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Home My WebLink About2006-P10461 - re-roof PERMIT CITv�OF ORONO Permit Number: 27;i0 Kelley Parkway- PO Box 66 P10461 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/18/2006 SITE ADDRESS: 2700 Sixth Ave N Unit# Long Lake,MN 55356 P�� 28-118-23-42-0002 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,200.00 State Surcharge Fee: $ 2.10 TOTAL FEE: $ 113.35 APPLICANT: Advanced Home Improvement OWNER: John Lein 9 Central Avenue 2700 Sixth Ave N Osseo,MN 55369 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. � � p ��/� /J /) a �///� . / M_.................._.._.�_ i...__ � �F'�j' / 1�.��1./ l ��L�V PPLI ' PERMITEE SIGNATURE � � + [SSUED BY SIGNATURE Copies: 1-File(SignaturesReguired), 1-Appiicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 Total Fee: 'i$ Date Received: Entered By: j Permit#: C�TY OF ORONO - SUILDING PERMIT APPLICATION All information must be submitted in full befoi�e plan review will be started. (please print all inforrrcation) ------------------------------------------------------------------------------------------------------------------------ TH�APPLI�ANT IS: (circle orie) OWNER OR CONTR.A.CTOR JOB SITE ADDRESS: p��DU Gc•2-iK-� � � ZIP: .S�3 s?� Will this be a Parade of Homes, Remodeters Sho�vcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia!event permit is required�vith Police DeparJment and City Cozrncil c�pproval 60 days pria�to the event. Shzrtlle bus se��ti�ice will be reguired unless applicant demonstrales sa�cient on-site parking is available. Norz-permitted events�vill not be allowed. NAME OF OWNER: .�c>�� o ,�.-. PHONE: (home) " (work) MAILING ADDRESS:a�ov c.�k��f� �� CITY: DV��h ZIP: S S�� CONTRACTOR: ��Ja✓�c.s�,Q �-� 7- ,...�,ol i PHONE: ��3� �a`1-o2�i�7 q CONTACTPERSON: ie� MOBILE/PAGER: 7� 3— a�G -- �i�o MAILING ADDRESS: °1 CITY: c9S.Se�J— ZIP: �'3G� STATE LICENSE: # aDo i 7� ` 9 EXPIRATION DATE� 0�7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRA.TION: # TYPE OF WORK: New Home Addition � Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(rlescribe in detr�i�: /� �7'�r,.-- �/� � - STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOlVi5: GARAGE STALLS: ATTACH�D DIETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): � �Zd��v?J I hereby apply for a building permit and I acknowledge that the infonnation above is coinplete and accurate; that the work wiil be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a pennit and�vork is not to start without a permit;and that the work will be in accordance �vith the approved plan. APPLICANT'S SIGNATUI2E: DATE: � �� D � 31 Scc.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individuai an whom the data is stored or to be stored shall be as set foRh in this section. SuUd.2. (nformation required to be given individual. An individuai asked to supply private or contidential dataconceming himselfshall be iiiformed of: (a)the purpose and intended use of the requested data within the collecting state agency,pol itical 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 suppiy private or contidantial data;and(d)the identiry oFother persons or entities authorized by state or federal law ro receive tlie data.This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement of6cer. The commissioner of revenue may.place thc notice required under this subdivision in the individual income ta�or pr��erEy 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 individuttls,and�vhether it is classitied as public,private orconfidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be sho�vn the data�vithout any charge to him and,if he desires,shall be infortned 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 pending or additional data on the i�dividual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authoriN may require tha requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with r�ny request made pursuant to this subdivision,or within tive days of the date of the request,e�ciuding 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 the individual,and may have an additional five days within which ro comply with the request,eecluding Saturdays, Sundays and legal holidays. Su�d.4.Procedure when datu is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry 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 bel ieves the datl to be correct. Data in dispute shall be disclosed only if tlie individual's statement of disagreement is included with the disclosed data. The determination of H�e responsible authority may be appealed pursuant to the provisions of the administrative procedure act rellting to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforn�you that your request for a pern�it 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 �nay 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 Ivi.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. �Te-��-, � � (J .' �, �--- ��.-�- t�c�- First D4iddlc Lxst �?/ C¢.��SL Addr ss -7G�_ a� S s�� v�,-,� �� 9 `�a Y-a��9 Ci1v Statc 7.ip Phane I understand my rights as stated above. Sig :iturc Reset Form 32 1,�� - ��- / / rDAT� TIME 1/ CITY OF ORONO CALLED IN � l � INSPECTION T /„ / SCHEDULED �� --��I PERMIT NO. U✓ COMPLETED ADDRESS oZ�v d �L 1 � OWNER CONTR. ��.//LI -��2�� TELEPHONE NO. �� 7�'i3 1�.�`� Zy7� ��pd��L� � DESCRIPTION �� `�"��/" t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS � O 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 FINA� 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMEN� . ...._._. .�._..... ._.___.. . �_. _ ..._..... , ..�_ .. � ....,`-,., o , ..�-�� n�� T d,� �?��-�-��6�,,�.�- � � , ,.� � 0 � W � Q � �•"' ` r Z �� , . ` i�,. � �; � C. � � L'� �^ � C..� � 'f"'�. j �-'' r � J • �� (�'l` ��..) l d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED !-! ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR '-� CITATION ISSUED C INSPECTION RE�UtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � � � I'� � �� White Copyllnspector's File Canary Copy/Site Notice , � (t f� �\ �1 ` � �� 9AT TIME " CITY OF ORONO CALLED IN �/ � INSPECTION NOTICE SCHEDULED � � PERMIT NO.�� COMPLETED ADDRESS � �dQ , �� '�- ��' OWNER CONTR. �,�/.P .i'll� �C'�'Y� - TELEPHONE NO. / � � � � �Ln �- �L�'Q� � DESCRIPTION �-E- " �L' t� 01 FOOTING 11 MECHANICAL RI 18 AV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�ES_NO , � COMMENTS: � } �� a � J O � �7� U U� O Q-� ,. , Q � [�� W �(�' L� , n Q ��t� • Z � 4� . � � � �� /l i t � rar �rK ��'dr� e � � � � _.._ j I�d o0 A---- . � ❑WORK SATISFACTORY:PROCEED pl�pROJECT COMPI.ETE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHiN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on ite: Inspector. �� a/' � ! White Coovlinspector's File Canary CopylSite Notice