HomeMy WebLinkAbout2001-P04274 - re-roof ITY F RONO PERMIT
C � � Permit Number:
2750 Kelley Parkway- PO Box 66 P04274
Crystal C3ay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 9iai2ooi
SITE ADDRESS: 2805 Somerset Lane
L.ong Lake,MN 55356
PID: 04-117-23-21-0014
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Buildin Census Code O/S-Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 265.25 Valuation: $ 15,136.00
State Surcharge Fee: $ 7.60
TOTAL FEE: $ 272.85
APPLICANT: Suburban Exteriors Inc. OWNER: Mark&Michelle Jahn
7466 Washington Ave S 2805 Somerset Lane
Eden Prairie,MN 55344 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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Reauired), 1-Anplicant, 1-Monthlv Renorts, 1-Assessine. 1-Finance Page 1
. � �� �.�c�'� - �� � � . �
g
Total Fee: $ Date Received:
Entered �;: Permit#:
.
CITY' OF ORON� - BUII.DING PERMIT APP�CATION
Ail information musfi be submitted in i'ull before plaa review will be started.
(please print a/l inforntaaion)
-----------------_-------�-------------- -------------_--__.., ,�..�� ----�_�_���._..----
THE APPLICANT IS: (circle one) OWNER CONTRACTOR_�
JOB srrE a.nnx�ss: ��'�S' t,c-m�s��-- r. z�: ��S 3 5"�
D �U ]'1�'
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NAME OF OVV'NER:./�'�-�r K �� v� PHONE: (home) � - � 7
(work)
MAII.ING ADDRESS: }}`�jc) Ut�.� CI1'Y: ZIP:
� CONTRACTOR: St..�.jj C�,r I�u�-, �C. �'7�� PHONE: � i-�2 3�--
CONTACT PERSON: �, o- e� �MOSII,E/PAGER:
MAYY.ING ADDRESS: �c ` ..r, _CITy• � •f'• ZIP: ,.�5��`�
STATE LICEI�SE: # t���f��.
ARCHITECT/ENGINEER: PHONE:
MAIL�tG ADDRESS: CITY: ZIP:
NAME: REGTSTRATION#
TYPE O� WORK: New Addition � �A�cessory Suucnue
Move Y2emodel/Alteration � La.nd Alteration
PYtOPOSED WORi�(describe in detain: �� �6� � �� ��
ST�RIES: SQ.FEET OF EACH F'LOOR:
NO. OF BEDROOMS: GARAGE; STALY.S: ATT. DET.
. �
ESTIMATED CONSTRUCTYON VALUATTON (excluding lan�: �� I� � , � _
I hereby apply for a building permit and I aclrnowledge that the infotmation above is complete and
accurate; that[he work will be in conformance�vith the ordinances and codes of the City and with
the Stace Building Code; that I understand this is no[ a permit and work is noi to start without a
permit; and that the work will be in acc rdance with the approved plan.
L
A�'PLICANT'S SIGNATURE: ' ^'�^��DATE: �r�—C)L
NOTE! r events require eprtrate permit approval by 1'olice Deparbnent and
City Council 60 days prior to the event. Non•permitted events will not be allowed. �
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Sca13.04 RY(`rATS OF SC�JECZ'S OF DAT�► • •
�hd. 1. Typ�o[daes. T6c rigbcs o[indivfdua!oa whom t�e dam is t�oeed or m be aoted shai[bs as set fa�iu rhia aecdaa.
Subd.3. Ynformatloa req��to be pvea indivWwl. An indlvidual�ted co�PPb�Privaae or wti0deod�l daa concerain�himsalt sba11
bo iMDcsled a�: (�the puipcse zod i0oended use Of d1C[equa�Dd dao withlII ibe C011eCCog�tati a�eepeY.Poliatal 3ltbdiv;sion.ot=D�Cwide sys�m:
(b)whether he may teti�se or is IegaUy nequi�ed m supply the mqueaxd dau:(c)wY kaowu coas�qusas�a�isia6 fmm h!s supplYing oe sefusing m supP�Y
priw,ue o�confidead�l dara:a�+d(d)she idand�y of odur peesons or enfld�:s aurhoeized by�nta or fedeisi law to roceive me daa. This requtreroaec shall
' not apply when an individual is aslced w�PP�Y�vesdgaave dam,pur.vanc w seccoa 13.82,subdivisioa 3,to s law enfoecemonc of�eer.
cam�si ss ner f rev u v I�ce n ' e 're under tlfis wbdiv►sion in �he iadividua! income tu a�r4�ee�v csx R�+�d
insRuccions ins�ad of on rhnse_far�. .
