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Home My WebLink About2002-P04778 - re-roof � � <� . PERMIT CITY OF ORONO Permit Number: 27501�elley Parkway- PO Box 66 P04778 Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249-4600 Date Issued: iisi2oo2 SITE ADDRESS: 245o Sixth Ave N - LONG LAKE,MN 55356 P ID: 28-118-23-41-0003 DESCRIPTION: UBC Occupancy R3 Proposed Use: Other Permit Class: Building Census Code O/S-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: $ 9�•25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 99.25 APPLICANT: Des Lauriers and Sons Inc. OWNER: S&M BOULEY 332 Comanche Tr. 2450 SIXTH AVE N Hamel,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. a-----, .��..�Gm�C�--) � APP ICANT PERMITEE SIGNATURE ISSUEDBY SIGNATURE Couies: 1-File(Signitures Reauired). 1-Annlicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 � .� Total Fee: $ ��• c�-� Date Received: � -� �O 3 Entered By: Permit#: ,�U c,/-�7�' CITY OF ORONO - BUII.,DING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all inforntation) -------------------------____------------------------__________-_--------. -- --------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACT JOB srrE annx�ss: ��S"�� /�P � z�: SS�3 S,� NAME OF OWNER: ST,�� ,,v�.� PHONE: (home) (work) ?G 3- �7�- !r G o / MAILING ADDRESS: sU � /1� f CITY: _r1 r'vv�� ZIP:�-��;� CONTRACTOR: ��,.,.�,-�s t 5��`s L�c.L PHONE: 7l� 3- �/7�- �� 3 CONTACT PERSON: /3,•�/ d,2 /,J,,„/ MOBILE/PAGER: �iL- 7S S- S�s MAILING ADDRESS: 3 3 z P�m,.��..�� >'�,4./ CITY: /�u.�-,�/ ZIP: �S 3�!V STATE LICENSE: # �; L � �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: �� — �v� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. w ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��v � 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 accordance with the approved plan. APPLICANT'S SIGNATLTRE: � �--_ DATE: 1- � U,�I NOTE! Parade Qf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. r Z Sec.13.04 RIGH'TS OF SUB.TECTS OF DATA Subd. I. Type of data. The righa of individual on whom the data is stored or[o be stored shall be as set forth ia this secdon. Subd.2. Information reqirired to be givm individual. A.n individual asked to suppiy private or confideaaal data concerning himself shall be informed of: (a)the pucpose and intended use of the requesred data wiehin the collecang tta[c agency,polidcal subdivision,or statewide rys[em; (b)wherher he may refuse oti is legalty requimd co suppty the requesced data;(c)any known coasequence arising from his supplying or refusing to suppty privace or coafidendai data;and(d)the idenary of ocher persoas or enriaes au[horized by stace or fedecal law to receive the data. This requirement s6a11 not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cec. The commissioner of re�enue mav place the noace rsauired under this subdivision in the individual income tax or nropertv tax refund instrucdons inscead of on ehose forms. Subd.3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject of scoced data on individuals,and whecher it is class�ed as public,private or confidenaal. Upon his fur[her requesc,an individual who is the subjecc of stored private or public data on individuals shall be shown the data without any charge to him and;if he desires,shall be informed of the content and meaning of rhat data. After an individual has been shown the private data and informed of irs meaning,the data need not be disclosed to him for six manths thereafter unless a dispute or acdon pursuanc to chis secdon is pending or addidonal data on the individual 6as been collected or created. The responsible authority shall provide copies of the privau or public data upon cequesc by rhe individual subject of[he dara. The responsible au�oriry may require the requesdng person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediau comptiance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform the individual,and may have an addidonal five days wi[hin wluch to comply with the request,ezctuding Saturdays. Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or compieceness of pubiic or pri�ate data conceming himself. To exercise rhis right,an individual shall aodfy in wriring the responsible authoriry describing[he nature of the disagreement. The responsibie authoriry shall within 30 days either: (a)cornct[he data found to be inaccurnte or incomplec�and aaemp�to nodfy past recipienu of inaccurate oc incomptete data, including recipients named by[he individual;or(b)nodfy the individual thac he believes rhe data to be correct. Data in dispute shall be disclosed only if the individuai's statement of disagreement is included with the d'uclosed dara. The decerminadon of the responsible auchoriry may be appealed pursuant to the provisions of the adminisaarive procedure act relating to contesnd cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request for a pemut or license from the City of Orono or any of its departments may require you to furnish ceRain private or confidential information. You are notified that: i, 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. $, You have certain riehts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. �JQc/,`L� �f��r`a ,vi /✓� SLG[�/lr' G!S Fin� Middle Last 3 Z Z ��r��,�� "�tt-,�J Address �r,t�c� �'?� �S3�k7 76 3- �Z k- �1 �'1 Ciry State Zip Phone I understand my rights as stated above. /(�l./� Signacuro DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED j�- �'-G�2 /=.?�"� PERMIT NO. COMPLETED C-� `C ADDRESS ��'S C� ��c::�c'� .l Q/� OWNER CONTR. l�.�S'L�n i erS �°.S�� TELEPHONE NO. �C� � - � ��— ��I.� � DESCRIPTION �C3.1� � � — �Q � � � 01 FOOTING 11 MECHA C RI 18 E A�//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 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/CONTRACTOFi TO MEET YOU:_YES�NO � COMMENTS: � W a O � �,v ,T �' � � � O � W � Q ti 2 W � W � j � �+fORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ��O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952� 249-46�0 OwnedContractor on site: 1.> Inspector. �1�-,�c ��-- White Copy/lnspector's File Canary Copy/Site Notice