HomeMy WebLinkAbout2000-P03059 - re-side/windows �• '� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03059
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 9i29i2oo
SITE ADDRESS: 3025 Sixth Ave N
LONG LAKE, MN 55356
PID: 28-118-23-32-0009
DESCRIPTION:
Proposed Use:
Perrnit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Side
Buildings Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 111.25
Valuation: $ 4,200.00
State Surcharge Fee: $ 2.10
TOTAL FEE: $ 113.35
APPLICANT: B�NT MCKEE OWNER: B A&F A MCKEE
3025 SIXTH AVE N 3025 SIXTH AVE N
ORONO,MN 55356 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.
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PPLI ANT PERMITEE I NATURE ISSUE BY SIGNATiJRE /�
Copies: City,Applicant,Assessor,Finance Page 1
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Total Fee: $ ��-3. 35 Date Received: 9�Zq�G�
Entered By: �-Q Permit#: 1�03059
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWN R�JR CONTRACTOR
,
JOB SITE ADDRESS: j Ci� �� - [.-� f����, � ZIP: � S ,3 ��
NA1�IE OF OWNER: � r��' n t � `�1 �C.> PHONE: (home) `�D `j - �/L'`�
(work> ��'�a' k'- _�/`�'3
MAILING ADDRESS: _��%� S " 6 f�� � /v CITY: �^ ��-� U ZIP: 5 S 3�C
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
NIAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCfiI"I'ECT/ENGINEER: PHONE:
MAILL�G ADDRESS: CITY: ZIP:
NAIViE; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detai�: i��/��� �: i r c%��_S �:%�� �w-, /' c-��a c e
�� /' �lk�e
/ c����,� C.'=1 S, C�C? � /' E' 4-Ci[� E j� �C�r , or'" �Ln c� ,��PriO�' "�i�!'d��A��� /�P
/ ��OC/`
STORIES: �_ SQ. FEET OF EACH FLOOR: ��C� �s, . �7`�
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET.
�o
ESTIMATED CO1��STRUCTION VALUATION (excluding land): $ y� �l�
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: � � ��t-- DATE: ���-- I ��U
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.
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Sec.13.04 RIGHTS OF S[JB.TECTS OF DAT�
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be scored shall be as set forth in this section.
Subd. '_. Information reqirired to be given individual. An individual asked ro supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, poliucal subdivision,or sratewide system;
(b)whether he may refuse oi is legally required to supply the requested data:(c)any Irnown consequence arising from his supplying or refusing to suppiy
priva[e or confidenaal data;and(d)the iden[iry of other persons or enaaes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investieadve dara, pursuanc ro secdon 13.82, subdivision 5, to a law enforcemenc o�cer.
The commissioner of re�enue mav place the nonce reauired under this subdivision in the individual_income tax or propem tax refund
instructions instezd of on those forms.
Subd. 3. Access to data b�indi�ldual. Upon reques[to a responsible authority,an individual shali be informed whe[her 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 stored private or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be informed of the content
and meaning of[hat data. After an indi•+idual 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 acrion pursuan[to this secaon is pending or addidonal 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[he data. The responsible authority
may require the requesting person to pay the accual costs of making, certifying,and compiling the copies.
The responsibie authoriry 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
wi[hin that time,he shall so inform the individual,and may have an addi[ional five days within which to comply wi[h the request,exc!uding 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 himself. To exercise this rieht,an individual shall norify in wricing the responsible authori[y describing[he nature of the disagreement.
The responsibfe authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempc to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by che individual;or(b)noufy the individual tha[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.
Ttie de[erminadon of the responsible authoriry 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, "Ri;hts 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 i[s 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 pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5, You have cenain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your fuil name is required to process this application or permit.
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First :�iiddle Last
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Address ��,,7 ��'✓ �_� �� � / C)� — ��'� �
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C�ry State Zip Phone
I understand my rights as stated above.
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Signa[ure
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE, SCHEDULED ��;_���
PERMIT NO. 6�� COMPLETED �%� �.v���`
ADDRESS__�C�o�S CTc,��(�
OWNER e r�u.�r �C ( � � , CONTR.��I�a 1L�.�
TELEPHONE NO.__ �5��— �-f D� ��9
� DESCRIPTION n� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU: ES_NO
� COMMENTS:
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� �yJORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W �O CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
'or�tractor on site:
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White Copy/lnspector's File Canary Copy/Sfte Notfce
DATE TIME
CITY OF ORONO CALLED IN ��' `� ���
INSPECTION NOTICE SCHEDULED /�-'-s��� `J:�f�'�
PERMIT NO. ��-`�`� COMPLETED �� L�
ADDRESS ��ZS �i��l j�7 /-��G� /V�
OWNER �- I`'l C ����"-{'� CONTR. �� � �����
TELEPHONE NO. `�t�y " �l C`/`
� DESCRIPTION /��il1Q'
�
LL Oa FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q �t�jZ1 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED i PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C;STOP ORDER POSTED.CALL INSPECTOR ' GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on ' e•
Inspector.
White Copyllnspector's File Canary CopylSite Notice