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Home My WebLink About2001-P04163 - minor alterations ! ! CITY OF R N PERMIT O O O Permit Number: 2750 Kelley Parkway- PO Box 66 P04163 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations . (952) 249-4600 Date Issued: 9i2��2ooi SITE ADDRESS: 507 Park Lane Long Lake,MN 55356 PID: 06-117-23-41-0093 DESCRIPTION: UBC occupancy R3 Construction Type VN Proposed Use: Icesidentiai Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations 1'ermit Sub-type(s): Building-Re-Roof Windows DETAILS: Approved per resolution#: Separate permits required: Eiec�icai(siaie j NOTICES/REMARKS: FEE SUAAMARY: Permit Fee: $ 678.75 Valuation: $ 55,000.00 State Surcharge Fee: $ 27.50 TOTAL FEE: $ 706Z5 APPLICANT: Danberry Company OWNER: n'�'•&Mrs. Smith 4410 Shoreline Dr 507 Park Lane Spring Park,MN 55384 Long Lake MN 55356 THE UNDERSIGNID 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 BUII.,DING CODE REQUIREMENTS. � �0�� 'v �-�--- I I A SSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports,1-Assessing, 1-Finance Page 1 � � , ;�, �� Total Fee: $ �t �= -�� Date Received: �� j �� Entered By: f� Permit#: ,,%r �� 4<��0 5 � ,,, �� 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 CO TRACTOR JOB SITE ADDRESS: �'G� (�a.�/,� ,�Q�. ZIP: NAME OF OWNER: �/W ► ti^- J� ' ��`- PHONE: (home) (work) MAILING ADDRESS: �O 7 Q�,r,� L�, CITY: f��t�a— ZIP: ,��, CONTRACTOR: � �av�.�cr�-y L� PHONE: �71— o�3 Z CONTACT PERSON: ��- MOBILE/PAGER: ZS'O 7/o a MAILING ADDRESS: �-j yl U �j�yr��`,,,,�.�..CITY:�� a�.-k ZIP: STATE LICENSE: # /�(Q� ARCHITECT/ENGINEER: '�� PHONE: MAILING ADDRESS: CITY: ZIP: NAl�IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration C Land Alteration PROPOSED WORK (describe in detain: � ��e �r ��s S�� / ` � 'r STORIES: Z.-� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. e►u ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �„�rJoO 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 Ciry 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 wit he approved plan. APPLICANT'S SIGNATURE: DAT'E: � NOTE! Parade of Homes events equire separate pe it approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 r s , 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 secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or co�dential data concerning himself shall be informed of: (a)die purpose and inte�ed 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 arising from his suppiying or refusing to supply private or confidential data;and(d)the idenrity of other persons or enbdes authorized by state or federal law to receive the data. T'his requirement shalt not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. 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 i�ividuals,and whether it is classified as public,private or co�dential. 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,shali 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 action pursuant to this section is pend'ufg or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of d�e 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 costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,wit!►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, he shall so infocm the individual,and may have an addiuonal five days within which to comply with the request, excluding Saturdays,Sundays and tegal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or complcteness of public or private data co�eming himself. To exercise this right,an individual shall notify in wridng the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)corsect the data found w be inaccurate or incomplete and attempt to notify past recipients of inaccurate or i�omplete data,ircluding recipienu 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 individuai's statement of disagreement is included with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaring 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 fumish certain private or confidential information. You are notified that: l. 