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Home My WebLink About2007-P11007 - re-roof � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11007 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/17/2007 SITE ADDRESS: 1820 Lakeview Ter Unit# Long Lake,MN 55356 P�� 27-118-23-42-0012 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: Permit Fee: $ 139.25 valuation: $ 6,550.00 State Surcharge Fee: $ 3.30 TOTAL FEE: $ 142.55 APPLICANT: Hackbarth Enterprises Corp. OWNER: Gloria Swanson 304 4th. St.N. 1820 Lakeview Ter P.O.Box 303 Long Lake MN 55356 Waverly,MN 55390 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. %� / - � .,� a, � � APPLICA T ERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �� 11�� I ( Q�� 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. (please print all ii2forrnation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��o�� c� l� �r'ew �P✓%�,%c� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event perrnit is rega�ired with Police Department and City Counci!approva/ 60 days prior•to the event. Shzittle bus service will be re9zcrr•ed unless applicant demonstr�ates sa fficient on-site parking is available. ��'on-pei•mitted events tivill not be a!lotived NAME OF OWNER: _(��,y;� ��i%c�,�s� PHONE: (home) %S��y�3 yyG 7 (work) MAILING ADDRESS: �x��G L�� `�w� � c�rr�:c�CITY: �°�� L��ICk ZIP: CONTRACTOR: �, �< <. �,�-�� Cr �5�- �c� PHONE: ��:�� G/ Y5��j CONTACT PERSON: S�e� p�� K l�a c M BILE/PAGER: MAILING ADDRESS: ,t�, �� 3�� CITY: �-�%cA v�Y I,,, ZIP: �!� STATE LICENSE: # �C�; � �S, � EXPIRATION DATE: �/5 j��r ARCHITECT/ENGINEER: PHONE: NIAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORI{: New Home Addition Accessory Structure Move Home Remodel/Altecation (ie: Siding, Windows) Any earth movement may require MCwD review and permits ! PROPOSED WORK(describe ir:detcrin: re rc.c �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding landj: � (q SS(�� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wili be in conformance with the ordinances and codes of the Ciry 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 wilt be i� accordance with the approved plan. APPLICAIVT'S SIGNATURE: i DATE: �'��—�� t Sec.13.04 RIGHTS OF SUBJECTS 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 forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private orconfidential data conceming 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 azising from his supplying or refusing to supply private or confidential 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 5,to a law enforcement officer. "Phe commissioner of revenue may..,place the notice required under this subdivision in the individual income tax or prop�tax refund instructions instead of on those forms. Subd.3. Access to data by individual.Upon request to a responsible authority,an individual shall be infortned whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fuRher 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 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 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 of the private or public data upon request by die individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is�ot accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himsel£To exercise this right,an individual shall notify in writing the rosponsible authoriry describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past cecipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be corcect. 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[he 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 feom 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 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 or permit. ��.� �. � rel s First so/ Wes��j� �ddlc Last � , � " '�, `��-_ Address e C�1.�5�-PdC /�l�l� ---�-=�5 .�� -�-a.�.� City State Zip Phone i under d my rights as stated above. . Sisnat Reset Form 32 ik' � �,(�,[..Q.Q�n. /. DATE TIME V CITY OF ORONO CALLED IN � f 7�-�� INSPECTION NOTICE SCHEDULED �� 'y a-� PERMIT NO. � �( 6 U 7 COMPLETED ADDRESS i��% ;��c-�� v OWNER „��-tn4�-�✓ CONTR. ��'G�'-C�'-�t� ��- TELEPHONE NO. LQ l �- " 7�� - �✓� � q � DESCRIPTION rC�- —�u�i� — ��ei4i � 01 FOOTING 11 MECHANICAL RI 18 EX AV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d ,�, W� �GVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on site: �. � � Inspector.�(TIIr a "� ( White Copyllnspector's File Canary CopylSite Notice