HomeMy WebLinkAbout2000-P02544 - re-roof 'r
� j PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02544
Crystal Bay, Minnesota 55323 Per'mit Type: Minor Alterations
(612) 249-4600 Date Issued: 6iaioo
SITE ADDRESS: 85 Luce Line Ridge
MAPLE PLAIN,MN 55359
P I D: 31-118-23-34-0005
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 97.25
Valuation: $ 3,800.00
State Surcharge Fee: $ 1.90
TOTAL FEE: $ 99.15
APPLICANT: SELA ROOFING& REMODELING, INC OWNER: M C JOHNSON& D J JOHNSON
4100 EXCELSIOR BLVD 85 LUCE LINE RIDGE
ST. LOUIS PARK,MN 55146 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 NIINNESOTA BUILDING CODE REQUIIZEMENTS.
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L �ANT PERMI EE SI NATURE ' ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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Total Fee: $ Date Received:
Entered By: Perm.it#: �
CITY OF ORONO - BUILDING PERMIT APPLICATION � �
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All information must be submitted in full before plan review will be started. .
� . . . (please print all information) . .
TI� APPLICAI�'T IS: � � (circle one) :� OtiV1�tER OR CONTI�ACTOR � � � � � .
��,� ZIP: �
JOB SIT'E ADDRESS: �� �` C-e .G—IN�Z / �� o (
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NA1�2E OF Oti��R: �(�lit/ ���t.JS�� PHONE: (home) 5�-�7�1��Z
(work)
NIA.II..I�YG ADDF•ESS: g� �Ge L�Kf v�-r c��.e CITY: !� r � •✓� Z�: 3
. $ELA ROOFING&REMODELING,INC. � _���� ���L�
CONT'RA.CT4R. 41U0 EXCELSIOR BLVD. P$ONE:q �
CON'�'ACTPERSON: • OBILEIPAGER:(�/�-- 9/�=(23 S�'
MAII�I�'G ADDRESS: �'�,7— ,� C�TY: ZTP:
STATE LICENSE: # �
ARCHITECTlEi�'GINEER: PHOti�: �
i�xA.II�ING ADDRFSS: _ CITY: ZIP:
� �TAME: REGISTRATIO�#
TYPE OF '�VORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration_
� �jy, S�Ir.n f�Gl`n ,���/
PROPOSED tiYORK(describe in detain: �-� S � �d'`'�'
' 0/►/l/ �� $'ld�C�
2� �v�e� T �w- � � l2esti� � /vtG� � �e �c-r� Ts� ��� �,1��P�T
STORIES: SQa. + +ET OF EAC OOR: Go„�,�, o„�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � • .� s.n� �,,,,,�,�
. . • � O�c�t
EST .Jl�i IATED CONSTRUCTION VALUATIO�T(excluding lan�. $ � �
I hereby apply for a building permit a.nd I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances a.nd codes of the Ciry and with
the State Buildin� Code; that I understand thi 's not a permit and work is not to start without a
permit; and thac the work will be in acc da wi the pr ved plan.
APPLICA.i�"T'S SIGNAT'URE: - DATE: ���
NOTE! �'arade Homes events require separate permit approvai by Police Department and
� City Council 60 days prior to tke event. Non permitted events will not be allowed.
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Sae.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd. 1. Type of data. The righcs of individual on whom che dara is sroRd or ro be stor:d shall be as set fonh in this secdoa
Subd.2. Intormation required to be givea indiridual. An iadividuai uYed to supply priva�e or coafidendal daa concerning himself shalI
be iaform.ed o`: (a)tha purpost and intended use oE the cequuud dam wichin the colltcang 3ta�ageaty.poliacal subdivisian,or sa�wide rystm;
(b)whetI:e;he raay r.rust ot is,legally requir_d to supply the rquest:d data:(c)any Iatown coastqucnce arisiag frnm his supplyiag oC teCusing w svpply
pcivace or coa:;der.aal data;and(d)the ideadry of ocher�K�:s or er.dc:s aur:orized by sc�ce ar fe3e:a1 Iaw co rnceive c�e da�. This r.quiremeat sha!I
noc appty wl:en an i:.dividual is asked co supply invuagadve daca,pursuaat ro secdoa 13.82,subdivision 5.oo a law enfaccemeat ofncer.
