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Home My WebLink About2005-P09213 - re-roof ' ' PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P09213 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/23/2005 SITE ADDRESS: 160 Cygnet Pl Unit# Long Lake, MN 55356 PID: 04-117-23-22-0020 \_ _,,. 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: Reroof Main House FEE SUMMARY: Pernut Fee: $ 54.00 valuation: $ 1,500.00 State Surcharge Fee: $ OJS TOTAL FEE: $ 54.75 APPLICANT: Owner/Self OWNER: Olson&Bernardi � 160 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. � '', � � �� --� e� y�� ,�� '��1��.�-�_��'`�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 09/22/05 15:21 FAX 6516282705 SECURE COMPUTING HR C�001 �— �: �2`� � '�� c��. i � � �': �c .�� , � � � r ' `��e�3e�rh a�d I Total Fee• $ 5� �-� Date Re�eiv ec�: 9-�a-o�- Entered By: �� Permit#: _ �D��/ 3 CITY OF OItONO - BUILDING PERMIT APP:GI[CATION All information cniust be submitted in full before plan revie��will be started. (please print all informatian) ----------------------� -- ------------------------------------- THE APPLICANT I5: (circle one) OWNE OR CONTRAI�TOR �/ � JOB SITE ADDRE55: �r � C � �Zu': o Will this be a P rade of�[omes,Remodelers 5howcase Home or otl�er Display Home? ❑ Yes �NO If yes, a special event permit is required with Police Department and City Council approva! �� 60 days prior to the event. Shuttle bus service wi11 be requir�rclunless applicant demonstrates su�ci�ent on-site parking is available. Non permitted evenis tivill not be allowed. r 1 9�Z'^ NAME OF OWNER: I�'� � �f•�b1 G�Y' � PHOlWE: (home) �I�G�-�7?--� , (work)6�J-6�8�27�7 MAILING ADDRESS: �� b C ��.� ��CITY:�'Y�Sf'�ZIP: � CONTRACTOR: P�� CONTACT PERSON: _ MOBILE/PAI;�ER: MAILING ADDRE55: CITY: __ ZIP:- STATE LICENSE: #_ EXPIRATION D Ai CE: ARCHITECT/ENGINEER: �/� P�[�NE: MAILING ADDRESS: _ CITY: _ �P� NAME: REGISTRA'I'lON: # TYPE OF WORK: Ne��v Addition ��ccessory Structure Move Home RemodellAlterati��n. �_ i ��SV1�I V1 � �.� �� PROP F,D WORK(des ribe in de ta • _. ' c510� �b- 'In c! _e -k � �� STORIES: �_ SQ.FEET OF E H FLOOR: �pl�� NO. OF EEDROOMS:_� GARAGE STALLS: ATTACHEG Z• DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): '6. I hereby apply for a buildin�permit and I acknowledge that the information a b�ave is complete and accurate; that the wozk will be in confformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a p it and work is not to start without a pennit;and that the work will be in accordance with the approved pl . . APPLICANT'5 SIGNA�CURE: ` II.A,TE: -r 2 � . 31 09/22/05 15:21 FAX 6516282705 SECURE COMPUTING HR 1�002 ,_, __. �� . � t ��V''►�'�I Sec.13.04 RIGHTS OF SUBJECTS Ol�DATA Subd.1. Type of daca. The rights of individual on whom t6e data is stoted or to be sWted shall'��us set forth in this section. Subd.2.Infom�ation requiredto ba given individual.An individual as�ed w supplyprivate or conf idantial data conceming himself shall be infomied of: (a)the purpose and intcnded use of tho requested daca wiWia the collecting state agency,politic al subdivision,or statewide system;(b) wheWer he may refuse or is legally requind to supply the requested data;(c)any Imown consaquence arising'ium his supplying or refusing to supply private or con5dential data;and(d)the identity of other persons or entities authorized by state or federai law tc receive the data.Thia requirement shall not apply when an individual is esked to supply inveatigative data,pursuant to section 13.82,subdivision 5; to a]aw enforcement officer. T'he commissioner of revenue��yBlace the nolice required under this su6division in the indivi d�!