HomeMy WebLinkAbout2001-P03873 - rebuild chimney to . 1 ` PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P03873
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 5/31/2001
SITE ADDRESS: 425 Tonkawa Rd
LONG LAKE,MN 55356
PID: 06-117-23-41-0088
DESCRIPTION:
Proposed Use: Residentiai
Permit Class: Building
Type: Minor Alterations Permit Sub-type(s): Building-Rye-Roe
Permit T
YP 4'6ult-rte C'H1M AIb1l
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,330.00
State Surcharge Fee: $ 2.20
TOTAL FEE: $ 113.45
APPLICANT: Sela Roofing&Remodeling,Inc. OWNER: B KNIGHT&J RIESNER KNIGHT
4100 Excesior Blvd. 425 TONKAWA RD
St.Louis Park,MN 55146 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.
FEE SIGN77UIZF— ISSUED BY SIGNATURE
Copies:Ci Applicant,Assessor,Finance Pagel
r City, rr
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
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JOB SITE ADDRESS: �ZE lan maw cc ZIP: �
PHONE: (home) y-7 S' 33/
NAME OF OWNER:
(work)
n&ILING ADDRESS: �� t1L CITY: ZIP:
SELA ROOFING&REMODELING
CONTRACTOR: 4100 EXCELSIOR BLVD PHONE;
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CONTACTPERSON: ,r #e994�
„ , BILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # 4n S-0
ARCHITECT/ENGENEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
ED WORK describe in detail): &Jj S�� ��""'�
PROPOS (
(Ue �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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
permit; and that the work will be in accordance with the approved plan.
APPLICAN'T'S SIGNATURE:4 - DATE:
J
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.
Sec.13.04 RIGHTS OF SUBJECTS 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.
asked to supply private or confidential data concerning himself shall
Subd.2. Information required to be given individual. An individualPP Y
be informed of: (a)the purpose and intended use of the 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 dam:(c)any]mown consequence arising 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 law to receive the dam. This requirement shall
not apply when an individual is asked to supply investigative dam,pursuant to section 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice rewired under this subdivision in the individual income tax or Qroyerty 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 dam on individuals shall be shown the dam witout any charge to him and;if he desires,shall be informed of the content
and meaning of that dam. After an individual has been shown the private dam 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 of the private or public dam upon reques:by the individual subject of the dam. The responsible authority
may require the requesting person to pay the actual costs of making,cerr-ying,and compiling the copies.
The responsible authority 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
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
dam concerning himself. To exercise this right,an individual shall notify is writing the responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the dam 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. Dam
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dam.
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 depanments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you famish 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.
:5 (f I 11p0 ��
FirstL )ld0 eLast
Address L� (� (/ S �G r �7 ! ��— �/C 3" LS-0
J
City State Zip Phone
I anti d y rights st d above.
C 1 4 1 �Z t
Signature
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PEPMUT 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:
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ' PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
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 detail):
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade Q f 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.
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE / SCHEDULED -��-
PERMIT N0. ``e97-3 COMPLETED
ADDRESS T
OWNER CONTR.
TELEPHONE NO. �� — 915 — 7�3-2—
DESCRIPTION
-2 ---DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
to 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ1 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contract r on site:
Inspector.
4V ZPylinspector's File Canary Copy/Site Notice