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Home My WebLink About2001-P03875 - re-roof � • � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P03875 Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249-4600 Date Issued: 6i19�2ooi SITE ADDRESS: 157o Sixth Ave N LONG LAKE, MN 55356 P I D: 26-118-23-32-0003 DESCRIPTION: UBC Occupancy R3 Proposed Use: icesidentiai % , ��/5 Buildin Census Code 4f34 � !C��' Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,300.00 State Surcharge Fee: $ 3.15 TOTAL FEE: $ 142.40 APPLICANT: J E WHITMAN&D M WHITMAN OWNER: J E WHITMAN&D M WHITMAN 1570 SIXTH AVE N 1570 SIXTH AVE N LONG LAKE MN 55356 LONG LAKE MN 55356 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROV EMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. __-- � �— /,�' "�� .i�__ �,� � _- ��--!� �/�'I�U..c� ��L��'�l''c�.� PPL E TEE SI R ISSUED BY SIGNATURE ' Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 . � Total Fee: $ �`��• y�' Date Received: `,�- .j % -(�/ EnteredBy: �,�N Permit#: ,��>>�75� CITY OF ORONO - BUII.,DING 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 CONTRACTOR �� . JOB SITE ADDRESS: ;� S"� �% � � �-� � ZIP: S�S� —� � NAME OF OWNER: �.�G ti�r 7` ��r�ci �`-'�u�i4��PHOiVE: (home) `=f7_�—��'��c�' (work) ��,,-,,� 1�IAII.ING ADDRESS: �� /��.� . CITY: ZIP: CONTRACTOR: " PHO��tE: CON'TACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: Z�: STATE LICENSE: # ARCHITECT/ENGI�i TEER: PHO`TE: MA.ILING ADDRESS: CITY: Z�: rJ�y�; REGISTRATION# � � s� E ,/� �� TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��-<� .�-t.��w /a�,��' .�..��:�� az�'� � iG �� c-� /'�t��7� � �s C^e�-Z� c"'� �c�^� /L _ STORIES: � <`��K�� SQ. FEET OF EACH�'LOOR: 1�S�' NO. OF BEDROOMS: � GARAGE STALLS: ATT. � � DET. � , ESTL�IATED CONSTRUCTION VALUATION (exclud.ing land): � ,�� -�' � I hereby apply for a building pemut 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 with the approved plan. --__...___ , _-- APPLICANT'S SIGNATUR�"'�� /�`� DATE: ��' �� ,_� s NOTE! Parade of Homes events require separate permit approval by Police Department art� City Counci160 days prior to the event. Non permitted events will not be allowed. : . Sec.13.04 RIGHTS OF SLTBJECTS OF DATa Subd. 1. Type of data. The righcs of individual on whom�he dara is swrrl or co be scorod shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An icdividual asktd w supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and iacended use of the requesred data wi�in the collecang Etate agency,poliacal subdivision,or statewiCe rysum; (b)whecher he may refuse oY is legally required co supply the requesud daa:(c)any lmown coasequence arising from his supplying or refusing to supply privace or conndenaal data;and(d)the idendry of o�her persoas or endaes auchorized by state or federel law to receive the data..'Ihis requirement shail not apply whan an individual is asked to supply invesdgadve data,pursu�c co secdoa 13.82,subdivision 5,[o a law enforcemenc o�cer. 'Ihe commissioner of re�enue mav place the nodce rewired ender this subdivision in the individual income tax or prooerrv taz refund instructions inscead of on chose forms. Subd.3. Access to data by iadividual. Upon rcquest to a responsible aarhoriry,an individual shall be informed wherher he is the subject of stored data on individuals,and whecher it is classified as public,priva`or conftdenrial. Upon his further request,an individual who is[he subjecc of scored private or public daea on individuals shall be shown[he dara wi�ou[any c'n��e to him and;if he desires,shall be informed of[he concent and meaning of[hat data. After an individual has been shown the privar�daca and in:ormed of ics meaning,che daca need not be disclosed ro him for six months ehereafter unless a dispute or acdon pursuanc to �his secdon is pending or addiaonal data on the individual has been collected or created. The responsible auchoriry shall provide copies of the private or public data npon reques:by the iadividual subject of the data. The responsible authoriry may require the requesting person ro pay che actual costs of making,cerying,and compiling the copies. The responsible auchoriry shall comply immediately,if possible,wich any r.quest made pursuant to this subdivision,or within five days of the da[�of the nquesc,exciuding Saeurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wirh th�request wichin thac dme,he shall so inform�he individual,and may have an addidonal five days wiehin which to compiy wi�h the request,excluding Satucdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. An individual may concest the accuracy or completeness of pubiic or private dara concerning himsetf. To exercise[his righc,an individual shail norify ia wridng�e responsible authoriry describing ehe naare of the disagreemenc. The responsible auchoriry shall within 30 days either: (a)correct the daa fcund to be inaccurate or incomp[ece and aaempt to nodfy past�scipiencs of inaccurate or incomplete data, including recipiencs named by the individ�:ai:or(b)�oafy the individual thac he believes the daca to be cocrecc. Data in dispu�e shall be disclosed only if the individual's sta�emenc of disagree�=nc is ir.cluded wi[h[he disclosed data. , The decerminadon of the rasponsible au�horiry may be appeal:3 pursuanc to the provisions of che admuusaarive procedure act r.laang to concested cases. . DATA PRIV�CY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects ot data", we would like to inform you that your reauest for a permit or license from the City of Orono or any of iu deparments may require you to furnish certain privace or confidential information. You are notified that: 1, The information you furnish will be used to de:ermine�•our qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. 3, The information may be shued wi[h other loc�l, state or federal agencies to the extent necessary ta process the permit or license. 4. If your requested perm.it or license requires Council action to approve, some information may become . . public. j, 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 aoplication or permic. Fitst Middle Last Address • Ciry State Zip Phone I understand my ri�hts as stated above. /'� Signature D� TIME CITY OF ORONO CALIED IN INSPECTION TI SCHEDULED ^�-7-DI �I:�}/U PERMIT NO. COMPLETED S-7-D( �.�{'3 ADDRESS ��C� l�7'ir, f}(�� . /1� OWNER ��-�'iLta.�1. CONTR. TELEPHONE N0. lc5c� y7 r� /�y� � DESCRIPTION_,� � ,�r�, /�S{�.C�iU/7 /�p�^ /'2 -/�� Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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/CONTRACTOF TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O >. � O � W � � Q z l v`� �' � r�3 w � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUtAED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-46�� OwnerlContra r on site: Inspector. �'�� White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO � CALLED IN � ,�o INSPECTION NOTI,C� SCHEDULED PERMIT NO. �v��7-� C MPIETED t I �f ADDRESS �5�� S�/� �"i/� /l/ ' OWNER GtJI-�I Tj�l A�'✓ CONTR. I1� G�"{r' TELEPHONE NO. ��c�-y�5'" 3�rP � DESCRIPTION L� C��1 t71✓� l'.��/bc�F' l� 01 FOOTING 11 MEC NICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 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 O6 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j ��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrac s' - Inspector. White Copyllnspector's Ffle Canary CopylSite Notice D�E��/�, T�IME CITY OF ORONO CALLED IN INSPECTION NOTICE 3�-75 SCHEDULED � � ��.� PERMIT NO. COMPLETED ADDRESS ' I S�C'� - �h � � OWNER ��, Yl (�,��'}�(�},�CONTR. TELEPHONE N0. R� " � ��" �J 7`t � � DESCRIPTION � - �4OF`- . � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d W��] JORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContra o on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice