HomeMy WebLinkAbout1990-002799 - re-roof cedar shakes PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 ������--�����
Cr stal Ba , Minnesota 55323 Permit Number: _ _
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Y Y Date Issued: " "
(612) 473-7357 '�`�'��'���'';-i
SITE ADDRESS:
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FEE SUMMARY:
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AP LICANT PERMITEE SIGNATURF ISSUEC c3Y SIGNATURE
_ r y CITY OF ORONO - BIIILDING PSRMIT APPLICATION
Total Fee : $ Date Received:
Date Approved:
Entered By:
Permit#:
AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIE'W WILL BE STARTED
(See Check-off List Enclosed)
------------------------------------------- -��--------------------------
THE APPLIGANT IS: (circle one) OWNER o CONTRACTOR
JOB SITS ADDRESS:c��S �G2YU `�'C�sk/��^-C ZIP: �S �S��I
(work)
NAME OF OWNER: �'�r1��r� PHONE: (home)
MAILING ADDRESS: ���"S �''���'�� CITY: O,�j�G ZIP: ��� �
CONTRACTOR: <S�'�,C/z,.� �,r��%�"��.-�� PHONE: y��-I���
MAILING ADDRESS : ��`� /�:��wu�/ /2 CITY: �'�c�'�cf��/i� ZIP: -'=���SYj
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remode�/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �?,��= ��� s`��/�C�S
STORIES: SQ. FEET OF EACH FZ�OOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
��C�
ESTIMATED CONSTROCTION VALT�TI�N (ezcluliiS land) : $_T %r
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
randerstand this is not a permit and work is not to start without a permit; and
that the work wil 1 be in accordance with the approved plan.
�
APPL
ICANT'S SIGNATQRE: DA�: �/l� C�
. . �
���.
CITY of ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
i
s - � i On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would 3ike to inform you that your request for a permit or
3.icense 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 Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense�
3. The information may be shared with other Iocal , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.So 13.04 to review priva�E
data on yourself.
6. Your full name is required to process this application or
permit.
�� {� ✓-
�� �,S
First Middle Last
��ls� �L��ie� ��
Address
:5��'!L� ��'}CcX�� /��Gt/r ���3 �
City State Zip
�f�`�--����f.5�
Phone
I u derstand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATIOIY&FINAfVCE—473-7358 • PUBLIC WORKS—473-7359
ASSESS[NG
. .
�.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
Subd. 2. Information required to be g��� ����L An.individusl asked to
� supply private or confidentiel data conc��a d tamwitjhin the c�llect g state agency,
purpose and intended use of the reques
political subdivision, or statewide SYsBe�c) any kr'►ownrcons quence ares ng from his
required to supply the requested da ,
supplying or refusing to supply private or confidentiel data; and (d) the identity o
other persons or entities authorized by state or federal law to receive the data. This.
1 when an individuel is asked to supply investigative data,
requirement shall not app y
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg rolert tax re�und instructionsunsteadhos
subdivision in the individual income tax •r
on those orms. . -— -
Subd. 3.
Access to data bY in���• UPon request to a responsible �
authority, an individusl shall be informed whether h=VBteeor confident al.e Upon his
individuels, and whether it is classified as public, p ublic data on
further request, an individual who is the subject of se to�mrlv�s�ae if he desires, shell
individuals shall be shown the data withou�fan�y ��tg. After an individuai hes been
�e informed of the content and meaning the data need not be �isclosed to
shown the private date and informed of its meaning,
him for six months thereafter unless a dispute�� b�nn c llected or cr1eatedtioT�Q
, ' � pending or additional data on the individusl ublic data upon request by
responsible authority shall provide copies of the private or p require the
the individual subject oft�e actual•costs of mak ng,l cert fyingyand compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or within five �f,Ysimmediateat ompliance eis�not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request withinNitluntlW�ch tohcomPlYnw�h the
individual, and may have en additional five days
request, excluding Saturdays, 3ur►daYS and legal holidays.
