HomeMy WebLinkAbout2000-P03032 - re-roof l �
PERMIT
C�,,T.Y OF ORONO
`2750 f�ell�y Parkway - PO Box 66 Permit Number: Po3o32
�rystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: a�26i2oo
SITE ADDRESS: 13o Brown Rd S
LONG LAKE, MN 55356
P I D: 03-117-23-12-0010
DESCRIPTION:
Proposed Use:
Census Code 434
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: � .� Valuation: $ 12,888.00
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TOTAL FEE: $ 229.70
APPLICANT: FOUR SEASONS BUILDERS&REMO OWNER: WALTER RICHARD MCCARTHY JR
1410 QUANT AVENUE N 130 BROWN RD S
MARINE ON ST. CROIX,MN 55047 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.
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APPL[ ANT PERMIT E SI NATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ ---�`_�'`/ '�`� Date Received: i;�U i c�
� " � Entered By: /7�� Pernut#: . __-
CITY OF ORONO - BUII..DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �J�bw'� � � : JGy��-, ZIP: .J, J-�i
NAME OF OWNER: ��v:� ��� �,�4�>l��,�_ PHONE: (home)���- �� ��' ��)�
� (work)
MAILING ADDRESS: 1��' �rc��<, �� ' �v CITY: �� ZIP:�_
CONTRACTOR: � �,� �h,��l�., q��; c� t ' PHONE: �S�_ c��3��I��
CONTACT PERSON: 1«c�\ c1��. <.1h MOBILE/PAGER:
M�II.ING ADDRESS: \y\6 �� }�v�.N - CITY:(�f�^.,, c,�. ZIP: "'b �
STATE LICENSE: # c S'lln�����/��
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
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PROPOSED WORK(describe in detai�: cf.� d �L�-� Oti� h�m,�� Y�-- �
� �� 'i�7�c�x. `� v��t�5
STORIES: � SQ. FEET OF EACH FLOOR: L 1�G G
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���c� S ,t°'
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 b in cordance with the approved plan.
APPLICANT'S SIGNATURE: � ��' tr��rl DATE: � I�� �L�G
NOTE! Parade of 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.
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Sec.13.04 RIGI�TS OF SUBJECTS OF DaT�
Subd. i. Type of data. The righrs of individual on whom the data is stored or to be scored shall be as set forth in this secaon.
Subd.2. Information required to be given individual. .\n individual asked to suppty private or confidenrial data concerning himself shall
be informed of: (a)the purpose and incended use of the requested data within the collecring"state agency, polidcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply tbe requested data;(c)any known coasequence arising from his supplying or refusing to supply
private or confidennai data;and(d)the idenriry of ocher penons or enrides auchorized by state or federal law to receive the data. This requirement shall
not appty when an individual is asked to supply investieadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement ofFicer.
The commissioner of re�enue mav place che nodce reauired under this subdivision in the individual income tax or propercv tax refund
instruc[ions instexd of on those forms.
Subd. 3. Access to data by indi�-idual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subjecc
of stored data on individuals,and whe[her it is classified as public, private or confidenaai. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown[he data without any charge ro hun and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the privace data and informed of its meaning, che data need no[be disclosed to him for
six months therea[ter unless a dispute or acrion pursuan[to this secdon is pending or additional data on the individual has been collected or crea[ed.
The responsibie authoriry sha(!provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the acnial costs of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, wich any request made pursuant to this subdivision, or within five days of
the date of the request,exctuding Samrdays,Sundays and leeal holidays,if immedia[e compliance is not possible. If he cannot comply wi[h the request
within that time,he shall so inform the individual,and may have an addiaonal 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 pubiic or pri�•ate
data concerning himself. To exercise rhis rieht,an individual shall notify in wridng the responsible authoricy descnbing che nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correc[rhe data found ro be inaccurate or incomplete and attempt to nodfy past recipien[s of
inaccurate or incomplete data, inciuding recipients named by the individual; or(b)notify the individual[ha[he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with[he disclosed data.
The de[erminacion of the responsible au[horiry may be appealed pursuant to the provisions of the administrarive 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 pemut or license.
3. The information may be shazed with other local, state or federal agencies to the extent necessary to process
the pernut 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.
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I understand my rights as stated above.
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Signa re
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STATE OF MN DEPT. OF COMMERCE
BUII.DIHG CONTRpCTOR ` "'^�
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HUII.DER ���..,`� 'W �'
1NDIVIDUAL pRppRIETOR
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STATE OF MN DEPT. OF COMMERCE
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��E6 3/31 f1001
7 HraCE due by3f31ld001
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � •'ov
PERMIT NO. connP�ETE� �
ADDRESS��� Y��✓h S
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION�_P__ � �
� O( NS 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 I ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W�WVORK SATISFACTORY:PROCEED �� PROJECT COMPLETE
� C�CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL REfURN
C STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contrac or on site:
Inspector. �z-�-�,
White Copyllnspector's File Canary CopylSite Notice