The URL can be used to link to this page

Home My WebLink About2007-P11155 - re-roof PERMIT CITY Q-� ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P11155 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/25/2007 SITE ADDRESS: 2815 Deer Run Tr Unit# Long Lake, MN 55356 P�� 04-117-23-24-0008 DESCRIPTION: Proposed Use: Residential Census Code O/S -Building Permit Class: Building Permit Type: Minar Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 valuation: $ 9,197.00 State Surcharge Fee: $ 4.60 TOTAL FEE: $ 185.85 APPLICANT: Allstar Construction OWNER: Margaret Vergyle 5145 Industrial St. 2815 Deer Run Tr Suite 103 �� Long Lake,MN 55356 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 BUILDING CODE REQUIREMENTS. , � � % � �� ,, � - , �- � ,�� C�'1�� APPLICANT PERM[TEE SIG'.VATURE ISSUED BY IGNATURE Copies: l-File(Signa[ures Reqatired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - 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�ONTRACTO�t JOBSITEADDRESS: ��'��i; -- / �'�'•�' I( �_�,,� �/:�, i � �%r�✓,'J ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �NO If yes, a special event permit is r•equired with Police Department and City Council approval 60 days prior to the event. Shultle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. A NAME OF OWNER: ��,�s� � �� r ( ,,�2i `; .�� ' PHONE: (hame) YS� "�`/�4�''`��'_�'1� ,, � (work) MAILING ADDRESS:U'�i� 1,�.� fl:� �;._-„'j� CITY: �J�''v ZIP: � ' l�� CONTRACTOR: l ' � , r�r � .>r��' ;� � �, �,� PHONE: �C: �-��7i '�'�Jo CONTACT PERSON: �'; ,�;,,, �;��, MOBILE/PAGER: �%� -y��- <�� '�' MAILING ADDRESS: �:/�r<��,��s�- .,,� c; � '� ;�;; CITY: U?„a,->�� "';,.,- ZIP: '��s s '� STATE LICENSE: #�' �'�- v 7 EXPIRATION DATE: � J �i j�o o R , ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) ✓ Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: %,�„ � �,�� r�%;�_ �'� -,� , STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l� j , � �.� I llereby 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 with the approved plan. /,��'�� , '�, APPLICANT'S SIGNATURE�� ti•-�,- � „�;�,_ DATE: �,c� ,�,� ,� S � a�7 �i Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private 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 investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he is the subject of 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,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 sia months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request bY the individual subject ofthe data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy with the request within that time,he shall so inform the individual,and may have an additional 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 private data concerning himself. To exercise this right,an individual shal]notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correck Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data. The determination ofthe responsible authority may be appealed p�rsuantto the provisions ofthe administrative procedure act relating to eontested 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 ar license from the City of Orono ar 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 permit or license. 3. The informatio❑ may be shared with other local, state or federal agencies to the extent necessary to process the permit 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. 6. Your full name is required to process this application or permit. First Middle Last Address City State "Lip Phone I understand my rights a �tated above. �,`�/r� � ` /'�G� �y(,�ji�._ Si�ure R.eset Form 32 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO ICf SCHEDULED ` -3-� o?;,�� PERMIT NO. �f �� COMPLETED ADDRESS q��J� ��-�� OWNER CONTR. �-�� TELEPHONE NO. 7�-3 — `�7 9 `�' 7 O d � DESCRIPTION ��r ✓ ' �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ IAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM ❑ FOUNDATION/REMOVAL � OWNER CONTRACTOR TO MEET YOU:�C Y_ES NO � � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED %_ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. !, i� / t, �� White Copyllnspector's File Canary Copy/Site Notice � � ✓ D� ATE_�� TIME CITY OF ORONO CALLED IN �'" �v� INSPECTION NOTICE SCHEDULED ---,��d7�1� PERMIT NO. I �� COMPLETED ADDRESS �gt � �� '�-C/'? �,�- OWNER CONTR. ��Ss�� fi�_ TELEPHONE NO. �� - �� C'�� DESCRIPTION � l� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEP71C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � w a j o C) ( a � 0 � W � Q � Z W � W � j d W RK SATISFACTORY:PROCEED [_7 PROJECT COMPLETE � C RECT WORK&PROCEED ;-: ISSUE CERTIFICATE OF OCCUPANCY W � - CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor o Inspector. White Copyllnspector's File Canary CopylSite Notice