HomeMy WebLinkAbout2006-P10080 - re-roof PERMIT
i�ITY OF ORONO
�750 Kelley Parkway- PO Box 66 Permit Number: P1008o
Crystal Bay, Minnesota 55323 Permit Type: 1vlinor Alterations
(952) 249-4600 Date Issued:
7/7/2006
SITE ADDRESS: 75 Stubbs Bay Rd N Unit#
Maple Plain,MN 55359
PID: 32-118-23-34-0014
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: PermitFee: $ 181.25 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 186.25
APPLICANT: Millennium Builders Inc. OWNER: Donald Malby
1031 Walnut Ridge Dr. 75 Stubbs Bay Rd N
Eagan,MN 55123 Maple Plain MN 55359
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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- APPLICANT P EE SIGNATUR "[SSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSepric, 1-Septic) Page 1
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Total Fee: $ � - � � Date Received: 7 7 6 (o
Entered By: Permit#:;�%�c?�'bj'�;�
CITY OF ORONO - BUILDING PERMIT 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) OWNER O CONTRACTQi�
JOB SITE ADDRESS: �i :� ��I� �,�U �Q , zlp: S��S�
Will this be a Pa ade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS �O If yes, a special event permit is required with Police Department and City Council approval
60 days p��ior to the event. Shuttle bus service will be reguired unless applicant demonstrates
suff cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: �12V L c= �1/��}�t� PHONE: (home) �!�Z� �d���f l�
(work)
MAILING ADDRESS: �Z � c,�ITY: ���N v ZIP: ��-,�5 C�,
CONTRACTOR: �/1/► ,; ��'c-y�,y�;uvh ��;� K�r��,�y�' PHONE: �j z-`��p-G�Zb
CONTACT PERSON: �p'� MOBILE/PAGER:
MAILING ADDRESS: O e�,� i� � • CITY: ��C,y}D._, ZIP: ��/-z�
STATE LICENSE: # Zd l�CoU'SC� EXPIRATION DATE: 3/?,�/o�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home ' "on Accessory Structure
Move Home Remode Alteratio ie: Siding, Windows) �
Any earth movement may require MCWD review and permits !
PROPOSED WORK(descf•ibe in detai�: �� Yz��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (D v�Do , --
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: ��(D l�
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31
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Sec.13.04 RIGHTS OF SUBJECI'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 forth in this section.
Subd.2. Information required to be given individuaL An individual asked to supply private or confidential data conceming himselfshall be
informed of: (a)the purpose and intended use ofthe 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 confidential data;and(d)the identity of other persons or entities authorized by state or federal iaw to receive the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue ma�place the notice required under this subdivision in the individual income tax or pro�erty tax 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 subject of
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 thereafter 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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shal I 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.Ifhe 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
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. 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 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.
The determination of the responsible authority 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,"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 fumish certain private or
confidential information.
You are notified that:
1. The information you fumish 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 shazed 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.
First Middle Last
Address
City State Zip Phone
I understan y ights as t ted bove.
�Z � G�
Signature
�,e,
32
�3 D TE TIN�
CITY OF ORONO CALLED IN �'
INSPECTION N TIC�ET SCHEDULED _�
PERMIT NO. �f V��v COMPLETED i
ADDRESS �S�S�L`bbS /✓G-�j /�(�. �
OWNER CONTR. /`�l.l jt n..%a�`.�a �(clr's
TELEPHONE NO. �'�o� ��{ U ��� �
� DESCRIPTION / C`� '
� 01 FOOTING 11 MECHANICAL RI //� 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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 FIN L 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next i ection 24 hours in advance. (J52� 249-4600
OwnerlContrac r it
Inspector.
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