Tta eenmissioner of revenue mav olace the no¢ce te�uir.d under this subdivision in the individual incorrte tix o�orooem t;z refund
inscrucuocu instead of on chose fomu.
Subd.3. Access to data by iadividual. Upon rquesc to a respansiLle aurhoriry,an individual shall be informed whecher he is che subject
of stor:d dan on individuals,and whe�her ic is classiFied as public,privacs or eonF.dendal. Upaa his furrher cequesc,an icdividual who is[he subjecc
of stored priva;e or public data on individuaIs shall be shovm che daa wichaut any charge to him and;if he desiru,shall be infocmed of the eoncen�
and meaning of rhat data. Ahec an individual h.�c been shown che priva�e daa and informed of iu meaaing,the dara need no�be disclosed ro him for
siu mondu ther.afte�unless a dispute oc acaon pursuanc to chis secdon is pending oc addidooa!da�on the iadividuaI has been eollecc:d or erear�d.
The respoeuible au�hariry shall provido eopies of che privam or public daca upon tequesc by the individual subjecc of che dara. 'I�a responsibla auchoriry
may require the requesdng person to pay ekie acntal cos�s oi makinz,ecrrifying,and compiling[he copies.
'Ihe responsibla auchoriry shall eamply immcdiacety, if possible,wich any request made pursuant co[his subdivision,ar within five days of
the dace of che reqaes�ezduding Sanlydays,Sundays and legal hotidays,if irnraediate compliance is notpossible. If he cannot comply wi�h the request
wichin d�ac cime,he shalt so irsform the individual,and may have an addidonal five days within which to comply wich�he raquest,excluding Satucdays,
Sundays and legal holidays. .
Subd.4. Procedure when data is not accurate or eomplete. M individual may cont�st the accuracy or completeness of pablic oc privace
dam eonceming himsetf. To execcise chis right,an individual shaIl nodfy in wridng�he resporuible auchoriry descnbing the nature of the disagreemeac
The responsibie authoriry shall wichin 30 days eick:er: (a)correc<<he daca found to be inaccurdm or incompte[e aad attemp[to nodfy past recipiencs of
inaccurace or incamptece da�a, including recipieau named by�he individuaI:or(b)nacify the individual that he believes the data to be correcc Dan
in dispu�e shall be disclosed only if the individual's statecrsenc of disagreem:nt is induded with the d'udosed data.
The decerminauon of the responsibla aurhoriry may be appealed pursuanc to the provisions oF the admicusaarive procedure acc mladng to
eonc�s:ed eases. •
DATA PRIVACY ADYISORY
Ln accordance wi[h M.S. 13.04, Subd.2, "Rights of subjeccs of data", we would like to inform you that your requesc
for a pernut or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You aze notified that:
1. The information you furnish will be used to determine your qualification for che permit or license requested.
2. You may refuse to suppty da[a, but refusal may require that the Ciry deny the permit or license.
3. The information may be shazed wich ocher local, stace or federal a�encies to the ettent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public. �
�. You have certain ri�hts under M.S. 13.04 (availabie upon request) to review private data on yourself.
6. Your full name is required to process this application or permic.
Fitsc �fiddle I.asc �
Addreu
Ciry Sace Zip Ptioae
I under � ts ed a ov . ----
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DATE TIME
CITY OF ORONO CALLED IN '�a�`0� ,_� �
INSPECTION NOTICE L.�, SCHEDULED �o d ,' 6 a
PERMIT N0.� `���/ COMPLETED �2 � '� Qd
ADDRESS � S 4� �C�"p� �-w.-2� �a�
OWNER CONTR. S e �a /ev a-�
TELEPHONE NO. �I � I l5 ����
� DESCRIPTION
lL 01 FOOTING 11 MEC NICAL 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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05 FINA 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
�O CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C]CORRECTUNSAFECONDITIONWITHIN HOl1RS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
C� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra or on site:
Inspector. /�
White Copylinspector's File Canary CopylSite Notice