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HomeMy WebLinkAbout2001-P04297 - re-roof ! � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04297 Crystal Bay, Minnesota 55323 Pet'mit Type: MinorAlterations (952) 249-4600 Date Issued: 9isi2oo� SITE ADDRESS: 420 Deborah Dr MAPLE PLAIN,MN 55359 PI�: 31-118-23-23-0009 DESCRIPTION: UBC Occupancy R3 Proposed Use: Kesidentiai Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 8,160.00 State Surcharge Fee: $ 4.10 TOTAL FEE: $ 171.35 APPLICANT: C&C Builders OWNER: R W BRADY JR& R F BRADY 7170 Union Ave. 420 DEBORAH DR Mayer,MN 55360 MAPLE PLAIN MN 55359 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 BUII,DING CODE REQUIREMENTS. � • ,� � � , ° � , /' � � ���-k- -<�%0��'l� ��Z�--� A I R EE I NA RE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required),1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 . `} � � Total Fee: $ � ��`' `� Date Received: i��s "�/ o— Entered By: ,��� Permit#: f�0��-r'i7 CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) �l _ NT CTO JOB SITE ADDRESS: ���L`f� �Y� ,D�� ZIP: � � NAME OF OWNER: ,�d Ij l��G C�t/ PHONE: (home) ��S=�0�5� J (work) MAILING ADDRESS: ��� �e �b�� ,��CITY: ���,��1 ZIP: S�3 s� CONTRACTOR: � � v f �S PHONE: yS` � �S7���� CO�'TACT PERSON: • �VIOBILE/PAGER: MAILING ADDRESS: �/��� U�,a,,,�,,.� CITY: �'la l.P y ZIP: �c STATE LICENSE: #Z (��{�3`� 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 detain: ��--�� � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONiS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,��L%(�U G`� 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 be in accordance ith the ap ove plan. APPLICANT'S SIGNATURE: � . � �CJo' NOTE! Parade gf 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. � �' . Sec.13.04 RIGHTS OF SUB.JECTS OF DATA Subd. 1. Type of data. The ciehts of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information required to be given individual. An individual asked to supply privace or confidenrial data co�cerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecting'state agency, poliacal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the reques[ed data;(c)any known consequence arising from his supplying or refusing to supply private or co�dential data;and(d)the idenary of other persons or entiaes au[horized by state or federal(aw to receive the data. This requirement shall not apply when an individual is asked to suppty invesriearive data, pur�an[ro secdon 13.82, subdivision�, ro a law enforcement officer. The commissioner of revenue mav place the nodce reouired under this subdivision in the individual income tax or propem tax refund instructions instead of on those forms. Subd. 3. �,ccess to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the subject of stored da[a on individuals, and whe[her it is cfassified as public, private or confidenoal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. Afrzr an individual has been shown[he private data and informed of its meaning, the data need not be disclosed to him for six mon[hs thereafter unless a dispute or action pursuan[to this section is pending or addirional data on[he individual has been collected or creaced. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require[he requesting person to pay the actual costs of makine, cenifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, wi[h any request made pursuant to this subdivision,or within five days of the date of the request,excluding 5aturdays,Sundays and leeal holidays,if immediate compliance is not possible. If he cannot compty with the request within that time,he shall so inform the individual,and may have an addidonal 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 public or pri�•ate data concerning himself. To exercise[his rieht,an individual shall notify in wriang the responsible authority describing[he nature of the disagreeme�t. The responsible authoriry shall within 30 days either. (a)correc[the data found ro be inaccurate or incomplete and attempt to nodfr•past recipienu of inaccurate or incomplete data, including recipients named by [he individual; or(b)notify the individual tha[he believes the data to be correc[. Data in dispute shall be disclosed only if[he individual's statement of disa;reement is included with the disclosed data. The determination of the rosponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing to contested cases. DAT:� PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Riahts of subjects of data", we would like to inform you that your reauest 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 refusai may require that the City deny the pernut 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 pernut 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. ��'G��'O'O�"I �.� ��fi%�/.y c�'��Gcis,� First �Sidd,lDz Las[ ��7U �/�l��Y //!/e �ddr//!/7 ��f� ��%�� .�7r� /�'C� 7,�� (��/f��� Ciry State Zip Phone I understand my r' hts tate bove` i ture DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED PERMIT NO. N�f�� COMPLETED 'S"�I Z-��t' ADDRESS �f ZD (�/e�✓ct � OWNER CONTR. TELEPHONE NO. � DESCRIPTION �--��� ' � �� �� � � Oi FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 W �D. 12 WATER HOOK-UP 17 SITE INSPECTION � 5 FI 14 SEWER HOOK-UP 06 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: � W a � J O �. � O � W � Q � Z W � W � j d ORKSATISFACTORY:PR EED OJECTCOMPLET W � � ORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY W ' O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN L_ PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector. '�vc �' _\ � White Copyllnspector's File Canary CopylSite Notice