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Home My WebLink About2001-P04622 (re-roof) PERMIT CITY OF ORONO Permit Number: 1750 Kelley Parkway - PO Box 66 P04622 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 11i13i2ooi SITE ADDRESS: 3400 Bayside Rd L.ong Lake,MN 55356 PID: OS-117-23-13-0030 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,300.00 State Surcharge Fee: $ 3.15 TOTAL FEE: $ 142.40 APPLICANT: Coates Roofing OWNER: Daniel&Sandra Esters 5812 Wooddale Ave. S. 3400 Bayside Rd Edina,MN 55424 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. 1 ��_"`"ic."`�-� C- l-�,c��'� APPLICANT PERMITEE SIGNATURE ISS ED BY SIGNATURE Cooies: 1-File(SiQnitures Repuired), 1-Anqlicant, 1-Monthlv Reports. 1-Assessine. 1-Finance Page 1 Total Fee: $ Date Received: - Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR C�NTRACTOR JOB SITE ADDRESS: '=zy��S�j]� � ZIP: �S 3��. NAME OF OWNER: /�,4�� c"�57L=2 `� PHONE: (home)YS_2 _5�7� � ��' T7� (work) MAII.ING ADDRESS: ��Ov /'�'�-��Dc- 2p CITY: G/�c-�� ZIP: SS`3�"�� C� `f 5�2-`j z��- g�v/ CONTRACTOR: �G q��S �U�>1-�.-vG� PHONE: C; �;�Z - z 7 Z- ��yC� CONTACT PERSON:/��,;,� ��Q,-L 5 MOBILE/PAGER � � �i z - z 7 z - Z?G y� MAILING ADDRESS: <, �iZ i.��-�vh.a��-.�tv�.. CITY:C�� ..�.,�� ZIP: � STATE LICENSE: # �Z�,��,�z�? 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 detai�: j i-ai� �-�-� ,Q�� iz«>i=; �'c;�fi��1 (UC�- 17�� c /7`/� " �i /S, /`��<�/��l � � TCc� .4 �.) ��=�1 /�ai?i?�� 77 STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� . c� �� 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: �j�/3��- c�/ � NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and Ciry Council 60 days prior to the event. Non permilted events will not be allowed. ! Sea 13.04 RIGHTS OF SUBJECTS OF D�TA Subd. i. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data conceming himseif shall be informed of: (a)the purpose and intended use of the requested data within the coilecang"state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidentiai data;and(d)the idenriry of ocher persons or enricies authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdeadve dara, pursuanc to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re•enue mav p(ace the noace reauired under this subdivision in the individual income tax or propertv tax refund instructions inscead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible au[horiry,an individual shall be informed whether he is the subject of scored data on individuals,and whe[her it is classified as public, private or confidendal. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown che data without any charge to hun and, if he desires, shall be informed of the content and meaning of chat data. Aftzr an individual has been shown the private data and informed of irs meaning,che data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuan�to this secrion is pending or addidonal data on the individual has been coilected or created. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the acrual coscs of makine, certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the d3te 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[he�equest,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[his rieht,an individual shall nodfy in wridng the responsible authoriry describing�he nature of the disagreemen[. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplece and attempc to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individuai that he believes the data ro be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The de[ermination of the responsible authoriry may be appealed pursuan[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 pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal a�encies 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 appiication or permit. First Middle Last Address C�� State Zip Phone I understand my rights as stated above. / '��.�`_ Si na re ;3 9 0 DATE TIME CITY OF ORONO CALLED IN INSPECTtON NOTIC!E/ SCHEDULED �i-2/-U,/ � PERMIT N0. p�`7�D � � COMPLETED ADDRESS ,�� C� ,�'�Gc ,/s�ir �� OWNER CONTR. Da,f c�S TELEPHONE N0. �,P �� ,�"•,,7 ��[!� � DESCRIPTION � �L �, � � 01 FOOTWG `� 11 MECHANICAL Ri 18 EXCAV/GRADING/FILLING Q 02 fRAMING C� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSUTATION 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 O6 PROGRESS h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLGW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES � NO � COMMENTS: � W � � J O _�� T G�/' � wc� O � W � Q � Z W � W � j � �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN 0 CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site: Inspector. �-�`'� ��'�j�^� White Copyllnspector's File Canary Copy/Site Notice \c%� " DATE TIME CITY OF ORONO / �CLED IN INSPECTION NOTI �1 �,� SCHEDULED � _�� PERMIT N0. � �� COMPLETED aa ADDRESS jd'E� OWNER � CONTR. 1 TELEPHONE NO. �' �a� � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 8 EXCAN/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOO BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YE O � COMMENTS: � W � � J O / , � !�. 0 0 � �/�' �- �o �s- r� c�.� c� O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. � �"� ��- White Copyllnspector's File Canary Copy/Site Notice