HomeMy WebLinkAbout2006 - P09851 - re-roof PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09851
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
5/10/2006
SITE ADDRESS: 2500 Woodhaven Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-41-0006
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: $ 3,600.00
State Surcharge Fee: $ 1.80
TOTAL FEE: $ 99.05
APPLICANT: Twin City Roofing OWNER: Todd&Liesl Hyde
768 Rice Street 2500 Woodhaven Dr
St.Paul,MN 55117 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.
(7/ -ee 77///e. L—r40-k--z
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ Date Received: ______
0 Entered By: Permit#: ______ _ ________
e CITY OF ORONO - BUILDING PERMIT APPLICATION
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O pi) All information must be submitted in full before plan review will be started. 0(
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a� TIDE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS:
i, . r A.. A i •. • ZIP: ( 5 —
1 NAS OF OWNER: 7,C`1 A.I.ti _ PHONE: (home) ci5a_, DI-t C 5(P
(work)
MAILING ADDRESS: 5 00 l 6 C�_ c p-pn�,CITY: zi a ZIP:„.5_5 b b
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f ) CONTRACTOR. w I _�ia � � PHONE: L/5/- Le 3 L- �(o y O
ACONTACT PERSON:_jtSr MOBILE/PAGER: _
MAILING ADDRESS:a_ ,c D CITY: o t.puj I l es ZIP: cS 1
STATE LICENSE: #goo,,, Q,CI I3
ARCHITECT/ENGINEER: T_- _ PHONE:
NIAIL) G ADDRESS: CITY: ZIP:
NAME: —REGISTRATION#
3 TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detail): ��
_c„ , -- A_ v_L__ Z_CTO..11
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %Qo _ o
r)---
I hereby apply for a building permit and I aclaiowledge 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 understan, i . of a permit and work is not to start without a
permit; and that the work will be '. :ccord. : the approved plan.
APPLICANT'S SIGNATURE: 1 . - ' _ DATE: _S'I - CS/n______
NOTE! Parade of_r rues events require separate permit approval by Police Department and
City Council 60 days prior to the event, Non permitted events will not be allowed.
05/11/2006 08:33 FAX TWIN CITY ROOFING [J 001/001
fl'dtal Fee: $ _ '91.05' Date Received: 5-10- C6�
o Entered By: Permit#: f4,09k5/ _
e CITY OF ORONO - BUILDING PERMIT APPLICATION
oon All information must be submitted in full before plan review will be started.
-I (please print all information)
--\d- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
a
JOB SITE ADDRESS:
0�5 a___Lacih zIP: .,.5.5 -5 (la
1 NAME OF OWNER: 11�.(4,, PHONE: (home) 9.5a_ -L106
(work)cjp _
MAILING ADDRESS: cl
Op u3;x , o CITY:Cr a r,n ZIP:-.5_5
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CON'IRACTOt: ' w tiLE,_j____IIR.534,v,_ PHONE: 1-'5I- L131.- c((o go
CONTACT PERSON:_j jt► — ,c .\ MOBILE/PAGER: --
MAILING ADDRESS:a3,4.S ,c.p - CITY:Rsaaj -Q,._..__Z P: CS 11 3
STATE LICENSE: #_2oaa
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ARCHITECT/ENGINEER: ..:___ _. PHONE: _
MAILING ADDRESS: _ ---� CITY: ZIP:
NAME: — REGTSTRATION#,__ ______
3 TYPE OF WORK: New Addition_ Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in derail): _ �� , c V .
Lazi
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. ` . DET. _
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3(0n0 00
I hereby apply for a building permit and I acleiowledge 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 T understani s . of a permit and work is not to start without a
permit; and that the work will be '• :ccord. : e wi the approved plan.
APPLICANT'S SIGNATURE: 1 , DATE: S'
NOTE! Parade Lograrkpf 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.
I
4.
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 OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
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. 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)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
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):
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
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:
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 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
Address
City State Zip Phone
I understand my rights . stat above.
Sin
Reset Form 32
ev. °47.
0
(;
I) CITY of ORONO
A
-,j Municipal Offices
Street Address: Mailing Address:
9 4G 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323.0066
To: The Current Owner of Address ;2 s-040 C,,.t d -i A,.,e ev
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known about the system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes
No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identified as Non-Compliant
Yes
No t/
If yes, system must be brought into compliance by:
December 31, 2007
December 31, 2010
Other
Septic Tank(s) Pump out Needed
Yes
No
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
D- o.s . The tank(s) should be cleaned through the manhole and
not through the inspection pipes, this allows for proper cleaning.
Comments:
•
t
Inspector: k Date of Inspection c7 L`S
Telephone(952)249-4600 a Fax(952)249-4616
www.ci.orono.mn.us