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Home My WebLink About2006-P10430 - re-roof . � ' PERMIT LITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P1o430 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: l0/9/2006 SITE ADDRESS: 2160 Sixth Ave N unit# Long Lake,MN 55356 P�� 27-118-23-31-0017 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: Pernut Fee: $ 167.25 Valuation: $ 8,770.00 - State Surcharge Fee: $ 4.40 TOTAL FEE: $ 171.65 APPLICANT: Plymouth Roofing&Insulation OWNER: Peter Welles 17525 Cty Road 24 2160 Sixth Ave N Plymouth,MN 55447 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. v �iX .2, - � / �� ' '�(r;,��- � . - l -��/�/��,'�i�� APPLICAN PEi p EE SI ATURE ISSUED BY SIGNATURF Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � r Total Fee: $ � 7�� 7Sr DateReceived: i,:� � (`J U Entered By: �,��'fi Permit#• �/t,}`( `3 L� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full befot•e plan revie�v will be started. (please print all i�ifot�mation) ------------------------------------------------------------------------------------------------------------------------ TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SIT�ADDRESS: .�� G� � �� /i/G , --- ZIP: Jy.s3j�,�, Will this be a P rade of Homes, Remodelers Sho�vcase Home or other Display Home? ❑ Yes ��O lf 1-es, a specin!event per�rJit is regcri�ed ivit/a Polrce Departa�e��t arzd City Cotrnci/approvpl � 60 dnvs prror to the ei�ent. Slautt(e bus service rvill be reqa�ired iri2/ess applicant derr�onsb�ates szrfficient or�-site pnrlcing is arailable. ��'on-pern�itled eve�Tls ivill not be allolnec% C�// NAMEOFOWNER: �� z�� r,��%��s" PHONE: (home) �/� - 7�7-35/S (�vorlc) MAILING ADDRESS: �l�'� �' ��'A�� i✓a CITY: ,� "' C/-1-�'_ ZIP: ,SS.s'S,� CONTR.ACTOR: �( c '�-ri ��c_r.�- PHONE: )��- �7� - 3 3�� CONTACT P�RSON: � � 'S" < ti� MOBILE/PAGER: �:i,1 - 7/P— �'13.� MAILING ADDRESS: /7S�s' l�' i1<� �y CITY: �,,�,�y�-/� ZIP: S�S5�7 STATE LICENSE: # ��S� �YPIRA'I'ION DATE: � �� - c' 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CI'TY: ZIP: NAME: I2EGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Altecation (ie: Sidi�lg, Wi�ldows) Ar.y earth movement may require MCWD review and per;nits !.. PROPOSED WORK(descr�ibe in dc�tai�: ��y ��`r� �-�->�'� ��lr (�� ` i�- H��'��" � ,; 5 �. ��`1�:�, ��.�%� .�'�.�;lc�f STORIES: � SQ.FEE'I'OF EACH FLOOR: NO. OF BEDROOIViS: GARAGE �TALLS: ATTAC�I�ID DETACI�ED_ , c'�_, ESTii�'IATED CONSTRUCTION VAI.,UATION(excluding land): � � � �� ' I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the�vock wi Il be in conformance �vith the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and�vork is not to start without a permit;and that the�vork will be in accordance �vith the approved plan. _ APPLICANT'S SIGNATUI2E: DATE: �G � ��'�' 31 � Sec.13.0a RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the daq is stored or to bo stored shall be as set foRh in this section. Subd.2. Information required to be given individual.An individual asked to supply private or contidential data conceming himselfshall be informed oE (a)the purpose and intended use of tlie requested data within the coliectiiig state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known wnsequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the 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 mav olace the notice rec�ed under this subdivision in the individual income tax or property tax refund inscructions 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 individuals,and wiiether it is classitied as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data H�ithout any charge to him and,if he desires,shall 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 dlereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected 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 authoriry 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 die request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which ro comply with the request,excluding Saturdays, Swidays and le�al 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 himsel£To exercise this right,an individual shall notify in w�iting tlie responsible authoriry describing the nature of the disagreemen[. The responsible autiiority shall within 30 days either: (a)corzect 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 thut he bel ieves the data to be correct. Data in dispute shall be disclosed only if tiie individual's statement of 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 inforni you that your request for a pem�it or license from the City of Orono or any of its departments may require you to furnish certain private or confidential inforination. 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 shaced with other local, state or federal agencies fo 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 ri�ltts under N[.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 �4iddlc Last Address Citv Siatc 7.ip Phone I understa , rights s stated ove. Sigt aturc __ Reset Form �=' /oD�E, TIME CITY OF ORONO CALLED IN � INSPECTION N TIC SCHEDULED ��"��'��o =7��— PERMIT NO.�D COMPLETED "1 1 -.f�. /L� A��RESS O�I�_�/'G OWNER CONTR._ TELEPHONE NO. C��"� ��. 7I� [�J.3lO � DESCRIPTION � � �l� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED �_ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor o site- Inspector._I��o�t�� l f White Copyllnspector's File Canary Copy/Site Notice