HomeMy WebLinkAbout2000-P02454 - re-roof � �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2as4
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: sii2ioo
SITE ADDRESS: 445 Linden Ave
LONG LAKE, MN 55356
P I D: 06-117-23-41-0 l 08
DESCRIPTION:
Proposed Use:
Buildin Census Code 434
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per reso(ution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 99Z5
APPLICANT: TNCLINE ENTERPRISES INC OWNER: JEFFREY A&BRENDA L BOWEN
26175 BIRCH BLUFF RD 445 LINDEN AVE
SHOREWOOD, MN 55331 LONG LAKE MN 55356
TI-IE 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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APPLI ANT PERMITEE I NATURE �' LTED BY SIGNATi.JRE �
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Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII�DP�TG PERMIT APPLICATION
All information must be submitted in fuIl before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �
JOB srrE AnnxEss: �l�i.r L�r�� �'� z�• .s..��q/
NAME OF OWNER: �� �c> >,.�R r, PHO��TE: (home) �I7s"-�33
(work)
bIAILING ADDRFSS: CITY: ZIP:
corrrx�cTOR: ��r,�l.�� 1.:r-� �'�� �c. PHONE: y?/-�'d��.s�
CONTACT PERSON: ^'� � MOBILE/PA�ER: I�-9 5�7 .
Ms�iII..I�i iG ADDRESS:���S ��,rt�• dL CITY:�' �U?� ZIP: �533 ..
STATE LICENSE: # o2d��'�$3 /
ARCHITECT/ENGINEER: PA���
1��IAII.ING ADDRESS: CITY: ZTP:
NA1vIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: 6� �""� � ����
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDR001�IS: GARAGE STALLS: ATT. DET.
ESTII-i IATED CONSTRUCTION VALUATION (excluding lancn: $ ���'
I hereby apply for a building permit and I acknoa led�e that the information above is complete and
accurate; chat the work will be in conformance Rith the ordinances and codes of the Ciry 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 acco ance with the pproved plan.
APPLICANT'S SIGNATURE: DATE: ��a�
NOTE! Parade of Flomes events require separate permit approval by Poliee Department and
� City Counci160 days prior to the event. Non perncitted events will not be allowed.
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Sea13.0�i RIGIiTS OF SITB.TECTS OF D.+►Ta
Subd. 1. Type o[data. The righcs af iadividual on whom che data is stored or oo be scoced shall be as sec for[h ia this seccon.
Subd.2. Informaaoc reqirired to be yiven iadividual. An individual asked w supply private or confideada!daa concerning himself shall
be informed oF (a)the purpose and inrraded use of the csquesred dara wi�hin the collecdng 3t�re agency,palitical subdivisian,or stacewide rystem;
(b)whesher he may refuse or is legaIIy�squired co supply the requested dua:(c)any Imown coauqueace arising from his supplyiag or refusing to supplY
privace or conndendal dara;and(d)the idenury of o�e�persoas or endries au�horized by srare or federsl law to receive che dara. 'Ihis cequiremenc shall
not app[y when an individual is uf:ed to suppty iacarigadve dae,pursuane to secrion 13.83,subdivision 5,w a law enfor�eaeat officer.
The commissioner of re�enL r�av ali- the nodce raauiczd under this subdivision in the individual income tax or oropem taz tsfur.d
instsuctions instexd of on ehose farms.
Subd.3. Access to data b.iadividuai. Qpon request to a cesponsible aurhoriry,aa individual shall be informed whether he is the subjec�
of stor_d dard on individuals,and whe:6er it is c[3ssifted as public,private or confidendal. lipon his fur[her reques�an individual who is the subjecc
of storcd private or public dam on indi�iduals shall be shown che dara wichouc any charge m him and:if he desires,shall be iniormed of the coacenc
and meaning of chu daa. Aher an individual has been shown che privare dara and informed of iu meaaing,the dara need noc be disclosed oo him for
six monrhs chereaher unless a d'upute or acrion punuanc to �his sezrion is pending or addidonal dara on ehe individual has been collecud or crea[ed.
The respansible auehoriry shall provide copies of tha privace or public data upon cequesc by rhe individual subjecc of ehe dan. Tne responsible aurhoriry
may�equire the requesting person to pay the aca�al costs of making.cerdfying,and compiliag the copies.
The responsible auchociry shall comply immediatety,if possible,wieh any requesc made punvant to this subdivision,or within five days of
the date of rhe requesc,ezcluding Samrdays,Sundays and legal halidays,if immediace compliacce is noc possible. If he cannoc compty with�e«quest
wichin rhac dme,he shall w inform ehe individual,and may have an addidonal five days wirhin wtuch to comply wich[he cequest,exc(uding Saturdays.
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individua(may contest che accurdcy or compleceness of public or private•
dara conceming himsdf. To exercise�is righc,an individual shall nodfy in wridn�ct►e respaasble aurhoricy describing che nacu:e of.the disagreemenc. ..
The responsibte auehority shall within 30 days eic.`er. (a)corroct ehe dara found to be inaccurnce or incompleu and aaempt w nodfy past recipienss of
inaccurac:oc incomplete dact,inctuding recipiena named by the individual:or(b)noafy che individual thac he believes[he daca to be corcecc. Dara
ia d'upuce shall be disc:osed only if che individual's stacement of disagnemenc is included wich[he disclosed dara.
The decenninadon of the rrsponsible auchoriry may be appealed pursuant to [he provisions of the adminisuarive pro:edure act relaaag co
concesced cues.
DATA PRIVACY ADVISORY
In accordance wich M.S. 13.04,Subd.2, "Rights of subjeccs of data", we would like to inform you that your request
for a permit or license from the City of Orono or any of ics deparcments may require you to furnisfl certain private or
confidencial information.
You are notified that:
i. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, buc refusal may require that the Ciry deny the permit or license.
3. The information may be shared with other local, stace or federal agencies co the escenc necessary to process
the permit or license.
:}, If your requested permit or license requires Council action to approve, some information may become
public.
�, You have certain ri?hcs under M.S. 13.04 (available upon requesc) to review private data on yourself.
fi, Your full name is required to process this application or permic.
L, Sc�n�
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City Stace Zip Phone
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Signamre
DATE TIME
CITY OF ORONO ca��Eo iN - �/� /��
INSPECTION N TIC SCHEDULED ���+,
PERMIT NO. � �`��� COMPLETED �'���� � " � 7
ADDRESS �'`�� �
OWNER CONTR. _
TELEPHONE NO. '`'�7� �y��S
� DESCRIPTION /r.� /r �ra--�
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FR 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
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TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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� ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PEFMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfUF1N
_i CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContract on site:
Inspector.�i� ����
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED � '�� -rl _
PERMIT NO. Z� � COMPLETED ����� L!�'�S
ADDRESS y`� �Y`C►Un, ��--
OWNER CONTR. V Y�L( Ylk,
TELEPHONE NO. ���� �� � 7
� DESCRIPTION ���
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
�7 STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-460�
OwnerlContr ctor on site:
Inspector. /►' I �f' /�✓�,
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White Copyllnspector's File Canary CopylSite Notice