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HomeMy WebLinkAbout2004-P07948 - re-roof t PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P07948 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/17/2004 SITE ADDRESS: 755 Tonkawa Rd Long Lake,MN 55356 PID: 05-117-23-33-0003 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: BuildingCensus Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof YID Chimney DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 522.55 Valuation: $ 38,000.00 State Surcharge Fee: $ 19.50 TOTAL FEE: $ 542.05 APPLICANT: BAC Construction OWNER: John&Louis Rogers 6015 Lyndale Ave. S 755 Tonkawa Rd Minneapolis,MN 55419 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 SUED BY SIGNATURE Conies: 1-File(Siznitures Required), 1-Applicant. 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 �Ob-Wk OHM - PG 4 [��-I , Total Fee: S 5 ya DT- Date Received: g d Lf Entered By: ,PL Permit#: 7 q W( 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: CON (circle one) OWNER O TRACTOR n JOB SITE ADDRESS: 155 _ (Dn KQw(- RDaA zip: 5 535(p Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes P: NO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. �j NAME OF OWNER: � ) R(Dae '$ PHONE: (home)%a -4, 1 - p C�-79 .-1���on kQ�� � (work).t4 MAILING ADDRESS: / CITY: ©ron o ZIP: �� CONTRACTOR: PHONE: Iola __�a l 5500 (P/ CONTACT PERSON: MOBILE/PAGER: c�23 MAILING ADDRESS: CITY: MpLe, ZIP:_% tSgj 8!/ STATE LICENSE: # 1 EXPIRATION DATE: ARCHITECT/ENER: PHONE: MAILING ADDRE CITY. ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration T 03 PROPOSED WORK(descri a in detail): f- h0 S D Ke AO "%A O&S C1AJrY18UA STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 , 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. Q APPLICANT'S SIGNATURE:k=40cur DATE: 31 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. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himself shall 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 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 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 may place the notice required under this subdivision in the individual income tax or property 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 of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,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 data concerning 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 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 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 5 S Address inn evcvtjS 1a -7aIV 1 � City State Zip Phone I understan rights ass ted above. Signature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: DESCRIPTION OF WORK: i : - 4rJ,0 (L�� i ✓� Cif �'^ ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY:� _ DATE APPROVED; 9-0( -01 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PX1,0 PLAREVIEW Yes No _ N SEWER CONNECTION STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) --- ZONING CHECK LIST Zoning District: AfO G (-fA^-jc,-a Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_ No ✓ Date of Survey: Proposed Setbacks: Front(Lake): Right S' e: Rear (Street): Le f Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. eak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # esolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 i BUILDING REVIEW CHECK LIST UBC: ��3 CONSTRUCTION TYPE: VN Sq Footage $Per Sq Ftg Basement z = 1st Floor x _ 2nd Floor z = Garage x = z = TOTAL Estimated Construction Value: $ 3g,OOc� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) Final Grading/Filling Electrical(State Permit) X Other Tc A& orr INS70 REMARKS(IN HOUSE): ---------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------ REMARKS (TO BE NOTED ON PERNII'I): 8 09/09/2004 16:02 FAX 6127218763 BAC CONSTRUCTION SERVICE IM 001/003 r 6015 Lyndale Avenue South-Minneapolis,MN 55419 612.721-5500 fax 612-721-8763 email www.baccs.net d.b.a. Banner Roofing, Award Exteriors, • Champion P" To: ;C- •, — From: Fax: C) ,: r� ._ -l!%I Paces: �f; Phone: Date: Re: CC: ❑Urgent ❑ For Review ❑ Please Comment ❑Please Reply ❑Please Recycle e Comments: f� 114 cja , 09/09/2004 16:02 FAX 6127218763 BAC CONSTRUCTION SERVICE Z002/003 C' µ c Total Fee: $ �5 2--05 Date Received: R- -6 Entered By: Permit#: p 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 OI� CONTRACTOR_ <; JOB SITE ADDRESS: / T c r '1�``•,( k „,I%i. (~-' t ZIP: a Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � No if yes, a special event permit is required u-ilh Police Department and City(.7 a ncil approval 60 days prior to the event Shuttle Ms.%ervice s>>ill he required unless applicant dernonsvr ares• sufficient on-site parking is available. A.'on-pernnitted events ivill not he allowed NAME OF OWNER: PHONE: (home)��' MAILING ADDRESS: >t�a � 't ..' f^� (work) _ i CITY: ; :..t..;b'1 t:: ZIP: CONTRACTOR: PHONE: l < CONTACT PERSON: .,,:;h _, ...`' < T M.OBILE/PAGER: NIAILING ADDRESS:(gf) 17; 1�, -tr aN Y CITY L {, ZIP: STATE LICENSE: # .:i 1 'i' EXPIRATION DATE: ARCHITECT/EN EER: PHONE: ib1AILING ADDRE CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detail): � ' -%' '�4�- d �. .�,c' �L4 ? � ;� c� i STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): S 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...,' s4 � � �' �� .DATE: ,t 09/09/2004 16:02 FAX 6127218763 BAC CONSTRUCTION SERVICE IM 003/003 Stx.13.1141 RIGHTS OF SUBJECTS OF DATA Subd. I. '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 concerning himself'shall 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 arising from his supplying or refusing to supply private or confidential data,and(d)die identity of other persons or entities authorized by state or federal faty to receive the data. This requirement shall nor 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 may place the notio required under this subdivision in the individual income tax or property tax ret;�d instructions instr.ad ofon 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 ire desires,shall he 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 he disclosed to him tier siN ,nonths:herealler 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 data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within live days of the date of the request.excluding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. Ifhe cannot comply with the request within thattime.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 winpleteness of publ is or private data concerning himself.To exercise this right,an individual shall notify in writing the responsible auduonty describing the nature of the disagreement.The responsible authority shall within 30 days either; (a)correct the data found to be inaccurate or inaomplety 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 cony be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY I n accordance with M.S. 13.04;Subd.2,"Rights of subjects of data",we would like to inform you that your request -oi-u permit or license from the City of Orono or any of its 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 permit oi-license. 4. if your requested permit or license requires(:ouncil 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.�( _T Piu:st , y Middle Last 'L.r'3Jy' .Address (ah state zip Phone 1 untlerstan ' rights ass ted above. Signature 32 5cr J 9 DATTIME CITY OF ORONO CALLED IN E INSPECTIONTIC SCHEDULED -� l D) PERMIT NO. G COMPLETED ADDRESS ��l 0 -- OWNER t/CONTR. . TELEPHONE NO. 40121 T Z3 — k 1 f 6 rLICc- DESCRIPTION �� L70 / 1 01 FOOTING 11 MECHANICAL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O c O W W CC Q 2 W W W O W?WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALJTORANGE ACCESS. Call for the next ion 24 hours in advance. (952) 249-4600 Owner/Contract it Inspector. White Copy/Inspector's File Canary Copy/Site Notice