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Home My WebLink About2002-P05265 - re-roof PERMIT CITI� OF ORONO 2750 K��'ey F�arkway - PO Box 66 Permit Number: Pos26s Crystal �ay, Minnesota 55323 Pe►-mit Type: Minor Alterations (952) 249-4600 Date Issued: 6isi2oo2 SITE ADDRESS: 84o Hunt Farm Rd L.ong Lake,MN 55356 P I D: 3 0-118-23-44-0009 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-rype(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,450.00 State Surcharge Fee: $ 3.75 TOTAL FEE: $ 143.00 APPLICANT: Might Oak Construction OWNER: David&Susan Wilson 30114 371 St Avenue 840 Hunt Farm Rd Henerson,MN 56044 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �—,—'` � � �._ � , ` ___= �-�j�( C,�Z7�� PPLICANT PERMIT�E�f�T�ffrT�� ISS ED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Applicant 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ Date Received: F.ntex�d By: Permit#: / CITY OF ORONO - BUII.,DING 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 CONTRACTOR JOB SITE ADDRESS: �iH ZIP: ��i� NAME OF OWNER: ��f:�.Q)� �JCP t° t�i ��^ PHONE: (home 9�� F?S��3,3`�b (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: r �7" a� �t S��- PHONE: ��o� 3�� "S�,U CONTACT PERSON: • ,K��KQ MOBILE/P�►�ER„ s¢.� MAILING ADDRESS: �j f�� )� �- CITY: �d�rig�--- z�:1—��— STATE LICENSE: #��? �po( ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1�IE: REGISTRATION�# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration �� ari--� � � PROPOSED WORK(describe in detai�: f p� �- ei'oo STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�� Z- I hereby apply for a building pemut 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 ac rd ' the a ed plan. APPLICANT'S SIGNATURE: c DATE: �-�i�-�- NOTE! �arade 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 S[JBdECTS OF DATA Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be sto�ed shall be as set focth in this secdon. Subd.2. Infocmation reqtrired to be pven individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the iequested data within the collecting 3tate agency,polidcal subdivision,or statewide rysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idenary of other persoas or enrides authorized by state or federal law to receive the data. This requ"uement shall not apply when an individual is asked to suppiy invesrigaave data,punuanc to secdan 13.82,subdivision 5, to a law enfarcemenc o�cer. The commissioner of revenue mav place the nodce rewircd under this subdivision in the individuat income tax or prooertv tax refund instrucdons instead of on those forms. Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subjecc of stored data on individuals,and whether it is ctassified 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,-if he desires,shall be informed of the content and meaning of[hat dara. Afcer an individua!has been shown che private data and informed of its meaning,the data need not be disclosed to him for siz months thereafter unless a dispuu or acdon pursuanc to this secrion is pending or addidonal data on the individual 6as been cotlec[ed or created. The responsib(e authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compiiance is not possible. ff he cannot comply with the request within rhat time,he sha11 so inform the individual,and may have an addirioaal 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. An individual may contest the accuracy or completeness of public or private dara conceming himself. To exereise ehis righG an individual shall noafy in wricing the respoasible authoriry describing che nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct[he data found to be inaccurnte or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by che individual„or(b)nodfy the individual that he believes the data to be coaect. Data in dispute shati be disclosed only if the individual's stacement of disagreement is included with the disclosed data. The determinadon of the rosponsible auchoriry may be appealed pursuant to the provisions of the administradve procedure act relating to contesud cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you thai 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 iicense 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 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 o permit. �!�Q�1 � /-� OZcD�t M�.e(G(G� First Middle Last Address �� /�/'(�- �� .�� -� . � --Q/�'� � `1 i Ciry State Zip Phone I understand ri e• � ' Signaare _ ..___.-�--- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED ��2— PERMIT NO. �'S2 S COMPLETED �Z— � ' �G� ADDRESS O �U �-{t�f'i�f -�"GlY� �2G+� OWNER CONTR.�i�'l,¢ZI DQ� L��- TELEPHONE NO. y�� -� — �i�� DESCRIPTION _ �"C'`h � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a j o �� a � 0 � W � Q � z W � W � � � �VHORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContr r on site: r Inspector. C��G White Copyllnspector's File Canary CopylSite NoNce y �► - 3 � b , / DATE TIME CITY OF ORONO �/ CALLED IN INSPECTIO�OTICE SCHEDULED � PERMIT NOJ '�' -��O � COMPLETED ADDRESS O ��Jti-�/� OWNER `�-f�''�� CONTR. TELEPHONE N0. �� 3 �� s�'L' � DESCRIPTION ��-- � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINAL 14 SEWER HOOK-UP 06 PROGRESS � 0 EMO-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 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: � W a O �00T i t�� t 1.�,e22.. ^ � K r� � � O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: inspector. }�.�-�� White Copyllnspector's File Canary CopylSite Notice