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Home My WebLink About2001-P03648 - re-roof P�RMIT ti:STY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po36a8 Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249-4600 j Date Issued: 4isi2ooi SITE ADDRESS: 2500 Shadywood Rd EXCELSIOR,MN 55331 P ID: 20-117-23-11-0034 DESCRIPTION: ; usc 000up��y B Proposed Use: Lommerciai Construction Type VN Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: �n�'-U NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 44 .75 Valuation: $ 30,000.00 State Surcharge Fee: $ 15;00 TOTAL FEE: $ 45Q.75 APPLICANT: DALCO ROOFING&SHEET METAL,I OWNER: FRESHWATER FOUNDATION 15525 32ND Avenue North 2500 SHADYWOOD RD Plymouth,MN 55447 EXCELSIOR MN 55331 THE UNDERSIGNID HEREBY REQUESTS PERMISSI N TO MAKE THE REAL IMI'ROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL NCE WITH ALL CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.DING CODE REQU ENTS. � ci� �'��,�,o.�� I ISS BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 � _ Tota1.•Fee: S �/ I�� ,S' Date Received: Entered By: /7 � /' - Permit#: �{;� , �` - <�t�1� ..i, �c� �i CITY OF ORONO - BUII..DING PERMIT APPLICATION � ��,�;;;s All information must be submitted in full before plan review will be started. ' (please print all information) ��L�� --------------- T�iE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR � JOB SITE ADDRESS: 5 CO Z�� 3�� i � i � NAME OF O�VNER: ��QL,1 G(PS o�� QI`��PHONE: (home) i (work) �-}-1 ) -Cl�-7 � �r�a.nvG�nx�ss: � �� . �rrY: ('`r C�nC _ zrn: � �3� ( ; � � - �1 C'�l�C�'f �(� � CONTRACTOR: � � � � � � I`�Q�� PHO�tE: I C_��--��c� CONTACT PERSON: � 2 � MOBILE/PAGER: MAILINGADDRESS: \��7� �jZ��c t�� j��; CITY:� �� ZIP: ��1`-l_T STATE LICENSE: # �1��_ ARCHITECT/ENGINEER: PH�� MAILING ADDRESS: CITY: Z�: NAME� REGISTRATION# � TYPE OF `�'ORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED�VORK(describe in detai�: �,�,r' (�� -'X�5�� -�� I� �i m� 1�'�C ��.�5to� STORIES: SQ. FEET OF EACH FLOOR: �-I(('�� - � NO. OF BEDROOiI�IS: GARAGE S1'ALLS: ATT�. � • DET. ESTLI�IATED CONSTRUCTION VALUATION (excluding land): S��Y� �� I hereby appl�- for a building pemzit 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 permit; and that the work will be in accordance with the approved plan. P DATE: �- �p-2�D I APPLICAI�"T'S SIGNATURE:� � - NOTE! � r�ae2f Homes events require separate permit approval by Police Department anel City Council 60 days prior to the event. Non permitted events will not be allowed. . � Sec.13.04 RIGFITS OF SIlB.TECTS OF DATA Subd. 1. Type of data. The righcc of individual on whom�e data is stor_3 or co be scored shall be as set forch in this secdon. Subd.2. Information reqirired to be given individual. An individua!azke3 to supply private or confidendal daca conceruing himself shall be informed of: (a)the purpose and intended use of the r+equesred data ai�in the collecang Stare agency,poliacal subdivision,or statewide rysum; (b)whether he may refuse oY is legally required to supply[he rsquested dan:(c)any f�own coasequence arising from his supplying or rcfusing to supply • privace or conndenaal data;and(d)[he idendry of o�her persoas or enddes auehorized by stace or federal iaw co reccive the data..This requiremeo[shall not apply when an individual is asked to suppiy invesdgauve daci, pursu�^c co secaoa 13.8?, subdivision 5,co a law enforeemenc officer. 