HomeMy WebLinkAbout2002-P05574 - re-roof PERMIT
C`IT`i'"- OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Poss�4
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 9iai2oo2
SITE ADDRESS: 80 Luce Line Ridge
Maple Plain,MN 55359
PID: 31-118-23-34-0010
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 532.65 Valuation: $ 38,521.00
State Surcharge Fee: $ 19.80
TOTAL FEE: $ 552.45
APPLICANT: Metro Builiding&Ptg Co, Inc. QWNER: Kevin&Gayle Talbot
4738 42nd Ave N 80 Luce Line Ridge
Minneapolis,MN 55422 Maple Plain,MN 55359
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 PERM[TEE SIGNATURE ISS DBYSIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
' � Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII,DING PERMIT APPLICATIOIeT
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: �� �„�+�.CE W�� ����� ZIP: �3�
NAME OF OWNER:_�L-,1�,.1 `� �n yL+� '��6c�-�- PHONE: ome) �- ��1-�gba1-
(work) P
MAILING ADDRESS: go I.vc�'- �-�� Q��C�G- CITY: ��O�.tv ZIP:��
CONTRACTOR:�-4Ro �-QG� I�� �C, PHONE:�b3� 3 ���-
CONTACT PERSON: 2� �J MOBILE/PAGER: b ia- 'D�31
MAILING ADDRESS: N Il - ,� CITY: �PLS_ ZIP: 2
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: �fl l R — �����r 1��-i�l'aD
�.E�2 ��1� L G.� - -� L
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3� ��-�
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that 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
pemut; and that the work will be in accordance wi e approved plan.
APPLICANT'S SIGNATURE: DATE: �''� "�
NOTE! Parade qf Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGH'fS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or co be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. M individual asked to supply privace or confidenrial dara concerning himself shall
be informed of: (a)the purpose and intended use of the requesied data wirhin the collecting"state agency,polidcal subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
private or co�denaai data;and(d)the idendry of o[her persons or enrides authorized by state or federal(aw to r�ceive the data. This requirement shall
not apply when an individual is asked to supply investigadve dara, pursuant to section 13.82, subdivision 5, to a law enforcemen[o�cer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or proper[y tax refund
instructions insread of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, priva[e or confidennal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown che data wichout any charge to him and,if he desires, shall be informed of the content
and meaning of chat data. Afrer an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to hicn for
six months thereafter unless a dispute or acaon pursuant to this secaon is pending or addidooal data on the individual has been collected or created.
The responsible authority shail provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or compteteness of public or private
data concerning himself. To exercise[his right,an individual shall norify in writing the responsible authoriry describing[he narure of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccunte or incomp(ete and attempt to�odfy past recipienu of
inaccunte or incompiete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispu[e shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinarion of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act relacing to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data , we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to deternune your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3, The information may be shared with other local, state or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your � ame is required to process this application or permit.
;
First Middle
, ��V
Address
City State Zip Phone
I understand my r' ts t ed ove.
Signature
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� DATE TIME
CITY OF ORONO CALIED IN �D � ���'Z
INSPECTION N TICE SCHEDULED I_b� 1Z �
PERMIT NO. 0:55 7 COMPLETED
ADDRESS �� O� i.,�,�� ���� ���ie�
OWNER ����� CONTR. ►��-�
TELEPHONE NO. f Z `� �2' 3 � �j� 9
� DESCRIPTION C�Q� r
� Ot 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 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q F L 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 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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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContra �e:
Inspector. ���-- l.
White Copyllnspector's Fi Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO OTI(zE__ SCHEDULED d-�L:� �- � �
PERMIT N0. G' �S 7 COMPLETED
ADDRESS � C� ' ^� . �L
OWNER CONTR. � ;I��C�.�li��
TELEPHONE N0. C�= �� ��_� S��y
� DESCRIPTION _���=- «'-� �'t �� ��
� 01 FOOTING 11 MECHANICAL RI 18 X /GRADING/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 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the nl xt inspection 24 hours in advance. (952) 249-4600
OwnerlContra�tqr ite:
��Inspector.
White Copyllnspector' File Canary Copy/Site Notice
DATE TIME
CIN OF ORONO CALLED IN
INSPECTION N I ES�,��/ SCHEDULED ��
PERMIT NO. •-� �� COMPLETED _�
ADDRESS D ` � i
OWNER CONTR. � '
TELEPHONE N0. � � � �---� "" � �
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� DESCRIPTION UC/ �' "�
� 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
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (g52) 249-4600
OwnerlContract i e:
Inspector. \
White Copyllnspector's Fi Canary Copy/Site Notice