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HomeMy WebLinkAbout2007-P10758 re-side ` PERMIT C!TY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10758 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2/28/2007 SITE ADDRESS: 60 Crystal Creek Rd Uuit# Long Lake,MN 55356 PID: 33-118-23-33-0008 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAI LS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Call Bruce When Damage is Found-He'll inspect and deterniine other inspections FEE SUMMARY: Permit Fee: $ 979.75 Valuation: $ 97,500.00 State Surcharge Fee: $ 48J5 TOTAL FEE: $ 1,028.50 APPLICANT: Sundance Exteriors OWNER: Thomas&Lynda Isaacs 105 W. 23rd St. 60 Crystal Creek Rd Hastings,MN 55033 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS P RMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL W COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF ;-iV11T�iT�f�SOTA BUILDING CObE REQUIR ENTS. • ,'4 / � `� �i I ; �� / �,• '� �/��FI • '_ / ` �\ .% PE E SIGNAT IS D BY SIGNATURE / Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 i G�.�d �-y-o,7 � Tota1 Fee• $ l O2� `Sd Date Received: � � ]Entered By: Pr3'xnit#: '���7�� CITY Q�F ORONO - BUILDING PERMI'T APPLIC�+i.rI�ION All information must be submitted in full before p�a€e� review will be starCed. (please print all inf'ormati�Et� ---------------------------------------------------------------,-------------------------------------- I i THE APPLICANT IS: (circle one) OWNER O C�i�iTRACTOR I JOB SITE ADDRES5: �p� CrN 5�-���el� _ 7Z�. z�: 5 5 35Co �� Will this be a Parade of Homes, Remodelers Showcase Hon�e or other Display Hor�te? � ❑ Yes ��To If yes, a speciaJ et�ent permil is req:tired w�i1h Polic�e Deparlment and City Cor�ncil approi�al 60 d�ys prror ro�he event. Shuttle hus sen�ice ti��ill be required unless uppl icant demonstrates st�ffrcien!on-site parking is avai/able. ,Van per�rtitled evenls�a�i!/not be nllowed. � NAME OF OWNER: ov�n. --�—✓��C-S PHONE: (home) 9 S Z-83 - J' J`���{9 I' (�vork) iV1A.ILING ADDRESS: �� Cr 5�1 C{� ��CITX: �,("�v1 v ZIP: �,���(o CONTRACTOR: ��rd�,nce � v-'o � nt��n��Ftd PHONE: CONTACT PERSON: �Ar ev-�e MOBT.LE/PAGER: (D t 2- �{l9- Ia 9 5 MAILING ADDRESS: OS W� Z �=' "t' CTI'Y: �Is 1�/95 ZIP: SSa 33 STATE LICENSE: # T�C 5 EXPdRRA.TION DATE: O 3 n� ARCHITECT/EN PHONE: MAILING ADDRESS: CITY: ZIP: NAME: GISTRATION: # I TYPE OF WORK: New Home Ad ion Accessory Structure Move Home Re del/Alteration(ie: Siding, Windows) _� Any earth movement m requ�re MCWD review and permits! �'ROPOSED WORK(describe in detai�: Rer�o �}I( cco /�e �;� A,n �rn�4q� e- �2 � i � wi�n t,.15 =n�5 .�e � ' +4c�, '=w+5"tW II ffArdt� F.(A►�►� . STORIES: SrQ.FEET OF EAC FLOOR: � NO. OF BEDROOMS: GARAGE ST LS: ATT'ACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATIO excluding land): $ �7 ���•x+' __ � I hereby apply for a building permit and I acknowledge at the information above is complete and accurate; � that the work will be in conformance with the ordinan and codes of the City and with the State Building Code;that I understand this is not a permit an work is to start w�ithout a permit;and that the work will be in accordance with the approved p`an. � • �+ v � DATE: 2-7-07 APPLICANT S SIGNATURE. _ 3 ' i 'd ` dSi =ZO 10 80 Qa� � Sec.13.04 RIGHTS OF SUBJECI'S OF DA'I'A Subd.l. Type of dara. The nghts of individual on wh�m the data is stored or ro be stored shall be as set CoRh in ihis section. Subd.2. Information required to be given individual. An individual asked to supply pri��ate or confidential data conceming himselfshall lx inforrned oE (a)the puTpose and intended use of ihe requested data within the collecting state agency,pol itical subdivision,or statcwide system;(b) whether he may refuse or is icgally required to supply the requested data;(c)am know�n consequence arising from his supplying or refusing to supply privace or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigativz data,pursuant to section 13.82,sabdivision 5,to a law cnforcement officer_ The commissioner of revenue mavplace the notice reauired under this subdivision in the individual income tax r�roncr�v�ax refund instructions instead of on[hosc fortns. � Subd.3.Access ro data by indiviJual.Upon request ro a responsibleauthority,an individual shall be informcd�vhether he is Uie subject of srored data on individuals,nnd whe�her it is classifed as public,privute or confidential. Upon his further request,an individua!who is the subject of srored private or public data on individuals shalf be shown the dala H�ithout any charge to him and,if he desires,shaq be informed of the content and meanine of that data. Atter an individual h�s been shown the private data and informed of its meaning,the data need noc be disclosed to him for six mon[hs Ihereafter unless a dispute or action pursuant to this section is pending or add itional data on the individual has been collec�ed or creaied. ThC responsible authonty shall providc copies of the private or public data upon rzquest by thc individual subject of the data. The responsible authority may�equire the requesting person to pay the actual costs of making,certifying,and compiling the copics. 