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Home My WebLink About2007-P11503 - windows � � PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P115o3 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/27/2007 SITE ADDRESS: 1995 Fox Ridge Rd Unit# Long Lake, MN 55356 PID: 03-117-23-13-0005 DESCRIPTION: Proposed Usc: ��P�� Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: 32 window replacements,reside,reroof house and Garage FEE SUMMARY: Pernut Fee: $ 713.75 valuation: $ 60,000.00 State Surcharge Fee: $ 30.00 TOTAL FEE: $ 743.75 APPLICANT: Sela Roofing&Remodeling, Inc. OWNER: Thomas J Kieley 4100 Excesior Blvd. 1995 Fox Ridge Rd St.Louis Park,MN 55146 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. � APPLICA PE MITEE SIGNATURE ' ` `/� eb� UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 � , � 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. (p/ease print all information) ------------------------------------------------------------------------------------------------------------------------ -- /.� r� THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � ��X �� ZIP: ��.j'��j,% Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 1'CS ❑ NO If yes�, a special event per•mit is reqaiired i��ilh Police Departnrent and('iry Council appf�oval 60 days prior to the erent. ShutNe bus seri�ice ivill he required r�nless applicant demonstra�es su�ficient on-she parking is avai/nble. Non-per•mi�ted ei�en�s will not be alloired. NAME OF OWNER: � RJ K��y PHONE: (home) �2 �'�� (work) MAILING ADDRESS: CITY: ZIP: ;�-< c,, ��fN�a t� F?EM�O�EL► ^ PHONE: �`�L�v l I � �c'�L..� CONTRACTOR: q��g�e�� t�, CONTACT PERSON: ��'". �pi�� UR B�-y";:;�VIOBILE/PAGER: MAILING ADDRESS: �p#��`� `''>�?y� CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: , ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) i�— P P SED WOR.K,(�Iesc i¢e in etai •�� j � � , � �, � � _ ..,�, � � " � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ ( ( �- � l.,�l�� —� 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��-� •��9�A-�? 31 � , � Sec13.04 RIGHTS OF Sl BJF.CTS OF DATA Subd. 1. l�ype of data. The rights of individual on�vhoin the data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individuaL An individual asked to supply pri��ate orcontidential data conceming himselfshall be intonned of` (a)the purpose and intended use of the requested data ti ithin the collecting statc agency,political subdivision,or statewide system;(b) whether he may refuse or is legall}�required to supply the requested data;(c)any kno�vn consequence arising from his suppl}�ing or refusing to supply private or contidential data;and(d)the identiry of other persons or entities authorized by state or tederal la�v to receive the data. This requirement shall not apply N�hen an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer_ The commissioner of revenue inav place the notice required under this subdivision in the individual income tax or oroperty ta�refund instructions instead of on those forms. Subd-3. Access to data by individual. Upon request to a responsible authority,an indi��idual shall be informed whether he is the suhiact of stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,an individual who is the suhject of stored private or publ ic data on individuals shall bc shown the data w ithout am�charge to him and,if he desires,shal I be informed of the content and meaning ofthat data. After an individual has been shown the privatc data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional da[a on the individual has been collected or created The responsible authorin�shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the req�iesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within fivedays of the date of the request,excluding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. If he cannot comply with the request ti�ithin that time,he shall so inform the individual,and may have an addilional five days within which to comply with the request.excluding Saturda��s. tiundays and legal holidays- Subd d. Procedure when data is i�ot accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himselt: To exercise this right.an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement The responsible authority shall H ithin 30 da��s either (a)correct die data found to be inaccuratc or incomplete and attempt to notify past recipients of inaccurate or incomplete data,induding recipients named by the individual;or(b)notif��the individual that he believes the data lo be correct Data in dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data. I�he determination of the responsible authoritti�may be appealed pursuant to the provisions of the administrati�°e procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04.Subd.2,"Rights of subjects of data",��e 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 contidential infonnation. You are notitied that: l. The information you furnish �ti�ill 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 permit or license. 3. The information may be shared w�ith other local, state or federal agencies to the extent necessary to process the permit or license. 4. If y�our requested permit or lieense requires Council action to approve,some information may become public. 5. You ha��e certain rights under M.S. 13.04(available upon request)to revie�a�private data on you�self. 6. Your full name is required to process this application or permit. First !19iddle Last Ad d ress ��b' State Zip Phone � 1 under and m ri s as a d above. i � Signatu e Reset Form ;2 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED PERMIT NO.��3 COMPLETED � �R� � ADDRESS L I�� d� �� lC' �c� OWNER�K`{ �'� CONTR. �e�l� ��o F��9' TELEPHONE N0. � DESCRIPTION �I �t� /��`�i� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ,�FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o !'n T�c �t` C O �i�� -i� �. � 0 � W � Q � z W � W � � d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �, SUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52) 249-46�0 OwnerlContractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice