HomeMy WebLinkAbout2001-P04086 - re-roof PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po4os6
Crystal Bay, Minnesota 55323 Per'mit Type: Minor Alterations
(952) 249-4600 Date Issued: ��16i2oo�
SITE ADDRESS: 1465 Long Lake Blvd
LONG LAKE, MN 55356
PID: 35-118-23-22-0005
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai i��� � �
Census Code 4�4� �`j � .�
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: Permit Fee: $ 9�.25 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 99.25
APPLICANT: Metro Handyman Inc. �WNER: DONALD W LUND ETAL
1935 W Wayzata Blvd 1465 LONG LAKE BLVD
Long Lake, MN 55356 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.
x�.� di�- ��-�
LICANT PE GNA E ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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Total Fee: �a Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII�DING PERMIT APPLICATION
All in£ormation must be submitted in full before plan review will be started.
� (please print all information
THE A.PPLICANT IS: (circle one) OWNE R CONTRACT
JOB SITE ADDRESS: / ��'� C�'�'�j ��� /j��� ZIP: �
NA,NIE OF OWNER: ��j':ti ��n-� PHO�tE: (home) �l� ���
(work)
1�IAII��G A.DDRESS: �C��� Lc�' �X� �"����CITY: G�'i,��� ZIP: >��
CONTRACTOR: ' ��'� l l,.-��`c PHONE:
CON'TACT PERSON: �/� ZIOBILE�PAGER:
MAILING ADDRFSS: l y'3S" .� � CITY: C�1� c..�ZIP: S�"3��
STATE LICENSE: # Z�G������
ARCHITECT/E�'GINEER: PHO\rE:
NIA IL�TG ADDRESS: CITY: ZIP:
�T��; REGISTR.ATION� �
TYPE OF tiVORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK:(describe in detain: 0��<�� _
STORIES: _ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOI�ZS: GARA.GE STALLS: ATT�. � DET. � - = . � .,
ESTII�i IATED C4`'3TRUCTION VALUATIO\ (excluding land): S �GC�
I hereby apply for a t�uildi.n�permit and I acknowled�e that the information above is complete and
accurate; that the «�o�-k will be in conformance wich the ordinances and codes of the Ciry and with
the State BuildinJ C<�de; 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.
APPLTC�ti�T''S SIGNATURE: DATE: ����'��
1�'OTE! Parade o Homes events require parate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0-i RIGHTS OF SL'BJECTS OF DaT�
Subd. 1. Type of data. Zhe ri¢hc�of individual on whom tie data is s�:_3 or to be scored shall be�s se�forth in c:is secdoo.
Subd.2. Information reqirired to be given individual. An ir.c'i�-idual asY�to supply privat�or confide��al dara co�cerning himseif sball
be informed of: (a) [he purose aad inccnded use of�he requestcd dara wi�in[he eolI�cring'state a;ency,poliacal s.s�division,or statewide rysum;
(b)whechcr he may rfuse oT is legalIy requir.d co supply ehe r.quested dza;(c)any Ico•xa eoasequence arising froa h:s supptyiag or refusing to supply
pmam or conndendaI da�.;ar.d(d)the idendry of ocher persoas orendees zechoriz-d by sra�e or federal law ro r_ceive[�o data..'Ihis requuemeac s6ail
r.o[apply whan an ir.dividual is asked to supply invesdeadve daa,purs�.:to seccoa 13.82, subdivision 5, to a law e:iforemeac o�cer.
'Ihe commissioner of rvenue mav olace the norce r-ouired �^�-r this subdivision in the individual i^.come tax or orovem �x rcfur.d
inscruc�ions inscead of on ct:ose forms.
Subd. 3. ?,ccess to data by indi�-idual. Upon requa�to a r_s:orsibit ae�.oriry,an iadividual shall be i�oraed whe;!:er he is th�s�bjecc
of scor-d data on individu:ls, and wheche�ic is classified as public,priva�or confidor.aal. Upon his furcher reques:, aa individnal who is the scbjeu
of srored priva�e or public dara on individuals shall be shown�he da�a wi�ou�any c:.arge to him and,'if he desires,shall be i:.:o�ed of che concen�
ar.d meaning of�ha�daca. Af:=r an individua!has been shown�he priva��=�and iL:oc�ied of ics m:aniag,che dzc�ceed not be disclosed to tiim for
sis mor.;hs Q:a:ea[cer uriless a dispu[e or acdon purauanc to chis secdon is�er.ding o;addidoaal da�a on the individ�,:�'6as been collece..d or crea�d.
