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Home My WebLink About2003-P08931 - re-roof PERMIT CITY C�F ORONO 2750 I�elley Parkway- PO Box 66 Permit Number: p08931 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/7/2005 SITE ADDRESS: 1020 Brown Rd N Unit# Long Lake,MN 55356 P�� 27-118-23-42-0019 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Yermit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 111.25 valuation: $ 4,502.00 State Surcharge Fee: $ 230 TOTAL FEE: $ 113.55 APPLICANT: Midwest Roofing Siding OWNER: Melanie Rose 313 Jefferson Hwy. 1020 Brown Rd N Champlin,MN 55316 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. t� �c�: i , �� /�-� ( �� '� C r /r i''�� APP ANT PGRMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan i-eview will be started. (please print all info�•m�tion) -------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (cil�cle orze) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��aCj �r�� /J. <�N�, 1��/��or,�; ZIP: `�S 35� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO Ifyes, a special event permit is requir�ed wit/i Police Depc�r-tment and Ciry Coarncil cappr•ov�al 60 davs pr�ior•to the event. Sl�uttle bzrs se�vice tivill be required znaless c�pplicant dernonstrcates su ff cient on-site pcarking is available. Non permitted eveiits will not be allowed. NAME OF OWNER ��,�,�, �,�,� PHONE: (home)°7s�z 4 7� �y.z (work) MAILINGADDRESS: �va.e, �,77,,>� ,Q�,Q ;�. CITY: ZIP:553s� CONTRACTOR: �-,.�';,�-,1 ��,�;�N=� 5.�4,..�-. �U. a.�<,,�. �� PHONE: ?�s�4:��-��i��c CONTACT PERSON: �e,•e C !t�� , � MOBILE/PAGER: MAILING ADDRESS: �� F-��;��,� ��;,��, CITY: C l-�<,��Ji,,•: ZIP: -��3:� STATE LICENSE: # .�c�o i c:�7� EXPIRATION DATE: 3- �/ -��c_ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration �/ PROPOSED WORK(describe in detai�:��; �r�-T �,,..E t ;-r ,�,�-� h� ,,�, ��.��,� �� •,a��C 34�� S'I'ORI�S: SQ.FEE'I'OF EE4C'I��,OOR: NO. OF BEDROOMS: GARAGE STALI.S: AT'I'ACHED DETAC�IED ESTIMATED CONSTRUC'TION VALiJATION(excluding land): $ 4�C�,_3`Y I hereby apply for a buildinQ permit and I acknowledge that the information above is complete and accurate; that the�vork will be in conformance with the ordinances and codes of the City and with tiie State Building Code;that I understand this is not a permit and work is not tu start without a perniit;and that the work will be in accordance with the approved plan. /, APPLICANT'S SIGNATURE: �� DATE: 7� �-L � `' i z, 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. Infonnation required to be given individual. An individual asked to supply piivate or confidential data conceming himself shalt be infoimed of: (a)the pu�pose 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 shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcemen[officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tar or pronertY tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and whether it is classitied 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 infonned of the content and meaning of that data. After an individual has been sho�m the private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action puisuant to this section is pending or additional data on the individual has been collected or crea[ed. The responsible authority shall provide copies of the p�ivate or public data uponrequest by the individual subject of the data. The respo�sible authority may require the requestin�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 oY[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shal(so infonn the individual,and may have an additional tive days within which to comply with the request,exduding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or piivate data concerning himselE To exe��cise this�ight,an individual shall notify in writing the responsible authoiity describing the nature of the disagreement. The responsible authority shal]within 30 days either: (a)coreect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccwate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data. The detennination of the responsible authority may be appealed pursuant to the provisions of the adminishative 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 infocm you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: l. The information you fumish will be used to determine your qualification for the pernlit 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 „ n Nl�ddle L,ast n �f�✓ L�.C.�� 1 Address �� City Statc Zip Phone I understand my rights as stated above. ,, Sign re �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO E SCHEDULED �� PERMIT N0. � �/ �OMPLETED ADDRESS / 0�� -D /� l�� , OWN ER CONTR. ` TELEPHONE NO. �� C.G'l �O �� DESCRIPTION (/� /��GC,� �� l� 01 FOOTING 11 MECHANICA�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 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W � � J O � � O � W � Q � Z w � W � j GW WORKSATISFACTORY:PROCEED ROJECTCOMPLETE ✓ � CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspecti n 24 hours in advance. (J52� 249-4600 OwnerlContractor on si . Inspector. White Copyllnspector's File Canary CopylSite Notice