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Home My WebLink About2005-P09218 - re-roof , ' PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 Po9218 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Minor Alterations Date Issued: 9/26/2005 SITE ADDRESS: 2880 Fox St Unit# Long Lake,MN 55356 PID: 04-117-23-31-0011 DESCRIPTION: Proposed Use: 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: $ 97.25 valuation: $ 3,900.00 State Surcharge Fee: $ 1.95 TOTAL FEE: $ 99.20 APPLICANT: Right Way Roofing Inc OWNER: Lester Thompson 14050 23rd Ave N 2880 Fox St Plymouth,MN 55447 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. � ' �� _ � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septrc) Page 1 Sep 22 �5 10: 53a Scott 763-551 -1527 p. l Total Fee: $ ��;`�� -'^L% Date Received: �,�(``f �'_%�� Entered By: I.--{'? 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 CONTRACTOR JOB SITE ADDRESS: �� o � ��'�. _ZIp: 5 5 3 5 �-• Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No Ijyes, a special evenY permit is reguired with Po/ice Department and City Council approval 60 days prior to the eveni. Shuttle bus service will be reguired unless applicant demonstrates su�cient on-site parking is availuble. ?Von-permitted events will not be a!lowed. NAME OF OWNER: � J�1� ��,r•-••�+_��. PHONE: (home)q�Z yl� s ?9 34 (work) MAILING ADDRESS: . ` CITY: �L�,s ZIP: +�S 35 L CONTRACTOR � PHONE:'7 b 3•55'�.41.'?$ CONTACT PERSON: . O ElPAGER: MAILING ADDRESS: ��.10 4� S 3�'�� N � CITY: — ZIP:SS y yZ STATE LICENSE: # 3 q 9 q EXPIRATION DA E: 3� o la ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home RemodeUAlteration �_ PROPOSED WORK(describe in detain:� o,` �sx a4-� J�• R.�+-r STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ . • ESTIMATED CONSTRUCTION VALUATIUN(excluding land): $ ��o e � I hereby apply for a building permit and I aclrnowledge that the inforniation 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 aecordance with the approved plan. APPLICANT'S SIGNATURE:�Q DATE: � � 1�, • 0 5 31 Sec.13.04 RIGIiTS OF SUBJECTS OF DATA Subd. 1. 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. Su�xl.2. Information required to be given individual.An individual asked to supply private or wnfidential dataconceming himself shall be informed oY: (r.the 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 legal ly required to supply Ihe requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)Ule identity of odier persons or entities authorized by state or federal law to receive Uie 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 mav place the notice reguired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. S�bd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and whed�er it is classified as public,private or conYidential. Upon 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 ofthe 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 to him for six months thereafter unless a dispute or action pursuant to this section is pending or additionai 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 of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediate�y,if possible,with any request made pursuant to this subdivision,or within five days of the date of Hie request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. [f he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which[o comply with the request,excluding 5aturdays, 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 himselY. To exercise[his right,an individual shall notify in writing the responsible authority describing lhe nature ofd�e disagreement.The responsible auYhority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienls 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 individual's stalement of disagreement is included with the disdosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforni you that your request for a pe�miit 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 infonnation you furnish will be used to detenuine 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 rec�uested permit or license requires Council action to approve,some infornlation may become 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 pern�it. First Middle Last Address Citl' State Zip Phone I understan iny ri hts as stated above. _.. Cj _ Z __ v � Sig tur 32 DATE TIME ✓ CITY OF ORONO CALLED IN �� " I =�? •t�i � INSPECTION NOTICE, scHE�u�E� u,�a-C1� PERMIT NO. /nG�/� /� COMPLETED ADDRESS � � �fr'� � OWNER CONTR. � � TELEPHONE NO. �l'�� ?5�� y � 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 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 0 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � � O � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ; PROJECT COMPLETE � ❑CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ Ct�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR " CITATION ISSUED C INSPECTION REQUtRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContrac n te: Inspector. � White Copylinspector's File Canary CopylSite Notice v� ��`� � DATE � TIME CITY OF ORONO CALLED IN ��Cv _� INSPECTION NQ,TICE SCHEDULED <�-.�G�:� "�O �J PERMIT NO. ��1 ��b� COMPLETED ___�=y��y ��3C?�� ADDRESS ��C� � X v�r OWNER CONTR. ,��7� G��iT /��J TELEPHONE NO.��2 I�+ �� I � � � DESCRIPTION � �G%ts'' O {�, � 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBII�J6 FiNAt� j' 36 FOUNDATION/REMOVAL � OWNERI�ONTRACTOR O MEET YOU:�y'YES_NO � COMMENTS: � W a j � r'— O � � � O W T�'�� ,�in/c� �A �--C� Q �.._(ci i�� T C ��3 / �'�� z w � W � � d W� ORKSATISFACTORY:PROCEED f,� PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ;-7 ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING 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 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. l.�/• J�� S White Copyllnspector's File Canary CopylSite Notice