The responsible aud:oriry shal!provide copies of the privace or public da�Lcon req�!es:by che individual subjec�of t.e daca. Tr.e responsible au;horiry
may requir_ che requesring person to pay the accual cos�s of making,cer;:ing, ar:d eompiling the copies.
The responsibl�au4'�oriry shall comply immedia[aly,if possiole.wich any r_quesc mada pursuant to this s�`_division, or wichin five days oi
th�daco of che request,ezcluding Sacurdays,Sundays and Iegal holidays,i;ir..mediz�e compliance is not possible. Ii�=cannot comply with the r_qu:st
wichin that C:ae,he shall so inform che individual,and may have an adCi�er31 five da:s wi�hin which to compiy wicy�,i:request,ezcluding Saturdays,
Sur.days and legal holidays.
Subd.4. Procedure when data is not accurate or complete. �n individu:l may contest che accuracy or cemplerer.zss of public or pri�•a�e
daa conceming himself. To execcise chis righc,an individual shaft no6Fj ia wrian;ce rsponsible authoriry describi:g 4`�e na:ure of the disagr_emen�.
The responsibla au�hor.cy s;��l(within 30 days eirher. (a)corrct the dae icand to ba inaccurate or incomplete and a�ampe to nod,'y past rcipiencs oE
inaccu�re or incomplece dzW, including recipiencs named by�he indivi�.:ai;or(b) �odFj the individual thac he belia•:es the daca to be coaec� Dara
in dispum shsll be disctosed only if che individual's starement of disagree�ent is inc:_ded with�he disclosed da�.
Ttie dzcerminarion of che rosponsible authoriry may bz appea:a�pursu:.z;.o the provisior.s of the ad�.:.�•s�dve pro:edure acc rladn; to
contes�ed eases.
DAT� PRIV�CY AD�ZSORY
In accordance wi�h M.S. 13.04, Subd.2, "RiQhts of sub;ects o�daca", we would like ro in:orm you tnac your reeuesc
foc a permic or license from the Ciry of Orono or any or i� d�pu..L.ents may require you to fi:rnisl� certain privace or
confiden[ial informacion.
You are notified that:
1. "I11e informacion you furnish will be used to de;ermine ��our qualif cation for th�oecmi[or license requested.
2. You may refuse to supply data, bu� refusai aay require that the Ciry deny tee perm.it or license.
3, 'Ihe informatioa may be shared wi�h o�her loc�, state or federal a�encies to th� excent necessary to process
the pecmit or license.
4. If your requested permit or license requires Council action to approve, so�� information may become
. public.
j. You ha�•e cenain ri�hts under N1.S. 13.0� (z•:zilable upon request) to review p-ivate daca on yourself.
6, Your full name is required to process this applicacion or perm.i�.
Firsc �fiddla Lasc
a.ddress .
Ci.y S;a[e Zip Phona
I understand my '�hts as stated above.
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S ig na�u re
DATE TIME
CITY OF ORONO ALLED IN
INSPECTION NO I �j SCHEDULED
PERMIT NO. � O�r COMPLETED 1'�6`�� ! U
ADDRESS ��b'� ��� l�tc�' ��-v�
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION 1�—�-0 � �
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor o s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
V DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E/' SCHEDULED ��-x'l/ �
PERMIT NO. v 0� COMPLETED 'd � - ��
ADDRESS /���� �ar°�.4 L�� �_ ����
OWNER CONTR. ��'����-�`i"�=^-
TELEPHONE NO. �� g,S�'- t/U�/ �Cl�(�
/
� DESCRIPTION C�C�� c� /�-�C.�' 8 C �/A '
� 01 FOOTING 11 MEC ANICAL RI 18 EX ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 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
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr ctor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice