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Home My WebLink About2000-P02509 - re-roof - y PERMIT G�ITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po2so9 Crystal Bay, Minnesota 55323 Pe�mit Type: 1v�inorAlterations (612) 249-4600 Date Issued: s�3ii2oo SITE ADDRESS: 2275 Longview Cir LONG LAKE,MN 55356 P I D: 03-117-23-22-0007 DESCRIPTION: Proposed Use: 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: $ 195.25 Valuation: $ 10,600.00 State Surcharge Fee: $ 5.30 TOTAL FEE: $ 200.55 APPLICANT: PLYMOUTH ROOFING OWNER: S W BUCHHOLZ&D A BUCHHOLZ 17525 COUNTY RD 24 2275 LONGVIEW CIR PLYMOUTH,MN 55447 LONG LAKE MN 55356 THE UNDERSIGNID HEREBY REQUESTS PERNIISSION 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 BUII.,DING CODE REQUIREMENTS. _._. `-� t�!��- rn IS D BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 ' Total Fee: $ 7 � -' �- � Date Received: :�� 3� � � Entered By: r�' � Permit#: � �3.5�' % CITY OF ORONO - BUII..DIVG PERNIIT APPLICATION All information must be submitted in full before plaa review will be started. (please print all information) ---------- — ----- ---- _ - _.-- --� THE APPLICANT IS: (circle one) OWNER C�R CONTRAC_ T�— �` ��' -� �- ,. JOB SITE ADDRESS: ��%-� / S ��/�`��C�i"��.:� �/t��`LIP: ��_7�>�� NAME OF OWNER: j��:�-�� i�:,�7�>�f Z- PH0�1E: (home) �TS�- �,��'' (work) 11-IAII. tI�G ADDRESS: .�� is �o.��r e�-� C��<::4-.CITY: C%�'4�,z��' ZIP: SS`_r C0�1'I'R.ACTOR: ��, ��,�i�� .,�,�-�. P�iONE: % 7�'�- > s ;� � CONT'ACT PERSON:` -�� ls >�- �-�� MOBILE/PAGER: s�.�j - s�Y��i _ . 1�IAILING ADDRESS: i7S��" c��, i�r' -� sl CITY:��;�� /l ZIP: .J _ y - - STATE LICENSE: # _�__� ;� ARCHITECT/ENGINEER: PA�� I�IAII.I��G ADDRESS: CITY: ZIP: N�y�: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: %t � ,�� :'�� - �/��- �-��,� � �. < <' �„ /�<_;��1,��t- .:1, ��. STORIES: �' SQ.FEET OF EAC�I FLOOR: NO. OF BEDROOi�IS: GARAGE STALLS: ATT. DET. ESTII�i IATED CONSTRUCTION VALUATION (exCluding land): $ ��;,, ��%!' I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and accurate; �hat 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 perm.it and work is not to start without a permit; and that the work will be in accordance with the,approved plan. � - / ' � ''' � ., < ��, , S._ �' � APPLICANT'S SIGNATURE: , i,i� r. ' --��% DATE: - -=� �`��c-' NOTE! Parade of Homes events require separate permit approval by Poliee Depczrtment and City Counei160 days prior to the event. Non permixted events will not be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF DaT� Subd. l. Type of data. 'Ihe righcs o[individual on whom the dara is stored or m be stored shil be as set forth in this secrioa Subd.'_. Iaformation reqtrired to be�vea iadividual. ?.n iadividual�sked co supply privarc or confiden^�l dara conceraing himself shall be informed of: (a)[he purpose and int.-.nded use of�he cequested dara wichin che colleccing'stata agency,Folidcal�:3division,or sracewide rystem; �b)whe:her he may refuse or is legally Rquiced ro supply�he requested dara:(c)any lmown coas:queace arisi3 from his a:pptyin,or refusing m supply privare or conndendal dara;and(d)�he idenrity of o�er persoas or endaes auchorized by sta�.or fedzral law ro r.�eive�e da�a. 'Ihis requiremea�shaII not appfy when an individual is asked to suppty ia��esri¢adve dam,pursuant to secaon 13.82,subdivision�, �a law eaiorceca�nc ofFicer. 'Ihe commissioner of re�enu nav pir �he nodc r-auired under �his subdivision in the indiv:Cual_ir.cor..e ax or prooem mz refur.d ins:rucdons instzad of on chose forms. Subd.3. ?,ecess to data b�individual. lipon request to a responsible auchority,an individual s:all be infor.ied whecher he is the subject of scor_d daca on individuals,and whe:her ic is ctass�ed as pubiic, privace or confidendal. L;pon his furth::r.quest, an individual who is the subjecc of stord privace or public data on indi�•iduals shall be shown�he dara wichout any charge tD him and,'if he dasires, s�all be iniormed of the concer.: and meaning oi chat daca_ After an individua!hu be=n shown[he privace dan and informed oi iu meanin3,[�e dara�ed no�be disclosed oo him for six mondu cher-aiur unless a dispute or acrion pucsuanc to [his secdon is pending or addidoaal dara on c�e ir.dividi:al has bzea collected or creared. Tne responsible au�horiry shali provida copies of�hz privaee or public data upon requese by the individual n:b;�c of c�c ciam. T"ne responsible au[horicy