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HomeMy WebLinkAbout2007 - P10948 - re-roof PERMIT C1OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10948 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/9/2007 SITE ADDRESS: 1995 West Farm Rd Unit# Long Lake,MN 55356 PID: 27-118-23-43-0013 DESCRIPTION: Proposed Use: Residential Census Code 0/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: $ 97.25 Valuation: $ 3,500.00 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 99.00 APPLICANT: Buckshet Exteriors,Inc. OWNER: Richard Parrish 503 Jackson Ave#109 1995 West Farm Rd Elk River,MN 55330 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. \ APPLIC PE'TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 May 01 07 10:06a Buckshot Exteriors Inc 7636335665 p.1 Nay-01-200T♦09:43am From-:ITY OF ORONO +9522494616 T-541 P.001/002 F-130 . , '4 (o 9 tie Total Fee: $ Date Received: Entered By; Permit#: L`. 7 CITY OF ORONO - BALDING 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 CONTRACT012 JOB SITE ADDRESS: 9 q - -r« .1/1-r,1 0 1124k Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: C PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: 42u C kS l.0?' / X /-eg az, 2 iv c- PHONE: 7G3-;3 3- s66 CONTACT PERSON: [h i K e V`C Ltic c MOBILE/PAGER: 6/a7 - 36 9—235/3 MAILING ADDRESS: 3 -�TCtC k.sat.-> vie /V 5 CUM_ 1KeRiu�t ZIP: Ss.333 STATE LICENSE: # vi�O5 / i353 3 •a ARCHITECT/ENGINEER.: PHONE: FAILING ADDRESS: CITY: ZIP; NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail)_ ^_____-_af ,(,v.� �o STORIES: SQ. FEET OF EACH FLOOR: NO, OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ jJ 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 perrnit and work is not to start without s.permit; and that the work will by in accordance with the approved plan. APPLICANT'S SIGNATURE: '� DATE: - 7 May 01 07 10:06a Buckshot Exteriors Inc 7636335665 p.2 ttay-01-200T `6R:43am From-CITY OF ORONO +9522494616 T-541 P.002/002 F-180 • Sec.13.04 RIGHTS OF$11.718.TECTS 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 seutiat]. Subs.:. Information required to be given Individual. An individual asked IC/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,ur statewide system;(b) whether he may refuse or it 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 orentities authorized by state or federal/AV/to receive the data. This requirementshall net apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement oMeer. • The cnntmissioner of rcvenne_mav place the notice regnirgfl ender this subdivision in the individual income tax or property tax refund Instructions instead of en 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 Piddle,private or confdeutial. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown th c 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()fin meaning,the data,need not be disclosed to hint for sit 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 privateor public data upon request by the individual subject of the data. The reaponsiblcauthority may require the requesting person to pay the actual costa of making,certifying,and compiling the copies. The responsible authority shall comply irnmediatcly,if possible,with any request made pursuant to this subdivision,or within five days or ihe date of the request,excluding Saturdays,Sundays and legal holidays,If immediate compliance is not possible.If he cannot comply with the request with{r- that time,he shall so inform die Individual,and may hate an additional five days within which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4, l'rocadura when iiLa it net accurate or complete. An individual may contest the accuracy or completeness of public orprivate 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 3D 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 Shut he believes the data to be correct. Data to dispute shall he 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 harnish 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 Iicense. 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. Youri full name is required to process this application or permit. L1�!t E1 cc P I 2 (Y}C61,-14.W A ot) First Middle Last 41 5-03 - moi, _ ,^) - CJD 9 Address 77762-633- EHT r I 3v 5-66r City State Trp Phone I understand my rights as stated above. - `� Signature 1`i S /DATE TIME / CITY OF ORONO,/ CALLED IN / / ©? INSPECTION NOTICE SCHEDULED (ter"YO/h? /713) PERMIT NO. �- L/e COMPLETED ADDRESS ! eicf5 OWNER CONTR. TELEPHONE NO. 6, 3- e/' 33 -56G DESCRIPTION &LC-1th_ W 01 FOOTING 11 MECHANICAL RI 1 CAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:; YES_NO o COMMENTS: cc W C cc O cc O U- W W W cc 2) OW/B ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING 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/Contractor on site- Inspector. I White Copy/Inspector's File Canary Copy/Site Notice