The URL can be used to link to this page

Home My WebLink About2007-P11004 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p110o4 Crystal Bay, Mi<�nesota 55323 Permit Type: Minor Alterations (952) 249�-46i�0 Date Issued: 5/16/2007 SITE ADDRESS: 109 Hackberry Hill Unit# Long Lake,MN 55356 P�� 33-118-23-44-0012 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: $ 54.00 valuation: $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 54.75 APPLICANT: Owner/Self OWNER: Marlene Harty MN 109 Hackberry Hill 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. J i � �,�.i7 L``��l C�/'I/�/.� APPLICANT YGRMITEE SIGNATU E [SSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 . 'Total Fee: $ DateReceived: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (plense print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci��cle one) OWNER OR CONTRACTOR JOBSITEADDRESS: '��Q ��JCI��c��I f ZIP: s,35 �' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No /f yes, a special event perrnit is r•eqarir•ed tivith Police Departn:ent a»d City Co:rncil approval 60 dnys pr•ia�•to the event. Shutlle bars servrce 1vi/1 be reqerired unless applicant demonstr�ates su�cient on-si�e parlcing is m�ailable. Non permitted events�vill not be al/otined NAME OF OWN�R:,/�-f��j-F�P ��4i2�I PHONE: (home)�5a� `f 7��U7U� (work) �S�- y73� 7//S MAILING ADDRESS: �Og ,�d4C'��e. ��/ CITY: (��j1�� ZIP: �� CONTRACTOR: �Q�'� • PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STAT�LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: Ne�v Home Addition Accessory Structure Move Hoine Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD xevie and permits ! PROPOSED WORK(rlesc��ibe ifr detain: �^M�v�r�s�2- ��'�-(Z@-� �U r�� j h� �c� I t� STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALL5: ATTACHED `� DETACHED OU ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �; �0 C� �"f I hereby apply for a building permit and I acknowledge that the information above is comp(ete and accurate; that the��ork��ill be in confonnance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and��ork is not to start without a permit;and that the work��ill be in acco�dance ��ith the approved plan. APPLICANT'S SIGNATURE:�'"��%C�� DATE: 'S '� �� U � ;� . Sec.13A4 RIGHTS OF SUBJECZ'S OF DATA ' Subd. L "Cype of data. The rights of individual on��hom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private orcontidential dataconcerning himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or state�vide system,(b) whether he may refuse or is le�,ally required to supply the requested data;(c)airy known consequence arising from his supplying or reFusing to supply private or confidential data.and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investieative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may�lace die notice rec�iired under this subdivision in the individual income ta�or orooerri�tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request ro a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and��hether it is classitied as public,private or contidential. Upon his ftirther request,an individu�l�vho is the subject of stored private or public data on individuals shall be shown the data widiout 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 si� months fhereafter 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 of the data. The responsible audiority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with airy request made pursuant to this subdivision,or�vithin tive days ot' the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request �vithin that time,he shall so inform the individual,and may have an additional tive days within�vhich to comply with the request,excluding Saturdays, Sundays and legal holidays. S ubd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise chis right,an individual shall notily in writing the responsible authori[y describing the nature of die disagreement. The responsibic authority shall within 30 days eithec (a)correct the data foimd to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or ii�complete data,including recipients named by the individual;or(b)notify the individual d�at he believes the data to be correct. Data in dispute shall be disclosed only iftlie individual's statement of disagreement is included wi[h the disclosed 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 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: l. The information you furnish wil( be used to detern�ine your qua(ification 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 pernlit or license. 4. [f your requested 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 permit. r��2/�r�.P �'h��e S 2 ��-�-� First J'[iddlc LHst J�� I�a Cl��,��1 �� ( � Address C� ��nc� M n � S�5� 9�� 'T� �a�� Citv State Zip Phone I understand my riglits as stated above. � �;Jv c-('.�/Cr Sign;�turc Reset Form �� I ` / '�� E TIME v CITY OF ORONO � CALLED IN� � INSPECTION NO E SCHEDULED � __�� PERMIT NO. COMPLETED ADDRESS � er �� l OWN ER CONTR. r`� TELEPHONENO. � �a �� '" L�� DESCRIPTION ��-rs � 01 FOOTING 11 MECHANICAL RI 8 CAV/GRADING/FILLING � 02 FRAMING 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 OS 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: � 0 r f� �'l c� -t--t j o �i L..D 1�1/1/`� � _ a s 0 � � Q �C�,A � C�`�� L��-� ��.z�-1 � z w � W � j a W WORKSATISFACTORY:PROCEED l� PROJECTCOMPLEfE � ❑ ORRECT WORK&PROCEED C- ISSUE CERTIFICATE OF OCCUPANCY W O ❑Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ' ' CORRECTUNSAFECONDITIONWITHIN HOURS. G pHOTOTAKEN INSPECTOR WILL RETURN STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on ite: ' Inspector. White Copyllnspector's File Canary CopylSite Notice