may require the requesring person to pay che acn3al cose�of malcing.certifying,and compiling[he copies. The�esponsibiz au[horiry shall comply immediately, if possible, wirh any request madz pursuu:t�thi5 subdivision,or within five days oi the date of che request,ezciuding Saturdays.Sundays and legal holidays,if immediace complia�ce is no�poss�Ie. If he c3nnot comply with[he request wichin chac dme,he shall so inform[he individual,and may have an addidonal Five days wichin which to comciy wi��request,excluding Samrdays. Sundays and legsl holidays. Subd.4. Procedure when data is not accurate or complete. An individual may concest che ace��cy or conpleceness of public or pri�•ace ' data conceming himseff. To exercise chis right,an individual shall noafy in wridn;�he respoastble auchorirv d:scribiag ct:e nani:e of the disagreemea� . The responsible auchoriry shall wichin 30 days ei�`.er: (a)correcc the dara found ro be inac:urace or incomp'.��and a^..�pt to nodfy past recipients ei inaccuram or incomplece dac�, inciuding recipiencs named by the individual; or(b)aorify [l:e individual t;a:he 6elievu the dara to be correct. Dan in dispuce shall be disc:osed only if[he individuai's sratemenc of disagreemenc is ir.cluded wich[he disclos:�daca. The decerrtunaaon of tha responsible au�horiry may be appealed pursuanc to the provisions of c:=admins�dve procedure act relacing to contes�ed cases. DAT�, PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "RiQhes of subjects of data", we would li{e to in�orm you that your reques: for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidencial information. You are notified that: 1, The information you furnish will be used to determine your qualifica[ion tor che oermit or license requested. ?, You may refuse to supply daca, but refusal may require thac the Ciry deny the permit or license. 3. The information may be shared with ocher local, scace or federal a�encies co the eztenc necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may becocie public. �. You have cenain righcs under �1.5. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process this application or permit. First �tiddle Last Address Ciry Snce Zip Phone I understan�my ri�hts as stated �v�' . ,� '�" � / / �'," �� Signature - ATE TIME CITY OF ORONO CALLED IN �� a %��d a INSPECTION TICE SCHEDULED �—��O �,-O O PERMIT NO. � � �� COMPLETED <� '" '� � ADDRESS �L �S � ��-� OWNER � !�J c h o � fZ CONTR. ��X n�OyJ��I /P� o� TELEPHONE NO. �7 3 �—`3 � �� DESCRIPTION _/�— --�'`� ly� 01 FOOTING 11 MECHANICA 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CO MENTS: W � ��.� '�- v'� c� 0 a o � �v�- � c��.- '� �.L 1>>'" ��s �vy� l,.J `1 .S��-�;� � 0 � W � Q � Z W � W � � d W C 1 WORK SATISFACTORY:PROCEED I PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ! ' ISSUE CERTIFICATE OF OCCUPANCY W � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT C7 CORRECTUNSAFECONDITION WITHIN HOURS. r pHOTOTAKEN INSPECTOR WILL RETURN � Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.I/��iti �� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �� INSPECTION N TI E SCHEDULED ""��-' -3� PERMIT NO. ��O� COMPLETED "—� �� f 3� ADDRESS �a�5 Lonq v�`er,cJ C��C�e_ OWNER CONTR. ,LI n'IUV��'1 `�-O�rl y TELEPHONE NO. `�'13"33�1�] � DESCRIPTION ��i l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � A 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 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 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 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J .� �� O � � � O � W � Q � Z W � W � j d, W �]WORK SATISFACTORY:PROCEED C' PROJECT COMPLETE Q[ l.. W ❑CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT [7 CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR C; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnedContractor on site: Inspector.,�i�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO�j,�E SCHEDULED �2�n � PERMIT NO. �l7a-S`f� COMPLETED ,�� ADDRESS �a�S L�GI Vf Z'(.�,� C��G1 �-� OWNER CONTR. �I1/l� TELEPHONE NO. ��'33�7 � DESCRIPTION �'f"�` `�6�� Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL = 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W�WORK SATISFACTORY:PROCEED �j PROJ ECT COM PLETE � ❑ CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY w � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector�.—� White Copyllnspector's File Canary CopylSite Notice