill' 1 • , - 2 6' , �,_ MI Q t I t0 it I '41 ;.% • ri! 1.; r " , , r 1 -I. -i tr. ,20 ,....._ §rr6 7 r r r t r� D I +- r s i r I l . • , 7i I . 7 DAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED l�;I- i-OY 1/;Gt', _ , PERMIT NO. ,�(��a 9s COMPLETED ADDRESS /S1a 5 ( )/-o/C) Q t s �� OWNER CONTR. Uri f a 05- Co TELEPHONE NO. � >r-)3 ?,3(p DESCRIPTION I& 11O69, w 01 FOOTING_. 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 0 LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES NO 01 cc • COMMENTS: 42). 1A-Sak Epi cco o VOL4 \C k+ lATIA44,A1 t �-+^� aloS � c Q z c Gw ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑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 WILL RETURN IDSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952) 249-4600 OwnerlContrc��p d ite: Inspector. a``,, ( e White Copy/Inspector's File Canary Copy/Site Notice / DATE TIME CITY OF ORONO CALLED IN L2-30-01 INSPECTION NOTICE ��J SCHEDULED /-,3-05 /aOC PERMIT NO. I'/�O�U / COMPLETED ADDRESS 15(_40 Cg_oit.0 O s OWNER CONTR.A/(-(I/'}- TELEPHONE NO. 7(03 3-" ,.3 73 C93 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W• 02 /W 13 MECHANICAL FINAL 19 LAKESHOREETLANDS 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL D. 12 WATER HOOK-UP 17 SITE INSPECTION Q p5 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS:cc ' cc1\1 6+ ( ct8 k#(0. 0 >. cc 0 u..cc „,z cc W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CJ ORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN IESTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for then xt'nspection 24 hours in advance. (952) 249-4600 Owner/ContrT i :4•4i14 Inspector. White Copy/Inspector's File Canary Copy/Site Notice gi----I DAT TIME CITY OF ORONO CALLED IN �- INSPECTION N IC SCHEDULED - - 9.0 PERMIT NO. �O& 1A � COMPLETED ' ADDRESS 1565 �,o BYOGLS OWNER `- CONTR. cf &I� TELEPHONE NO. (U/2 9i s /'d o DESCRIPTION Insr,/--0 - W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING c 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 v7 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �▪ J9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 0 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z WNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS 41 C \IA 1,0th C..4-i'ekr t.A.)',IOC-c9 WS a.re Q. CC o -s-V---\--0„, CC CO IQ cc W Z W cc d WQ ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ EFORE COVERING PERMANENT T CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 Owner/Con i e: Inspector. White Copy/Inspector's Fil Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED /"I'.•D) /0: 3Z) PERMIT NO.anallOPTIO COMPLETED ADDRESS 566 Ornn-o O OWNER CONTR.M1Xtt 8fdt . TELEPHONE NO. 6/c? ,1/8 /8'0 43 eiGPte DESCRIPTION L/Ga^l n'V 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 41/ 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 -4 .7 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP I .9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cam ., COMMENTS: cc W Q.. cc 0 C 0 U. W cC Q W Z W cC d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW CI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 wnedContract �ite,:,�d nspector. w-, White Copy/Inspector's(File Canary Copy/Site Notice 5"14- DATE�7(C�S TIME CITY OF ORONO CALLED .i INSPECTION N TI /SCHEDULEb /0.' 00- PERMIT NO. ,O z% COMPLETED ADDRESS /Scp S a ''-o ° on_feS hr2. OWNER CONTR. fl ler/ f B l d5 TELEPHONE NO. ` ) Lo 3 -- 3 a 3 —2 3 0 3 DESCRIPTION r✓1 ct / ci fi-CY" k. Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Ci 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 Q 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: \ YES NO o COMMENTS: (`( f cc •\.ezi---- IQ ► Gt11 Q. t_t c 4 -‘....- firoj O Cho S 3 Lit) Csek, cco eo 833 a c. ./ cc Q W z W cc 2 WORK SATISFACTORY:PROCEED df, PROJECT COMPLETE CC W 11CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN [7STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Con .,r site: Inspector. %, — White Copy/Inspector's ile Canary Copy/Site Notice