'Ihe commissioner of re�enue mav alace che norice rewired erd-r this subdivision in the individual income tax or oropem az refund inst�uctions instead of on[hose forms. Subd.3. Access to data by indi�idual. Upon request to a rescoasible aechoriry,an individual shall be informed whaher he is the subject of scored data on individuals,and wheeher it is classified as public,privac�or con6den�al. Upon his further request,an iadividual who is ehe subjecc of scored private or public data on individuals shall be shown the dara wi�:ouc any e':ur3e to him and;if he dasires, shall be informed of che concenc and meaning of chac data. Afcer an indiiidual has been shown che priva�,Cac�and in:ormed of ics meaning,the data need not be disclosed to him for six monchs chereafcer unless a dispute o�acrion pursuanc to �his secdon is cending oc addidonal data on the individuai has been coliected or crea�ed. The responsible auchority shall provide copies of the privace or pubtic dac�a�on reques:by[he individual subjecc of�he data. The responsible au�horiry r:;ay require the requesting person to pay the actual cos�s of makin¢,cer�:ing,and compiling the copies. The responsible au[horiry shall eomply immedia�ely, if possCole,wieh aay rques�mada pursuant to this subdivision,or wichin five days of the dace of che requesc,exctuding Sacurdays,Sundays and legal holidays,if irr.rnediace compliance is not possible. If he cannot compty with che reques� within[hac ame,he shall so inform ehe individual,and may have an addicoc3l five days wi�hin which[o comply wich the request,eaciuding Sacurdays, Sundays and legal holidays. Subd.4. Procedure when data Ls not accurate or complete. ?.n individuzl may contest tha accuracy or completeness of public or pri�•ate dara conceming himself. To execcise chis right,an individua!shall nodfy ia wriang cc responsible auchoriry dascribing che nacure of the disagreemenc. The responsible authoriry shall within 30 days either: (a)correct the dan icund to bc inaccurate or incomplete and attempc to nodfy past recipients of inaccu�ate or incomplete data, including recipients named by che individrJ:or(b)codfy the individual tha�he believes[he data to be correc� Dan in dispu�e shall be disclosed only if the individual's sta[emenc of disagr::�:nc is is:c:aded wic!►the disclosed data. The decerminadon of the responsible authoriry may be appeal:d pursuanc to the provisions of the adminisnarive proceduro act reiaang to contested cases. . ,,,,, DATA PRIV�CY ADVISORY In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi data", we would like to inform you that your reauesc for a permit or license from the Ciry of Orono or any of i[s deparments may require you to furnish certain privace or confidencial information. You are notified that: 1, The information you furnish will be used to de:ermine��our qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the perm.it or license. 