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Home My WebLink About2000-P02707 - minor alterations � �'�� PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2�o� Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations (612) 249-4600 Date Issued: ��20�200 SITE ADDRESS: 1405 Sixth Ave N LONG LAKE, MN 55356 PID: 35-118-23-22-0006 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 411.45 Valuation: $ 26,700.00 State Surcharge Fee: $ 13.35 TOTAL FEE: $ 424.80 APPLICANT: �'�'ESTURN cE°AR OWNER: R&c FLINT 9700 13TH AVE NORTH 1405 SIXTH AVE N PLYMOUTH,MN 55441 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. � -�"7 '� �,� / o�►�., � , �� A CA T PERM TEE SI A URE ISSUED BY SIGNATURE Copies: City,Appl�cant,Assessor,Finance Page 1 � � 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) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR � JOB SITE ADDRESS: l �v � C-�� , v � ZIP: �� NAME OF OWNER: �� l'�t � PHONE: (home) � � �� (work) ��j 3 z�" MAILING ADDRESS: ��'� CITY: ��s�2 / ZIP:��S� CONTRACTOR: ��Ei �"� C��C� PHONE: �E � S �/ –C>�O� CONTACT PERSON: �� ;�- MOBILE/PAGER: MAILING ADDRESS: �700 l3 %4 �- ..�C/ CITY: '� xr�}-t,�G� ZIP: �� // STATE LICENSE: # zG�S5 56�� ARCHITECT/ENGINEER: PHONE: MAILL�IG ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �— Land Alteration PROPOSED WORK(describe in detai�: �� ` �f%� _ ��z j�' � l�k`�i C r STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,,2�, �� 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 accord wit�e approv plan. APPLICANT'S SIGNATURE: � �� L=---DAT'E: �� G� � NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. � # Sec.13.04 RIGH'TS OF SiJBJECTS OF DAT,1 Subd. 1. Type of data. The righ[s of individual on whom the data is s[ored or�o be s�ored shall be as set forth in this secaon. Subd.2. Information required to be given individual. An individual asked to supply privace or confidendal dara concerning himtelf shall be informed of: (a)the purpose and intended use of the requested data wichin the collecting'state agency, polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data:(c)any}mown consequence arising from his supplying or refusing to supply private or conndential data;and(d)the identity of othec persons or enrides au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy investieadve dara, pursuant ro seccion 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or propertv tax refund instructions instzad of on those forms. Subd. 3. Access to data by indi�ldual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether i[is classified as public, private or confidenRal. Upon his further request, an individual who is the subjec[ of stored private or public data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be informed of the content and meaning of that data. Aher an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on the individuai bas been collected or created. The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making, cerrifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, wi[h any request made pursuant to this subdivision,or within five days oT the date of the request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addirional five days wi[hin 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 himself. To exercise chis ri¢ht,an individual shall nodfy in writing[he responsible authority describing[he nantre of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempc to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy ihe 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. Ttie dererminacion of the responsible authority may be appealed pursuan[to the provisions of the administrarive procedure act relapng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Riahts of subjects of data", we would like to inform you that your rec{uest for a pernu[ 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. (, Your full name is required to process this application or permit. First �Iiddle Last Address C�ry $tate Zip Phone � I understand m 'a as tate . "�� /%-�� Signa[ure DATE TIME CITY OF ORONO CALLED IN `�-/- ov INSPECTION N TICE '� ,(� '"� SCHEDULED �Z-�� 3 � PERMIT NO. �v �,� L.T/ COMPLETED '� �� ADDRESS � d� ati"� �� OW�j��t CONTR. � TELEPHONE NO. !��'lG`✓ � ��1�'� 3 t��' �3�`�1 � DESCRIPTION C1Z--cf�a�t� -�9�� '-o-,� l� 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � C MME S: � � a � � � o G�" " � � '' -1'/ � �c S �c-"h � 0 � W n -� , Q�• G7A� � Z✓lic.�5 � � ' �i �G � '�� 5 � U" W � � -J� - Z� d �?� ' �'S� d ❑WORK SATISFACTORY:PROCEED �- PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED : ISSUE CERTIFICATE OF OCCUPANCY W � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � EFORECOVERING pERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. i. PHOTO TAKEN INSPECTOR WILL RETURN i- CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. 249-46�� OwnerlContrac or on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION TI E SCHEDULED ,�o``J -L/ :� PERMIT NO. � �?U� COMPLETED �%� ADDRESS � ' OWNER �<�� ' CONTR. S `� TELEPHONE N� �3 SS$S �3�I3—lg�� N� 3�"3�� DESCRIPTION ��"�' �f 7 N 4`//-e l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FIN 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRAC O TO MEEf Y U:_YES_NO � C MMENTS� �P �� <P� �- y 'S G�.!> � C 4 r �� at o S � G/ ;Qv1 �jG+? e � � 0 � W � Q � z W � W � � d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL FiEfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContra or on site: Inspector.��5 White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION IC SCHEDULED ��_ � PERMIT NO. �J��'� COMPLETED �?�/ � � gC� ADDRESS ��s SL x� �� I� � � OWNER CONTR. U`'��5��- f-�X� TELEPHONE NO. ��L� � DESCRIPTION k-�r=�� lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS ti Q 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 ��O-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 � J O � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED �PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CA�LTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. Z49-4600 OwnerlContractor on site: Inspector.��L�[�� ( White Copyllnspector's File Canary CopylSite Notice