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Home My WebLink About2001-P04445 - re-roof � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04445 Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249-4600 Date Issued: �o�gi2oot SITE ADDRESS: 2875 �eer Run Tr LONG LAKE, MN 55356 P I D: 04-117-23-24-0009 DESCRIPTION: UBC Occupancy R3 Proposed Use: Kesidential Permit Class: Building Census Code O/S- 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: $ 195.25 Valuation: $ 10,500.00 State Surcharge Fee: $ 5.25 TOTAL FEE: $ 200.50 APPLICANT: Installation Services Inc. �WNER: M S&C A ROBBINS 4500 N. Lyndale Ave. 2875 DEER RUN TR Minneapolis, MN 55344 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TNE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CTTY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. %� \ � �,� (� %�� _�j','�r�� APP ICAN'1' ERMITEE.I NA � ISSU�D BY SIGNATDRF, Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 . , Total Fee: $ Date Received: i�+ -� - 1. c7�>� Entered By: tiu-- Permit#: �'��YH� CITY OF ORONO - BUILDING PERMIT APPLICATIOl`�T All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER CONTRACTOR C, JOB SITE ADDRESS• O 7� ,��-��f�'(/ j�c� ZIP: � NAME OF OWNER�'��y�-��'j�'�/(� �'C;��"PHONE: (home) � (work) �� MAILING ADDRESS:��7S��E"/��/NT.�/L, CITY:�L �l � ZIP:_� CONTRACTOR: � �IZ ,% `%�r'C.�'s l i1/�" _ PHONE: / ��'�-7� 7� CONTACT PERSON: ,C,� � �-,�Ct�j� MOBILE/PAGER: ��s� �/�) G'�� MAILINGADDRESS:�/_S� �Cy%��Z,l-�i,�' CITY: �/M/�C S ZIP: �� STATE LICENSE: �# � ARCHITECT/ENGINEER: �%�� PHONE: MAILING ADDRESS: � CITY: ZIP: `� NAME: REGISTRATION# �- TYPE OF WORK: New Addition Accessory Structure Move $�emodel/ lteration Land Alteration � PROPOSED WORK(describe in detai�: ��i�-l�� /�',�G�I/ ��,,�E"'�` �,9��i��,�� STORIES: ��- 5Q. FEET OF EACH FLOOR: _ /�� NO. OF BEDROOMS: r— GARAGE STALLS:��'. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /� �� 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 permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE��.�,�� DATE: NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. . Sec.13.04 RIGH'1'S OF SUBJECTS OF D�TA Subd. 1. Type of data. The rights of individual on whom the data is stored or[o be stored shall be as set forth in this secaon. Subd.2. Information required to be given indiridual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting"state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oT is legally required to supply the requested data;(c)any known consequence arising fmm his supplying or refusing to supply private or co�dential data;and(d)[he idendty of ocher persons or enddes authonzed by state or federal law to receive the data. This requiremen�stiall not apply when an individual is asked to supply invesrieadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace reouired under this subdivision in the individual income tax or propertv taz refund instructions instead of on those forms. Subd. 3. Access to data by indi�zdual. Upon request ro a responsible authoriry,an individual shall be informed whe[her he is the subjec[ of stored data on individuals, and wherher it is classified as public, private or confidential. Upon his further request, an individual who is�he subject of stored private or public data on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of tt;e content and meaning of�hat data. Aftzr an individual has been shown the private data and informed of its meaning,che data need not be disclosed to hirn for six mon[hs thereafter unless a dispute or acrion pursuanc to this section is pending or addiaonal data on the individuai has been collected or created. The rzsponsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[hority may require [he requesting person to pay the ac[ual coscs 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 Saturdays,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 additional five days within which to comply with[he requesc,excluding Sarurdays, 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 rieht,an individual shall notify in writing the responsible authority describing rhe na[ure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy 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 individuai's statemenc of disagreement is included with the disclosed data. T}te decermination of the responsible authority may be appealed pursuanc to the provisions of the administrarive procedure act reladng 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 reauest 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 pemut 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 pemut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. j. 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. s� �1/�'G'/C l� F rst Middle Last Address Ciry State Zip Phone I understand my rights as stated above. � ign e � DATE TIME CITY OF ORONO CALLED INSPECTION NOTIC (, SCHEDULED PERMIT N0. 7 � COMPLETED � r "� !�-'�� ADDRESS � 7 �- � OWNER CONTR. � ��-�''�Ct-� c�.r(�C_. TELEPHONE NO. ( ��c� — c��c� / O � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW �1/VORKSATiSFACTORY:PROCEED /d„vROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED 0 STOP OROER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector./f/�� White Copyllnspector's File Canary Copy/Slte Notice %%�2?�d.,�f"_ 1 DATE TIME CITY OF ORONO CALLED IN INSPECTION N TI SCHEDULED �� PERMIT NO. �� COMPLETED � � ADDRESS .�`87� /--�-�2 � �JI • OWNER CONTR. �`�,"X.i�/�i -�Q ��? o�1/Il- TELEPHONE NO. �p�� -� r� � '?� �l� � DESCRIPTION ��L1JI -l�,�-� �2e1c-� � 01 FOOTING 11 MECHANICAL RI 1 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 O5 FINAL 14 SEWER HOOK-UP O6 PFiOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j d ��]WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED O STOP ORDER POSTED.CAL�INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspec 'on 24 hours in advance. �952� Z49-46Q� OwnedContractor on ' Inspector. White Copyllnspector's File Canary CopylSite Notice