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Home My WebLink About2006-P09790 - re-roof PERMIT EiTY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09790 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4/24/2006 SITE ADDRESS: 800 Brown Rd N Unit# Long Lake,MN 55356 PID: 34-118-23-11-0007 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: $ 111.25 Vatuation: $ 4,700.00 State Surcharge Fee: $ 2.35 TOTAL FEE: $ 113.60 APPLICANT: Incline Enteiprises Inc OWNER: Mr. &Mrs. Victor Stein 26175 Birch Bluff Rd 800 Brown Road N Shorewood,MN 55331 • Long Lake MN 55356 THE LINDERSIGNED 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. r CANT PERMI EE SIG TURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � Total Fee: $ DateReceived: �'' �v c� 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 O CONTRACTOR JOB SITE ADDRESS: �Ci�) '�j�Lj��,i�;' �� _ZIP: .�5� ^ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event pernrit is��equired with Police Departrne��t and City Co2�nci(app��oval 60 days prior to the event. Shutt/e Gzrs sefvice tivill be reguired z�nless applicant clemonsb�ates sz fficient on-site parking is available. Non-pe��mitted events will not be alloived. NAME OF OWNER: Je�{Vt� ��v��"��_�� PHONE: (home) i (work) MAILING ADDRESS: c� Q,�,�l�,,, (�� /� CITY: ��p�'1/� ZIP:\�� CONTRACTOR: /,�./`C`_ � l'1/%� /,'�J C PHONE: gS�_ ` � GI��S CONTACT PERSON: �,�� 5 c ff�=iv c�s'�� MOBILE/PAGER: MAILING ADDRESS: �Co��'s" ��Rcr� at-JG{' R� CITY:5�,��,c�c c.�� ZIP: �' " I STATE LICENSE: # �,�t �o��_�� EXPIRATION DATE: 3/_3; %�ooT 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 deta�n: ��1��,/��- � ��- �--�, ��r ,�5 ��1�-- � �.v�� s ��ec� ,^,�� N '�� T STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `�� pp 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 per�nii.a��rk is not to start without a perinit;and that the work will be in accordance with the approved�lan. / � APPLICANT'S SIGNATU . DATE: � � ' 31 � � . Scc.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 srored shall be as set forth in this section. Subd.2. [nformation required to be given individual. An individual asked to supply private or confidential data concerning 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 contidential data;and(d)the identity of od�er 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 sec[ion 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tac or oro�ertv 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[he subject of stored data on individuals,and whether it is classified as public,private or contidential. Upon his futther 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 ofthe 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 mondis thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected orcreated. The responsible authority shall provide copies of die private or public data upon request by the individual subject of the data. The responsible authority may require dte requesting person to pay the actual costs of making,certitying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive 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 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 tbund to be inaccurate or incomplete and attempt to no[i1y past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notiCy 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 ofthe 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 infortn you that your request for a pennit or license from the City of Orono or any of its departments may rec�uire you to furnish certain private or confidential information. You are notified that: 1. The information you furnish wi11 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 rec�uested 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 �'liddle L�st r�ddress Citv State Zip Phonc I un nd my r—i h�ts as ated abo e � Signature Reset Form �=' - V DATE TIME CITY OF ORONO CALLED IN -c7�G^'G��c� INSPECTION NOTI E SCHEDULED '��.�-[��; C ��v PERMIT NO. G� L L COMPLETED �l�, ADDRESS ��UL� /'��/�JLc..�!'1 �t-�- /I OWNER CONTR. �%��- �i�.%_. TELEPHONE NO. (I� �� - �� y 7? � DESCRIPTION_��- t.�--�v��'� - �� /c�,f l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � i. �� ,� T n�� T�GG� o � � � f_�..:�,�,�e c� �3��, T�.��3 ti3 c�- �Z pn�F�_ 0 � W � Q � z W � W � � d W �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector.� � ��J White Copyllnspector's File Canary CopylSite Notice