HomeMy WebLinkAbout2003-P06567 - re-roof CITI�' �C�F OR N PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 P06567
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterarions
(952) 249-4600 Date Issued: �i22i2oo3
SITE ADDRESS: 95 Leaf St
Long Lake,MN 55356
PID: os-i i�-23-i i-000s
DESCRIPTION:
Proposed Use: Residenrial
Pemut Class: Building
Census Code O/S-Building
Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 251.25 Valuation• $ 14,860.00
State Surcharge Fee: $ 7.95
TOTAL FEE: $ 259.20
APPLICANT: Kens Roofmg Co. OWNER: E C GRAHAM JR ETAL
3600 Minnehaha Ave 95 LEAF ST
Minneapolis,MN 55406 LONG LAKE MN 55356
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�u -21-2��3 �8:60am Fro�-CITY OF OROIr'0 +96224A461E T-8i? P.Ob2/�03 F-C3o
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• Ta�l F�; $ Date Received. _
F,ntered By: �___r____ Permit#:
CITY O�" ORU�TU - �'C7YY,DING P�ILMIT Al'�'�CATIbN
A,11�formatiun must be submitted in full before plan reoi�w will be sEarted.
' �piease print all information)
T�3E AppLICA�'�TT IS: (circle one} OW*dER O C4NTRACT�
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rr� oF ovvr�R: ��� _ �� psor�: tno�� 9S�—��� _ �a � Z
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Nf.AII.iNG ADl)RESS: �CITY: ���_�
co�v�tac�caR: � � � � psor�: ���7� � �o.S�
CUNTAC'I'�ERSON: 1Vi�R�/PAG�R: � / "�S Cf —6 ✓6 �
NI.AIIriNG�AUDYtESs: 3 ar-a ' CY7'Y:,_ Z�: s's D,6
STATL LIC�NSE: �# r`
ARC�TECT/El�G�',ER: PHO?�TE: --
MAILTi�CG�A]DDRL+�SS; --- CITY: �:�„�.....
�•�:� RECISTRATI(3N# �
TYPE OF�'YORK: N�w Additian Axessory Structure
Mave � emodel/ uration J..and Atterauon
P�tUPOSED W4RK{descri�e in detai�: .. --
STOR�S: ^,!,^ SQ.FEET O�'EAC.�FLOOIt:
I\TU. CfF BEY3I�QU�iS: �, GARAGE STALT�S: ATT. DET.
FrSTIMATEA CON'5'T�UC�ON VALLiATIU1T(excludingland): $ �, �
I hereby apply for a buil4iiug permit and I aekiwwledge that thc'vsformation above is aomplete az�d
accurace; rhat the work will b�ut conformance with the ordinanc�s a.nd cades �f tbe Ciry and with
che Sca.te Buiiding Code; tl�at I un,��rsKaud tbis is not a permit and work is not to siart without a
permit; and that the wotk will be in accordancs with the approved plan.
�Lic�c�s s��x�.�: �a�.�: _7— ���a,�
Np��� pa � }jgr„�e}events require separate permit approvar by Potice Deparbnent and
�ty CounciI 6�days p�i�r tv tl�� e�►ent. Nnrt�permi�ed events w��at be anawed.
Ju -21-29�3 08:60am Pr��-CIT� OF OR�YO +9322484616 T-86? P.OA3/00? F-G36
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Se�.i],oi 1tIGEi'fS aF b"�18.TECT5 OF D.�Ta
Subd. I. 1`S'P�Qf da�a. Tl�c rishv of iudi�idual on whom!he daa is swred flr m be swced shsll bo as ses foRh iu this secdo�.
Su6d.2, Issfnrmatiott teq�dred tu tx pvsn ia[3lwidual. !+a in3ividw�i wsfced to s1pp�Y P�vact or contidencai daas cOGeeraiag huasa�f��1
be i�ormad eF: (a)she pu:poee ane faunded use nP�a royucsvd daea wishia�ha eolkcti�'Stau sgeacy.poliacaI sabdivis�n.ar ltemwide syita��
(b)whesLer ha s�y:eiusa oY is tegallr requia�d w supply he rec�uesud da�a:(c)aay Imowa aeas�c,ueoce ar,siaS fmm hts s1p�lYm�vr sefuain8 0o sup?�y
ariva�e as confidcndn.i dum;and(d;�he idenary ee cdrer persoas orenriries authar;�xed bY gtatv or fufa93!�w ro receive�!e dact. ?his tmqui�amr.nc shil
nor agply whaa an iadir idual :s�co+t�o srpply ir-vesd5sdve Cs�.pursuutt w se.dea 13.83,subdivisiaa S,w a lxw eaFoesemeae etllcer.
The c�mmissioner of re.enue mav piaae chs norice reauetM�ndtr is bG9visba in hc izrli � ' tltcOme ffix 6t C����x �rr.�unc�
i'l5[NCti0fl5 IStt[NS�+Ot On IM14�1��,.
