HomeMy WebLinkAbout2002-P04961 - re-roof PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04961
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 4ii6i2oo2
SITE ADDRESS: 450 Deborah Dr
Maple Plain,MN 55359
PID: 31-118-23-23-0008
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building J/�Z , /
Permit Sub-rype(s): Building-Re-Roof � ����
Pernut Type: Minor Alterations
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 19,000.00
State Surcharge Fee: $ 9.50
TOTAL FEE: $ 316.75
APPLICANT: Right Way Roofing Inc OWNER: Robert Biesterfeld
14050 23rd Ave N 450 Deborah Dr
Plymouth,MN 55447 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRIC`I'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP LICANT PERMITGL SIGNATURE ISSUED SIGNATURE
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Copies: 1-File(Si�nitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
GiTY OF QRONO �a� ;�` Z
� 494b'16 U6t�3/40 'i 6.�2 � ;()1/Q� NO:3b4
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, Tcital ��c: � Date �.eceiv�d:
Ez�t�red �3y: — - - permit#: �
C� (��' O�tt�l'�I'� �- �TT,377 LT��i i'G�'��.IV�'�t' A��'�'�..��C�'�'Jt��'
,�,�1 fn!'t�r�nation mt�#be subml� �d °uX i�iti beiore ptan review will be started.
{ptetrse, r�nt cz11 i�ftt�rcation)
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�QI�7CAC7C P��S�N: � 1-1 p� _ lvid�Bi�/PAGER: .
I�.,�NG AJ3DR�SS:��..�i�.�-t` ----p-�-_��TY'.�.1.����..�':.`�"�� .
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14I�LTi�FC AI?I3RES5: C�'X'Y: ZIP•
� R�t�IS'1`�i.ATION# �..,�,,.
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T"�'PE QF �YQRK: New Addttion Accessory St�vctur� _r_�___
�VI!?VC RCIn( S�I/AItCLAt10A "�C � Laud Alterat�4n �
�'Rf����l�'vV`t�RK(c�escribe in detai : ���.� �P..��2.� _.�.---_-
S'X"U�iES: 1 � i �� SQ.F� 'OF EA.C3E��L.CDUR: ��\o0
�IE�. OF BEF?12.QC?i�iS: � t� ►RA.GE STAL�S; ATT. �_ DET,
���'�1,.�'�"�� C��tS'T'��tJCTIfl�!VA .UA"�'Ia�l'(eaccludang��nc�: �.�.°l�._.�
T hcecby apply fvr a'bui2ding ptrmit anc i acknowl�dgc t�aat the informatian ab�ve i�complcte aa�d
a�cur�te; chac rhe work will be in canfo ma�ce with the ord.inances and codes of the City aad with
thc Stat� �u�.di�g ��dc; t3aa� I unders� �d t�.is is not a pezr.�xit and v�o�� a� rzaC to �t�.rrt 1wit�zouk �
permit; and �hat the work will t� in a{ a4rdan��wit�t�sc approv�d glan.
.rl�'�°I.ICANx''S SLGi�iA�TU�tE: � �- - DAT�: ,�„1_�,��.�.-
.�'�7'Ef a�'t�t��d�1�¢� ev�nts re5 aire �se�rat�,�erm�t a�praval 6y k'glic�I�epamn�nt�nd
C�ty �auM�tl 61�days�ric�r Bta �he �ve t. �Yon p�rna�tt�d events wzll nat be a1l�wtd.
Mar 1^ 02 11 : 07a Ri�ht-Way Roofing 763 551 1527 p. 2
,�, � �,l�%��� , q�Z -
C�TY Q F' ORONq � , � ' � �a� `� �-�44461 b t�b!'!3/QO '!6:Q� � ;U1/Q2 N0:364
Tot�i ��: � :.3 %�- ��� Date �.e�eiv�d: _i���� `��,��
�a�et�r�d �y: __�__,_ �Y1 - ��cmit#: �._..._._
�I'Y."�' �k' ����'() � �TT.� [.��.�'��'�,��' �"]P����.'�.'�f��
,�l�c��natio�a a�c�st�te subuilfi� �d in Y�ll be�ore plaxt re�iew wllI b� started.
