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Home My WebLink About2003-P05943 - re-roof � . , PERMIT CITY OF ORONO Permit tvumber: 2750 Kelley Parkway- PO Box 66 P05943 Crystal Bay, Minnesota 55323 Permit Type: Mi�orAlterations (952) 249-4600 Date Issued: ii�i2oo3 SITE ADDRESS: 2940 Sixth Ave N LONG LAKE,MN 55356 P I D: 2 8-118-23-31-0001 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Pernut Class: S Pernut Type: Minor Alterarions Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 83•25 Valuation: $ 2,400.00 State Surcharge Fee: $ 1.70 TOTAL F'EE: $ 84.95 APPLICANT: Neisen Construcrion�nc. OWNER: STONEGATE FARM INC 418 Hollyhock Lane 2940 SIXTH AVE N Hopkins,MN 55343 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. r �-- C l�'u— i�� 1 ��%� APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Auplicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1 �- ., Total Fee: $ �{.�!S� Date Received: ��-0 3 Entered By: �K- Permit#: ��15�j%�3 CITY OF ORONO - BUII,DING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. " (please print all information) THE APPLICANT IS: (circle one) OWNER OR GONTRACTOR �� _----_�._-- JOB SITE ADDRESS: � .'� Q��7/� � ZIP: J�.S 3,��o NAME OF OWNER: �%��!r/�� C�¢ /i`�/y�PHONE: (home) (work) MAII.ING ADDRESS: /��1�' CITY: ZIP: CONTRACTOR: �/ �'!� �O�'/ �" /UC�PHONE: ,J�� CONTACT PERSON: � / MOBII,E/PAGER: MAII.ING ADDRESS: r� c �'1J CITY: �frJ ZIP:_____�� STATE LICENSE: # `� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 1�TAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe ' etai�: D � �f-�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� 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 SIGNA �� DATE: Q� � D� NOTE! Parade of Aomes events require separate permit approval by Potice Department and City Council 60 days prior to the event. Non permitted events will not be altowed. .. . .s Sec.13.04 RIGIiTS OF SUB.TECTS OF DaTA Subd. 1. Type of data. The righ[s of individual on whom the dara is stored or ro be stoced shall be as set focth in this secdon. Subd.2. Information reqirired to be given iadividual. An individual acked to svpply private or confidenrial data conceming himseif shall be informed of: (a)�the purpose and incended use of the nquesud data within the collecdn$state agency,political subdivision,or statewide system; (b)whether he may refuse ot is legally required to supply the iequesud data;(c)any lmown coasequence arisiag from his supplying or refusing W supply private or coafidential data;and(d)the idenriry of other persoas or enrides authorized by state or fedecal law to receive the data. 'Ihis requirement shall not apply when an individual is asked to supply invesdgadve dara,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav place the nodce rewired under this subdivision in the individual income raz or aronem taz refund instructions instead of on those forms. Subd.3. Access to data by individuai. Upon request to a respoasible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,aad whe�her it is class�ed as public,private or confidenaal. Upon his further roquest,an individual who is the subject of stored private or public data on individuals shall be shown the data without aay charge to him and;if he desires,shall be informed of the content and meaniag of that data. After an individual has been shown the private dara and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispuu or acaon pursuant to this section is pending or addidonal dara on the iadividual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of[he data. The responsible authoriry may require the requesdng person W pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant W this subdivision,or within five days of the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the mquest withitt that.time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An mdividuat may conust the accumcy or completeness of public or private data conceming himself. To exercise this right,an individuat shall nodfy in wridng the responsible authoriry describing che nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and aaempc to nodfy past recipieau of inaccurate or incomplete data,including recipienrs named by the individual;or(b)aoafy the individual that he believes the data W be correct Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. The decerminadon of the responsible authoriry may be appealed punuant w the provisions of the adminisaative procedure act relating w contested cases. DATA PRIVACY ADVISORY R 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 permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You ue notified that: 1. The information you furnish will be used to detemune your 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 shazed with other local, state or federal agencies to the eztent 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. 6. Your full name is required to process this application or permit. � � � o�' �� Fint / Middle / ,� / Last �vr Address i��/ �� /�3 U(I/� City Stau Zip Phone I understand my rights as stated above. r �%%�� r Signamre / DATE T E CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I -�-v 3 :v��4-t'h PERMIT N0. ��% ��1�/� COMPLETED ADDRESS ��% �C) C-�i��}'{�i /�Lz �-) OWNER CONTR.�,J?.'G'�� C.Gui� TELEPHONE NO. % S � �S � Co�/S� � DESCRIPTION ��-+� � �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 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 OS FINAL 14 SEWER HOOK-UP O6 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8.PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContra ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice '� �/ Y DATE TIME' CITY OF ORON CALLED IN INSPECTION N I E t SCHEDULED — � PERMIT N0. � COMPLETED ADDRESS � � t U OWNER� Z�Q �'' CONTR. TELEPHONE NO. � �"— � � � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMINC, 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 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 J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTORTOMEETYOU:_Y O y COMMENTS: � W C � J O >. aC O � W � Q � W � W � � O W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call forthe ne inspection 24 hours in advance. (952) 249-4600 Owner/Contra��n e: Inspector. � White Copyllnspector's Fil Canary Copy/Sfte Notke