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HomeMy WebLinkAbout2002-P05476 - re-roof � " ' � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05476 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: gi6i2oo2 SITE ADDRESS: 770 Brown Rd N LONG LAKE,MN 55356 P I D: 34-118-23-12-0006 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Perniit Type: Minor Alterations Permit Sub-rype(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 209.25 Valuation: $ 11,300.00 State Surcharge Fee: $ 6.15 TOTAL FEE: $ 215.40 APPLICANT: Plymouth Roofing&Insulation OWNER: H&I HUTTER 17525 Cty Road 24 770 BROWN RD N Plymouth,MN 55447 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. � � % ' ,�'�� �� � O/',��j'�. ��`'"� L'� APPLICANT PE _ ITE IGNATURE SSUED BY SIGVATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 _ _ ,� _ �; _C; �- Total Fee: $ -:�/S .�y� Date Received: �1`�'� �'� � Entered By: :y ;;�, Permit#: r �� - � CITY OF ORONO - BUII.,DING PERMIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR .ros si� annxEss: �7��C� �,���r��- ��Zl�.�� �c�Cec�� z�: NAME (3F OWNER '�� ' (,�,-� PHONE: (home)����o �L (work) MAILING ADDRESS: � / � �DV� ��" ���U�� ITY: � IP: � CONTRACTOR: � (� `' I� Y PHONE:`7�,3'�7�--,�.� �1 7 CONI'ACT PERSON: MOBILE/PAGER: i�/�- l�O�S L_ MAILING ADDRESS: /7S�� �'o,, /�� a-� CITY: �G� /1�, ZIP:��� STATE LICENSE: # _ j��' 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 detain: � r � . � �f'D� ;S , Z� � G � �„ G�� i -� � �J � . J � f � � S � /PS STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � EST iMATED CONSTRUCTION VALUATION (excluding land): $ � I hereby apply for a building pemzit 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 pe d work is not to start without a pemut; and that the work will ' acc dance with p ovied plan. APPLICANT'S SIGNA . � DATE: J ���a�Z �-- NOTE! Parade o Homes events require separate permit approval by Police Department and Ciry Counci160 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGI-�TS OF SIIBJECTS OF DAT.+i 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 secdon. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidenrial dara concerning himself shall be informed of: (a)the purpose and intended use of the requesced data within the collecting'state agency,polirical subdivision,or statewide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenriry of other persons or enriaes authorized by state or federal iaw to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve dara, pursuanc to secrion 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax or property taz refund instructions instexd 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 individuais,and whether it is class�ed as public, priva[e or confidencial. Upon his fucther request,an individual who is the subject of stored pri�ate or public dara on individuals shall be shown the data without any charge to hun and,�if he desires, shall be informed of the content and meaning of that data. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or acdon pursuanc to this secrion is pending or addidonal 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. T'he responsible authoriry may require the requesring person to pay the actual cosu of making, certifying,and compiling the copies. The responsible authority shall comply immedia[ely, if possible,with any request made pursuant to this subdivision,or within five days of the date of ihe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to compiy 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 chis righ[,an individual shall noafy in writing the responsible authoriry describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccucate or incomplete data, including recipiencs named by the individual; or(b)nocify the individual that he believes the data to be correct. Data in dispuce shall be disclosed only if che individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible au[hority may be appealed pursuant to the provisions of the admuustrarive 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 request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential informa[ion. 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. � �CC� ����� � __ GLS Gt- /J. First vti die Last �� � � � � - �� �� - Address '`�L� �j—�� ��,�"' ������ � �p�� Iti�. �, City Srate Z�p Phone I derstand my ts at d above. � , i i • { \ : Signamre DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �-7 i/-vaAv� PERMIT N0. i���S�/�� COMPLETED ADDRESS 77U ,��07t111 �� � OWNER CONTR. �� ��• ������-° TELEPHONE N0. ��P �� 7�� ��J� � DESCRIPTION ���i (��� "�� � Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAI FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: W �� . G. � __. � � �� � 9'-- l.v 1�z'�l�, %� � ° . o �c-� � ���� ���� W � Q � z W ..-�.._- � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContr r o it : Inspector. � linspector's File anary Copy/Site Notice