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Home My WebLink About2002-P05548 - re-roof a , � CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: poss4s Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: s�26�2002 SITE ADDRESS: 950 Dakota Ave Long Lake,MN 55356 PID: 26-118-23-33-0025 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: i�tiler-�j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 3,700.00 State Surcharge Fee: $ 2.35 TOTAL FEE: $ 99.60 APPLICANT: Plymouth Roofing&Insulation OWNER: G Olen 17525 Cty Road 24 950 Dakota Ave Plymouth,MN 55447 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 QU � � � n � ' p, � /i /� �,- 1 � �� (�% . ' /J�/y � J 1 � , . � � C�.� . l.�( ��'i/ / �� ."f` t �I�� APPLICANT RMITEE [GNATURE � ` ISSUEDBYSIGNATURE �— Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . , Total Fee: $ � , (�L Date Received: �=� {-'c�-- Entered By: -�,m� Permit#: ��>55��i' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OW1�1ER O CONTRACTOR JOB SITE ADDRESS: �� C� YJC��6 � f�C�� ZIP: NAME OF OWNERo _ �C�S I�-- � d L,� IN PHONE: (home)�S a —� 7� -_�(�� 1 (work) MAILING ADDRESS: C��U (�� l� /-� � CITY: L�,y� LEc. '-� ZIP: CONTRACTOR: /� I/l.O(�.� C��I�� PHONE: �.�� 7��-3� CONTACT PERSON: I e MOBILE/PAGER: �/�-- �8s% MAILING ADDRESS: (15 a5 C�,, ►�-1�c1_ 3�� CITY: h ' ZIP:�S-�FY 7 STATE LICENSE: # ,j �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZII=: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure � Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��f��Ci f �- �X lS�/IU� U i1 e 1 a��1'c'.� �5`1�r11(Pr �%'/" b/-}C,�- Z'�� 1L�:L�S�C c>L�-�.�. -�-c�,S�t1.( Cv �.Z-Ce��"i'lCi';rU�� f��rt.X,�C� -�-- :�5 �'�f1-!'�5/'� �' T SG��✓►�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �7C�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 a permit and work is not to start without a pernut; and that the work will b��accordance with �e pp ` ed plan. % � i � ;' i , APPLICANT'S SIGNA '' � DATE: � �p �J� 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 SUB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidenaal data conceming himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting ktate agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persoas or enrides authorized by state or fedecal law to receive the data. Ttus requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdon 13.82,subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon reques[to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown[he data wirhout any charge to him and;if he desires, shall be informed of the content and mearung of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hun for six months thereafrer unless a dispute or acrion pursuant to this section is pending or addidonal 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 daca. The responsible authority may require the requesring person to pay the actual cosu of making, certifying, 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,excluding Sarurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addirional 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 accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsible authority describing[he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nocify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating 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 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 permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested permit 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. . 1 / � � ��`E"n�� = �f C�- N First � le Last � �� Aaans� �,�ti S s `f�7 � ` 7,�-�.�% 7 . � C��, State Z�p Phone I un rstand my r' ts as stated bov . , � � C ,�(, Signature � / �� Vf DATE TIME CITY OF ORONO CALLED IN =�� INSPECTION OTICE SCHEDULED ��_ PERMIT NO. COMPLETED ADDRESS ��C`' �K C��r� ��C?, OWNER CONTR.��/m0�f� lZQO-f . TELEPHONE NO. �� 3 " ��3 -- �3�' � � DESCRIPTION F/��-, % •— �(�jF � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 OS 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 J 10 PLUMBING FINAL . 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W � p l/NT�/l,- �� O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORFiECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owned ntrac site: < Inspector. White Copy/inspector's File Canary Copyl5lte Notice , / DATE TIME CITY OF ORONO v CALLED IN INSPECTION NO �E _L��/ SCHEDULED ��7 �D•`3c� PERMIT N0. S✓ 7 COMPLETED ADDRESS _Q-J�O ��=-��jZ".�- �1�,. OWNER CONTR. f��U/Y1 /��"�n� TELEPHONE N0.—_ ��.D I� - 7/ � - C��S � f � DESCRIPTION / .C�.l,(�t, G,/.--� .l:..��- � 01 FOOTING 11 MEC A CAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q O5 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j `o � — a � o — � w � Q � � w � � W - � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORFiECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspecti h u ' adv��52) 249-4600 Owner/Contract it - Inspector. White C Inspector's Fi�e Canary opy/Site Notice ,��