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. � G�� CT�� (.�,,vl,�cr First Middle Last Address Ciry State Zip Phone I underst my rights st ed above. Signature � 6 . a , � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �v-� PP�2� (}�r,,P PID: DESCRIPTION OF WORK: i9-1/!S -------------------- --------------------------------------.-------------------- ZONING REVIEW BY: //� DATE APPROVED• BUII..DING REVIEW BY: DATE APPROVED: $ - �--v) FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �' No PLAN REVIEW Yes No �/ SEWER CONNECTION STATE SURCHARGE Yes _� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �/(/U C� 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 ide: Reaz(Street): Left S e: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date; Shoreland District: Avg. Setback: Bluff Set ack: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: REMARKS(in house): 7 � P � a . BUII.DING REVIEW CHECK LIST UBC: �' 3 CONSTRUCTION TYPE: �(!J Sq Footage $Per Sq Ftg Basement x = lst Floor z = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ S�,O(')fl � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection �_Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Pemut) �LFinal Grading/Filling �o �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 ' --` ►�J.O. 127-77� 23/15 � M1 � ��*�rf EDWARD H. SUNOE _ SUND� LAND SURVEYi�� +II�IG`+•��A � R6GISTER4D LAND SURV[YOR 8001 EAST BLOOMINGTON FREEWAY (36W) •BLOOMINGTON, MINNESOTA 55420 • 612-881-2455 Survey For: CLAY MORR BUILDERS Surveyor's Certi icate V NOTES� } r +� � SEPiO'FfS_--FOl,lNO $URVEYORS MONUMENT � � OENOTES SURVEY MONUMIENT SET - � �� /f � � o �� .--- —� �. , n R� � �\ � _ �� 6� M�PP � �, Z�. � pL �; � 2�r°. �5 � b U \ N o // �\� .-•°�� , �%� ' �- o �\ ��y � LOT -!�'�� ,� o �_ � vE,� // •...� . . • �� D �tl� \, �� + SUNF - - � A� ,c�'�+' .'� �L�H�o �_ J1 _ �,i-/�' � c,�,U ., ,r�qfp�- 1� �° £ f:, , � ,5 \ \ < �/'� N S � ' � � � � � 1� �► �' �.-- � y► . � LOT . �--''� �° �' � �\ � �� ✓ � � �` 2 �� ,-� �5 \ � � � '�,� o ��- � ��. � � ,� �' ,, �-�o M �:�-39 �ag, '�► � � �► , -� 2' ,, . �z �� ' . � � N LOT �2o p�.a � .�. ��:: . 2� ` v,v, � 3 Zo ��:�x�',�a�_ — .�► �� .. . ___ �.:-..:::... o� � � -' _ _ _ _ __ _ . � . _ � , . - �� ; 1\ �_%�� I hereby certify that this survey, p� ` � or report was prepared by me or unde� � � my direct supervision and that I am � - � � duly Registered L�nd 5urveyor under � - ` laws of the �tat� of Minne�ota. ` PROPERTY DESCRIPTION • �• �'' Edward H. Sunde - Lot l, Lot 2 and Lot 3, BLOGK 6, MINNETONKA SUMMIT Qate �IaY 1�, 19.'? Re�o=� PARK, according to the recorded plat thereof, REVISED• JULY 2�. i9�7 �' Hennepin County, M�nnesota. '` C" Z.) � P � �� TIME CITY OF ORON� CALLED IN �` INSPECTION NOTI �� SCHEDULED _��!�� j PERMIT NO. COMPLET �; `� ADDRESS �� Q��l� OWNER CONTR.—.��:1 TELEPHONE NO. �. �—� � ""O� � DESCRIPTION � 4� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATIUN 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC INAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: l YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspec ' n 24 hours in advance. (952� 249-46�� OwnerlContrac r t • Inspecto White Copyllnspector's File Canary CopylSite Notice �� DATE TIME CITY OF ORONO CAL�ED IN INSPECTION NOTIC SCHEDULED � `�'3U PERMIT N0. COMPLETED �� ADDRESS ., v'`/ r�-� � L-Ck/1'�� OWNER CONTR. G�(.L1 .c.2c..� TELEPHONE NO.� � 7�_�53 � I � � DESCRIPTION �TD � �� L� � 7�>> � Ot FOOTING 11 MECHANI L RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a ��'��- �G��'�1��1 s ��;j�� ' �t� � J ,___ _ 0 a � 0 � W � Q � z W � W � � � !�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN 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� Z49-4600 OwnedContractor on site: Inspector.��1/� �l� �I S White Copyllnspector's File Canary CopylSite Notice