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Home My WebLink About2005-P08781 - re-roof PERMIT CITY OF ORONO 2750 Kc�i�y Parkway- PO Box 66 Permit Number: p08781 Cry:�.+.al Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/27/2005 SITE ADDRESS: 320 Crestview Ave Unit# Long Lake,MN 55356 P�� OS-117-23-14-0056 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: $ 125.25 Valuation: $ 5,500.00 State Surcharge Fee: $ 2.75 Misc. Fee: $ 125.25 TOTAL FEE: $ 253.25 APPLICANT: Incline Enterprises Inc OWNER: John Lehmeyer 26175 Birch Bluff Rd 320 Crestview Ave Shorewood, MN 55331 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. � 1 f.. i ( ��'l/'C�.,yL liv(�'� i APPL[C T PERMI ; GNATURE ISSUED BY SIGNA"I'URE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: - Entered By: Permit#: CTTY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pr•i�it all infornzation) --------------------------------------------------------------------------------------------------------------------- -- ----_� THE APPLICANT IS: (circle orze) OWIVER O CONTRACTO JOB SITE ADDItESS: �2�"' L r�S+�{i ��"� �`}�. ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a special event permit ts required witlr Police Departmertt and City Council approval 60 days prior to the event. Slzzrttle bars seivice will be r-eqtrired a�nless applicant demo�zstrates sztfficr�er�t a1-szte parki��g is available. Norr per�mitted events will not be allotived. NAME OF OWI�TER: JdL�`^ l., � ��-��l-�Y PHONE: (home) `�5 2-" `{�S ' �3 S �O (work) MAII,ING ADDRESS: 3 'L-G �' r t5�,�"`' �v'CITY: (J r o r C ZIP: CONTR.ACTOR: -��l�� _-,,.-�..�� r� , PHOl�'E: 9 5 z-- �� -�� CONTACT PERSO=V: �I��1�.� MOBILE/PAGER (n i Z - i -Z�f�o MAILINGADDRESS: 2L• 17� t�rrc.� `i3(� CITY: ��^e,n.•�� ZIP: w�/L'� STATE LICENSE: # zvl b�'�( EXPIRATIONDATE: 3 3 f U� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTR.ATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPQSED WORK(descf•ibe in detai�: 1� - Y'a0� � j �c�+� ��f �x i$� I ti.� � �ZS , 1��_��C� (� i.�-'-- `� ��G� � G�rrrcC � it��•-��:: �� -C�� (W/'1ef' �I STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED nv ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ ��C'.��' 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 rmit and work is not to start without a permit;and that the work will be in accordance with the approved lan APPLICAIVT'S SIGNAT ., : DATE: � �2�-�'.� �� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is srored 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 himself shall 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 rcfuse or is legally required to supply the requested data;(c)any kno�vn consequence arising from his supplying or refusing to supply priva[e 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[o supply investigative data,pursuant to section 13.52,subdivision 5,to a law enforcement officer. The commissioner of revenue mav�lace the notice required under this subdivision in the individual income tac or pronertv tat refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible auchority,an individuzl shall be informed whether he is the subject of storeddata on individuals,.and whether it is classified as public,private or confidential. Upon his fui7her request,an individual who is the subject of stored private or public data on individuals shall be sho`vn the data�vidlout any charge to him and,if he desires,shall be informed of[he content and mea�ing 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 pursuan[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 data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosLS of making,certifying,and compiling the copies. The responsible au[hority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five da}'s ei the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate comptiance is not possible.1f he canno[comply with the request within that time,he shall so inform the individual,and may have an additional five days�vidlin which to complywith the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when da[a is not accurate or complete. An individual may contest the accuracy or complete�ess of public or private data concerning himself. To exercise[his right,an individual shall no:ify in wiiting the responsible authonty describing the nature of[he 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 data,including recipients named by the individual;or(b)notify the individual that he believes[he data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with che disdosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relacing to contested cases. DATA PRIVACY'ADVISORY In accordance�vith M.S. 13.04,Subd.2,"Rights of subj ects 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 perniit 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 perniit or license. 4. If your requested permit or iicense 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. � , i � �,�� ,l S � ._l.-L L C(; w. �i,�-1 .��/ First Middle Last 2�.^ l��' �,VL� �I�� . Address �,{.�r.�f ;�nr,� �MN - ��3� � °I S �-'�^7l -`�'� �� C�ty State Zip Phone I un stand }�rights state bove. Sign u 11 32 DATE TIME � CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED PERMIT NO. g I COMPLETED S ?'7' � / - �O ADDRESS �Z_� CJ�'�7 �� OWNER CONTR. TELEPHONE NO. � DESCRIPTION 1��aF � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 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 �FINAL 14 SEWER HOOK-UP 06 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � ti � Q � Z W � W � j a W �VORKSATISFACTORY:PROCEED �PROJECTCOMPLETE i W ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,-�, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on Inspector. White Copyllnspector's File Canary CopylSite Notice