7�he responsible authorih�shall comply immediately,ifpossible,withany request made purs�ant ro this subdivis'ton,or within tive days of the date of the reques�excluding Saturdays,5undays and le2a]holidays,if immediate compliance is not possible.[fhe cannotcomply with the reques� within that time,he shall so inform the individual,and may have an additional five days«�itfiin�vhich to comply�tii[h thc request,exduding Saturdays, Sundays and legal holidavs. Subd.4. Procedurc when data is na�accwace orcomplete.An individual may concestthe accuracy or compleeeness ofpubfic or private data eonceminghimself. Toesercisethisright,anindividualshallnotifyinwritingtheresponsibleauthoritydescnbin�thenatureofthedisaereemenc The responsi6le authority shall within 30 days cither: (a)correct the data found to be inaccurate or incomplete and attempt to notif}•past recipienu of inaccurate or fncomplete dala,including recipients named by the individual;or(b)notify Lhe indi��idual tha�he believes che data to be correcl. Data in dispute shall be disclosed only iCthe individual's statement ofdisagr�ment is included H�ith[he disclosed data. The determination of the responsible au�hority may be appealed pursuanc to thz provisions of the adminisvative procedurc act relating to contested cases. DATA PRIVACY ADVISORY in accordance with M.S.13.04.Subd.2,"Rights of subjects of data",we w�ould 1 ike to in(orm.�ou that your request for a permit or license from lhe City of Orono or any of its deparcmenis may require you to fumish certain private or confidential inforrnation. You are notified that: l. The 'snformation you furnish will be used to deterrnine r•our qualification for the permit or licensc requested. 2. You may refuse to supply data,but refusal may reyuire tha�the City dcny [he permit or ticense. 3. The information may be shared�aith other local. state or federa] agencies to ihe extent necessary to proccss the permi[or license. 4. [f your reques�ed peRnit or license requires Council ac�ion to approve, some information may become public. 5. You have certain righ[s under M.S. 13.04(avai(able upon request)to review private da[a on yoursclf. 6. Your fu11 name is cequired to process this application or permit. {`�t�s�L �Pl��� �e�-�e�- First Middle Last �pvJ � • Z��� 5� ' Address �'>�`^�'� 'MN� 5 S03 3 �I z- y19-/O S� C�� Sta[e 7,ip Phone I understand ri s as stated ove. Signature Reset Form 32 z 'd dSi =zO LO 80 Ga� � ' _ -.-,, - - � �, � �:-�?`E�?� • Construction Codes and Licensing Division � � 3����,.�l,: �?��, State of Minnesota � , m .:. ;. c�.?,��. ..��;�- DepartmentoF Laborand industry Telephone:.(6S1)284-5065 'F"��'-'" �3 443 Lafayette Ro�d N. ' E-mail add�ess:dli.contractar@state.mn.us � c �_�, �.;;; e.�' �' St Paul,tVIN 55155-4344 Website addtess: www.doli.state.mn.us :'+'.�a��'�.A . O ..,�*�.V.b-' N �:r.�J��� • � F+ Residential Building.:Contractor License �" � __. _ ',� - ��flal Name: SUNDANCE EXTERIORS IJNEJM{TED Business Structure; DBA: CORPORATION Add�ess: 105 WEST 23RD ST � HASTINGS, MRJ 55033 � �� ; License Identification Number: 20383035 Qualifying Person: MAF�f ALLEN REUTER License Expiraiion Date: 3l31/2007 - Continuing Education:7 hours due by 3/31/2007 �_ �.�= _...,�' _ � � w � / E TIME' �� � CITY OF ORONO CALLED IN �^� INSPECTION N ICE SCHEDULED .� - O � � PERMIT N0.�� 7'�� COMPLETED ADDRESS �� ��� OWNER CONTR.�Lfi1���.ClL-Ci1C� TELEPHONE NO. �D� " 3U� ''�-SD 7 � DESCRIPTION ��e� v `—���'1-Q���� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMIV�ENTS• � �� � -- �� E'� � � � J — t, S O � � O � W � Q � Z w � W � � W� �ORKSATISFACTORY:PROCEED fl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlCont�o�n site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME � (\��� /��Y OF ORONO CALLED IN `��?���-.�� � INSPECTION E /`� ��j SCHEDULED �'� ��% PERMIT NO. � /`� �'-�C� COMPLETED ``-'%��� ADDRESS � � OWNER CONTR. ' �-�.�,C��-2, �� - TEL�PH NE NO. � I - �'�J— �� � DESCRIPTION � �� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WA�L 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 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 � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENT • � � W , ay�-.,, .��. , e _..��� O T � � � � � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED �l ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN INSPECTOR WILL RETURN ��� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe ne inspection 24 hours in advance. (952� 249-4600 OwnerlCont c on i e: Inspector. White Copyllnspector's File Canary CopylSite Notice