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Home My WebLink About2005-P09460 - re-roof � PERMIT CITY OF ORONO ��750 Kelley Parkway- PO Box 66 Permit Number: P09460 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 12/1/2005 SITE ADDRESS: 45 Luce Line Ridge Unit# Maple Plain,MN 55359 PID: 31-118-23-34-0004 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: $ 153.25 Valuatioo: $ 7,500.00 State Surcharge Fee: $ 3.75 TOTAL FEE: $ 157.00 APPLICANT: Miller Joseph Consriucrion Inc. OWNER: James&Jayne Holm 17171 Ipava Avenue 45 Luce Line Ridge Lakeville,MN 55044 Maple Plain MN 55359 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. � i/L . ` !i� ,�� c- - ( ._�' "" _, � PLICANT PERM[TE S[GNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: /-z-/- �� Entered By: ��T Permit#: /�� °`�'f�C�% CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all informatio�z) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR �/ > � JOB SITE ADDRESS: —/� G�C� [�!f"� � ��' ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ YeS ❑ lv0 If yes, a specia/evend perrnit is�-eyuired with Police Depar-h»ent and City Coau�icll c�p�roval 60 days prior•to the ever7t. Sl�uttle bais ser•vrce rvill be reqtiired a�nless appllcant deinorzstr•ates szrf�icie�lt a�-site parkin�is available. Non�ermitfed events will not be nllotived. ; fi NAME OF'OWNER: �!� -��J G�e l"' PHO�1E: (home) � ,' , (work) MAILING ADDRESS: Y� LG� << L�� CITY: u � �� ZIP: CONTRACTOR: � / ' "�z ��5� LO ��'C PHONE: I L S/��(�� CONTACT PERSON: MOBILE/PA ER: n `' MAILINGADDRESS: J�l ��u CITY: Z��G ZIP: � STAT�LICENSE: # 7 U� 3D3�f�1 EXPII2ATION DATE: 3 3 � ARCHI"I"EC'I'/ENGINEE�Z: PHONE: MA�LiNG ADDRESS: CIT�': �IP: NAME: REGIS'I'RATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: S'ding,Windows) " PROPOSED VVORK(describe in cletai�: �oU�� G U��e �o�� STOI�IES: SQ.�'�E'�'O�EE1C��FLOOI�. NO. O� BEDR�OMS: GAI�G� S'TAI.LS: A'T'�'AC�-IEI) I9E'�'E1CHE� EST'I1VIf1T'ED C0:�ISTRIJCT'IO�VA�I,�T�T'IOl�(excluding land): $ 7�'�, � I hereby apply for a building pennit and I acknowledge that the infonnation above is complete and accurate; that the work will be in conformance�vitl� the ordinances and codes of the City and with the State BuildinQ Code;that I understand this is not a pei-�nit and worl<is not to start�vithout a pennit;and that the work will be in accordance with the approved plan. AP�LICA�1'I''S SIGNA'�'�TRE: �r�'I']E: � � 3l 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 requirod to be given individual.An individual asked to supply private or confidential data conceming himself shall 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 from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.This requirement shall 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 maKplace the notice required under this subdivision in the individual income tax or orover[v tax refund instructions instead of on those fortns. 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 whether it is classified as public,private or confidential. Upon his further 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 pendiag or additional data on the individual has been collected or created. The responsible authoriry shal(provide copies of the private or public data upon request by the 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 shall comply immediately,if possible,with any request tnade 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 infortn the individual,and may have an additional five days within which to comply with the requesi,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may wntest the accuracy or completeness of public or private data conceming himself.To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.The responsible authoriry shall within 30 days either: (a)con•ect the data found to be inaccurete or incomplete and sttempt to notify past rocipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be coRect. Data in dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data. The detemiination 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 pern�it 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. � �� ►,y� First Middle Last Address / �'� � �� /�v(J 9�� ;,� Cih' State Zip Phone I understand my rights as stated above. Sig re 32 � Minnesota Commerce Page 1 of 1 � Commerce Home � North Star Home�Commerce Site MaK � ,� Thursday, December 1,20( �x�swts�+ow �-� i. ..Yr��fJ�RI��R�E �'�4��n��-��r Energy Info Center� News Releases� Advanced Search� Search Topics� �` All NorthStar� � Commerce Site Only ; ' Contact Us � ��"� " �� Consumer Industry Applications, Unclaimed Heating Weights& Minnesota Info and Info and Registration, Property Assistance Measures Relay Petrofund Services Services Certification License Detail Here are the details for the license you are currently looking for: Licensee Name: JOSEPH MILLER CONSTRUCTION INC Licensee Address: 17171 IPAVA AVENUE City State Zip: LAKEVILLE , MN 550440000 License Number: 20130384 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: Apr 1, 1998 License Expiration/Renewal Date: Mar 31,2006 Qualifying Person: JOSEPH MILLER Number of hours of continuing education required to renew license: 7.0 Enforcement Action: No � II �, Copyright 2000 North Star, Minnesota State Government Online State Of Minnesota �About Us� Get Acrobat North Star is led by the Office of Enterprise Technology Reader� This site best viewed with 1024X768 or greater and with Netscapa 4.7 or Internet Explorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NLTM=20130384&LIC_... 12/1/2005 �� DATE TIME ` CITY OF ORONO CALLED IN 3 -/ -vj INSPECTION NOTICE SCHEDULED ��- - 5 PERMIT NO. /'��y�U COMPLETED �,� '��'�� -�� ADDRESS �J � �%� G�%�� G� � OWNER CONTR.�- �-�vG�-��s Lt"�� TELEPHONE NO. �� t5�I 7 �31n C� CP � � DESCRIPTION �-�-Ll>z�� l� 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q�'G�5 F��IN�AL 14 SEWER HOOK-UP 06 PROGRESS � IIT"IIEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL , � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES`�NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED /�OJECT COMPLETE � ❑CORRECT WORK&PROCEED C I�SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL AETURN �STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �9�J2� 249-46�� OwnerlContractor on s te: • Inspector. � %�' �� White Copylinspecior's File Canary CopylSite Notice DATE TIME " � -!� CITY OF ORONO CALLED IN /�� INSPECTION NOTICE SCHEDULED /��-U��~ 3�� Z� PERMIT NO.�r�9y�� COMPLETED ADDRESS � / �� OWNER CONTR. �� - ��t�' �� TELEPHONE NO. �� DESCRIPTION ��c.'�l� C�'� �r�� 01 FOOTING 11 MECH I AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS y 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 PLUMBIN L ^� 36 FOUNDATION/REMOVAL � OWNE ONTRA TO O MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � ti � Q ti Z W � W � � d W WORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTpR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne i spection 24 hours in advance. (9�j2� 249-46�� Owner/Contract si Inspector. White Copyllnspector's File Canary Copy/Site Notice