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h1�.v����tESS: C�'1'Y: �':_.___.,..�...
I�IA�.E; R�(xI��"�.`�tA'I'][O�I# -
'Y`"�PE QF �YQ�: New � Add�dor�� Ac�essary Stzucture �
�Ic�v���T RC�lC SCl/AI�CC&C10A C�,,� �a�d ..�lterat3on____„�..
P�t}�C�5�1��V'�JR�t�`escribe�detar : --�--w--
s�'o�s: 1 � 1 �.I,�. s�.�; �t3F�E�.c]�[�`I..t�oR: a��oo
�a. o�a�n�oc��is: �,. � �,.�� sx�c.�.,s: �rr. ,.,�... nE�r.
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T hce�by a�pply fo�a bu�lding p�rmit anc I�cknflwl�dgc C�at the informat��rn ab�vve � �c�nxp��
a��ur�te; cb.at ck�e w�ek r�rill be izi cor�'a �nce with th� ord�es �d code�r�f tpie Ctfy
� t�,c St�t��u�.d� �odc; tha� T undcrs� .�d t�i'ss �S not� pez�ait and.wox�k is r�oc to �t�-t�vithouk �
p��uc; and �at ttle war�vvi11 t� in at :ardarac��wit�th� ag��av�d pl�..n.
dZ.i 5��../l�l�1��r.� e�l\7'lf�'l�.l Vil�-r' : / 9• �..�...-- Af�.i�'/� ..���.d�'w(/...�..—.-�--
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,�'��°�P ,�g�(�,��;��,� ever�ts r¢g s�ra se�rarata,�er�nat ap�praval by .Pola€�� �?ep�r�xrcerre and
+�Yty �'aut�e�l 6D days�r�r P� PFie �ve t. .�Yon perrrnn�ted events wild rtr�e be�d'lnwtd.
Mar 1^ 02 11 : 07a Right-Way Roofing 763 551 1527 p. l
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14050 23fO Ave,l�
PiymoutE�, 11AM 55447
(763)557-86T8
FAX (763j 551-7527
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Sec.13.04 RIGHTS OF Si1BJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom che data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. .�.n individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data wichin the collecting'state agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
private or confidenrial data;and(d)the idendry of other persons or enrides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigarive data, pursuan[to secrion 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re`•enue mav place the noace reauired under this subdivision in the individual income tax or propem tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible aurhoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, private or confidenaal. 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 hicn and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six monrhs thereafter uriless a dispute or acdon pursuant to this secdon is pending or additional data on the individual 6as been collected or created.
The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual cosu of making, certifying,and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comp(y with the request
wi[hin that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
5undays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri��ate
data conceming himself. To exercise this right,an individual shall noafy in wriang the responsible authoriry describing[he nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccura[e or incomplete and attempt to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes rhe data to be correct. Data
in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data.
The decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act rela[ing to
contes[ed 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 shared 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.
(. Your full name is required to process this application or permit.
First �Siddle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
i
Signa[ure ,�
Total Fee: $ Date Received: �
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATIOleT
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: ZIP:
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
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 detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROONiS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building pernut 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 be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permiited events will not be allowed.
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO IC SCHEDULED �v ."o a
PERMIT N0. d COMPLETED ' �
ADDRESS �CJ
OWNER CONTR.
TELEPHONE NO. --- S —
� DESCRIPTION C1� a��� �—
ty Ot FOOTING 1 MECHANICAL RI 18 EXCAV/ RADING/FILLIN
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKE HORE/WETLANGS
ti
O 03 INSULATIGN 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 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/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContr r on ' e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice