HomeMy WebLinkAbout2003-P06278 - re-roof � ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po62�s
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: s�gizoo3
SITE ADDRESS: 375 Leaf St
I.ong Lake,MN 55356
P I D: OS-117-23-14-005 9
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 41.80 Valuation: $ 1,086.00
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 42.85
APPLICANT: Les Jones Roofing Inc. OWNER: Mr. &Mrs. Crowther
941 W 80th Street 375 Leaf St
Bloomington,MN 55420 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
MINNES A ILD CODE REQUIREMENTS.
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APPLICA TPERMIT SIGNATURE ISSUEDBYS[GNATURE
Conies: 1-File(Signitures Reouired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�May � E� 2003 1 � 27PM LES JONES ROOFING No � 6191 P � 1
Jul-1B-Z00� 11:49am Erom-CITY OF ORONO +65Z2494616 T-436 P 001/002 F-970
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Total Fee: �a ��� . �' _�� Dace R.ec�ivod: �J �� /�,�3
Eatered Sy: ��-> Permit�#: � G
t �ti"ti)�j ''� / -l � t- `% .
CYTY OF OR021Y0 - SU�.DING PERMYT AP]?'LICATION
All informafion m,ust be submitted frl full beFare plan review will be started.
(please print all information) .
_..�..__ ____ . _.__._.,.�......�.�._ .
THE APPLICANT I5: (circle one) 0'WNER 0 CaNTRACTO�t �
JOE SITE ADDItFSS: � 7s ��.'� �� . 7n': J�35�p
Nt�11� OF Oti'YNER. _SG�:�- ��'�%v'���r- 'P730�1E: (home) �5� - �f75/��-�
(wark)
�r��r��.vn�ss: 3�� �� S-� crrx: U��� z�e: .���g�
COI�''i'RACTOR: " s .�4� f�oo�` P73oNE: • �5�_ �S�- rla o �
COi�1'TACT PERSON: ` / ri�'4i T�EIP GE�Z,:
MA�INGr ADDRESS: �f 1' . $`� � C�'I'3t: � c-� : 5��a-O
STATE LICENSE: # �:� O
ARC�'i'ECT/E'NGrI�i TEER: ���Q- . PHO�'E:
MA,II,,'�iYC�ADDRESS: CITY: 7TP:__�___�
NAME: �tEGZSTR.A.TTON'� �
i
TYPE OF`�rORK: New Addi[ion A�cessory SQucture
Move � RemodeUAl�eration� Land Alterat�ou�
PROPQSED`'� (describe in detai�� �-� 6�� �u%� � � i'`�d�� �;-
r� C� _
STO�ES: � SQ.FEET OFEAC�FZOOR: �
N0. OF I3�D�ZOOI�IS: GARAGE STALLS: ATT: • DE�. ,:� .-� �_---. . .__
ESTT'tV1ATEA CO`TSTF.XI'CTYOZT YALUATID\ (ex�ludiva 1a�d�: � � ��'�� �o
Y hereby apply for a building pern►it and I acl�owled�e thac the information above is complete and
accurate; tha� rhe work will be in conformance wi�h the ordinances and codes of the City and with
the Ssaxe$uildiqg Code; rhat I uAderstand this is u,oC a permit aud work is not to stait without a
permir; and that the work wil1 be in acco dance ' e approved plari.
APPLICA.���'S SYCNATURE: � ! DA,TE: .� —CD - ��
e
NOTE! _ rade af H9mes even�s require separate permit approval by Police Depgrt�nent and
City Council 60 days prior to the event. Nun permitted events witt not be allawed.
Ju1-18-2001 11:49am From—CITY OF ORONO +9522494616 T-436 P.001/002 F-970
Total Fee: � Date Received:
Entered By: Permit�#:
CYTY OF ORONO - BUILDING PERMYT A PPLICATION
. All information must be submittect in full before plan review will be srtarted.
(please print all informarion) .
