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Home My WebLink About2003-P06633 - minor alterations PERMIT CITY �F ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06633 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: g�s�2oo3 SITE ADDRESS: 3050 Jamestown Rd Long Lake,MN 55356 PID: 28-118-23-33-0015 DESCRIPTION: Construction Type VN Proposed Use: Residential Buildin Census Code O/S-Building Pernut Class: g Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 209.25 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.50 TOTAL FEE: $ 215.75 APPLICANT: Trevor Foss Roofing OWNER: Andrew&7ulie Page 1891 Sandbal Cir. 3050 Jamestown Rd Waconia,MN 55387 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� � �_ � � ,-- �'�-j��-�-� Ci'�'�lC-��l �� APPLICA E TEE SIGNATURE ISS ED BY SIGNATURE Conies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 ... Total Fee: $ Date Received: Entered By: Pemut#: , CITY OF ORONO - BUII�DING PERNIIT APPLICATIQ1eT All information must be submitted in full before plan review will be s�arted. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �� ►A✓�S �� ZIP: SS�SCP NAME OF OWNER: ��,C� �,Ae�. PHONE: (home)�`'�`y73-�$S�9 (work) �52-�j8�f 3835' MAILING ADDRESS: ?�Sa �'�✓r►e�s T� �ao CITY: CX2,o,�� Z�P: S's3�'C. CONTRACTOR: �� ,�( L��-- PHONE: (olZ� Z�`t-8�vrq CONTACT PERSON:_�'�.o� �'�s MOBILE/PAGER: �►�l✓►'1e MAILING ADDRESSs l�'c c �o�t. Gtrw(� CITY: G✓�►c.�,��A 2GIP: Ss38�? STATE LICENSE: # 7 ��,e � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: Z : NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detain: ��qc�-�� 2�rza� ; STORIES: 2- SQ.FEET OF EACH FLOOR: <-{o�� _ NO. OF BEDROOMS: .5 GARAGE STALLS: ATT. 3 DET. ' ESTIMATED CON5TRUCTION VALUATION (excluding land): $ z o0 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. DATE: ��8 Q3 ., NOTE! Parade o�Homes events require separate permit approval by Police De artment and City Council 60 days prior to the event. Non permitted events will not be allow�. Sec.13.04 RIGEiTS OF S[JB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set focth in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confideuaal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,poliacal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requesud data;(c)any Imown consequence arising from his supplying or refusing W supply private or confidendal data;and(d)the idendty of ocher penons or enades authorized by state or federal law to�eceive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income rax or nropertv taz refund instrucdons ins[ead of on those 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 whe[her it is class�ed as public,private or confidential. Upon his fu�ther request,an individual who is the subject of stored private or public data on individuals shall be shown che data wi[hout any charge to him and;if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six mondis thereafter unless a dispute or acdon pursuant to[his secdon is pending or addidonal data on the individuai has been collected or created. The rasponsibie authority 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 acmal cost�of making,cectifying,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 compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal 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 data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing[he nature of the disagreement. The responsibie authority shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,inciuding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminadon of the responsible authoriry may be appealed pursuant to the provuions of the adminisaadve procedure act reladng 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 fumish 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 the pemut 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 permit. First M �e �� Address . City State Zip Phone I understan rights as stated above. . Signacure - ��, � o,�� TIME CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED , �!!� PERMIT NO. v �� COMPLETED ADDRESS � l� • U " �� OWNER CONTR.�� t° ' G' _� TELEPHONE NO. — � —" ��}'�� DESCRIPTION �� i�. G � 01 FOOTING 11 MECHANICAL RI 18 E /GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL B0. 12 WATER HOOK-UP 17 SITE INSPECTION 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 FOUNDATIOWREMOVAL � OWNEFi/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (g52) 249-4600 OwnedContracto e: Inspector. 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