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Home My WebLink About2002-P05509 - re-roof CITY C�F ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Posso9 Crystaf'Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: siisi2oo2 SITE ADDRESS: 258 Cygnet Pl Long Lake,MN 55356 P I D: 04-117-23-23-0019 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 111.25 Valuation: $ 4,680.00 State Surcharge Fee: $ 2.85 TOTAL FEE: $ 114.10 APPLICANT: Topline Construction&Roofing OWNER: Thomas&Mary Lutz 200 West 98th Street#150 258 Cygnet Pl Bloomington,MN 55420 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. � � � i ��;L.� t` ��1� �� ,�' � -�.,1 . l C� � �?Z�.� -�A UCANT PERMITEE SIGNATURF [SS ED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: . CITY OF ORONO - BUILDING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR �-�—-----_ JOB SITE ADDRESS: �.S � � �� G 1�-e � �L, ZIP: NAME C3F OWNER: �U�� L. �.t�� PHONE: (home) I.S L-4"�3 -2c�r � �/ (work) NIAILING ADDRESS: S'S�- C „ c l�-� � � LCITY: C%��,� U ZIP: CONTRACTOR: �T��'� ih -� ��-��' � 1�oa��H� PHONE: �rSz- g�!- ZvSS CON'TACT PERSON: S��,.� MOBILE/PAGER �i 2, 3 Z S �SG / MAILING ADDRESS:.-2 oa C.��s � �%r S r" S'� �c�CITY: i3l ca:�,,�s �c.-, ZIP: S S 4 2 G STATE LICENSE: #��L��4 �3 ARCHITECT/ENGINEER: PHOiVE: N1AII.ING ADDRESS: CITY: ZIP: NA1�iE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: ��f�� v 7' � � / 1 c� �'��i � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �c3 ESTni IATED CONSTRUCTION VALUATION (excluding land): $ `� �� I hereby apply for a building pernut 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 in ordance i the approved plan. APPLICANT'S SIGNATURE: ,� �� DATE: �`�� S�- �� NOTE! Parade of Homes events require separate permit approval by Poliee Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGH'TS OF S[lBJECTS OF DATa f Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individuai asked to supply private or confidendal data conceming himself shall be informed of: (a) the purpose and intended use of the requesud data within the collecting"state agency,po(idcal subdivision,or scatewide rystem; (b)whether he may refuse oY is legal(y required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenary of ocher penoas or enodes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppty invesrigadve data, pursuan[ro secdon 13.82,subdivision 5, ro a law enforeement o�cer. The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or propertY taz refund instructions inscead of on those forms. Subd.3. Access to data by indiridual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is class�ed as public, private or con6dential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown[he data without any charge to him and,�if he desires, shall be informed of the content and meaning of�hat data. Afrzr an individual has been shown the private data and informed of its meaning,the dara need not be disclosed to hicn for six months thereafrer unless a dispute or action pursuanc to this secaon is pending or addidonal data on the individual has been collected or creaced. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry may require the requesring person to pay the actual costs of making, cerufying,and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot comply with the request within[hat time,he shall so inform the individual,and may have an addiaooal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accumcy or compleceness of public or pri��ate data concerning himself. To exercise�his right,an individual shall nodfy in wricing the responsible authoriry describing�he nature of the disagreemeoc. T'he responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipien�s named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statemen[of disagreement is included with the disc(osed data. The decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the admuusaarive procedure act retacing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request for a pemut or license from the Ciry 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 fumish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require tha[ 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 pernut or license. 4. If your requested perm.it 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 Middle Last Address . C��, State Zip Phone I understand my rights as stated above. �� -�--' Signacure DATE TIME CITY OF ORONO CALLED IN INSPECTIO OTICE c� SCHEDULED �-�-GJ�' PERMIT N�'�S� v / COMPLETED ADDRESS �� OWNER `�` CONTR. � TELEPHONE N0. /� � �S �� —O S � DESCRIPTION ��` — � Ot FOOTING 11 MECH ICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAI.FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL 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 J 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 � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a j �j , �, � ,� L�1 � � � � L1 � � O � � � F` , Q � >.. Z W � W , � � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next insp�ction 24 hours in advance. �95Z� Z49-46�� OwnerlC o e: c� Inspector. , , � �� hit pyllnspector's File Canary opy/Site Notice ��;� .�-�` S�� S '�� DATE TIME CITY OF ORONO CALIED IN INSPECTION NOTICE SCHEDULED1� � � '��'�F'Z��=��'1�jiM PERMIT NO. � '` ` c' q COMPLETEUR �I Itc 6'�� 'Y� ADDRESS �Sg �i�-�Y�� OWNER CONTR. i��. i`� v'�. CC�YtS� . TELEPHONE N0. � �� ' � �S� � � DESCRIPTION �`-'�a`-Y �� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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: � �� ll� � W 0. j � � O � �r O � � � � - Q � � Z , W � W � ' � d W� ❑W SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContrac ite: / C, Inspector. - �� - � e Copyllnspector's File Canary Co ite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �j SCHEDULED PERMIT N0.��%' �'�'Is�T COMPLETED �� ADDRESS Z �� r%�`C.��'`'j OWNER CONTR. TELEPHONE N0. --- v � DESCRIPTION L� ��C-� � Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � � l . j �� O � �" . � ► O ti W �,/ �Q "T'�" ,�— -� � � "� W � W � � d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CARRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�� OwnedCon or on site: � Inspector. Wh' opyllnspector's File Ca ry Copy/Site Notice