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Home My WebLink About2008-P12152 - re-roof PERMIT CITY OF ORONO Permit Number: 2750 �ell�y Parkway - PO Box 66 P12152 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/11/2008 SITE ADDRESS: 690 Brown Rd N Unit# Long Lake,MN 55356 PID: 34-118-23-12-0007 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: FEE SUMMARY: Permit Fee: $ 574.25 vatuation: $ 39,800.00 State Surcharge Fee: $ 19.90 TOTAL FEE: $ 594.15 APPLICANT: Allstar Construction OWNER: Eric&Andrea Larson 5145 Industrial St. 690 Brown Rd N Suite 103 Long Lake, MN 55356 Maple Plain,MN 55359 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 BU(LDING CODE REQU[REMENTS. r � � , �� !' �. �,Q,�,,.___.____� ��, c =�-f C`�'V l,C.�� /(G� �'� APPLICANT RM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Sigizatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION A❑ information must be submitted in full before plan review will be started. (please prirtt all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR �__ .. _.__ t � � -- JOBSITEADDRESS: �� (� /�� .�;l�'� �`j/�_;�✓,''' >L�',.'G� ZIP: J.% �5�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS Q��1�0 If yes, a special event permit is reguired with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed NAME OF OWNER: �r��:( �� r' ��:`' PHONE: (home) �� , �� (work) MAILING ADDRESS: r�-- J,�' Jl/.?:�.�� I�,.>,.�n l ��,-I CITY:._, ��'�i?v ZIP: � S .��lG CONTRACTOR: /:'�/S f�.� �„�,�Sr r {�c F ��n PHONE: �C�-_ ;� 3- �y -,>�' , � ,< < CONTACTPERSON: ,/t�(.�,�- /��,�,� ((� MOBILE/PAGER: = MAILING ADDRESS: ��i yS %;��k«<s�.�,,�l s1.S�d�°i�S CITY: /�J�� p;c�,;� ZIP: �S3S� STATE LICENSE: # 3d�� ? EXPIRATION DATE: �- 3/ — ��;� ARCHITECT/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 detain: %��,��_ � �-�. �4, �„v� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J J � �� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confonnance 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,: l�s� ..�;J�= %G�c- DATE: -J�t'�- /� — �� 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 conceming himselfshall 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 requested 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 shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or pro�erty tax ref�nd instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal I 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. 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 or created The responsible authority shall provide copies of[he 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 authoriry shall comply immediately,if possible,with any reques[made pursuant to this subdivision,or within five davs of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. Ifhe cannot comply with the request within tha[time,he shall so inform the individual,and may have an additiona]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 completcness of public or private data concerning himself. To exercise this right,an individual shall notify 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 daW,including recipients named by the individual;or(b)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 authoriry 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 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. �fi�., ,� -T�h.-� �^�-c s f� ��n First Middle Last ��' /. l�G�� C(.S� I�L //J� J� LL.�� Address � � /`��<< ��-� �L�� S�S9 �� --`��%-,� �✓� � City State Zip Phone I understand my�ig�rts as stated above. /� ^ � l� � � ��L"l�C J�1-„LIMM-.------ S�gnature Reset Porm 32