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Home My WebLink About2006-P10284 - doors PERMIT .'' fY OF ORONO Permit Number: 2 50 Kelley Parkway- PO Box 66 P1o284 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/5/2006 SITE ADDRESS: 360 Leaf St Unit# Long Lake,MN 55356 PID: 04-117-23-23-0009 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Doors DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 69.25 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 70.25 APPLICANT: Owner/Self OWNER: Kevin Munden MN 360 Leaf St 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. � V " �� ' � � ��_ l � APPLICANT PGRMITEE //�� S[GNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l ;� � 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 information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: '�va 'L�-R�c �T. ZIP: �S3'S(a Will this be a Par de of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes lo !f yes, a specia!event permit is required with Police Department and City Council approval 60 days pr�ior to the eve�t. Shuttle bus service will be required unless applicant demonstrates suff cient on-site parking is availabde. rVon per•n�itted events tivill not be allowed. NAME OF OWNER: KE v'J � • ��'D�E1—� PHONE: (home)fo�Z -�`'1�'35�{� � (work) �Z- �7�-3�i( MAILING ADDRESS: lo�d'1 �``�� C - CITY: ��l��E� ZIP: 55 3 CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement �qy require MCWD review and permits ! PROPOSED WORK(describe in cietain: Ac� o� S<<�� ' �C�� *� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED ESTIMATED CONSTRUCTION VALUATION excludin land : �� r'� ( g ) J I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wi(1 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�vill be in accordance with the approved plan. APPLICANT'S SIGNATURE: -�P/�^"� `�"l ATE: �1 � �� 3t '�J c !SS �� /�i N I�"y�/!/J /�i A/A� //V5� �/ . �. � --1� -� ��-- � � � Sec.13.04 RICHTS 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 or confidential data conceming himselfshall be infonned of: (a)the purpose and intended use of d�e requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supply ing or refusing to supply private or confidential data;and(d)the identity of other persons or entities suthorized 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. The commissioner of revenue mav olace the notice req�ired under this subdivision in the individual income tax or r�operty tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible suthoriry,an individual shall be informed 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 infortned 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 col lected or created. The responsible 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 requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority 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. 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. S ubd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himsel£To exercise this right,an individual shall notity in writing the responsible authority describing the nature of the disagreement.The responsible suthoriry 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 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 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 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. First Middle Last Address City State Zip Phane I un erstand my right as state bove. .O�`�- - ,� Signaturc Reset Form 32 D E TIME ' CI Y OF ORONO CALLED IN -� � INSPECTION NOTI SCHEDULED J�� , PERMIT NO. � COMPLETED ADDRESS =7��C� ��-v� �� OWNER ��lr�1l �r1�� CONTR. (�(,�1��'� TELEPHONE N0. ' L� `� 7 "(l � -� ��"� � DESCRIPTION �� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � FRAMING �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 I ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 L BD. � 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FI � 14 SEWER HOOK-UP 06 PROGRESS � EMO-SITE � 27 SEPTIC MAINT. 21 COMPLAINT J 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 C � J O � � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK&PROCEED � ��!- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL I SPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL O ARRANGE ACCESS. Cail for ex ins ction 24 hours in advance. (952� 249-4600 OwnerlCo act on sit Inspector. White Copyllnspector's File Canary CopylSite Notice