HomeMy WebLinkAbout2006-P09918 - re-roof PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09918
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
5/30/2006
SITE ADDRESS: 2165 Watertown Rd Unit#
Long Lake,MN 55356
PID: 03-117-23-21-0023
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: Permit Fee: $ 195.25 Valuation: $ 10,597.00
State Surcharge Fee: $ 5.30
TOTAL FEE: $ 200.55
APPLICANT: All Season Remodeling and Exteriors OWNER: R&M Kantor
17344 Puma St.NW 2165 Watertown Rd
Ramsey,MN 55303 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES T O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNES TAB LDINGDCODE REQUIREMENTS.
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PLICANT PkFZdjLEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
I
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)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ;1657 L).4c `tb-j, A,( ZIP:
Will this be a Pa ade of Homes,Remodelers Showcase Home or other Display Home?
ElYes 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.
NAME OF OWNER: PHONE: (home)
(work) 61' -'?6 To ct�
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MAILINGADDRESS: w-0-crfm'N/.,/ CITY: ory,-o ZIP: 4-s-3s-z
CONTRACTOR: A 1ISeg (fie el,tig<t £ wrs PHONE: 6'a-dd 1-3VF
CONTACT PERSON: Aike ScAry ._r MOBILE/PAGER:
MAILING ADDRESS: CITY: ('�a-mss<7 ZIP: 53-303
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detail): J�e A YF
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $16, 5-97_
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 d codes of the City and with the State Building
Code;that I understand this is not a permit and work i t to start without a permit;and that the work will be
in accordance with the approved plan. T
APPLICANT'S SIGNATURE: DATE: S/Sd a6
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 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 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 orrp ooerty 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
Address
City State Zip Phone
i
I and s nd rn fights ated abo e.
5,ignatur
Reset Form 32
MINNESOTA DEPT. OF LABOR&INDUSTRY
Construction Codes and Licensing Division
443 Lafayette Road N.
St. Paul,MN 55155-4344
SCHRADER MICHAEL J
ALL SEASON REMODELING AND EXTERIORS
17344 PUMA ST NW
RAMSEY,MN 55303
State of Minnesota
y ,.. - Department of Labor and Industry
Construction Codes and Licensing Division
' 443 Lafayette Road N. Telephone:(651)284-5065
E-mail address:dii-contractor@state.mn.usSt. Paul, MN 55155-4344 tate.mn.us
Website address: www.doli.state.mmus
Residential Building Contractor License
Legal Nome: SCHRADER MICHAEL J
Business Structure:
DBA: ALL SEASON REMODELING AND EXTERIORS INDIVIDUAL PROPRIETOR
Address: 17344 PUMA ST NW
RAMSEY,MN 55303
-icense Identification Number: 20388311 Qualifying Person: MICHAEL J SCHRADER
.icense Expiration Date: 3/31/2007 Continuing Education:7 hours due by 3/31/2007
CITY OF ORONO CALLED IN
✓d TIM Elk/
INSPECTION RaTICE SCHEDULED �- --J
PERMIT NO. COMPLETED
r
ADDRESS AAA
OWNER CONTR. ��
TELEPHONE NO. 61c2 —quo?I — 33/d
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCA / RADING/FILLING
Q 02 FRAMING 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 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
00 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contr�tof o 'Site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice