The URL can be used to link to this page

Home My WebLink About2006-P10069 - minor alterations • PERMIT CITY' OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10069 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/5/2006 SITE ADDRESS: 3135 7amestown Rd Unit# Long Lake,MN 55356 PID: 2g-118-23-33-0016 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minar Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 167.25 va►uation: $ 8,185.00 State Surcharge Fee: $ 4.10 TOTAL FEE: $ 171.35 APPLICANT: Allstar Construction OWNER: H&S Lurton 8401 73rd Ave N- Suite 80 3135 Jamestown Rd Minneapolis,MN 55428 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-Bkl CODE REQUIREMENTS. ` .. i �� /�/ / q � ti, - � ��/�L�� APPLICAN ERM]TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r t Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (plecrse print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (cir•cle one) OWNER OR CONTRACTOR • . . � - JOB SITE ADDRESS: � � � � � � ;1��S`�`� � �� `�� ZIP: � � �3 � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event�ermit is r°eguir•ed tivith Police Depnrtment and Ciry Council approval 60 days pr•ior to the event. Sharttle bt�s service 1vi1!be reqa�ired zinless applicant demonstr•ates sufficient on-site pnrldng is nvailable. Non-pe��iriitted events wi/l not be allo�ved. ,�j � `� t c NAME OF OWNER: ��% � � ( c � � \�` PHONE: (home) �� 5 % - � � �� ' , (work) MAILING ADDRESS: j/ �� _ J �-�,<-� 4 . . � i` �CITY: �,��-�� ZIP: CONTR.ACTOR: ��l(J��' F� ��. � �� (,� PHONE: �L �' - �'7`i - F�1�._ CONTACT PERSON: !�r�t C" < < c a.�, MOBILE/PAGER: MAILING ADDRESS: �/`1 S'� �%��,� �� ,.• c 5 r CITY: �'l ��i; /-(,�.,.ZIP: �:�� s� �� STATE LICENSE: # ��z / % EXPIRATION DATE: �- i �� ARCHITECT/ENGINE�R: PHONE: P�E�`ii�i'i`rrv�'�'�.c��: �i�i: ?:P: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Hoine Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(descrihe in detain: '%c-� � c. . F-'� �� - ;- STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S � `�, �� ` ` I hereby apply for a bui lding permit and I acknowledge that the information above is complete and accurate; that the work will 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�voi i t to start without a pennit;and that the work�vill be in accordance with the approved plan. APPLICANT'S SIGNA'TURE�" � �,��'.. �=s DATE: � �'� � � �� 3l t t Scc.13.0�i RIGHTS OF SUBJECTS OF DATA Subd. l. 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. Information required to be given individual. An individual asked to supply private or contidential dataconcerning himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising Yrom his supplying or retLsing to supply private or contidential data;and(d)the identity 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 investigative data,pursuant to section 13.82,subdivision�,to a law enforcement officer. The commissioner of revenue mav�lace the notice reouired under this subdivision in the individual income ta�or property tar refund instructions instead ofon those forms. Subd.3. Access to data by individual. Upon request to a responsible authonty,an individual shall be infoRned 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�vho is the subject of stored private or publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shafl be informed of the content and meaning of dlat data. After an individual has been shown the private data and informed of its meaning,the data need no[be disclosed to him for six months thereafter 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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry may require d�e requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply itnmediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,excluding Sa[urdays,Sundays and legal holidays,ifinunediate compliance is not possible. [fhe cannot comply with the request within that time,he shall so inform tlle individual,and may have an additional tive days wi[hin which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complefe. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writine the responsible audiority 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 individual;or(b)notify the individual dtat 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 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: 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 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 pem�it 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 �liddlc Last Address Citv Statc Zip Phonc I underst d m rights as stated above. _/' .,4„�/ti"7 gnaturc Reset Form 32 � DAT }IIME / V CITY OF ORONO CALLED w �� "� I INSPECTION N TICE / SCHEDULED D- D- � PERMIT NO. ��OI�� COMPLETED �- ADDRESS 3!3 S ��D'GLTyI � � OWNER CONTR. ; TELEPHONE N0. 7�3 �79 8 7D a � � DESCRIPTION /W�/ 7 ` ��u�` I � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETILANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL �I Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION, Q ❑ FINAL ❑ SEWER HOOK-UP p PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ' Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMIOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REI�OVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO I � COMMENTS: II � a I � J O � � O � � W � � Q � Z W � � W � j � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCU TANCY � ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4 �� OwnedContractor on sit Inspector. �`%YZ� 1 White Copyllnspector's File Canary CopylSite Notice ' I�i