HomeMy WebLinkAbout2003-P06551 - re-roof . --� - PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6ssi
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: �il�i2oo3
SITE ADDRESS: 2771 Shadywood Rd
Excelsior,MN 55331
P I D: 21-117-23-24-0059
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 421.55 Valuation: $ 28,000.00
State Surcharge Fee: $ 14.50
TOTAL FEE: $ 436.05
APPLICANT: Incline Enterprises Inc OWNER: Richard&Marly Ogle
26175 Birch Bluff Rd 2771 Shadywood Rd
Shorewood,MN 55331 Excelsior MN 55331
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 B ILDING DE REQUIREMENTS.
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PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Y .Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BLTII..DING PERNIIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------- --__. _.
THE AppI,ICANT IS: (circle one) OWNER O ONTRACTO
JOB SITE ADD1tESS: - �� Z�:
NAME OF OWNER:_. �/�� ��i `P P�iONE: (home) 7l� 3�
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �-�f,�� � .� ��c. PHONE: �7l � � ��_
CONTACT PERSON: I � OBILE/PAGER:
MAILING ADDRESSi � �' CITY: a ~ ZIP:��
STATE LICENSE: # ��A���13>
ARCHITECT/ENGINEER: PHONE:
Mt�ILING ADDRFSS: CIT'Y: ZIP:
N�; REGISTRATION#
TYPE OF WORK• New Addition Accessory Structure
Move � Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detain: �1Q,o�� d�' � �'
STORIES: =_ SQ•�ET OF EACH FLOOR:
NO. OF BEDROOMS: . GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �-,�l �P�
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 understan ttris is not a ermit and work is not to start without a
permit; and that the work will be in acc dan ith e ap oved plan.
APPLICANT'S SIGNATURE: DATE: 'l7��_
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGATS OF S[JBJECTS OF DaTA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Wormation reqtrired to be given individual. An individual asked W suppiy private or confidenaal data concerning himself shall
be informed of: (a)the purpose and inunded use of the requesred data wirhin the collectiag statc agency,political subdivision,or statewide sysum;
(b)whether he may refuse oY is legally required to supply the iequested data:(c)any known consequence arising fmm tus supplying or refusing to supply
privau or confidential data;and(d)t6e identiry of other persons or enuaes authorized by state or federal law to receive the data. This requirement s6a11
not apply when an individual is asked to supply invesrigadve data,pursuant to secdon 13.82,subdivision S,to a law enforcement officer.
The commissioner of revenuo mav place the noace rewired under this subdivision in the individual income tax or oropertv taz refund
instrucdons instead of on those fornu.
Subd.3. Access to data by iadividual. Upon request to a rosponsible 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 confidenaal. Upon his further request,an individual who is the subject
of sWred private or public data on individuals shall be shown the data wirhout any charge to him and;if he desires,shall be informed of the content
and meaning of chat 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 pursuanc to this secaon is pending or addiaonal 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 of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of making,cerdfying,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 request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that tune,he shall so inform the individuai,and may have an addidonal five days within which to comply with the request,excludiag 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 noafy in wridng the responsible authority describing�he nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the data found ro be inaccucate or incomplete and auempt w notify past recipienu of
inaccurate or incomplete data,inciuding recipients named by the individual;or(b)notify the individual that he betieves the data to be correct. Data
in dispute shall be disclosed only if the individual's staument of disagreement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant co the provisions of the administradve procedure act relating w
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 Ciry 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 detemune your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pemut or license.
3. The information may be shazed with other local, state or federal agencies to the eztent 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. �
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I understand my rights as state above.
Signamre
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED 7-/7 m 7-
PERMIT N0. 5� COMPLETED
ADDRESS��7�J I ���L��CC9C7��
OWNER CONTR. ��?GC�-�.-ri-P
TELEPHONE NO. ��� � ���^ � `� �� B```�✓���
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� DESCRIPTION ���`7` — / �� L,77—
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952) 249-4600
OwnedContract e:
inspector.
White Copyllnspector's F e Canary CopylSite Notice
DATE . �
TIME
CITY OF ORONO CALL D IN � ����3
INSPECTION NOTICE SCHEDULED —.����'� �
P E R M I T N O. �.C P S � COMPLETED �� ��
ADDRESS S c�C
OWNER CONTR. anC.�i Nr�
TELEPHONENO. �o � o1Sg I �����
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� DESCRIPTION -�
� 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOHTOMEETYOU:_YES�NO
� COMMENTS:
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� ,�WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor ite:
Inspector. , � �r----
White Copyllnspector's File Canary CopylSfte Notice