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Home My WebLink About2007-P11238 - chimney repair � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11238 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Addition/Remodel/Repair Date Issued: 7/20/2007 SITE ADDRESS: 81 Hackberry Hill unit# Long Lake,MN 55356 P�� 33-118-23-44-0014 DESCRIPTION: Proposed Usc: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Chimney Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 83.25 valuation: $ 2,500.00 State Surcharge Fee: $ 1.25 TOTAL FEE: $ $4.50 APPLICANT: Sela Roofing&Remodeling, Inc. OWNER: Rob&Joy Kallenbach 4100 Excesior Blvd. 81 Hackberry Hill 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. � ( Y , APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNA URE Copies: 1-File(Sig�ratures Reguired), I-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 � � " � `1 Total Fee: $ �};� DateReceived: 7'� 'U1 Entered By: 1•Lp•Q 1 Permit#: p��Z7jg CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print aA informatio�z) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CO�CTOR JOB SITE ADDRESS: � N�a��1'.�'VY11 H J I I zir: 5`�3� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ YeS ❑ NO Ifyes, a special event permit is reqtrired i+�i�h Police Departme��t and('ily C'ounci]approval 60 days prior ro the erent. Shr�ttle bus sen�ice will be reyr�ired unless applicaM demonstrates su�cient on-site par�king is arailahle. ;Von-permi!!ed ei•ents will no�be nlloi��etl. NAME OF OWNER: _�� l��j(,� PHONE: (home) ��—�� (work) MAILING ADDRESS: �j� �� ''�I I I CITY: � � , ZIP: �;�� CONTRACTOR (.r�'� � I1 PHONE: ��(�- �� CONTACT PERSON: 1 MOBILE/PAGER: MAILINGADDRESS: �I � �� CITY�,f`�L(1��5 Pk'ZIP: ��J � �y STATE LICENSE: # i EXPIRATION DATE:�`�U ARCHITECT/ENGINEER: PHONE: MA[LING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) PROPO D W RK describe in d i : � - � � I r�,�(�I l� R � ► �}� � � � � ,� � �� , � � ��I%' STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z��% I hereby apply for a building permit and 1 acknowledge that the infonnation above is complete and accurate; that the work will be in conformance with the ordinances and codes ofthe City and with the State Building Code;that[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: l"1�--L-�-�'�� TE: '� 1 U / ��--�� , �. ;, �..�� l � . , Sec.13.04 RIGH"I'S OF Sl'BJECTS OF UATA Subd. I. 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. Subd 2. Intormation required to be given individual. An individual asked to supph private orconfidential data conceming himself shall be informed oC (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision.or state��ide sy�stcm;(b) �vhether he may refuse or is legally required to supply d�e requested data:(c)any known consequence arising from his supplying or refusing to suppl�� private or confidential data;and(d)the identity of other persons or entities 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 la�c enforcement otticer Che commissioner of revenue mav place the notice required under this subdivision in the individual income tax or oropertv tax refund instructions instead of on Chose 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 whether it is classified as public,private or confidential. 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,it�he desires,shall be inCormed ofthe content and meaning of that data. Aflcr an individual has been shown the private data and informed of its meaning.the data need not be disclosed to him for six months thereatter 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 oCthe data- The responsible authoritv mav require the reyuesting person to pay the actual costs of making,certifying,and compiling the copies. I�he responsible authority°shall comply immediately,ifpossibla,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays.Sundays and Iegal holidavs,if immediatz compliance is not possible. Ifhe cannotcompl��rith the request ti�ithin that time_he shall so inform the individual,and may have an additional five da��s��ithin w�hich to comply with the request,excluding Saturdays, Sundavs and legal holidati�s. Subd.�1- Procedure when dala is not accurate or complete. An individual ma}�contest the accuracy or completeness of'publ ic or private data concerning himselE To exercise this right,an individual shall notif\�in writing tl�e responsible authorih�describing the nature ofthe disagreement. 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 incomplete data,including recipients named by the indi��idual;or(h)notify the individual that he believes the data to be correct. Data in dispule shall be disclosed onl}'if the individuaPs statement ofdisagreement is included with the disclosed data. The detennination ol the responsible authorih�mav be appzaled pursuant to the provisions ofthe administrative procedure act relating to contest�d 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 permit or license tcom the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are noti fied that: l. The information you t�urnish �aill be used to detcrmine your qualitication f<>r 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. Ifi 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(availablc upon request)to revie��privale data on yourself. 6. �'our full name is required to process this application or permit. ; ' S� C, �u G;Q�Q First Middle I.ast � �� .X c�e iSi �Y� �i �ol Address �� s�� c�i� rn�� l�ia - �3 � KO �f l� Cit� State l,ip Phone I understand my rights as stated above. L Si a re Reset Form 32 D TIM E ✓ CITY OF ORONO ALLEO IN � INSPECTION TIC SCHEDULED — � PERMIT NO. � COMPLETED /r ADDRESS � � 1��— OWNER ONTR. °S�A � TELEPHONE NO. -L� Z ��S 7a��o � DESCRIPTION �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR,4MING 13 MECHANICA�FIN 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z �Oy�A(ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q �NAL 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 a � J O � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED C7 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�'CITATION ISSUED G INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. �952� Z49-46QQ OwnerlCon r n ' e: Inspector. White Copyllnspector's File Canary CopylSite Notice