TI� API'LICANT IS: (circle one) OWNER O CONTRACTOYt �
JOB SI1'E ADD12ES5: � 7� �—�' � � ..�� � Z1rP: .�J �--`> �
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NAME OF O�'VNER: _ �cl�:�- ��'���`-e-�_ �PHO�IE: (home) �5� _ �175=/��I
(Nork)
NIAIL .TVG�A.DDRESS: ,��� /�'--�-� S�- CIZ'X: �>��y%-o ZIP: `�h 3`���
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corrrx.A.cTox: � /.� s J� f���%�` - p�or�: - C���_ ��r��
CO�A.CTPEItSOi�I: ` / -� ��.l.l��i ILE/P CER.:
m�nv��.vn�ss: � �l > . �`6 � � cz�X: t ��ti,, '�: 55�ac�
STA.TE L�CENSE: # �:5�� G�
ARCHITECTlEN�IlYEER: ✓n�Q-- PHO`'E:
MAILTiYG A�DRESS: CITY: zIP;�
N�JE; R�GISTR.A.TION'#� •
�'YPE QF ��'ORK: New Addition Accessory Snvcture
Move � Remodel/A.l�eration� Land Alteration
PROPOSED S'Y �, ' �(describe in detai�: "�c��- C��� ��%i^�s�� �/�'��� G�--
�� �'G�L �} /t-t ` -
_ ;
STOKIES: SQ.FEET OFEACHFLOOR: �
N0. OF B�DROOI�SS:� GARAGE STA.LLS: ATT: - DE�. ,�• •-�= �-•�-. . . � �
EST�ATED COi�TSTit�U'CTYON'vAY.�ATIO� (excluding land): �a / ���� ��
Y hereby apply for a buildin$permi[and I ackaowled�e that the iufozmation above is complete and
accurate; that the work will be in conformance wirh the ordinances and codes of the City and with
the State Buildi.ng Code; that T understand this is n.o[ a permit and work is not to stait without a
permit; and that Lhe work will be in accordance ' e approved plan. .
APPT.ICA.l�'I''S SYCNATURE: ���� I)A,TE: � —� -' ����
,
NO3'E! Parad���Hpmes events require separate permit approval by Police Depgrtment and
City Council 60 days prior to the event. Non permitted events will not be allowed,
Ju1-18-2001 11:49am From-CITY OF ORONO +9522494616 T-436 P.002/002 F-9T0
� Scc.13.0�t R.TC�S OF SL�JECTS OF��T.�
Subd. l. Ty}x of daw. The righcs oF iadividual oa who�rke dan it sme�or w be swced stiall be 3s sec forrh in rhi,s secdon.
5ubd.2. Inform��ton req�dred to 6e givea iodpyfd�c,1, An'�+«-idual aske:l tv supply pdvare or confidcodal dsa eoaanung himselt sbs11
be iaformed ot: (��he putFose and iaeeaded use of�e ceqursred daa w:'ain the eolleodog§ata ageocy,poiidcsi svEdivisioa,nr sracewide sysrem;
(b)whe�`�er he m�y cofuse o'r is legaUy�equired w supply d,e�squesced dsc+:(c)any Icown eoasequeece adsia,from his supplyiag er refusing m svppiy
pri+sce or canndendal dan;a.�d(d)d�e ideudry of oQtierpersaos orennoss uc�acized by s�a�e oc fodersl law w roceive cho da�.,This rcquiromeo�shai�
no�apply whan an ir.dir•'ulu�1 is asl:ed w suyply iavescigadve dan,pursv=^c m aee�oa 13.8?.svbdivisioa 5, w a law enforcemeac ofFicer. '
The comrnissioner oP revenue mav olsce the noete reauired cr.d:��F11S subdivision in�}1e individual income tax er_orooeftv ptz rofurtd
inscrueci� ons insttad of on rhose�orms. ' '
Subd.3. Acce�co dnta by indtrzdual, Upon requesc to a�:srocsihla w�..*or'tp+,an iadividual sball he infocTued w�ethec hc is�e subjcc�
of smced d��a on individu,s,and whccher i�is el�ssif'�d as pubiic,prnnc or canhdecaal. Upon his tuNte�ieques�aa iadividusl who is dse st;bject
of srorai pRva�e ar public daa on individuals shall be showa�e dara wi�ouc uiy cnsrge to him and;if ha dasirss,shaU be informed of du coatenc
ead mesning of thac dan. Afur an individua!h�baen showu[he priva�Csa and in.'a�ed of i�s meaaing,the dam,oeed uot b�disclosed oo hita for
six awn�hs thecaixc unless a dispute or uaan pursusn�w dtis seedon is�e:►ding oc addidon�l dan,on du individusl has been eallec�cd oc cteamd.