Su�d.3. Ace�s ta dat�by indi�vidnat. tJpon xques�tv a teapaesibie au�boriry,u:individual shall he inforcaed whe�er b�is�he subfrec
oF swrd daca oa iadividuais,and wriedfer ic's cL�ssilled as pnblic.Dmraw or cvnfidt�cal. Upon 1ug fuither request.an I�di�id�1 who ts the subjcee
of sLoted pttr•ace ar pu6lic daw pn indlvidu�ls shail be showe ehe Cam wi�out anY cha�$e to hi�n tstd:iP he desires.sh.al.l be Wormed of[ke cvacenc
and mraning of�haz d�. Afur sn iadividw[has bun caown�he pnvare das�and iafoemed of its ntesa�uS.��d+a''�ed not b�d►selased co hL�o for
eix uiot►ths t2sere�sfrrr uA3e55 a dispnt¢er ecaon putsaa�rt m this uefioe is pcnding oc Addidoaal data on�hs itudirid�t tms beoo colkcced or creared.
ZT:c�esgnesibk aus.hor.ry snall pcnviQe c4pi�s of�he p:vace or public data upon roquesT eY rha fm�i�i�w!s�bjec�vF ehe dacx. The►vspansibte suchoRry
may requim the req�esa:�pers�m ta pay Lht acnis!coscs vF rn$�:i.ng,cc�iet;.�d eompiliag the coptes.
'fhe�espensihh authan.y shsu corc:pty ir.unadiaKty.if po;sibic,wi�k auy n4►s��e pacs�nc�o dris snbdivi9ion.or wid=ia five d�ys cf
che duc of die rcquts�.excludiati�t S�r�ays.Sundays arx!ireal ha!(days.iP iiasasdiace ccmp��anae;s no�possib:a [f he easfnoc cart�piy wich�hn requeu
wiutiin chsc drne,hc Shall w inPoen d�n ind;vidunt..utd may ha�e an id�idonall five days with'ca which ro:omply wi�h the requesi,excludin?S�n�rdaYs,
Sur.Cays aad leQal hoiidaYs. ,
Subd.4. pre¢ed�ue whea dut�Ls aot aecurate or compktv- An individual mgy totuat tlte accuiacy ar cawpleaeness ef pubtie ar privaie
dam:aar.�esissS hunself. To tlxr.ttite dils:iYhs.an isw'irldwl�hall eotify 6n wtitflMg ehe tesponsible authetiq dcsccibiIIg IlsG nsture of d►ndissgtv�ota[.
Thc t►-sPansible su�t,oriry shall wichin 30 days eisher. (�eormz�c data foun4 m bt i�ccurue o:iaeecapsen sed aaccapi�o acafY Paac zccipienss of
imccurue oc incomplcce da�,iaetudiag xcipie�ts�med by zhc udividual:at i41��7'�n�i�����tves die dasa iv be corrcee. Da�a
in di3pu�e shsit bc d+sctosed only if the is�dividua!'s sacemane of disagree�cFt is iaclu�ed with rba disdofed ds�a.
Thc C,etermi�d�n QP the responss'kite aerhariry mxy oe appeatrd putsuaa�w the provuion�of dw adntiniauarive procod�re ac�nla�to
conceind osses• I '
DA�T A SOR'Y
In accosdan:e with l�d.S. 13.Q4,Sebd,2, "kEgh�s of subjexts of data",we would Iike to inform you that your raquest
for t�peruiic or iicense fram che Ciry of 4tono or sny of its depastcaeats may require yoa ca famukt eertain pr.vue ar
confidencial inforn�tioa.
Yau are rsocified xhat:
1, �Ihe iufarmacion yau 5smish wili bt used to de�enniaa yaur qvatificasioa for tlte permit or licansa.eqnesced.
2 You may ��efuse to supply daca, buc refusa! may requite chat the Ciry deny t�e permit or license.
3. The inf�ra�atioa raay bc shared with otlser tocal,scate or federal agencies co the ex�enc nettssary to process
she per.nit or iiceme.
a. lf your re+�uest� pCcmit or li�nse requ'�res Coun�l accion w apprave, some isformation may becoaie
pub.ic.
5_ Ynu have aenain rights t�ader M.S. 13.0�tavailable upan requtrsq ca seview prlvaie data on ydursalf.
�,, Your lull name is rer�uirea zo pcocess th:s dpgl�ca!iaa os pe
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I ►sn�ersca�d my rig�tts as scaced above. ,
Signanare
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� DATE TIME
CITY OF ORONO CALLED IN �ZZ
INSPECTION N C SCHEDULED 7�3-03 '!J�
PERMIT N0. S COMPIETED
ADDRESS 95 L��
OWNER CONTR. ���►'� '_�/
TELEPHONE NO. �� L �S� �3�g
� DESCRIPTION ���( (.�'/ l
� 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOFi TO MEET YOU:_YES_NO
v�, COMMENTS:
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� 3�RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali torthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract n '
Inspector. —
WhNe Copyllnspecto�'s Ffle Canary CopylSite Notice
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DAT�� ��� TIME
CITY OF ORONO CALLED IN
INSPECTION NQTICE SCHEDULED �/
PERMIT NO. __!`��LO�7�D� COMPLETED < «
ADDRESS ` �-��- � ` �
�
OWN ER CONTR. �
TELEPHONENO. Lpl� � �� � _ l � �D�
� DESCRIPTION ��* �/�`
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GR /FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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��IORK SATISFACTORY:PROCEED �OJ ECT COM PLEf E
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUiRED.CALlTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-460�
OwnerlContrac n e-
Inspector.�-- ��`--
White Copylinspector's File Canary CopylSite Notice