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Home My WebLink About2007-P10771 - windows CITY OF ORONO PERMIT 250 Kelley Parkway- PO Box 66 Permit Number: P10771 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2/15/2007 SITE ADDRESS: 520 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 05-117-23-32-0005 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 853.75 Valuation: $ 80,000.00 State Surcharge Fee: $ 40.00 TOTAL FEE: $ 893.75 APPLICANT: Lake Country Builders, LTD OWNER: Carlson Holding 339 2nd Street 520 Tonkawa Rd Excelsior,MN 55331 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. yn AP NATUR ISSUED fiY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: S Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING 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: 5,26,10AC1W C7Gl� ZIP: S Will this bea rade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is reqriired with Police Department and City Council approval GO dqvs prior-to the event. Shuttle bins service will be required unless applicant demonst•a«:.r sufficient on-site parking is available. PJorrperinitled events will not be allowed NAME OF OWNER: �Cd I\5crn !1� 1✓I '► PHONE: (home) (work) MAILINGADDRESS: S2c)on.�ciwC,, P(,� CITY: ay'-')r10 ZIP: CONTRACTOR:�a�'L-- &A-6y l I��f S PHONE: CONTACT PERSON: e4,-4,In S?n^ MOBILE/PAGER: (p ! • �(v Z7 (�/ MAILING ADDRESS: 3�1 "�' e e CITY: ZIP: 9 -5 STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: d n e ML �� E: MAILING ADDRESS: CITY: ZIP: NAME: —' �f REGI ION: # TYPE OF WORK-: New Home Addition Accessor r •e Move Home Remodel/Alteration (ie: Siding Window Any earth movemen may require MCWD r Nie permits ! PROPOSED WORI ( escribe in det r'I). By' Ve Vl- � DO✓.S v2 b�� U STORIES: 2, SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): S � I hereby apply for a building permit and I ackno,,vledge that the information above is complete and accurate; that the wort: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. APPLICANTS SIGNATURE: DATE. 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. SUbd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himselfshalI be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the rcqucs:ed data:(c)any known consequence 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 coin inissioner of revenue may place the notice required under this Subdivision in the individual income tax or property tax refund instructions 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 whether it is classified 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 without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Atter an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter 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 authority 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 Five days of the date of lire request,excluding Saturdays,Sundays and legal holidays,if inunediatecompliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional 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 individual may contest the accuracy or completeness ol'public or private data concerning himself. To exercise this right,an individual shall notity in writing the responsible authority describing the nature ofthe disagreement.The responsible authority shall within 30 days either: (a)correct 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(h)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the 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 ofdata",we would like to inform you that your request for a permit or license front 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 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. 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. First Last UT Addr s City State Zip Phone I understand my rights as stated above. Sleilatii Yl` ._ Reset Form 32 C' ATE TIME V CITY OF ORONO CALLED IN Aim/ //DATE � d� INSPECTION TICE SCHEDULED O PERMIT NO. /0-7-71 COMPLETED / ADDRESS /' �w�— Z OWNER / CON(§: TELEPHONE N0. DESCRIPTION ' ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE QE] TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O cc O U_ W QC Q 2 W z W CC VU — ORKSATISFACTORY:PROCEED PRWOJECT COMPLETE CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contr site: Inspector. 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