The�espensibtt au�hor�q sha!!pro�ide copics of�he priva�s nr public dara u;on r�qles:by tbe i:►dividusl subjeec oP che dau. 1he�esponsible auc4oriry
� msy require rhe roquesring person m psy�he acnta!costs of msking,a��ing,uid eompaing iho copics.
?he responsible aui!►oary ahall wmply inunedi�ccly,IT pOiSIDI-,wi�h any a:auesc inado pursvant co�is subdivision.or wichin�ivc days oF
d�c da�oF ihc rcq►�esc,eaduding Saacrd�ys,Sundqys and legal holidays,it ir..medi�c�complience is m[possible. IF hC cuwo[camply winc�he�:ques[
wi�hin that atne,he sball so inform au individual.and may have an addi�c�l Cve days+�'t�h'tA which Io cOmply with[he�eqtust,excludiug Sapudays,
Suedays and Icga!holidays.
Subd.4. Procedure whec data is aot accurste or eomplete. �iadivitual may concesc�ueurscy or eompleoeness oPpablic orpri�•a�e
daa waceming hims�if. So exereise�his righ�.�n individua!shall nocly ia wddqq�_rrspoas�'ble au�horiry dascriti�ag du nan��e ot die dis�qteemene.
' 1�e ersponsibk auchoriq shall wichia 3�days ei�hea (a)corr:c�fie dae iaand co 6e iaseeunce or incoa�pkce aad aaempc ta nodFy past cecipien�s oF
inaceucsce oc incomptece dsa,is►cludSng recipicnw named by rhe individ�l;or(b)eadfy the individual tha�he 6alieves che dsn w be eoaect Daa
in dispu�e shaJl be disclosed only if ehe individusl's Smcemen�of disa;r.��=nc is i.�el�.:ded wi�h d�c disclosed dai$.
T1ie dec�rminadon of�he�spansble aurho�ry may be appes:sd pucsuszc m �he provisions of rhe xdcunisaadve procedure ac�telaaag m
con�es:ed cnses. . . . '
DATa PRi��aCY AD�'ISORY
� In accordaace wirh M.S. 13.0�,Subd.2, "Ri�Q.hcs of su�jects oi da�a",we would like to inform you tha�ynur rzquesc
far a permit or license from �he Ciry eE Ocono or any oi ia depar.�en�s may require you to furnish certain priva�e or
conFidential informacion.
You are no�ified that:
1, The uafocma�ion you fumish will be used ta de:ermine�our quslifica�ioa for chz peruu�or license reques�ed.
2. You may refuse to supply data, bu�refusat may require tha[ the Ciry deny �he petm,ic or licetsse.
3. The informacion may be shazed wich a�her loc�l, s�a�e er federal a;encies to the exten�necessary ra process
� che permit or licease.
4, IF your requested pe�ui� or licease requires Council acrion �o approve, soaie iaformauon may become
. , public. . •
�. You ha�e ceRain ci�hts under M.S. 13.0� (a:ail�ble upou request) [o ieview�priva[e daca oa yourself.
6. Your full name is required to process chis xoplicacion ar permit. � .
1 Eicst 1�Siddle Lss�
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/
Add�css
Ciry Sau Zip Yhone ,
I uaderstand my ri;hts as scated above. '
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