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Home My WebLink About2006-P10088 - minor alterations PERMIT CITX OF ORONO 1750 Kelley Parkway- PO Box 66 Permit Number: ploo88 Crystai Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/11/2006 SITE ADDRESS: 850 Partenwood Rd Unit# Long Lake,MN 55356 PID: 08-117-23-21-0009 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: Pernut Fee: $ 552.85 Valuation: $ 40,589.17 State Surcharge Fee: $ 20.30 TOTAL FEE: $ 57315 APPLICANT: Home Exteriors Inc OWNER: Robert&Joyce Humboldt Dale Schlosser Inc 850 Partenwood Rd 7950 Co Rd 26 Long Lake MN 55356 Minnetrista,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. ! ^ �,�� _� �lYy2f� �� APPL[CANT PERMITEE SIGNATURE 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: Entered By: Permit#: CITY OF ORONO — BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: :� S A P � � t e�-w-a�� lZ � ZIY: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �No Ifyes, a specia!event pery�7it is reguired with Police Department and City Council approva! 60 days pr•ior to the event. Shz�ttle bus ser•vice tivi/!be��egz�ired iinless applicant cfei��ionslrates sa fficient a�-site parking is availnble. Non-permitted events�vill not be allotived. NAME OF OWNER: � o � `� c. r� �oo � �" PHONE: (home) a5 Z - `{7� -��t (work) MAILING ADDI2ESS: ��' A�.. r'��o.�� (IU CITY: Q v'�l;� ZIP: ��m� fs�t��'�z�� CONTRACTOR: D � (� s�_5 �os.s �� PHONE�I 2-2 70-L��l 2 CONTACT PERSON: U ..1 e s�ti l..ss e •- MOBILE/PAGER: MAILING ADDRESS: 7 KS-a G p �,) L` CITY: i✓l q�l� �'i�.n ZIP: Ss�� STATE LICENSE: # L o �i SS3D7 EXPIRATION DATE: 3/�3// Z o�,� ARCHITECT/ENGINEER: PHONE: P��A�;,�rl��D�.E��: ��': �:P: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(descrihe ii�detr�i�: (2�� -t e a� ��'F �.n��( �' e Q�F f�� e� .sht �e � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `�f P 3 ��1 . �7 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 pennit and work is not to start without a mit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: _��j( l � 3t Scc.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set fortlt in this section. Subd.2. Infonnation required to be given individual.An individual asked to supply private or confidential dataconcerning himselfshall be informed of` (a)the purpose and intended use of Uie 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 identity 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. T'Ite commissioner of revenue may place the notice required under this subdivision in the individual income tax or propg�y tax refund instructions instead of on those forms. 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,p�ivate 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 thereatter unless a dispute or action pursuant to this sec[ion is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject ofthe 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 made pursuant to this subdivision,or within five days of the date ofthe'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,nnd may have an additional Yive 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 conceming himsel£To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible authoriry 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. C<�r�� s"c 4 l9sse/ First Middle Last ��IS�5�3 ��-� no�t ��-z Address �{ t�an (�N �532 � 763-232-2�Z3 City State Zip Phone I un�terstand my rights as stated above. Sigoature Reset Form 32 C � �/ //�� DATE TIME `� CITY OF ORONO L ED IN �� C° "' INSPECTION NOTI� f pU�� SCHEDULED � �3-I ' PERMIT NO. COMPLETED ADDRESS ��O ��r f�� l.t��_�� OWNER CONTR.7`��r7YYt�_ �,� /�l Llrs TELEPHONE NO._ �/� d� �� -a�� DESCRIPTION C��/ �C—Y I�tl�S � ��. � � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 LJ - 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �� _�� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO l l�l �y � COMMENTS: � c W 0. o ��;� 51� S f-'ro ,�.� 13 C c� !��c� � � � �P �►r o � � (c,df� 5 U �C . W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on s te: Inspector. ��,(��,� J White Copyllnspector's File Canary Copy/Site Notice