The URL can be used to link to this page

Home My WebLink About2006-P10107 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: plolo7 Cry�tal Bay, Minnesota 55323 Permit Type: Minor Alterations (952� 249-4600 Date Issued: 7/17/2006 SITE ADDRESS: 2100 Sixth Ave N Unit# Long Lake,MN 55356 P�� 27-118-23-31-0024 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: $ 321.25 Valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 331.25 APPLICANT: Garry Olson Company, Inc. OWNER: Orono Woodland Inc 4541 Grimes Ave N 2100 Sixth Ave N Robbinsdale,MN 55422 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,9�' � , � ''f�� —'—z `'� f Ce. PPLICANT PERMITEE SIGNATURE � \�� /��%� ISSUED Y S[GNATURE Copies: 1-File(SignaturesReguired), 1-Applicant, l-MonthlyReports, 1-Assessing,(IfSeptic, 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 print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �I D U �p(A,(��F �`_� ZIP: ��Sr � S Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �TO Ifyes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: (��1.(��S(M �(�(/Vl 0/1 vl t I _ �-L C PHONE:�I(1��3�O-' S I U I CONTACT PERSON: G OI�t� �� MOBILE/PAGER: 5 MAILING ADDRESS: 5N 1 U�wt�S A��-� CITY: Qo b 'Nsd.�I�7�P: S""�I�7-- STATE LICENSE: # �O.�I�I(��( EXPIRATION DATE: 3 i ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeUAlteration(ie: Siding, Windows) PROPOSED WORK(describe in detain: (�'- f2Cy1 �- STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ 7 l�� D00� � 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 permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE DATE: � �`� o 31 ' Scc.13.04 RICHTS OF SUBJEC'I'S OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set foRh in this section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning 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 azising from his supplying or refusing to supply private or confidentiai data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. Tl�e commissioner of revenue may olace the notice reouired under this subdivision in the individual income tax or Qrop�r4Y taK 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 subjectof stored data on individuals,and whether it is classified as public,private 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 section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible suthority 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. [f he cannot comply with the request within that time,he shall so inform the individual,and may have an additional 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 concerninghimsel£"I'oexercisethisright,anindividualshallnotifyinwritingtheresponsibleauthoritydescribingthenatureofthedisagreement.The responsible authority 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 die 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 ofthe responsible authority may be appealed pursuant to the provisions ofthe 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. �1f� �a ��N First Middle Last �S�?l �r�"Mrs �e ./U Address Kobb�.ti�al� ./�/�/ ��Zz �Iz zz�-�Zg� City State Zip Phone I understand my r' hts as stated above. Signa re Reset Form 32 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 print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑NO lfyes, a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates suffictent on-site parking is available. Non permitted events will not be a/lowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAII,ING ADD�SS: CITY: ZIP: 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(describe in detain: STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 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 pennit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 3t _ o�'�� ' , ;� .� �w�� State of Minnesota Construction Codes and Licensin Division Department of Labor and Indust g ��'��' ry Telephone:(651) 284-5065 ,�. �� Y ' E-mail address:dli.contractor�sta#e.mn.us ��+ `�� 443 Lafa ette Road N. '��`��'� St. Paul, MN 55155-4344 Website address: www.doli.state.mn.us �-'�t�: �w._«, , _�_.;w Residential Building Contractor License I � Legal Name: GARRY D OLSON COMPANY LLC Business Structure: DBA: LTD LIAB C�RP , Address: 4541 GRIMES AVE N - \ ROBBINSDALE, MN 55422 ' License{dentification Number: 20514654 Qualifying Person: GARRY D OLSON License Expiration Date: 3/31/2007 --��-->-�._-A_.- - Continuing Education: 7 hours due by 3/31/2007 _ � , ; � � � , i ; / _ �: � , � - , � � � � i" � � �� ; I �� \\ \\` � DATE TIME CITY OF ORONO �!��ALLED IN �/ / �� O INSPECTION NOTICE SCHEDULED �aV PERMIT NO. P 1(�l�7 COMPLETED ADDRESS o� /D O y��_/�,,� OWNER CONTR. �GZ!'�� ?� TELEPHONE NO._ �� -�LI�) �� t C�, � � DESCRIPTION �� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI /FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 � OWNER/CONTRACTOR TO M1=ET YOU: YES_NO � COMMENTS: � W C o ar �r w�� Jd�'e�' c� �- '' P'1�c C�h�- �v�ef� t 13�c��e� .��S - � 1�C� r � Z� R� i�c� c'� �1.�� o n��,� i Q H ; �� ,�6�� G�UQ ��c� Z S C c� �� L. c�n S� . W W � � � GW �WORKSATISFACTORY:PF;OCEED Ci PROJECTCOMPLETE W� O�60RRECT WORK&PROCI=ED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q52� 249-46�� OwnerlContractor on si : Inspector. / White Copyllnspector's File Canary CopylSite Notice �,� � v� � � -� D \(� TI CITY OF ORONO CALLED IN �U`!-' INSPECTION I SCHEDULED � PERMIT NO. I COMPLETED � �7-`�� ADDRESS � OWNER CONTR. v Y� TELEPHONE NO. ��Z�� D O - �� DESCRIPTION �Y�C/1 I U� �Q� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �95�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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � `��rQ � �c� � � � �r ��SS �� ,� 0 � W � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: ^� . Inspector. � / � White Copylinspector's File Canary CopylSite Notice