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Home My WebLink About2007-P11635 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P11635 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 11/7/2007 SITE ADDRESS: 2380 Watertown Rd Unit# Long Lake,MN 55356 PID: 34-118-23-33-0004 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: Reroof,Reside& 10 New Windows FEE SUMMARY: Permit Fee: $ 472.05 Valuation: $ 32,216.00 State Surcharge Fee: $ 16.15 Misc.Fee: $ 1.50 TOTAL FEE: $ 489.70 APPLICANT: BAC Construction Services OWNER: William Martin 3032 Minnehaha Ave. S. 2380 Watertown Rd Minneapolis,MN 55406 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. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Oct 30 2007 3: 43PM HP LASERJET FRK p. 2 1� Total Fee: S �8� (� Date Received: I D Entered By: Penn it A/1(03.5 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 O CONTRACTOR JOB SITE ADDRESS: 1?3910 wa t e rt3jx) Ill ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [&No If yes,a special event permit Is required with Police Department and CYty Council approval 60 days prior to the event: Shuttle bus service will be required unless applicant demonstrates sgrxient on-site parking is available. Non-permitted events will not be allowed NAME OF OWNER:-'1 ri`�1 m Q YtI l') PHONE: (home)GISo?-y'7��--)d1 o MAILING ADDRESS: 0�= 'l['a'�.c2�r 1�)Qd CITY: (work) s-s _ icy. ZIP: CONTRACTOR: v PHONE: l�I CONTACT PERSON: S MOBILE/PAGER: MAILING ADDRESS: LQAa 11n in,,r-tj&� CITY: Ynk2IS ZIP: S'ky0(o STATE LICENSE: #Q0I04Cc o a EXPIRATION DATE: - 31 -D 8' ARCHTTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe In detall): ' WLqdjjA-A (no STORIES: 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 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. n APPLICANT'S SIGNATURE: &�d��P iLO DATE: f1(J'' '0:2 31 Oct 30 2007 3: 43PM HP LASERJET FAX p. 3 Se&13,04 RIGHTS OF S[119t,1ECf'S 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 tbnb in this seclion. Subd 2.Information required to begiven individual, An individual asked to supply Private orconfidential data conceminghimselfshall be informed of (a)the purpose and intended use of the requested data within the collecting state agency,pditical subdivision,or statewide system;(b) whether he my refuse or is legally required to supply the requested data;(c)arty known consequence ori sing From his supplying or refining to supply private or confidential ditto;and(d)the identity ofother persons or entities authorized by slate or federal law to receive the date.This requirement shall not apply when an individual is asked to supply investigative data,pummm to section 13.82,subdivision 3,to a law enforcement officer. The commissioner of revenue MU plow nfitoCe reauLreA mWor LL subdiv's1On in the indiyidu �income tax or� rcfi� imul Ions mstegd of on those forma, � Subd.3.Access to data by individual. Upon request to a responsible authority,an individual"I be Wormed whetherhe 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 date on individuals shall by shown the data without any charge to him and,if he desires,shallI be informed of the content and moaning of that Beta. 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 thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected cremated The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority require the requesting person to pay the actual costs of making,certifying,and compiling the copies. responsibleTim authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the dab of there quest,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible.1 f he cannot comply with ehe request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the req teat,excludingth request Sundays and legal holidays. Subd.4. Procedurewhendata isnot accurate orcomplete.An individual may contest Theaccuracyorwmpleteressofpublicorprivatedate Concerning himself. To exercise this righk an individual shall notify in writing the rasponeible authority describing the nature of'the dis agreememt. The responsible authority shell within 30 days either. (a)correct the data found to be inaccurate or inoomplete and attempt to notify past recipients of inaccurate or incomplete deta,including recipients named by the individual;or(b)notify the individual Ihathe believes the data to be correct. Data in dispute shall be disclosed only if the individual's staternent of disagreemort is included with the disclosed date. 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 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 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 permft 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. 1. _ _ r� �P FirW Middle Last 3� m.r-\fn Ct- C Iry S Address - t In Oct I►s Ynn �01a :ZaL- . city State Zip Phone I enderJdmy rights as atated above. Signstar e ., sy 32 Oct 30 2007 3: 43PM HP LASERJET FAX p. 1 3032 Minnehaho Ave. Minneapolis, Mn. 55406 • C Construction Services, LLC Exteriors,d-b-a- Banner Roofing, Award and Champion Chimney Fhx Tb: t .( l ll T Vnem a Fina ��/9'-G�l ro/lp Pte: 3 Pham 001.E% - y&00 Date: RM: CC: ❑ urgent ❑ For Revlew ❑ Please Cwnmeat ❑Please Reply ❑ Pose Rmycle 0 Comments: An c l