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HomeMy WebLinkAbout2008-P12165 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway- PD Box 66 Permit Number: p12165 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952)249-4600 Date Issued: 6/�g/2oog SITE ADDRESS: 980 Cox Farm Rd Unit# Long Lake,MN 55356 P��� 27-118-23-33-0012 DESCRIPTION: Praposed Use: Residential Census Code O/5 -Building Permit Class: Bullding ' Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: N0710ES/REMARKS: FEE SUMMARY: Permit Fee: $ 250.75 Valuation: $ 13,061.00 State Surcharge Fee: $ 6.55 Misc.Fee: $ 1.50 TOTAL FEE: $ 258.80 APPLICANT: Cedar Valley Exteriors LP QWNER: Chris&Sarah Willson 1700 93rd Lne NE 980 Cox Farm Rd Blaine,MN 55449 Long Lake,MN 55356 THE UNDER5IGNED NEREBY KEQUESTS PERMISSION TO MAKE THE REAL[MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITN ALL C[TY OF ORONO ORDINANCES AND STATB OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE UED BY SIGNpiURE � Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(ff Septic, 1-Septic) Page 1 . � Tatal Fee: $ Date Received: Entered By: Permit#: CITY OF 4RON0 - BUILDING PERMIT 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: 980 Cox Farm Road Z�; 55356 Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes �✓ 1�T0 lfyes, a special evenl permit is required with Police Deparlment and City Counci!approva! 60 days prior to the evenl. Shutlle bus service wifl be required unless applicant demonstrates su�cient on-site parking is available. Non-permitred events will not be a!lowed. NAMEOFOWNER: Christopher Wilson PH�NE: (home) (work} MAILING ADDRESS: CITY: ZIP: CONTRACTOR• Cedar Valley Exteriors, L.P. PHONE: �637552221ext 132 CONTACT PERSON: Kim Travis MOBILE/PAGER• MAILING ADDRESS: »00 93rd lane ne CITY: Blaine • 7�p; sssss STATE LICENSE: # 20630613 EXPIRATION DATE: ARCffiTEC'I'/ENGINEER: PHONE: MAILING ADDRESS: CYTY� �P' NAME: REGISTRATION: # TYPE OF WORK: New Hame Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows} Any earth movement may require MCWD review and permits! PROPOSED WORK(describe In detai�: Roof STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 13,061 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 1 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. 6/13/08 APPLICANT'S SIGNAT[JRE�1/�Y� , 1 � DATF.: 31 . • � Sec.13,04 RIGHT5 OF SUBJEC'TS�F DA"i'A Subd.1. Type of data. 7he rights oF indrvidual on whom the dala is stored or to be stored shall be as set Corth in this section. Subd.2. Information required to be given individual.An individual asked ro supply private or confidential data conceming himselfshall be informed of (a)the purpose and intended use of the reyuested data within the collecting state agency,political subdiv ision,or ststcwide system;{b) whether he may rcfuse or is legally required to supply the requested da[a;(c)any known consequence arising from his supplying or refusing to supply private or conftdential data;and(d)the identity of other persons or entities authorized by state or fede�al law m receive the da18. This requirement shall not apply whcn an individual is asked to supply investigative clata,pursuant to section 13.82,subdivision 5,to a law enforcement ofEicer. T is ioner of revenuc mav olac the otice reauired under this suhdivision in�he individ�l i co�ora��t�refund 1;�•^•�•;^"`�"��"d of on thase f�. Subd.3. Access to daffi by individual. L`pon request to a rosponsible authoriry,an individual sha{1 be infortned whether he is Ihe subjectof stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,i f he desins,shall be infarmed of the content and meaning oCthat data, After an mdividual has been shown the private data and informed of its meaning the data need not be discbsed ta him for six *non:�lS L�S.::E�CC 1t1I'.SS�dispW:e e=a.:on pu:s'»»r::a th;s s�c:icr.is perwiag cr add•,:io�;a:a.+z:a c;L':e:n.�.;•:iduai`as Seen collecie�c;cma:e�. T��e responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifymg and complling ihe copies. The responsible authoriry shail comply immediateiy,if possible,with any request made pursuant to this subdivision,or within five days oC lhe data of thc request.excluding Saturdays,Sundays and legal ho{idays,lf immediate compliance is not possible.If he cannotcomply with the request within that time,he shall so inForm ehe individual,and may have an additional five days within which to comply wilh the request,excluding Saturdays, Sundays and legal holidays. Subd.4.Procedure when data is not accurate or complete.An indiv[dual may contest the accuracy or wmpleteness of puWic or private data conceming himself.To exercise this right,an individual shall noufy in wnting the responsible authoriry describing the nature of the disagceement.?he responsible authoriry shall within 30 days eithec (a)wrrect the data found to be inaecurate or inwmplete and attempl to notify past recipients of inaccurate or mcomplete data,including recipients named by the individual;or(b)notify the individuai thathe believes thedatato be correct Data in dispute shall be disclvsed only if the individual's statement of disagreement is included with the disclosed data. The determination ofthe responsible authority may be appealed pursuant to che provisions ofthe adminisvative procedure act relating to contested cases. DATA PRIVACY ADVISORX [n 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 cercain 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. Z. 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. ;. ?f;;our reGuesre�rer•r.�r nr��cense reouires Ceuncil action to aonrove,some information may become public. $. You have certain rights under M.S. 13.04(available upon request}to review private data on yourself. 6. Your ful]name is required to process this application or permit. Kim Marie Travis Middk ��t �'�` 1700 93rd Lane Ne Addrw Blaine MN 55356 7637552221ext 132 Cify State Zip Phone I understand my rights as stated above. �`--� s.-�'-1�1 �� �� ` � Signsture 32 INSPECTI4N RECORD CITY OF ORONO Permit Number: P12165 (Requir�d w/ren setting up inspecltons) 2750 Kelley Parkway- P.O. Box 66 Crystal 8ay, Minnesota 55323 (952)249-4600 Date Issued: 6/13/2008 SITE ADDRESS: 980 Cox Farm Rd ARPLICANT: Cedar Valley Exteriors LP Long Lake,MN 55356 1700 93rd Lne NE $laine,MN 55449 Permit Sub-Typr. Proposed Use: Residential Permit Class: Building Permit Type: Minor Alterations Senarate Inspections Reauired: N��1,I..�E;': t i��, ?!�� ALL[NSPECT[ONS MUST BE CALLED 48 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A CONSP[CUOl3S PLACE ON THE PREMISES ON WHICH'INE WORK IS TO BE DONE. 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' �..� « . a��' ,. mvc-011s 362Z45.jpg Images created on 6/25/2008 12:47:00 PM 5�-�. ./ AT7E TIME CITY OF ORONO CALLED IN �v� INSPECTION T CF� , � SCHEDULED D/� /D;O� PERMIT NO.��(J, loS COMPLETED ADDRESS ! � � C.C��1C, �� r� OWNER CONTR. ��� � TELEPHONE N0. ��O 3 — �Z �O - (p0 5 g � DESCRIPTION I�D01� -�f'�C�Q � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBI Y ❑ FOUNDATION/REMOVAL Z OWNERI NTRACTORTOMEETYOU:!tYES NO � GOMMENTS: � W � o f�A � D�� .� � �G'�l��,s r � � Q����d � - 0 � W � . Q � Z W � W � � d • W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r� I E CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR J CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice