HomeMy WebLinkAbout2000-P02646 - re-roof ,
� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02646
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(612) 249-4600 Date Issued: �no�oo
SITE ADDRESS: 1960 Lakeview Ter
LONG LAKE, NIN 55356
P I D: 27-118-23-42-0006
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minar Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 1�1.25
Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: RIGHT-WAY ROOFING INC OWNER: EVELYN E ROSS
14050 23RD AVE N 1960 LAKEVIEW TER
PLYMOUTH,MN 55447 LONG LAKE MN 55356
TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVFMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM E SI NATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
' I , Date Received:
Total Fee: $
Entered By: Permit#:
CITY OF ORONO - BITII..DI�1G PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER N �
JOB SITE ADDRESS: ���� l n1 �.u.P�1�T2�r c��.2�Z�: S�3 S Co
N�+iME OF OWNER• ��J�� 1 b PH0�1E: (home) �7 3' �(��
� (work)
�rr�u,�vG�nnxEss: I�CQ 0 Lc,.l,�vi�.w ler.CITY: c��o�o Z�:
: PHONE: 5�5� - `����
C0�ITRACTOR: �� W � �
C0�ITACT PERSON: ILE/PAGER: .
MAII��IGADDRESS: !�-{05o a3� A.ve_ CITY: Q( ou�L., Z�: 5���7 ..
STATE LICENSE: # 3�t9q
ARCHITECT/ENGINEER: pA���
1�IAILING ADDRFSS: CITY: ZIP:_______
N�y�: REGISTR.ATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain:� Q ��- ��"� �`'
s(�v� P� t��-
STORIES: SQ.FEET OF EACH FLOOR: _
NO. OF BEDROOriS: GARAGE STALLS: ATT. DET.
ESTII�IATED CONSTRUCTION VALUATION (excluding lan�: $ 5 �U�
I hereby aoply for a buildin�permit and I aclmowledge that the information above is complete and
accurate; chat 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! �arade of Homes events require separate permit approval by Police Deparhnent and
� City Councit 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGFiTS OF SL'BJECTS OF DATa
Subd. 1. Tvpe oE data. The righa ai icdividuai on wham dte dact is r•or_d or rc be swr�shall be as sec far�h ia this secaon.
Subd.2. Information reqirired to be�vea indiridual. ?�n iadividuat uYed w suppiy privaL or confidendal dara conceraing himself sfialI
be informed of: (a)the purpose and ia�.aded use of�he cequesred dam wirhin the collecring 3a�ager.cy,polidcal subdivuian,or scatewide ryscem;
�b)whesher he may r.fuse or is legslly cequired m supply the requened datt:(e)any l�own caasequeace arisiag from his supplyiag or refusing to supply
pcivare ac conr.dendal dara;and(d)ehe idendry of aeher peaoas or enrides auchoriz�by siam or federsl law to ceceive che dan. This requiremenc shall
no[appfy whea an individual is asked to supply inr•arigadve dam.Qursuanc ro sec=an 13.83,subdivision 5,co a law enfor�ea:ac officer.
The commissioner of rvenu- r�av olz--the nocr rauired under this subdivision in the iadividua! income raz or�oem taz tsfur.d
instrucdons ins:ead of on ehose foRns.
Subd.3. access to data br-iadividual. lipon requesc ee a responsible auchoriry,an individeal shall be infarmed whecher he is the subjecc
of scored dara on individuats,and whe:her it is classificd as public,privace ar can:.deadal• L+'Fon his fur'�her request,aa individual who is the subject
of storrd pdvace or pubtic daa on indir•iduals shall be shown ehe dan wiehout any chuge m him and:if he desires,shall be inio�med of the concenc
az:d meusing of diat data. Aher an individual hu 6een shown che private dara aad iniormed oc iu meaaing.[he data need not be disclosed oo him for
su mondu checeafter unless a dispute or acrion Qu�suanc to �his secdon is pending ar addicoa�l daet on che iadividual has been collecud or creared.
The respansibla aurhoriry shall provida copies of die privace or public data upon rer,uest by the iadivide�l subjecc of che daa. Tne respansibie auehoriry
may c:quire che requesting persan ro pay che acn�a!coscs of making.cerdfying.ac:d compiliag the copi:s.
'ihe responsible auchoriry shall eomply iaunedia�ely,if possible,wirh a:y..quest�da Parsuanc w�his subdivision,or within five dsys oi
the da�of che requesc,ezeiuding Saeucdays,Sundays and legal halidays,if immedu�compli�c�is not passible. If he camo�comply wi[h the«quesc
wi�hin diac dme,he shall so inform rhe individual,md may have an addidoaal fiv:days wiehia which to comply wic`�che requesc,ezcludiag Saturdays,
Sundays and legsl holidays.
Subd.4. Proeedure when data u not accurste or complete. An ir.dividual may concest�*:e accuracy or completeness of public or pri�ate•
dsm conceming himself. To exerise�sis right,an individual shall nadfy in wridag�:e resparsible aus�oriry desca'bing ehe natu:e of rhe disagceemeac. ..
The tesponsibla authoriry shall wichin 30 days ei�4er. (a)co�c�ecc�he dara found to te inaca:r3�or ir.complete and aarmpt to nodfy past recipiencs of
inaccurdc:oc incomplece dact, including recipieact oamed by che individual:or(b)eodfy d:e individial thac he believes che daci to be corteec Dan
ia dispuce shall be disc!osed only if che individual's sra�emenc of disagreemenc is irctuded wich ehe disc!osed data.
The decerminacon of�he responsible auchoriry may be appealed pursu�.:c to the pr�visions of cht adminis�edve pro:edure acc reladng to
contested cases.
DAT� PRIVACY �D`'ISORY
In accordance with M.S. 13.04,Subd.2, "RiQhts of subjecu oc data", �c e would like to inform you that your request
for a permi[ or license from the Ciry of Orono or any of its depz�mencs may require you to furnish certain private or
confidencial information.
You aze notified thar. .
1. The information you furnish will be used to determi�e your qealification for the perm.it or license requested.
?. You may refuse to supply daca, bu� refusal may require that the City deny the permic or license.
3, The informatioa may be shared wi[h ocher local, scac�or federal agencies to the excenc necessary to process
the permit or license.
�t. If your requested permit or license requires Council action to approve, some information may become
public.
�. You have certain riQhcs under M.S. 13.04 (availabl: upon reques:) to review private data on yourself.
6. Your full name is required to process this applicac:oa or permic.
First �tiddle �t
.+.ddr.0 •
Cicy Star� ZiQ Phaae
I understand my righcs as staced above. ,
Signature
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED/, �o-�� �=d�
ADDRESS L��h� �f�U�� j�`r4c-e
OWNER CONTR. T���
TELEPHONE NO.
� DESCRIPTION /��o'��
� 01 FOOTING 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
Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q F AL 14 SEWER HOOK-UP 06 PROGRESS
� 0 EMO-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 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� �WORK SATISFACTORY:PROCEED �$PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� 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.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.�/�� �C�-v►
White Co,pjlllnspector's File Canary CopylSite Notice