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Home My WebLink About2006-P10451 - re-roof PERMIT CIT� OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10451 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/12/2006 SITE ADDRESS: 1480 Sixth Ave N Unit# Long Lake,MN 55356 P�� 26-118-23-32-0008 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterarions Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 482.15 Valuation: $ 34,000.00 State Surcharge Fee: $ 17.00 TOTAL FEE: $ 499.15 APPLICANT: Roof Company NA Inc. OWNER: Robert&Sally Hauser 745 Tower Dr. 1480 Sixth Ave N Medina,MN 55340 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 Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ DateReceived: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pf�int al!information) ------------------------------------------------------------------------------------------------------------------------ TH�APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE.ADDRESS: l�� C�1 /'�c� V� ZIP: Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No lf yes, a special event permit is reguired with Police Department and Ciry Counci!approval �L 60 dm�s prior•to t/ae event. Shutlle birs se�•vice will be required unless applicant dernoMstrates sn�cient a�-site par/cing is available. [Von pern�iued events tivill not be alloN�ed. NAME OF OWNER: KObe✓��ll� ,�Pi" PHONE: (home) ��Z-9d S'- 90(3 (work) MAILING ADDRESS: �� C /�� p CITY: �/�Or/D ZIP: CONTRACTOR: I`�o0'l' �I�?Dar1N /Vi4 . .Zdl� PHONE: 7�3- s�S'D-44�f<J CONTACT PERSON: �o� n �rry�r i�In MOBILE/PAGE : (p/Z- 2�-o9Z� MAILING ADDRESS: '7�C �a cv Pf �/'. CITY: /�P��v ZIP: <S"��90 STATE LICENSE: # Zo I 7 2153 EXPIRATION DATE: Z�0 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIl': NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review a permits! PROPOSED WORK(describe in detai�: %ea�-o� �/�sJ�/l NPv� �eo� STORIES: � SQ.FEET OF EACH FLOOR: • NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): � �9, B�- �� , I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the�vork 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 pei•mit and�vork is not to start without a pennit;and that the work��ill be in accordance �vitll the approved plan. APPLICANT'S SIGNATU ( DATE: la�z D�v 3l Sec.13.04 RLGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The riglits 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 m supply private or contidential data concerning himseifshal(be inFormed of: (a)the purpose and intended use of the requested data�vithin the collec[ing 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 supply private or confidential data;and(d)the identity of other persons or entities nuthorized by state or federal law to receive die 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. The commissioner of revenue may_place the notice req,�ired under this subdivision in the individual income ta�or�ropertv tax refund iiistructions instead of on those forms. 5ubd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classitied as publ ic,private or confidential. Upon his further requesc,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 infortned of the content and meaning of that data. Afteran 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 ro this section is pending or additional data on the individual has been collecced 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 suthority 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 tive days of the date of the request,e�ciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he camiot comply with the request within that tinie,he shati so inform the individual,and may have an additional five days within which W comply with the request,excluding Saturdays, Sundays and legal holidays. 3 ubd.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 this right,an individual shall notif'y in writing the responsibie authoriry describing the nature of the disagreement.The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempc to notify past recipients of inaccurate or incomplete data,ineluding recipients named by the individual;or(b)notify the individual thut he bel ieves the data to Ue correct. Data in dispute shall be disclosed oniy if the individual's statement oti 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 infom�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 may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. Ifyour requested permit or license requires Council action to approve,some information may become public. 5. You have certain ri�hts under 1�I.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 �Iiddle Lxst Address Cih� State 7_ip Phone I understand my rights as stated above. S;gn:iture Reset Form .i� '� � � � �A E /� TIME � CITY OF ORONO ALLED I� 1�' �4� INSPECTION NO ICE SCHEDULED C (� PERMIT NO. � �� COMPLETED T•,� ADDRESS �� gC� 6�-�'�L� ��rf1`�/(,� � OWNER CONTR. [",C�l� C�(� - TELEPHONE NO. �=3 ��C� � � � �`�` � DESCRIPTION� C�u�> 1��-�'�� ' � l� 01 FOOTING 11 MEC ANICAL RI 18 CAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � ' � a � C-C � � 0 � � 0 � W � Q � Z W � W � j GW ❑WORKSATISFACTORY:PROCEED �� ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED r! ISSUE CERTIFICATE OF OCCUPANCY W p ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. '�A��, White Copyllnspector's File Canary CopylSite Notice