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Home My WebLink About2003-P06764 - re-roof r �. ITY F R N PERMIT C' � � � � Permit Number: 2750 Kelley Parkway- PO Box 66 P06764 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 9�is�2oo3 SITE ADDRESS: 500 Oxford Rd L.ong Lake,MN 55356 PI D: OS-117-23-41-0015 DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterarions Pemut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 265.25 Valuation• $ 15,900.00 State Surcharge Fee: $ 8.45 TOTAL FEE: $ 273.70 APPLICANT: Flagship Roofmg Company OWNER' Albin&Susan Nelson 3496 Shoreline Drive � 500 Oxford Rd Wayzata,MN 55391 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESf S PERMISSION TO MAKE THE REAL IIVIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF NIINNESOTA BUILDING CODE REQUIREMENTS. � � �� PLICANT PE EE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(SiQnitures Required),1-Avulicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 a . Total Fee: $ Date Received: ��`/S- D 3 Entered By: Permit#: I�p�7��! CITY OF ORONO - BiTII.DING PERMIT APPLICATIOleT All information must be submitted in full hefore plan review will be started. (please print all inforniation) THE APPLICANT IS: (circle one) OWNER O NTRACTOR JOB SITE ADDRESS: �J�U C3��v�(`� ��. ZIP: NAME OF OWNER: � � ��s�� PHONE: (home) (work) MAILING ADDRESS: �j U o�t� 1� CITY: n,� ,,,� ZIP: CONTRACTOR: �� 1�w �- PHONE: �J'�Z-�7/- ,3�� CONTACT PERSON: ,-�� MOBILE/PAGER: - 6�-o g MAILING ADDRESS: S�2 � CITY: 2... ZIP: S�3'� l STATE LICENSE: # 2�v$ 31 � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: -�.�,�-� ��.� �t- �'o G� _ STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $��oo . o v I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that 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 permit and work is not to start without a pemut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 1 �� 3 NOTE! Parade Q f Homes events require separate permit approval by Police Depar[ment and City Council 60 days prior to the event. Non permitted events will not be allowed. . ,� Sec.13.04 RIGHTS OF S[TBJECTS OF D.�►TA Subd. 1. Type of data. The rights of individual on whom the data is stored or co be stoced shall be as set forth�this section. Subd.2. Information reqirired to be given individual. An individuai asked to supply private or confidendal dan�nceraing himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng Srate agency,pofiucal subdivision,or satewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supphmg or isfiising to supply private or confidential data;and(d)the idendty of o[her persoas or enuaes authorized by state or fedecal law to receive the daa. This requiremeat shall not apply when an individnal is asked[o supply investigadve data,punuan[to section 13.82,subdivision 5,w a law enforment officer. The commissioner of re�enue mav place the nodce rewircd under this subdivision in the individual income rat or provem ta�c tefund insnvcaons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsibie authority,an individual shall be informed a•he[hez he is the subject of stored data on individuals,and wherher it is ctassified as public,private or co�dendal. Upon his further iequest,an ind:tizdua!who is the subject of stored private or public data on individuals shall be shown che data wichout any charge to him and,-if he desires,shall be informed of the content and meaning of rhat data. After an individual has been shown the private data and informed of its meaning,rhe data need�c 6e disclosed to him for six months thereafur unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has b�n coilected or cnated. The rosponsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the dara. �e responsible authority may require the requesting person to pay[he actual costs of making,certifying,and compiling the copies. The responsible authoriry shail compiy immediately,if possible,with any request made pursuant to this subdivis�cn,or widiin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannet�mpty with the request within that time,he shall so inform the individual,and may have an addiuonal five days within which to comply with the rec�:�,ezc!uding Saaudays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accurncy or comple�aess of public or private data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsible authority describing�he na-�ie of the disagreement. The responsible authoriry shall within 30 days ei[her: (a)correct the data found to be inaccurau or incomplete and attempc ril nodfy pasc recipients of inaccurate or incompkte data, including recipiencs named by[he iadividual;or(b)nodfy the individual that he believes t�e'ata co be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible au[horiry may be appealed pursuant to the provisions of the adminisaarive:rocedure act reladng to wntested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data", we would like to inform ti-ou that your request for a permit or license from the Ciry of Orono or any of its departments may require you to furnisa cerrain private or confidential information. You aze notified that: 1. The information you furnish will be used to detemune your qualification for the permit er license requested. 2. You may refuse to supply data, but refusal may require that the City deny the perm:t or license. 3, The information may be shared with other local, state or federal agencies to the extent�ecessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some infor^...ation 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 �S� Address � � City State Zip Phe� I unders d my rights as st d above. Signaturo DATE TIME V CITY OF ORONO CALLED IN �} -/S-U� INSPECTION NOTJC��/- SCHEDULED 9-/(p-��s � %36 PERMIT N0. rJU l�/ COMPLETED ADDRESS�G� �K 0 r� OWNER CONTR.__��q Sh-�/> TELEPHONE NO. ��'�a ��G'`o (��/�� '� � � DESCRIPTION ��l%�-!' U' �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FI AL 35 HARD COVER REMOVAL J 10 PLUMBI 36 FOUNDATION/REMOVAL � OWNE ONTRACTOR MEET YOU:_YES_NO � COMMENTS:� � W C � Q P�f'S O � PX' 0 � � 0 � W � Q � 2 W � W � � � d W� �KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContra on 'te: Inspector. White Copyll�spector's File Canary Copy/Site Notice �n V DATE�� ]�-��,� TIME CITY OF ORONO CALLED IN �I f� INSPECTION NOTICE SCHEDULED � � PERMIT N0. %' % �� COMPLETED ADDRESS �C C� �,�-��-,�c=� /�-�-�. OWNER CONTR.__ �l�`t �/�-L� TELEPHONENO. C��,� ' ��/ ' �� • � �G-C'� � DESCRIPTION �� " � � � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 i09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRAC R TO MEET YOU:_YES NO � COMMENTS� � 1l�� 'e� � � )� G�Z,c,% W a � J O � � O � W � Q � 2 W � W � � d W� _�tNORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED �ISSUE CEHTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W4LL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the neict inspection 24 hours in advance. (952) 249-46�0 OwnerlCon or o ite: " Inspector. White Copy/lnspector's File Canary Copy/Site Notice