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Home My WebLink About2001-P03486 - re-roof � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P03486 Crystal Bay, Minnesota 55323 Pet'mit Type: MinorAlterations (612) 249-4600 Date Issued: ii2si2ool SITE ADDRESS: 108o Brown Rd N LONG LAKE, MN 55356 P ID: 27-118-23-42-0013 DESCRIPTION: Proposed Use: Kesidentiai Census Code 434 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: $ 23�•25 Valuation: $ 13,155.00 State Surcharge Fee: $ 6.60 TOTAL FEE: $ 243.85 APPLICANT: PTL CONTR INC OWNER: HAROLD F BOWER ETAL 2526 FERRY St N 1080 BROWN RD N ANOKA, MN 55303 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. /� , ��,� . � �::r c:%� �7� � ��. �� A I A T PERM SIGNATURE ISSU,F BY SIGNATURE � !" i Copies: City,Applicant,Assessor,Finance Page 1 Total Fee: $ Date Received: ! �`' °� Entered By: Permit#: ��' '`� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) THE APPLICANT IS: (circle one) OWNE R CONTRACTOR l JOB SITE ADDRESS: / �� r�, �� ZIP: ,.S .��_S� NAME OF OWNER: , n PHONE: (home)�,5�'" �7 - I�l� , (jw�ork) 1�IAILING ADDRESS: �� CITY: l�� /�'L-r ZIP:_?�>`_��.� CONTRACTOR: ` -?��--c��- PHONE:�li�� Z-� ^� �`' CONTACT PERSON: �C�..�- OBILE/PA R: MAILING ADDRESS: .Z� ,.�i��, CITY: �, � -�'� _ZIP: ��o� STATE LICENSE: # �� ARCHITECT/ENGINEER: PHO\TE: 1VIAILING ADDRESS: CITY: Z�� J�ME; REGIST'RATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration G/; , PROPOSED WORK(describe in detai�: �`��i� � ��'�i'..l'�="� � � Li-� . > � � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ L� �'�' �' �`�' , , 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 ' ccordanc�vith the approved plan. � APPLICANT'S SIGNATURE: i � �.��I/ � 7� �� DATE: �"'��-�� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF DaT� Subd. 1. Type of data. The riehts of individual on whom c��data is stored or to be stored shall be as set for[h in this secdon. Subd.3. Information reqirired to be given individual. An ir.ei��idual asked to supply privace or confidenrial data concerning himself shall be informed of: (a)the purpose and inrended use of the requesud data w-ichin the collecang'state agency,polidcal subdivision,oc statewide ryscem; (b)whether he may refuse oi is legally required to supply the requzsted data:(c)any Irnown consequence arising fmm his suppiying or refusing to supply privace or conndenaal data;and(d)the idendcy of o[her persons or enrides a�[horized by state or federal law to receive the data. This requiremeoc shall not apply when an indi�idual is asked to supply invesoeaave dara,pursy.c�o secaon 13.82, subdivision 5, to a law enforcement officer. The commissioner of r��enue r�av place the notice reauired nrd�r this subdivision in the individual income_tax or propem tax refund instructions instead of on chose forms. Subd. 3. Access to data by indi�idual. lipon requesc to a res�nsible authoriry,an individual shall be informed whether he is the subjecc of stored data on individuals, and whether it is classified as public, privace or confidznrial. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data w�i�*out any charge to hirn and, if he desires, shall be informed of the contenc and meaning of�hat data. Afczr an individual has been shown che priva¢dara and informed of its meaning, the data need not be disclosed to hun for six mon�hs ehereafter unlzss a dispute or acrion pursuanc to [his secrion is c�nding or additional data on the individual has been collected or crea�ed. The responsible au[horiry shall provide copies of the privace or public dara npon requesc by the individual subject of�he data. The responsible authoriry may require che requesring per5on to pay the accual costs of making, ce.^:;ing, and compiling the copies. The responsible authoriry shall comply immedia[ely, if possibl=, wich any requesc made pursuant to this subdivision, or wichin five days of the date of the requesc,exciuding Sanirdays,Sundays and leeal holidays,ii ir..mediace compliance is noc possible. If he cannot comply with the request wi�hin that time,he shali so inform[he individual,and may have an addico::ai five days within which to comply with the request,excluding Saturdays, Sundays and legal hotidays. Subd.4. Procedure when data is not accurate or complete. ?.n individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this rieht,an individual shall noaiy ia writing[he responsible authoriry describing[tte nature of the disagreement. The responsible authoricy shail wichin 30 days either: (a)correcc the dac3 icund to be inaccucace or incomplece and attempc to nodfy past recipienu of inaccurate or incomple�e data, including recipien[s named by �he individLal; or(b)nocify ehe individual eha[he believes the data to be correcc. Data in dispute shall be disclosed only if the individual's statemen[of disagre��=nc is included with the disclosed data. Ttie de�erminaaon of the responsible au�horiry may be appeal.3 pursuan�to the provisions of the administnrive procedure act reladng to contesced cases. DAT�, PRIV�,CY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Riahts of subjects of data' , we would like to inform you that your reauest for a permit or license from the City of Orono or any oi is departments may require you to furnish certain private or confidential information. You are nocified that: 1. The information you furnish will be used to de:ermine your qualification for the pemut or license requested. 2. You may refuse to supply data, but refusa! may require that the City deny the permit or license. 3, The information may be shared with o[her local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. �. You have cenain rights under M.S. 13.OY (a�'ailable upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First �liddlz Lasc Address Ciry State Zip Phone I unders my ri�ht,-'a� ted above. / ' ' ; -� ��r Signamre J � D-A�T�E- ,� TIME CITY OF ORONO CALLED IN ��_ "� � INSPECTION TIC SCHEDULED - � � �� PERMIT NO. �' � COMPLETED �� ADDRESS �� C� �.L�-'�� /V� OWNER � �'�'�- CONTR. � � �-- TELEPHONE N0. / 5�' j '� 3 �3�— 7�� DESCRIPTION �-�� - �� lL 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 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 Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � � O � � O �/� Q � G),'�� a�s13 � z W � W � � d ❑WORKSATISFACTORY:PROCEED i^ PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContra or on site: Inspector./%'/,�,riG�i'1S White Copyllnspector's File Canary CopylSite Notice