The URL can be used to link to this page

Home My WebLink About2001-P04167 (re-roof) � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04167 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: gis�2ooi SITE ADDRESS: 3965 Bayside Rd LONG LAKE, MN 55356 PID: OS-117-23-23-0004 DESCRIPTION: UBC Occupancy R3 Proposed Use: xesidentiai 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 $UMM14RY: PermitFee: $ 125.25 Valuation: $ 5,450.00 State Surcharge Fee: $ 2.75 TOTAL FEE: $ 128.00 APPLICANT: John Haley#1 Roofer OWNER: JOHN&AMANDA GRAHAM 7600 W. 27th. St. #203 3965 BAYSIDE RD St. Louis Park, MN 55426 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. � �� ,�`'`� �/� /" �:� � � �� ..i' � (c. �; r/�C� it ��1� �iCA � ERMITEE SIGNATURE I SUED BY SIGNATURE � Copie • ile(Signttures Required), 1-Applicant, 1-MonthlyReports,1-Assessing, 1-Finance Page 1 ' ' ' `/} Total Fee: $ ��S��' Date Received: !� -�-CU/ Entered By: f�,i,�.- Permit#: �O`//(,, 7 CITY OF ORONO - BUILDING PERNIIT 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: � ��-S i59q S��-e ✓�.1 _ ZIP: �S�3S�� NAME OF OWNER: �`dl�n �� PHONE: (home) �S`�-�f�3--�j�� (work) MAILING ADDRESS: �� - CITY: ZIP: CONTRACTOR: �U h,� (�a� -� j•�c�i=��. PHONE: �'S�-9.1��S^E, CONTACT PERSON: Tvh ti �� MOBILE/PAGER: 6/2��5=5---61lS— MAILING ADDRESS: 7�� /,*t i-� CITY: SIC �' ZIP: s��Z6' STATE LICENSE: #�O/2 6�Fs P ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��-`--0�c�o�.�-e�"Jh 6` ��d-w,4-z,�-Sti��r�. STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �.5 ��5' �U`— 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 SIGNAT� ---�-" DATE: �� ( NOTE! Parade qf Homes events r uire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � . . � Sec.13.04 RIGH'TS OF SLJB.JECTS OF D�TA Subd. 1. Type of data. The rieh�s of individual on whom[he data is stored or to be scored shall be as set fotth in this secrion. Subd.�. Information required to be given individual. �.n individual asked to supply privace or confidendal daca concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency, polidcal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the iden[iry of other persons or entities authorized by state or federal law to receive the data. T'his requirement shall not apply when an individual is asked to supply invesdgadve dara, pursuant to section 13.82, subdivision�, to a law enforcement officer. The commissioner of revenue mav place the norice reauired under this subdivision in the individuai income tax or propertv tax refund instructions instzad 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 stored data on individuals, and whe[her it is ctassified as public, private or confidendal. Upon his furthzr request, an individual who is[he subject of scored private or public data on individuals shall be shown the data wichout 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 ics meaning, the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuan[to this secrion is pending or addirional data on the individual has been collected or created. The responsible authoriry shall provide copies of[he private or public data upon request by the individual subject of the data. The responsible authoriry may require che requesting person to pay the actual costs of makine, certifying, and compiling the copies. The responsible au[horiry shall compiy immediately, if possible, with any request made pursuant to this subdivision, or wi[hin five days of the date of[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comp(y wi[h the request within that time,he shail so inform the individual,and may have an addicional five days within which to comply wi[h 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 pri�•ate data concerning himself. To exereise this right,an individual shall notify in wricing the responsible authority dzscribing�he nacure of the disagreement. The responsible auchoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of inaccurate or incomplete data, induding recipients named by the individual; or(b)notify the individual tha[he believes the data to be correct. Data in dispute shall be disclosed oniy if the individual's statement of disagreement is included with the disclosed data. The decerminanon of the rtsponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing 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 reauest 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 thar. 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 pemut 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. j. 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 �iiddle Last Address Ciry State Zip Phone I understand my ri hts as stated above. / � �gnature � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI�6 y/�� SCHEDULED � �-�--�-- PERMITNO. �� COMPLETED �� ADDRESS Q S� / OWNER CONTR. � �� "rP� TELEPHONE NO. �(�I 2- L�SJ� ` Cr��IS �- DESCRIPTION ('1�-C K- ! � � d Y\ l"�-/"'CX7 1— � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q ti Z W � W � j GW�WORK SATISFACTORY:PROCEED � PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. : pHOTO TAKEN INSPECTOR WILL RETURN C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED i 1 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice