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Home My WebLink About2000-P02761 - re-side � � ' PERMIT � CITY OF ORONO 275� Kelley Parkway - PO Box 66 Permit Number: Po2�61 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (612) 249-4600 Date Issued: siii2000 SITE ADDRESS: 3265 Sixth Ave N LONG LAKE, MN 55356 P I D: 29-ll 8-23-44-0002 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 23�•25 Valuation: $ 14,000.00 State Surcharge Fee: $ 7.00 TOTAL FEE: $ 244.25 APPLICANT: J• E. T. HOME EXTERIORS OWNER: M M CALLAHAN& D T CALLAHAN 4891 EDGEWATER DRIVE 3265 SIXTH AVE N MOLTND,MN 55364 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. � C�o�� APPLI PE MI E IGNATURE ISSUEDBYSIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 � - - Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: ,ja-�o� �� j��. !v� ZIP: �,�3�Co NAME OF OWNER: PHONE: (home) 7 �-�' '�j (work) MAILING ADDRESS: J�S lo�� VC N CITY: ��,•1p ZIP:�' CONTRACTOR: S.�T� � � PHONE: ('�/��--ao��,;-�- CONTACT PERSON: MOBILE/PAGER: ,t,o�,.� MAILING ADDRESS:�{ � - �,,- , CITY: 1r� ZIP: �,'�`�� STATE LICENSE: # � ARCHITECT/ENGINEER: �� PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� �_ Land Alteration PROPOSED WOR�(describe in detain: ` ,�►/ � (,�.C,�.,�,�� ►�p �t�,�x� 1`�' �� r � - � C�"�-�f'a C� l.t>;�� l:�,l�Mnn�:�,.ti� �� 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 ac rdance with the approved plan. i APPLICANT'S SIGNATURE - ^� DATE: NOTE! Parade Qf Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � _ ! Sec.13.04 RIGHTS OF SUBJECTS�F D�T,1 Subd. 1. Type of data. The righrs of in�ividual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidenrial data concerning himself shall be informed of: (a)the purpose and intended use of the rEquested data wichin the collecting'state agency,polidcal subdivision,oc statewide system; (b)whe[her he may refuse oY is legally required[o supply[he requested data;(c)any known consequence arising from his supplying or refusing to supply privace or confidenval data;and(d)the identiry of oeher persons or enriaes auchorized by stace or federal law to receive the data. This requiremenc shall noc apply when an individual is asked to supply invesaeadve data, pursuant to secrion 13.82, subdivision 5, to a]aw enforcement o�cer. The commissioner of re�enue mav place the norice reauired under this subdivisi�n in the individual income tax or propertv tax refund insccuceions ins�ead of on ehose forms. Subd.3. Access to data by indi�'idual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored data on individuals, and whecher it is classified as public, private or confidendal. Upon his further requesc,an individual who is�he subject of stoted 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[hat data. Afrzr an individual has been shown[he privace data and informed of its meaning,the data need not be disclosed to hirn for six months thereafter unless a dispute or acrion pursuant to this secrion is pending or addidonal data on the individual has been collected or crea[ed. The responsible au�horiry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosrs of makin¢, cerufying,and compiling the copies. The responsible authoriry shall comply immediacely, 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 immedia[e compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply wi[h the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shail within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individuai tha[he believes the data to be correct. Data in dispu[e shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. Ttte determination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you that your reauest 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 are notified that: 1. The information you furnish wiil 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 pemut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. �, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (, Your full name is required to process this application or permit. First �Iiddle Last Address Ciry State Zip Phone I understand 'y rights as stated a u�e. Signa[u DATE TIME CITYOFORONO CALLEDIN ��a � lG- Uc� INSPECTION N TICE SCHEDULED '2 -� ° v� PERMIT NO. COMPLETED �, ' ADDRESS -3� �S � � �� OWNER ��4�-C�-a.�� CONTR. (.,� � T � `�"''`�-� �-� TELEPHONE NO. {�c..�Z /`s <v� � DESCRIPTION '�t�`'�� lL 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINAL - � 14 SEWER HOOK-UP O6 PROGRESS � 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d .. W� �WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ; ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.v��!�� G�-�/}--5 White Copyllnspector's File Canary CopylSite Notice