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Home My WebLink About2005-P08515 - re-roof PERMIT C I Tl�� O F O RO N O Permit Num ber: 27�0 Kelley Parkway - PO Box 66 Pogsis Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 3illi2oos SITE ADDRESS: 51 Hackberry Hill L,ong Lake,MN 55356 P I D: 33-118-23-44-0016 DESCRIPTION: Proposed Use: Residential Buildin Census Code O/S -Building Permit Class: g Permit Sub-type(s): Building-Re-Roof Permit Type: Minor Alterations DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 97•25 Valuation: $ 3,200.00 State Surcharge Fee: $ 2.10 TOTAL FEE: $ 99.35 APPLICANT: �'ilson Services OWNER: Charles Wilson 2743 Magnolia Lane N 2743 Mangolia Lane N Plymouth,MN 55441 Plymouth,MN 55441 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�c�SZ__ �_ �`� f G��?C"�'1-'� /�/� APPLICANT PERMI"I'GE SIGNATURE ISSLED BY SIGNATURE Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 w R 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 i�ifornzatio�z) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: f% %��c Ic �3�2�t� l�r L L ZIP: �3� Will this be a Pa►-ade of Homes, Remodelers Showcase Horne or other Display Home? ❑ Yes �o If yes, a special event permit is required tivith Police Department and City Council approval 60�lays prior to the event. Non permitted events will not be allowed. NAME OF OWNER: CG�,�,�c-_�� LJ/c�'�,.J PHO\TE: (home) (work) C/Z.- ��I �7 �� MAILING ADDRESS: 2�� y 3 ��.��,�i CITY: f�� ZIP: �`�`�� i CONTRACTOR: �J j�.�.J S! �� `� PHONE: 6�2- ?� I -�� CONTACT PERSON: �j-�vtu.— MOBILE/�__�: G� � G��' � �99 MAILING ADDRESS: a'1�/� n��„�-��.��-��-,�- CITY: ��7 ZIP: r�'�c�/ STATE LICENSE: # c�t� �'� ARCHITECT/ENGINEER: PAONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration_� Land Alteration PROPOSED WORK(�lescribe i�z detai�: �Z��r�-� �„� a.. /Z� �',��r L�r s T�,�(„ /c-,E�...�'�`� A�,��-o `3 'F'�-s� f'�.;�z� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GAI2AGE STALLS: ATT. DET. 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: C/.J w�_ DATE: � I �� r f Sec.13.04 IiIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc rights of individual on whom thc data is stored or to be stored shall bc as set forth in this section. Subd.2. Information required to be given individuul. An individual asked to supply private or confidential data concerning himself shall be inTormed of: (a)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 Icgally required to supply the requcsted data;(c)any known consequcnce arising trom his supplying or refusing to supply private or contidential data;and(d)the identity of other persons or entities authm•ized by state or federal law to receive the data. This requirement shull not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law entorcement officer. The commissioner of revenuc mav n�ace the notice required under this subdivision in the individual income tax or propertv tax refund instructions instcad o(on thosc fonns. 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 whether it is classi�ed as public,private or conCdential. 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 inCormed of the content and meaning of that data. After an individual has been shown thc private data and informed of its meaning,the data nced 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 been collected or created. The responsib►e authority shall provide copies of the private or public data upon request by the individual subject of the data. Thc responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsiblc authority shall comply immediately,if possiblc,with any request made pursuant to this subdivision,or within Fve days of the date of the request,ezcluding Satw•days,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with thc request within that time,he shall so inform the individual,and may have an additional five days within which to comply�with the reyucst,excluding Satm•days,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public m•private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagrce�nent. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplMe data,inclu�ing recipients named by the individual;or(b)notify the individual that he believes the data to be correct. llata in dispute shall be disclosed only if the individual's statement of disagrcement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative proccdure act relating to contcstcd cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a pernut 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 information 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 the permit or license. 3. The information may be shared with other local,state or federal agencies to the extent necessary to process tlie permit or license. 4. If your requested permit or license requires Council action to approve, some information 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 pernut. �.� 2�'�- ��N�S L.�l �S b,.� First Middlc Last �_ l� � ��'�' v!��1 L i/�- L N, n.�1 Address �`` .-� s7�y i 7 l�-► 6iL—�—i.S� z� City State Zip Phone I understand my rights as stated above. l�/ Signature �� .� � DATE TIME CITY OF ORONO CALL�g,�� b� INSPECTION NOTI�E Q� SCHEDl7L�« � PERMIT NO. ' Gl /) �I �J COMPLETED �� ADDRESS -S� �l� �-►L��'�'�'l I�// I� OWNER CONTR. C�-� ► � S��'1 �-�-. TELEPHONE NO. LG' �a ` �G/ - � �� S � DESCRIPTION �� C�' � 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC F NAL 35 HARD COVER REMOVAL v 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � w e � � O >. � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED I,� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (952� 249-460� Owner/Contractpc� 't : Inspector. White Copyllnspector's File Canary CopylSite Notice �3 DATE / TIME �/ CITY OF ORONO CALLED IN �'r1!1�6J INSPECTION NOTICE / SCHEDULED �� PERMIT NO. Op �3��5 COMPLETED ADDRESS �S� ��'� OWNER ��u.�Z-- �.�Q� CONTR. �,tiP.�e'r ��-� TELEPHONE NO. � I�- �0 / �I�Z S � DESCRIPTION f�-' /1.0-0-� l� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FIL�ING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04�D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � . � O �. � O � W � Q ti Z W � W � � / d ✓ W WORK SATISFACTORY:PROCEED [ ROJECT COMPLETE � ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W O ❑Ct�RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r-; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 24J-46O0 OwnerlContrac � e: �Inspector. ' � White Copyllnspector's File Canary CopylSite Notice