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Home My WebLink About2001-P04482 - re-roof ` ' PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04482 Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations (952) 249-4600 Date Issued: lo�isi2ooi SITE ADDRESS: 567 Park La LONG LAKE, MN 55356 P I�: 06-117-23-41-0045 DESCRIPTION: UBC Occupancy R3 Proposed Use: ttesidentiai 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: $ u 1.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: Schmidt,Allen Construction OWNER: AUDREY OVERBY 1415 Cherry Place 567 PARK LA Mound, MN 55364 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. �._ �_ �>k-.�� `—"�� 1 , l , , /'L �'a1E:(.,��1 ��G�-- APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File (Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 . � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII.DING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTO JOB SITE ADDRESS: S�7 �fI R�C �,w ZIP: ��3 �� NAME OF OWNER: � �'n 2��t 0 U�213 y PHONE: (home) (work) MAILING ADDRESS: SG? pffR/c �.,.� CITY: �vx��i4�ta ZIP: ��SG CONTRACTOR: ��L��+ �:t(,�►�,o� C�o�rs r PHONE: `15 Z, Y7l—D��/3 CONTACT PERSON: F�'LG�►� �c rd-m,v r MOBILE/PAGER: G �Z) 3a G -5G�y MAILING ADDRESS: 1�r S l tf��PK y/�� CITY: �a v�v�O ZIP: SS3 6 y STATE LICENSE: # lP�z3 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: ��,� d--�F �o�y�,rrb STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��Dd � 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 pemut and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �� -- ��--� DATE: 10�� S�o / NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. r . Sec.13.04 RIGH'TS OF SLJBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information req�red to be given individual. An individual asked to supply private or confidendal dara concerning himself shail be informed of: (a)the purpose and iatended use of the requested data within the collecting state agency,political subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supp(y privace or confidential data;and(d)the idendty of other penoac or enrides authorized by state or federal law to receive the data. This requiremenc shall not appiy when an individual is asked to supply invesrigadve dara,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of ro�enue mav place the nodce rewired under this subdivision in the individual income tax or pro�ertv tax refund instruc[ions inscead of on chose forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored daca on individuals,and whecher it is class�ed as public,priva[e or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che data wi[hout any charge to him and,-if he des'ues, shall be informed of the content and meaning of that data. After an individuai has been shown che private dara and informed of irs meaning,the data need not be disclosed to him for siz monrhs rhereafur uniess a dispute or action pursuant to this secrion is pending or addidonal data on the individual has been collected or creared. The responsibte authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[horiry may require the requesring person to pay the acaal cosu of a�aking,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 roquest,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsib(e authoriry describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incompiete and aaempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by che individual;or(b)nodfy the individual thac he believes the data to be correct. Data in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible authority may be appealed pursuant to the provisions of the admuustracive procedure act relating to contesud 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 fumish certain private or confidential information. You ue 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, buc refusal may require that the City deny the pemut or license. 3, The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut 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 Phone I understand my rights as stated above. �. `�-- �� Signaare �� DATE TIME CITY OF ORONO " cALLED IN INSPECTION NO CE SCHEDULED L�S2�15 � 6 3 " PERMIT N0. � COMPLETED 6�5 Z�/ �= ADDRESS C OWNER��L�'�r� CONTR. � TELEPHONE NO. " O � � DESCRIPTION `` � Ot FOOTING 11 MECHAN CAL 18 EXCA RADING/FILLINC� 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 OEMO-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 � OWNER/CONTRACTOR TO MEET YOU:=YES�O c�n COMMENTS: � W a o �� 0 � W � Q � 4�.i � � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advan e. (952) 249-4600 OwnedContractor on site: Inspector. ��'�-� f�-��' `� White CopyMspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �- PERMIT N0. �� Z COMPLETED j��j � �}j 7 '�t.% ADDRESS S� C� ��-.�� L-c�s�1-� OWNER CONTR./`�L��i s�� TELEPHONE NO._��G ��` � DESCRIPTION f--�LX �'" -c��l' LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z D COMMENTS: � W a � � ° C1r� ��,� � � 0 � W � Q � Z W � W � �� x�J�M1IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �� - W ❑CORRECT WORK R PAOCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOPORDERPOSTED.CALLINSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor on site: Inspector.�1�'��-�-� White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED � PERMIT NO. � COMPLETED � ADDRESS ,�� C_�r'fC LC��,A _ OWNER CONTR.,Q/�',t3��<`�rn;�� i f: TELEPHONE NO. L�P I� ��CO�G�� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCA4/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPL4CE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � �ORKSATISFACTORY:PFOCEED `��'PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContraGt site: Inspector. ��L'�- C �� L�� White Copy/lnspector's File Canary Copy/Site Notice