Subd. 4. Procediu'e �►hen data is not acct�ate or comQlete. An individual may
himself. To
contest the accuracy or completeness of public or privete � the�res onsible authority
exercise this righi, an individual shall notify in writing P
describing the nature of the disagreem�Q beTnacciu�pa e or in omplete and att pt to
days either: (a) correct the data found
notify past recipients of inaccurate or ia�P�t he believesdthe datalto be correct
the individuel; or (b) notify the indivi
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the �isclosed data. ealed pursuant to the
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
� �
� � DAT TIME
CITY OF ORONO cA��Eo iN - �-� �`!_!
INSPECTION NOTICE �,� SCHEDULED -" �-�-`4'c:! �/ . Cl 1
PERMIT NO. '� ! ' co LETED �l ��
.
ADDRESS ��'����-�'l i�; ,r- f' ,j�\ C 1
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OWNER �- ����;_a��_� � CONTR. ���i,�--�.��.�.,� ,�,_�_�-�
� �� �
TELEPHONE NO. � �`; - f `� 1 C_ .
�: FOOTING `� PLUMBING RI u FIRE PREV.
�
� � FRAMING C- PLUMBING FINAL � FIRE SUPRESSION SYS.
� C INSULATION ❑ MECHANICAL RI ❑ EXCAVIGRADINGIFILLING
y C WALL BD. ❑ MECHANICAL FINAL C LAKESHORE/WETLANDS
� C FINAL C FIREPLACEIWOOD BURNER C TREE REMOVAL
Q ❑ DEMO—SITE C WATER HOOK-UP ❑ KENNEL LICENSE
� G DEMO—FINAL C METER SETITURN ON ❑SITE INSPECTION
� [� SEWER HOOK-UP ❑ PROGRESS
_ ❑SEPTIC MAINT. ❑COMPLAINT
J - SEPTIC INSTALL. ❑ FOLLOWUP
� ❑SEPTIC FINAL
O ❑ SITE WELL
� ❑WELLTESTPUMP
� COMMENTS: -�-� ��s�_--�-r`
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p C' CORRECT WORK,CALL FOR REINSPECTION G ISSUE CERTIFICATE OF OCCUPANCY
V BEFORECOVERING TEMPORARY
C' CORRECTUNSAFECONDITIONWITHIN HOURS. pERMANENT
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
i-- INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac n 'te:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
;
����� � Cedar Pro �
�1967) Ltd.
Mission, B.�.
1-800-663-8761
Cafifornia Stock
MADE IN CANADA
I Con!onns w�:h U t3� 32-d 7Q
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: NUM�ER GRADE
Copyright 1963
PACKING DATE
,00 sq.r� - � � � .
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� C�ovaragle
These shakes meet all Se��d�es ,o-,z5om�,
��� a IIIIII I IIIIIII� .� II�I) seuneies Ezposure�
quality requirements for e-,Z�2,SmR:,
handsplit red cedar shakes E"POSOfe
61120 05305 -e�neie� '-'_2'�190rnrn� I
as established by • �--
sei�l�
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� 1 Grandview Rd.
24"x '/2" Medium Resaws (6 . 1?�.�, ?�X g7�
� ��rndai�, ',�JA`98248
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PRESSURE TREATED
SHAKES AND SHINGLES
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT�E �= SCHEDULED
PERMIT N0. rI � I COMP�ETED i0=z�--p,�.
ADDRESS �i �
OWNER S CONTR.
TELEPHONE NO.
� DESCRIPTION �e -" �d�
lL 01 FOOTING 11 MECHANiCAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q �INAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac o ite:
Inspector. � -�
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�CZ� SCHEDULED � �
PERMIT NO. conn ETED
ADDRESS 1 jC� 1�
OWNER �1� l�G � CONTR.
TELEPHONE NO.
� DESCRIPTION � ' '� eS
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FIN 14 SEWER HOOK-UP 06 PROGRESS
h DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 'l CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for next i pec 24 hours in advance.473-7357
OwnerlCon actor t :
Inspector.
White Copyllnspector's 'le ar opy/Site Notice