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Home My WebLink About2001-P04035 - re-roof CITY OF, OIZONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P04035 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/5/2001 SITE ADDRESS: 2480 Watertown Rd Long Lake,MN 55356 PID: 33-118-23-44-0019 DESCRIPTION: UBC Occupancy R3 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: FEE SUMMARY: Permit Fee: $ 69.25 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 70.25 APPLICANT: Richard Wagman OWNER: Richard Wagman MN 2480 Watertown Rd 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 PE&MITEE SIGNATURE ISS BY SIGNATURE Conies: 1-File(Siinitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 Total Fee: 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: ZIP: SS G NAME OF OWNER: A,;4i?v. PHONE: (home) (work) AIAILLNG ADDRESS: G4l IL-. CITY: L-d&, ZIP: CONTRACTOR: ' 2L(Wy PHONE: C ONTACT PERSON: - MOBILE/PAGER: - - n-UL NG ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINi `EER: PHONE: MAILr'G ADDRESS: CITY: ZIP: NAiME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT-. DET. �U ESTL IA.TED CONSTRUCTION VALUATION (excluding land): S of �� 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 SIGNATURE: OAeje, � — DATE: 7''�� NOTE! Earade-of Parade-ofHomes events require separate permit approval by Police Depgrtment and City Council 60 days prior to the event. Non permitted events will not be allowed. 4 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the dam is stared 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 dam concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting State agency,political subdivision,or smtewide system; (b)whesher he may refuse of is legally required to supply the requested dam:(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 dam,purse=-t to section 13.82,subdivision S, to a_law enforcement officer. The commissioner of revenue may place the notice rewired order this subdivision in the individual income tax or oroyerty 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 dam on individuals shall be shown the dam wiu.out any charge to him and;if he desires,shall be informed of the content and meaning of that dam. After an individual has been shown the privato dam and informed of its meaning,the dam 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 dam ucon request by the individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of making,cc-- ing,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 the request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addideral 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 of public or private dam concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the dsagrement. The responsible authority shall within 30 days either: (a)correct the dam found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete dam, including recipients named by the individt:al:or(b)notify the individual that he believes the dam to be correct. Dam in dispute shall be disclosed only if the individual's statement of disagree-ent is included with the disclosed dam. 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 deparments 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 loci, 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. f Ztc64AA,,,, w wAGtil First Middle Last Address L-6 gr, 1-.4 k C-' SS 3 3L City State Zip Phone I understand my rights as stated above. Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT / / SCHEDULED -32/02 C) G PERMIT NO. 7dCOMPLE ED ADDRESS-- 04 gC) OWNER f • 1 4 13 c6 OW CO�N/TR. L7 TELEPHONE NO. 7�a V 3Z DESCRIPTION / i 14 01 FOOTING 11 MECHANICAL RI 18 EXC //GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W cc a 0 o W Q z W Z W rz UORK SATISFACTORY:PROCEED )<E�] P OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 11STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-00- Owner/Contra o n site: Inspector. White Copy/inspector's File Canar