Subd.3. Aceess eo d�ta by individuo[. Upon�eqaes�m a�t�poosible au�ori�y,an iadividual shall be inFocmed whetl�c he is�tu subject
of swied dan on individual+.and Whe�loer is is elassifud as public,priva�e or contidanall. Upon hls t�srher requuc,aa individual a1w is�ha subjzcc
of uored prf�ace or publk da�a on iudividuds slfal]be showe du dsa a►fiouc any cha�e m Eim aM:if bs desur.s,sball ba info�med of the concera
and mwain6 of d�s�daa Afoer nn individva!has been shown rhe pdvsie da�a end iatomud of i�a mcaaiag,rhe daa►need ooc be disciosed ro him fo�
si�c mondu rhereafser unlasx a dispute or ac5ae pursusne so this secdon is pes+dinF or eddicons�l dan on�e iadividual bas beon colleoc��'e���
The respoasible surhociq shall pcovide copias o[d�e pdvate ar pubtic dan upon�equess by c6e indlvidual subjccc of du dsn. The�sP
may requin d�e requecdng person ro pay dte aco,al cosrs af making.cerrifying�aad compiliag du copies.
. The e�espensible aud�ocicy sbsll comply immediawly.it possible,widi.ny«quosc made Puzsu'a'm�iis subdivision,or wi�hia fiva days of
d�e dax ot dio rcques�,axcluding SaNNaYs.Sundays aod legal holidays.if immedisx complianec is not possibla If he canno�coraply wich dse requesc
widtin�hat mae,ltie shaU se infarm rha individual,and may l�ave tn addiaonal&ve days wid,in which to comply wi�b che�ques��excluding Saacrdays.
$updays snd legal holidays.
Subd.4, proeedure�+hea daca is no�eo�tu'��°or aomplece. M individusl�Y conaos�fie accuncy o�completeness of public oc privare
dan concornins himself. To exa�cise this righc.an individual ahall nodty in wridn��ha responsible au�ho�ry describing rhe aatuie of�►�i���of
The�esponsible aud�oriry shatt widfia 30 days eirhee (a)correcc�he d��a fou�ro be inaccoca�e or iacociplek and amampc m nedfy P
inaccu�ate or ineompleoe dats.iaeluditf8�ipienn natn�d by du indiv�duAl:or(b)ttodfy th�individual�ha�he believes d�e da�s w be correcc Da�a
in Qispux shall be disclosed entY if d'c individual's sa[emenc of disag�emnn�is includad wi�h�he disclosed dara.
'fie deresminadon of rhe rcsponsible w�horiry msy ba apP�:aled pucsuanc to t!►e provisions of die admiaisorscive procedure act relaaag w
contesrod eases. . •
A A P 'ACY ADViSOYtY
� In aeeordauce wich M.S. 13.04,Subd.2, "Ri�hts of subjeecs of da�a",we would like to inform you tha�your requesc
for a permi� or lic�nse from the Ciry of Oroao ar any of ia departmears maY re4uire you to furnish cenain privace or
confidencial informa[ion.
You aze notified rhac:
1, The inforanaciou you Piun.ish will be eued to de�ermiva your quali�ication for rhe permit or license requeszed.
2. You inay refuse to supply data, bu�ret'ussd maY ra4uire that che Ciry deny �he permit or license.
3, 'Ibe informatioa may be shared wi�h other local�state or federal ageacies to che ex�ent necessary to ptoe�ss
che perulit or Iicease.
a. IP your requested permic or license requires Couucil accioa co approve. some iaformation maY become
public.
S you ha�,e cer�aia rights under M.S. 13.0�4 (available upon request) to review private data ou yourself.
6, Your full name is required co process chis applica[ioa or peruv.c.
Fira�
Middk ��
Address �
5� Z;p Phone
Ciry
• i uaders�and my righcs as srsted above. .
Signsate • . � •
C1�� - �� .�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Id'O i _C,?�•►'1
PERMIT NO.���. ,1� COMPLETED U—� '� �
ADDRESS���� �'CS`LC��� �
OWNER CONTR..�..x�l�t��'��n �.�V'�O�S
TELEPHONE NO. �� �Cb� -����
� DESCRIPTION �f'�-- Y�� -'' l L.1�1��J
� 01 FOOTING 11 MECH NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� [�1-yVORKSATiSFACTORY:PROCEED ,�ROJECTCOMPLETE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHfN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO AFiRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnedContr�C�or on site: .
Inspector ,��"��-1�<X-�%'7
White Copyllnspector's File Canary Copy/Site Notice