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Home My WebLink About2005-P09327 - re-roof � t � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09327 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/19/2005 SITE ADDRESS: 2811 Farview La Unit# Long Lake,MN 55356 P�� 04-117-23-34-0003 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 54.00 valuation: $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 54.75 APPLICANT: Minnesota Country Builders Remode OWNER: Kathryn Tabner&Micheal Boardman 21101 Oakedale Dr. 2811 Farview La Rogers,MN 55374 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STR(CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � _ �? ,/� '� /� �-�j� � 'l..�c ( /�;�iL��--15C Y I--� / APPLI NT PERMITEE SIGNATURF, ISSUED BY SIGNATURE � Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l , � � �"� Total Fee: $ � ��. 7 S Date Received: %� �� Entered By: ��/t/L Permit#: ' C% y �, � '� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all infornzation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �.� L( �`/1�2.� i c�..i (—/� ZIP: 55 3 S'� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special evej�t permit is reguired with Police Depa�•b�tent and City Counci!approva! 60 days pr•ia�to 1he event. Shzrttle bcrs service tivill be i•equired unless applicant denaonstr�ates sarfficient on-site par�king is avnilable. Non-per•mitted events�vill not be allolved. NAMEOFOWNER: �,C.t��`t �PBNe,�-- PHONE: (home)`�r�- `�ZG-U`}3Z_ (work) MAILING ADDRESS: ��l( Fnau�G.✓ L/1� CITY: ��r r (.n�1C` ZIP: 5�.3.�'� CONTRACTOR: t��lv , L�c.a�.,+,x.,��jv�cQ�4QtMod�Q�i ��tc.PHONE: 7�3^ �0 ^a��a�—' CONTACT PERSON: �/�,s'Tz►va//�. MOBILE/PAGER: 6/.Z. - �f9c-�Y'G ?g MAILING ADDRESS:o?//o r o�,�c,on.c� ,�r� CITY: Q,��5,rn,.� ZIP:s'�,3 Z �i° STATE LICENSE: # 3 8 ro ( EXPIRATION TDA E o2..oe(r� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration �_ PROPOSED WORK(describe rn detain: �-a-o � �� p�L 3 S � . STORIES: S�.FEE�'OF'EACH F'I,OOI2: NO. OF BEDROOMS: GARAGE STAL�S: ATTACHEI) DET'ACHEI� ES�'I10�ATED CONS�'I2UCTION VALUA�'IOIvi(excluding land): � / S C��.%� ''� I hereby apply for a building pernlit and I acknowled�e that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Citv and with the State Buildina Code;that I understand this is not a periz�it and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATU . I)ATE: �� L� O� 31 •� , . Scc13.Od R[GHTS OF StiBJECTS OF DATr� Subd. L 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.�.-[nfocmation.cequired.to be given individual.An individuaLaskedtosupply_priva[e or confidential_dataconce�ning himselfshall be _ ----- — informed of: (a)the purpose and intended use oY the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to suppiy the requested data;(c)any kno��n consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the identit��of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or propertv tas refund inswctions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal I be inFonned whether he is the subject of srored data on individuals,and whetlier it is classified as public,private or contidential. Upon his further request,an individual who is the subjec[of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed[o him for six months thereafter unless a dispute or action pursuan[[o this section is pending or additional data on the individual has been collected or created. 7�he responsible authority shali provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require[he requesting person to pay the actual costs of making,certifyine,and canpiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Sa[urdays,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��ith the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is notaccurate or complete. An individual may contest the accuracy or completeness ofpublic or private data concerning himself. To exercise this right,an individual shall nocify in writing tlie responsible authoriry describing the nature ofthe disagreement. The respohsible autliority shall witl�in 30 days either. (a)correct the data foimd to be inac`curate or incomplete and attempt to notity past recipients of inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuanf to the provisions of the administrative procedure act relating to contested cases. � DATA PRIVACI'ADVISORY .In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like.to infonn you that your request for a perniit or�icense from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: l. The infonnation you furnish will be used to detern�ine your qualification for the permit 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 permit or license. 4. If your requested permit or license requires Council action to approve, some information may become .public. . 5. You have certaii�rights w�der M.S. Li.04(available upon request)to review private data on yourself. 6. 1'our full name is required to process this application or permit. First htiddle Last Address Cih� St:�te `Lio Phone � understand mv ri s�s stated ab � 2 ignaturc �� /�� /� V DATE TIME V CITY OF ORONO CALLED IN /Q' -W INSPECTION NOTICE SCHEDULED /U�3�-OS` �_ PERMIT NO. �0�,,,�� COMPLETED ADDRESS O'Z �I �c�/ !/fP,G✓ 1-(k.vt� OWNER CONTR. ,��.tJ �'�I �Q1�3', TELEPHONE NO. `o�� YL� J�o�� DESCRIPTION f�./UO t� - I�f�S D2.G"�i dY� CC,�r(� O� c�U/: � 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 Z04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � / d W� WORK SATISFACTORY:PROCEED [I�ROJECT COMPLETE � W -O CORRECT WORK 8 PROCEED ��ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL FETURN ❑ CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-4600 OwnerlContra�or" t • Inspector. � � White Copyllnspector's File Canary CopylSite Notice _��;��1 I;�.. _ ✓ '�/, DATE TIME �� CITY OF ORONO CALLED IN �� Z -a� INSPECTION NOTI SCHEDULED �a2Y-Q-�� PERMIT NO. �I Z7 COMPLETED � ' I/� ' ,,�� ADDRESS a�� (.r'(/l,�O,Er/ OWNER CONTR. �itl Co�M-�'��{/!^S. TELEPHONE NO. EQ/o� ��(7 .'7�2—,� � DESCRIPTION Z��r' 'C'�'T� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O l / �� '��} C�- ��C�e !CX�� "'�" `._ /� ! 1� �l� �� w Q h � I��'r-�--�-[�„n �. �� f � -�--- z W � W � � d � ORKSATISFACTORY:PROCEED [l PROJECTCOMPLETE W ❑ RRECT WORK 8 PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. ��j„��`�,S White Copyllnspector's File Canary CopylSite Notice