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Home My WebLink About2007-P11068 - re-roof PERMIT CI1l�1r" C�F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11o68 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/1/2007 SITE ADDRESS: 2820 Farview La Unit# Long Lake,MN 55356 PID: 04-117-23-34-0005 DESCRIPTION: Proposed Usc: 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: FEE SUMMARY: Pernut Fee: $ 293.25 valuation: $ 18,000.00 State Surcharge Fee: $ 9.00 TOTAL FEE: $ 302.25 APPLICANT: Nicole Sela OWNER: Thomas&Cheryl Howard 1120 Cox Farm Rd 2820 Farview La Long Lake,MN 55356 Long Lake MN 55356 TNE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDfNANCES AND STATE OF MINNESOTA BUILDING CODE REQUfREMENTS. L /./ • ,i � , �. � ?LL�J APP CA T PERMIT GNA RE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1 s .. � Total Fee: $ Date Received: Entered By: Permit#: 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) OWNER O CONTRAC �� JOB SITE ADDRESS: l�ZC; F��1�1�1°Y1( L�l. ziP: .`_��v� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO If yes, a specia!event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be requirecf unless applicant demonstrates suff cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: (f�jf,f��ln �'IQ�Vv�/I�Ll PHONE: (home) - Z(f%� (work) Ma1LiNG avvuEss: 2,� -{Z�1'�k'_�'� ciTY: ��'i��;I"1C�' ziP: �� J � coNTRacTOR: +.1�lC%� k i��'11'�=� rxoNE: �11� �Z�7 CONTACT PERSON: �I .MOBILE/PAGER: MAILING ADDRESS: j � ') ' �'(f '�- � ' - CITY: l� � �.� �� IP: c��X )�� STATE LICENSE: # � -��(',' EXPIRATION DATE: _ '�j ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) iG P OPOS�D WORK(describe in detai�:�'� ,��'��/L%I ► , ��,�,J� , �� P�'�C�] � �Y � � � STORIES: SQ.FEET OF EACH FLOOR: �r NO. OF BEDROOMS: GARAGE STALLS: ATTACHE DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��,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 permit;and that the work will be in accordance with the approved plan. (� , APPLICANT'S SIGNATURE: 1�'�-�� JL�'��-�—' DATE: �� ?� �j 31 • ..,. 1 . Sec13.04 RIGHTS OF SUBJF.CTS OF DATA Subd. I. Type of data The rights of individual on whom the data is stored or to be s[ored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supph private or contiden[ial data conceming himself shall be infonned of: (a)t�he purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or conf idential data;and(d)the identity of other persons or entities authorized br'state or federal law to receive the data-This requirement shall not apph��chen an indi��idual is asked to supply investigative data,pursuant to section 13.82_subdivision 5,to a law entbrcement oftieer. The commissioner of revenue mav place the notice required under this subdivision in the individual income taK or propert��tax refund instructions instead of on those forms Subd 3 Access to data bY individuaL Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and wheUier it is classified as public,private or contidentiaL Upon his further requcst an individual who is the subject of srored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shal I be infonned of the content and meaning of that data. After an individual has bcen shown the private data and informed of its meaning,the data necd not be disdosed to him for siK months thereafter unless a dispute or action pursuant to this section is pending or additional 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 ofthe data. The responsible authoriry may require the requesting person to pay the actual costs of making.certif��ing,and compiling the copies. l�he responsible authoriry shall comply immediately,ifpossible,�vith any request made pursuantto this subdivision,or within five days of the date of the request.e�cluding 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 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 e�ercise this right,an individual shall notify in writing the responsible authoritv describing the nature ot thedisagreement The responsible authority shall within 30 davs either (a)correct thz data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named bv 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 data- I he determination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2;"Rights of subjects ofdata",��e would like to inforn�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 confidcntial information. You are notified that: l. The information you furnish will be used to detcrmine your qualitication 1or the permit or license requestcd. 2. You may rcfuse 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 tederal 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. �. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is reyuired to process this application or permit. First Middle I.ast �$�'�7F' Gf�'Sf �/C�� dd ress City State Zip Phone 1 understand my rights as stated above. _ .'�i� '! Signature � Reset Form 32 �� D/KTE TIME V CITY OF ORONO CALLED IN �� INSPECTION NO CE/��Q SCHEDULED �- 7 �P .�til PERMIT NO. L a COMPLETED ADDRESS 0.�C�°� ..��h�^� � OWNER CONTR. TELEPHONE N0. �5�. `��3 7�� DESCRIPTION �� —^ ��'�`� ' � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Z09 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 ti Z W � W � � / d W WORK SATISFACTORY:PROCEED - ROJECT COMPLETE ✓ � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContract �ite: Inspector. �J `� White Copyllnspector's File Canary CopylSite Notice