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Home My WebLink About2004-P08055 - re-roof CIT�. OF ORONO PERMIT 27��0 Kelley Parkway - PO Box 66 Permit Number: Pososs Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations (952) 249-4600 Date Issued: ioiiii2oo4 SITE ADDRESS: 276o FoX st LONG LAKE,MN 55356 PID: 04-117-23-42-0006 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.50 TOTAL FEE: $ 186.75 APPLICANT: �'�F. Smith Construction OWNER: MINNETONKA ALANO GROUP INC 6585 So. Saunders Lake Dr. 2760 FOX ST Minnetrista,MN 55364 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. C/ �. �_ �,'�� r � �'1�� , " / �.; �� _ �� i ��'� , /� �, j`��_ APPLICANT PGRMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 TotA�k'ee: $ Date Received: �:ntered By: Permit#: CITY OF ORONO - BUILDIN�G PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all i�tfornzatioi:) --------------------------------------------------------------------------�--- '` - - - - - ------------------------------ THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR� JOB SITE ADDRESS: �� J {� X ��' ZIP: Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special evertt perrnit is rec�t�ired wit1� Police Depar•t�nerrt artd City Council c�pproval 60 clays prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ��f� �'FLJ+ b"'�� PHONE: (home) (work) MAILING ADDRESS: ��b� �1� S� CITY: ZIP: CON'd'RAC'I'OR: W��. S M �'�l-� `i�l� � �I�ONE: CONTACT PERSON: �v � MOBILE/PAGER: C� � a---��-� -3 � i -� MAILING ADDRESS: !�S�� S�> >�r�p1;7LS Z-�-- p�, CITY: M� ��ve�r,s��, 7IP; sj� STATE LICENSE: # S 3�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: 1�-�7�-� �J `� Z�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building permit and I aclrnowledge 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: 1� � � r — i� L I � Sec.13.04 RIGHTS OF SlII3JECTS OF DATA 1 Subd.1. Type of data. Thc rights of individual on whom the data is stored or to be stored shall bc as set furth in this seclion. Subd.Z. Information required to be given individual. An individual asked to supply pri��ate or confidential data concerning himself shall be informed ot: (a)the purpose and intended use of the requcsted data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is Iegally required to supply thc requested data;(c)any known consequence arising from his supplying or refusing to supply private or con�dential data;and(d)the identity of odier persons or entitics 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 of(icer. The commissioner of revenue may n�ace the notice required under tl�is subdivision in the individual income tax or nroperh�tax refund instructions instcad o(on those forms. Subd.3. Access to data by individual. Upon request to a responsiblc authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidentiaL Lfpon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has becn sliown the private data and informed of its mcaning,the data need not bc disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has becn collected or crcated. The responsible aulhority shall provide copies of thc private or public data upon requcst by the individual subject of the data. The responsible authority may require the requcsting person to pay thc actual costs of making,certitying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any requcst made pursuant to this subdivision,or within five days o(the date of the request,excluding Sa[urdays,Sundays and Iegal holidays,if immediate compliance is not possible. If he ca�uiot comrly with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply�vith the request,excluding Saturdays,Sundays and legal holidays. Subd.4. P�rocedure when data is not accurate or complete. An individual may contest t6e accuracy or completeness of public or private data concerning himsclL 7'o exercise this right,an individual shall notify in writing the responsiblc authority describing the naturc of lhe disagrcemenL Thc responsible authority shall within 30 days eithci: (a)correct the data found to be inaccurate or incomplete and attcmpl to notify past rccipicnts oT inaccw-ate or incomplete data,including recipicnts named by the individual;or(b)notify the individual that he bclieves the data to be correct. Uata in dispute shall be disclosed only if the individual's statement of disagrcement is included with the disclosed data. Thc detcrmination of thc responsiblc authority may bc appcaled pursuant to thc provisions of the administrativc procedure act rclating to contested cascs. DA"CA PI2IVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rigltts of subjects of data",we�vould like to inform you that your request f'or a pernut or license from the City of Orono or any of its departments may require you to furnish certaiu private or contidential information. You are notified that: 1. The inl'ormation 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 tl�e permit or license. 3. The information may be shared with other local,state or federal agencies to the extent necessary to process the pernut or license. 4. If your req�ested permit or license requires Cowicil action to approve, some information may becoine 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. v�,� � S ,�,,, 1'/f First Middle Last � � � ,� � � . �/�I--�n��7�S �-� _ �� Address V1� � r��', S �� 6'1� }�-' S��:�� t+ C�S �- - �17d- - �� City State Zip Phonc I understand my ri ts as stated above. "� � " Signature DATE TIME CITY OF ORONO CALLED IN � �` ��J INSPECTION NOTIGE , scHE�u�Eo 1�/ /,L,L�•� �' PERMIT NO. / �� L � '�-' COMPLETED �' '�� ADDRESS__ �� 7 �`'G �C k `� � . OWNER CONTR. �� yj/'�l1 TELEPHONE NO. �� " �// �1 .__ � / � DESCRIPTION �s � �F �� ~" � � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV DING/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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � � J O �. � O � W � Q � Z W � W � j GW f�VORK SATISFACTORY:PROCEED CI PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContrac r sit . Inspector. White Copyllnspector's File Canary CopylSite Notice