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Home My WebLink About2002-P05343 - re-roof PERMIT !C ITY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P05343 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: �i24izoo2 SITE ADDRESS: 81 Hackberry Hill LONG LAKE,MN 55356 PID: 33-118-23-44-0014 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Sub-type(s): Building-Re-Roof Permit Type: Minor Alterations DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 9�.25 Valuation• $ 3,900.00 State Surcharge Fee: $ 2.45 TOTAL FEE: $ 99.70 APPLICANT: Mike Lunemann Construction OWNER: ROB R KALLENBACH ET AL 11617 Zane Circle 81 HACKBERRY HILL Champlin,MN 55316 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. --� -'`�� 6�..�. �� - AP L[CANT PERMITEE SIGNATURE ED BY SIGNATURE Cooies: 1-File(SiQnitures Requirert), 1-Annlicant, 1-Monthlv Reoorts. 1-Assessin�, 1-Finance Page 1 « . Total Fee: $ Date Received: Entez�ed By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � 1 Na�L�-e�'�' ZIp: NAME OF OWNER: � � �� `Q� Ul��"\ PHONE: (home) (work) MAILING ADDRESS: � I �`��'� CITY: (�n � E� ZIP: CONTRACTOR: �1(« C��"N��'t��►ti':tir CD�;� j,. PHONE: �7�O�j �/-z( �� C0�ITACT PERSON: �,�� MOBILE/PAGER��— a MAII,ING ADDRESS:jl�C(7 Z�4�v� C �i2-- CITY:��up �l� ZIP: 1 STATE LICENSE: # 'a o o � S' 2 � Z ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1�iE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: .,.�cR.� �-� v`� ��--ov"C� STORIES: l 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 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 pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: ., - DATE: r� �'�`�" � � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . , Sec.13.04 RIGHTS OF SUBJECTS OF D,�Ta 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 secdon. Subd.2. Iaformation reqirired to be given individual. �+.n individual uked to supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and intended use of the requested dara wichin the colleccing�tate agency, polidcal subdivision,or statewide sysum; (b)whether he may refuse oY is legaily required to supply the requested data;(c)any imown coasequence arising from his suppiying or refusing to supply priva[e or confidendal data;and(d)the idenriry of ocher persons or enddes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve dan,pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the noace rewired under this subdivision in the individual income tax or oropertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subjecc of stored data on individuals,and whe[her it is classified as public,private or confidendal. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown[he data without any charge to him and, if he desires, shall be informed of the contenc and meaning of rhat data. After an individual has been shown the private data and informed of ics meaning, the dara need not be disclosed to hun for six monchs thereafrer unless a dispute or acdon pursuanc to this section is pending or addidonal data on the individual has been collected or created. The responsible au[horiry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authoriry may require the requesring person to pay the actual costs of making,cerrifying, and compiling the copies. The responsible authoriry shall comply immediately, if possibte, with any request made pursuant to this subdivision, or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno[comply with the request wi[hin that time,he shall so inform the individual,and may have an addirional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. M individual may contest the accuracy or completeness of public or private data concerning himself. To exercise[his right,an individual shall noafy in wriang the responsible au[horiry describing[he nacure of the disagreement. The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipiencs of inaccunte or incomplete data, inciuding recipien�s named by[he individual;,or(b)nodfy the individual thac he believes the data ro be correct. Data in dispu[e shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. Tfte determinarion of the respensible authoriry may be appealed pursuant to the provisions of the administrative procedure act relacing to contested 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 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 Ciry deny the pemut 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 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 perm.it. First �tiddle Last Address Ciry State Zip Phone I understand my rights as state ove. ,��i Signature �I� E ,TI,ylE CITY OF ORONO �A�LLED IN 1 .�Ll INSPECTION�jT-IC�E , I� ��—SCHEDULED � 2- � PERMIT NO. C��3`T� COMPLETED _ � ADDRESS �t �QC I�('�-�� OWNER CONTR. M�� r�mn}�.(o� TELEPHONE NO. i I Z-- �— �C.�d� � DESCRIPTION ��— ��CJ�-� U�=J` lL Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PFOGRESS � 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � CO ENTS: � --��Ut✓�.� S��'�: ,�r'' C<Fl�"-s � a . (c �--� ,�� v� o -� � 0 � W � Q � 2 W � W � � � dORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contra o si : Inspecto . White Copyllnspector's File Canary CopylSite Notice / DATE TIME CITY OF ORONO V CALLED IN INSPECTION NO�ICS3 " 3 SCHEDULED �t� �� PERMIT N0. �'l� � COMPLETED � ADDRESS c�� NGC.�G IC��lR.�! l'f r��l OWNER CONTR. �� 1 �.c., C��Sr TELEPHONE NO. �� Y �C�C� � DESCRIPTION �^--�� - � — � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a a J O >. � O � W � Q � Z W � W � j � ORK SATISFACTORY:PROCEED �PRROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED `❑�SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlCon actor on site: . Inspector.�� S White Copyllnspector's File Canary CopylSite Notice