►1 income tax or pr�yertv tax refund i^strucklons instead of on those foans. Subd.3.Access to data by in�ividual.Upon request to a reaponsible authority,an individual shallbe informed whether he is the subject of stored deta on individuals,aad whether it is classified as public,privata or confidential.Upon his fiuther roc ueat,an individual who is the subject of stored privats or public data on individuals ahal]be shown the da�without auy charge to him and,if he dasires,sball be infoimed of tha contant and meaning of that data, After an individuall has been shown the private data and informcd ofits meaning,the��ta naed not be disolosed to him for six months thereafter unless a dispute or acti�n pu�suant to this sec►ion is pending or additional data on the individual hes been collected or created The responsible suthoriry shal]provide copies of the private or public da�a upon request by ihe individual subje�;tof the data. T6e responsibla suthority may require the requesting pecson to pap the actuel costs of making,cectifying,and comQiling the copies. The responsible aulhoriry shaf]comply immediately,ifpoasible,with aoy request made pursuant ta this subdivisioM a��*'ithin five days of tbe date of the cequest,excluding Sahuda.ys,Sundays and legal holidays,if immediate complienee is not possi ble.Ifhe cannot eomply with tha request within that time,he shall so inform the inulividual,end may have an additional five days within wlvch ta com��ly with the request,excluding Saturdays, Sundays and legal holidays. Subd.4.Procedure when data is not accuTate or complete.M individual may eontest the accuraci�or completeness of public or private data conceming hitnselE To exercise this rigttt,an individual shall notify in writing the responsible authority dasciit�ing the nature ofthe disagreement.The responsible authority shall wiUtin 30 days either: (a)comct tha dam found to be inaccurate or incomplaGs+jrid attempt to notify pest recipients of inaccurate or incomplate date,inciuding recipienta named by tha individual;oc(b)notify tbe individual that'��believac the data to be coReck Daha in dispute shall he disclosed only if tba individual's statement of disagreement is included with the disclased data. The determinallon of the res��onsible authority may be appealed pursuant to the provisions of tFu:aclministrative procedure act relating to contested cases. DATA PRIVACY ADVISORY Tn accordance with M.S.13.04,Subd.2,"Rights of subjects 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 departrnents may requira yau to fiunish certain private or confidential information You are notified that: 1. The information you fizrnish will be used to determine your qualif;cation for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City c.eny the permit or license. 3. The information may be shared with other local, state or federal ag��icies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approv�a,:�ome information may become public. 5. You have certa'vi rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name tis required to process this application or permit. i ��c �cl� Mraa� ��i/1 t�,�c �'iY'NIQ�' 1: Addreas � � �� City / J�'�� State�� Zfp � Phone ��s � L.% �� 7 � I nder and my rights a s ed a �"�r �� M Si e 32 �� /D�ATE .�— TIME '" / CITY OF ORONO CALLED IN U� ��.5 INSPECTION NOTI SCHEDULED -�� .�::�C i PERMIT NO. `'� �-3 COMPLETED ADDRESS ° � OWNER � � � CONTR.�1GcJ�Ze4� TELEPHONE NO. l� J`-� 3�Lp l,3 '�� DESCRIPTION '��'G-f� `�l-� � L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � NG FINAL � / 36 FOUNDATION/REMOVAL OWNER/ NTRACTOR TO MEET YOU:�YES_NO c., MMENTS: � W a � J O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the nex 'nspection 24 hours in advance. (952� 249-4600 Owner/Contractor it : r-- Inspector. White Copyllnspector's File Canary CopylSite Notice �j Dn C� 2 � DAT / TIME � CITY OF O�ONO r v / �I J CA� ED IN ��J ��!� INSPECTION N TICE / SCHEDULED � �� a� PERMIT NO. 7 � '-• �� COMPLETED ADDRESS �� 'f �-� '-�–� OWNER CON R. r''��— TELEPHONE NO. f�� e'�1n '� ` �'°�L�� `'� �. � DESCRIPTION � ( � ��/� ��'.� � ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV RADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 PIUMBING FI 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 � � � � ✓� �`' �O V � 9 Z� Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED C5 ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDlTION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContr on e: Inspector. � White Copyllnspector's File Canary CopylSite Notice