3, The informatioa may be shared wi[h 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 . , publi�. • � 5, You have certain rights under M.S. 13.04 (avaitable upoa request) to review private data on yourself. (, Your full name is required to process this agplicacion or perm.ic. Fint Middle Last Address • Cjry .. .. State Zip Phone , I understand my rights as stated above. . � ,� �� «/� ' � Signature � � CHECb OFF LIST FOR ISSUA.i�'CE OF PERitinTS : FOR OFFI�E USE ONI.Y . ' . ADDRESS OR LEGAL: -�so v 5 H-tN,��t,,��o/� (1-e+o� PID: DESCRIPTION OF ti'VORS: (Zi��upu �= . ZOr�G REVIEti�BY: IU ( I� DATE APPROV�D: BUII..DING RE'YIE�BY: . DATE APPROYF�: 3- Z`� = t�( FEES TO BE CH.4RGED: hiisc. Fees Calculated By: PERNIIT Yes ✓ Pdo :• PLAN REVIEW Yes I�10 ✓' SEWER COYNECTION STATE SURCHARGE Yes J I�To WATERCONNEC'ITON IIv'VESTIGATION FEE Yes No pARK FEE SAC Yes �10 SITEINSPECIION Number of SAC�Units ' OTHER (specify) � — ZO��L�tG CH�CK LIST zoni.ng Dis�icc: /�V C� . Fire Department: Post Office: School District: • � • Lot Area: Sq.ft. Acres � idth Dcpth Survey Subritted: Yes No Date of Survey: Proposed Setb2cks: F.oat(La.ke): Right Si�e: Rear(Screet): Left Side: Adjaceat Structures: I tiVetl d: • Buil�in�Height: Def. H�t. Peak gt. Lot Covera�e: � Grading: Scafi Approval Date: By Council Approval Date: _ Septic: Staff Approval Date: By Zoaing File: � Resolution: : Resolution Date: • Shoreland District: Av�. Setback: Blufi ecback LocCocera�e: E�� proposed Hardcover: 0-75' 75-250' ti0-500' 500-1000' -- Hardcover Variance Required: Yes No Date of Council Approval: gEI�IARhS (in house): �, BUII.DING REVIEW CHECK LIST usc: Q "Z -� CONSTRUCTTON TYPE: 'V^J Sq Footage � Per Sq Ftg Sasement z = lst Floor z = 2nd Floor x = Garage z = x = TOTAL Estimated Construction Value: $ 3�,n�d � Inspectioas Required: �i�ork Requiring Separate Permits: Site - Plumbing ' Fire Hardcover Removal Mechanical Water Connection Footin� Septic Sewer Connection Framin� Fireplace Lawn Irrigadon Insulation (Masonry) Other �Vall Board (Nifg.) Well(State Permit) � Final Grading/Filling Elecaical(State Permit) _�Other T�?�/1 U!-"�= RE`�iARKS(IN HOUSE): Nb U � nrC� /fi�'y�/! ��"> /t . � /VpyJ -2F��Civ r��4� t�,v/L� — o•1� `4--c �s S v-� � C v 2� t v/L REV�W BY OTHERS: ' DATE: Access: Existing New Access Approval: Date By: RE��LARKS (TO BE NOTED ON PERMIT�: 8 �� ' IrT�7RMATION FOR BUILDING- `+:RMITS b. '.� ;� ��-' . . . .. 4 . -JOB- Number: 3373-00 : Job Name: GRAY FRESHWATER C NTER �C,� e F(Sio�. M� Address: 2500 SHADYWOOD ROAD City: �S 3 3/ ��.u�tr�- OrOr� � Value: $30,000.00 - Cost of Sheet Metal: n/a (St. Paul only) Squares: 46 Building Use: OFFI CE/RESEARCH : Descri tio�of Work: TEAR OFF TO CONCRETE DECK, INSTALL 2.7"ISO AND '/z"PERLITE,4 PLIES TYPE IV FIBERGLASS FELTS IN HOT ASPHALT WITH FLOODCOAT AND GRAVEL SURFACING. � Insulation Used: ISO AND PERLITE R-Value: 22.2 � Architect's Name & Address: N/A � � - OWNER- Name: GRAY FRESHWATER C NTER Phone: 471-9773 Address: 2500 SHADYWOOD RO City: NARVARRE State: MN 55331 D:\QUATTRO\DALCO\JOBS\dewey\#3373-OO.wb3 12/12/00 10:35 AM �� /co - 15525-32nd Avenue North• Plymouth, Minnesota 55447• (763) 559-0222 FAX (763) 559-3783 March 26 2001 The City of Orono Building Inspection Department P.O. Box 66 Crystal Bay, MN 55323 Re: Application for Commercial Building Permit To whom it may concern, Please see attached the application for a building permit. Please do not hesitate to contact myself or Cheryl Bergstrom with q�estions and the cost of this permit so we may deliver a check to you. Duane Duehn is the Project Manager, please do not hesitate to contact him with any questions. Thank you in advance for your help. Sincerely, � �� Lynette Studaker permits.��ps WHERE EXPER/ENCE COUNTS-Since 1945