The URL can be used to link to this page

Home My WebLink About2001-P04173 - re-roof f CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po41�3 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: si9i2ooi SITE ADDRESS: 4320 Sixth Ave N LONG LAKE, MN 55356 P I D: 31-118-23-12-0009 DESCRIPTION: UBC Occupancy R3 Proposed Use: Kesidentiai Permit Class: Building Census Code O/S-Building Per►nit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: Royal Construction OWNER: F L DETERMAN ETAL 28222 96th Street 4320 SIXTH AVE N Zimmerman, MN 55398 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. l C�L��'t- /� APPL[CANT PERMITEE I NATU ISS BY SIGNAT[.JRE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � . Total Fee: $ Date Received: `}�- ; - t:r;� Entered By: Permit#: "` '`r' } ' r -i 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 CONTRACTO� JOB SITE ADDRESS: _y�o�(� �o �c� �p ZIP: NAME OF OWNER: ��(Zrvt A� PHONE: (home) �/,5 a -y7,3�/,3� (work) MAILING ADDRESS: y�� C� �� CITY: ��'''o�� ZIP: CONTRACTOR: GCa !-1L ��CSTi�UCT7o� PHONE: 63`�y��I�S�J�� / � t> CONTACT PERSON: �u p.d S�Ti C K��Y MOBILE/PAGER: ��a- 7�/ - ��-/ MAILING ADDRESS:a�aa� 9(o'T=�` �t CITY: z`�I��'I�',z°,�tA,�c/ ZIP: ,��'i� STATE LICENSE: # ��'�`j� �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: (A,� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � C�� ''` 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 unders n this is not a permit and work is not to start without a permit; and that the work will be i ac rdan it he app ved plan. APPLICANT'S SIGNATURE: DATE: � �� NOTE! Parade of Homes ents require separate pernzi approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � � - � . Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom che data is stored or[o be scored shall be as set focth in this section. Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidendai data conceming himself shal! be informed of: (a)the purpose and inunded use of the requesced dara wirhin the collecang§tate agency,political subdivision,or statewide rysum; (b)whether he may refuse oY is legaily required to suppty the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidentia!data;and(d)the idendry of o[her persons or enrides au[horized by state or federal law to receive the data. This requiremenc shall not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the noace reouired under this subdivision in the individual income tax or propertv taz refund inscructions ins[ead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public,private or confidendal. Upon his further requesc,an individual who is the subjecc of stored private or public data on individuals shal(be shown che 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 che privace data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to chis secdon is pending or addiaonal data on the individual has been collected or created. The responsible au�horiry 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 co pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immedia[ely, if possible,with any request made pursuant to this subdivision,or within five days of rhe date of the request,excluding Saturdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that dme,he shall so inform che individual,and may have an addirional 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 conust the accuracy or completeness of public or pri��ate data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing[he narure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data, inciuding recipients named by the individual;or(b)notify the individual that he believes[he data to be correcc. Data in dispute shall be disclosed only if[he individual's statement of disagreemenc is included with the disclosed data. Tlie determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 pemut or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You ue 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 pemut or license. 3. The information may be shazed with other local, state or federal agencies to the extent necessary to process the pertnit 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 permi[. First vliddle Last Address Ciry State Zip Phone I un erstan my ri s sta yer mre DATE TIME CITY OF ORONO CALLED IN INSPECTION NOZI�� ! � SCHEDULED — • U M PERMIT NO. �`�� '�� CO PLETED � -p� ADDRESS `Z��C� �/r 1 �e • OWNER CONTR.�D�/�� U��-s��' TELEPHONE NO. L� �a ?� � -rP�o� � � DESCRIPTION �.C,�� 4��- �'�-�Ga � ly 01 FOOTING 11 MECH NICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE'REMOVAL Z 04 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � l�� 0 a � 0 � w � Q � Z W � W � j GW �ORKSATISFACTORY:PROCEED �, PROJECTCOMPLETE � CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. /�� -� White Copyllnspector's File Canary CopylSite Notice / V / DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED ��?x�� D PERMIT NO.�� COMPLETED � ADDRESS_ `-tc�C�U [�� U� /1.�, OWNER CONTR. �U/�G C�Oh�S7`• TELEPHONE NO. __ �C� ��j��C�� DESCRIPTION �il��L 6� /�Z -Y�� f"' � 01 FOOTING 17 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O k W � Q � 2 W � W � � � �NORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 Owner/ConU r on site: Inspector. � White Copyllnspector's File Canary CopylSfte Notice