The URL can be used to link to this page

Home My WebLink About2005-P08859 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08859 Crystal Bay; Minnesota 55323 Permit Type: Minor Alterations (952) 249'4600 Date Issued: 6/20/2005 SITE ADDRESS: 105 Cygnet Pl Unit# Long Lake,MN 55356 P�� 04-117-23-22-0010 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: Reshingle Roof-Over existing layer of shingles FEE SUMMARY: Permit Fee: $ 41.80 valuation: $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 42.35 APPLICANT: Owner/Self OWNER: Gregory Ehalt MN 85 Cygnet Pl 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. �_��, ��--L JY�(".� � �'��'�/ APE CANT PE IT SIGNA RE ISSUED BY SIGNATURE C 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 infot-mation must be submitted in full before plan review wzll be started. (please pri�zt all i�zfor•fr�ation) ----------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) O`VI�iER OR CO�TTRA.CTOR JOB SITE ADDRESS: ` D„5 � � G`��/ /�1��ZIP: S�_s.�3'� Will this be a Parade of Homes, RemodQlers Showcase Home or other Display Hozzie? ❑ Yes ❑ NO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Slzzrttle bus seitiice will be required wiless applicant demanstrates sa�ci.ent o�rsite parking is available. Non Permitted events will not be allotived. NAME OF OWNER: G�' �y' �'/��1�% PHONE: (home)`l3�' �7'7� �Y"Yj (work) MAITi�ING ADDRESS: ��J� Cy�ti�'/ /��- CITY: lJ�t°!�''�c- ZIP: ��:�s`E CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MA�LING ADDI2ESS: CI'i Y: ZIP: NA?�iE: REGIS�RATTO?�T: # TI'PE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration _� PR�]POSE��i'OJE2k;(descl�ibe an detar.�: /�e -S�rwsi�F' �c��Jli/`' S'�'(3R�ES: l SQ.�'E,E'�'O��C��.,O�R: �� C� 1�0. OF �EDROOi�IS: _,� G��ZAGE S'T��.,LS: ATT'A�CI-�� DET'AC�IE�_ ES�'IiVIl�'TEi� CO?vS�'RUCT'IOIV VALiJA'�'IOIV(excluding land): $ r/�� ' I hereby apply for a bui!ding pernut and I ackaowledQe that the;nformation above is complete and accuratz; that the work�vi11 be in conformance with tne ordinances and codes of tne City and with the State BuildinQ Code;that I understand this is not a permit and work is not to start without a pern�it; and that the work will be in accordance with the approved plan. � APPLICA_�T'S SIGNATURE: DATE: C ~�� —`.f i�yO JI � . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or[o be stored shaU 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 in[ended use of the requesced data within the collecting state agency,political subdivision,or scatewide sys[em;('o) �vhether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supptying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or fede211aw to receive the data.This requirement shall no:apply when an individual is asked to supply investigative da[a,pursuant to section 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mav pllce the notice requiree under this subdivision in the individua(income ta�or propertv tax refund instn!ctions instead of on those ferms. Subd.3. Access to data by individuaL Upon request to a rzsponsi6le au[hority,an individual shall be infocmed�vhether 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 ot" scored private or public data on individuals shail be shown the da!a tvidtout any charge to him and,if he desires,shall be informed of che content and meanin2 of that data. After an individual has been sho�vn the pnvate data and informed of its meaning,the da�a need not be discloszd[o him for sis months thereafter unless a dispute or action pur;uant to this section is pending or additional data on Ihe individual has been collected or created. The responsible authority shall pmvidz copies of t4e private or public data upon request by the individual subject of:hz daca. The responsible authonty may require the requesting person to pay[he acmal costs of making,ceRifying,and compiling the copies. 'Ihe responsible authonty shail comply immediately,if possible,wi:h any requzst made pursuant to this subdivision,or wi:hin five:lays oF the date of the request,eccluding Saturdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply with the reques[ wi[hin that time,he shall so iniorm[he individual,and may have an additiona(five days widlin which to comply with the request,excluding Sa[urdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completzness of public or piivate data conceming himsel£ To exercise[his right,an individual shall no:ify in wiiting[he responsiblz authority descnbing the nacure of the disagreement.The responsible authonry shalt within 30 days either: (a)conect the data found to be inaccurate o;incomplete and at[empt to notify past recipients o` inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he betieves the data to be correct. Data in dispute shall be disclosed only if the individuaPs statement of disa�reement is included�vith the disclosed data. The determination of the responsible authoriry'may be appealed pursuxnc to thz provisions of Pne administra!ive procedure act rela!ing Co contested cases. DATA PRIV'ACY ADVISORY In accordance�vith M.S. 13.04,Subd.2;"Rights of subjects oi cata",we would like to infoim you that your request for a peznit or license from the City of Orono or any oi its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish wi11 be used to detern.ine your qualifcation for the pernzit or license requested. 2. You may re:use to supply data,but refusaL may require that the City deny the pe:mit or Iicense. �. The infor.nation may be sha:ed with other local, state or federal agencies to the extent necessary to process the pernlit or license. 4. If your �equested permit or license requires Council acdon to appreve, some infomiatior.may become public. 5. You have certain:ijhcs under M.S. 13.04(availanle upon request)to:evie�v private data on yourseif. 6. Your full narne is required to process this application or permit. First i�liddle Last Address C��, S[ate Zip Phone i underst ' rights as stated above. �: ' 7 L Signature i 3� �� DATE TIME � CITY OF ORONO CALLED W �� INSPECTION N. TIC � SCHEDULED �'- � `C��^ :�ti� � PERMIT NO. C� � COMPLETED ADDRESS IU S C-� �1nx.1 ��- • OWNER C��-tif �G�G�- � t CONTR.�(s)►/L�_f" TELEPHONE NO. � �� 3 ��/ '�j' _� � DESCRIPTION �('�:.� - 'V1'li�vE l,v(Ow�''.+�� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � O-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 BING FINAL 36 FOUNDATION/REMOVAL OWNE ONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j a W ORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED !l ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contr si e: Inspector. � White Copyllnspector's File Canary CopylSite Notice