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HomeMy WebLinkAbout2007-P10895 - re-roof PERMIT CITY OF ORONO 2750 Kelle;: Parkway- PO Box 66 Permit Number: P10895 Crys`,.�I Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4/17/2007 SITE ADDRESS: 2875 Deer Run Tr Unit# Long Lake,MN 55356 P��� 04-117-23-24-0009 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 23�•25 valuation: $ 14,000.00 State Surcharge Fee: $ 7.00 TOTAL FEE: $ 244.25 APPLICANT: Home Exteriors Inc OWNER: Mark&Christine Robbins Dale Schlosser Inc 2875 Deer Run Tr 7950 Co Rd 26 Long Lake MN 55356 Minnetrista,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 MINNESOT DING CODE REQUIREMENTS. I � /-. L-yp` , ,,�..� � � �i�) t � (�"� "% ��,�-`_ APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ DateReceived: Entered By: Permit#: CITY OF OROI�'O - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pYint all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR Jos sITE an�REss: ��15 l���l� �C t �"��� ,�f� ziP: SS 3S� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No !f yes, a special event perrnil is reguired with Police Departnient and Ciry Coarncil approval 60 days prio�-to the event. Sha�ttle bus service ivill be requirecf unless applicant den�onstrutes su�cient on-site parking is available. ]�'on-pernritted events wi/l not be allo�ved. NAME OF OWNER: I�I��� (�0�1� ;r.5 PHONE: (home) �S�-�IG�-1-9810 (work) MAILING ADDRESS: S�._ ..b ���,,` CITY: ZIP: CONTRACTOR: ����c. Ex�i���rs PHONE: `�53.- 4-7�.-"L2S�'�j CONTACT PERSON: 1�..,1 c.. MOBILE/PAGER: �t-7,- �,"1�J- ,.1`1� MAILINGADDRESS: �9SQ C� 1'�.-� 2� CITY: M:�-�,r;s�-,� ZIP: ,SS359 STATE LICENSE: # �03153��`7 EXPIRATION DATE: 3- 31-�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structuce Move Home Remodel/Alteration (ie: Siding, Windows). Any earth movement may require MCWD review and permits ! PROPOSED WORK(clescribe in detarn: �"�„� ��� c,,..( re r.-r,� • STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �y,c�nn . M I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; t11at the�vork will be in conformance ���itl: �dinances and codes of the City and��rith the State Buildin� Code;that I understand this is not a per it an o• is not t tart without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: �1'17'n�7 �l Sec.13.0� RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The ri�hts of individual on��hom 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 orconfidential dacaconceming himselfshall be infonned of: (a)the purpose and intended use of the requested data wid�in 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 identiry of other persons or entities authorized by stare or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tar or�ooerry tax refund instructions instead of on those fonns. Subd.3. Access to data by individuaL Upon requestto a responsible authority,an individual shall be infonned whether he is the subjectof srored data on individuals,and whether it is classified as public,private or contidential. Upon his fuRher 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 sho���n the private data and informed of its meaning,the data need not be disclosed to him for six 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 of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesti�g person to pay the actual costs of making,certifi�ing,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 che date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which to comply witll d�e 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 conceming himselP. To esercise this right,an individual shail notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall�vithin 30 days eithec (a)correct the data£ound to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by die individual,or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if d�e individual's statement of disagreement is included wilh lhe disclosed data. The determination of the responsible aud�ority may be appealed pursuant to the provisions ofthe administrative procedure act relating[o contested 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 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. 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 �liddle Last Address City Statc Zip Phone I unders nd s s ed above. Signature Reset Form .i� ��� � ATE .�} TIME r OF ORONO CALLED IN v � INSPECTION NQ�ICE g�,,�. r SCHEDULED �7 ^ � PERMIT NO. �' ,' �LL� COMPL TED �� ADDRESS ����� � � �Z�L(�� OWNER CONTR. ����Y� �i5�� TELEPHONE NO. �� 5� �` � �� � � DESCRIPTION �•_����C�Z ! ly 01 FOOTING 11 MECHANICAL RI XCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 COMPIAINT � 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 � COMMENTS: � W C � � f,�l�t� o -o � � 0 � W � Q � Z w � W � � d W ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � C CORRECT WORK&PROCEED [-: ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952� 249-46�� OwnerlCo act o ite: Inspector. White Copyllnspector's Fil Canary CopylSite Notice