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Home My WebLink About2007-P11440 - re-roof PERMIT CITY OF ORONO permit Number: 2��0 Keliey Parkway- PO Box 66 P11440 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions (952)249-4600 Date Issued: 9/12/2007 SITE ADDRESS: 2425 Maple La Unit# Long Lake,MN 55356 P�D: 33-118-23-44-0021 DESCRIPTION: .___..,._____�_ Proposed Use: Residential Census Code O/S-Building __� Permit Class: Building �...___..__.___�_.._.__.�- Permit Type: Minor Alterations Pemut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 41.80 Valuation: $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 42.35 APPLICANT: OWNER: David Rothstein&Megan Shinkle 2425 Maple La 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. APPLICANT PERMITEE SIGNATURE ISSLJED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � . PERMIT CITY OF ORONO Permit Number: 27.50 Kelley Parkway - PO Box 66 P11440 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/12/2007 SITE ADDRESS: 2425 Maple La unit# Long Lake,MN 55356 P�� 33-118-23-44-0021 DESCRIPTION: Proposed Use: Residential Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernlit Fee: $ 41.80 Valuation: $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 42.35 APPLICANT: OWNER: David Rothstein&Megan Shinkle 2425 Maple La 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. .-- � � ' J .. � , ��--� , ;:.-� - . ` .--r-^` �, � . - ;, �I(1� ��-��. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 ,, , . Total Fee: $ ��,�� Date Received: � �� Z�L� Entered By: (',�'�'I Permit#• .�1� ��-Q CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print a[l information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: �� /J'l�1P�� -��"�— ZIP: S 5 3 ..�� Will this be P�rade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suffccient on-site parking is available. Non permitted events will not be allowed NAME OF OWNER (J�V�� o��tfs�� `' PHONE: (home) F�i�— ?9'y'-3=Y'�'�/ (work) �!->--77�--��Z z�' MAILING ADDRESS: �`f�� ✓�Yl�'�� /� CITY: ��-�%� ZIP: s s 3�� - CONTRACTOR: �� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �- Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detain:j��;� �G� G,��y� n,.�' �, ,.,�s� �� t G�^ ,�vt-v S�-�> i�s STORIES: �- SQ.FEET OF EACH FLOOR: %1�� NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED_(� DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 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 permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATU . �- DATE: 9' /�—G�" 31 r , � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed oL (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivisioq or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of oCher persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�lace the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subjec[of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,ifhe desires,shall be informed ofthe content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon reques[by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal I 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 compl iance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional 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 accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the datato be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating 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 determine 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 permit 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. 6. Your ful(name is required to process this application or permit. n�v� r� T�i,�� {�v r'f��i�-i J First Middle Last �.`.(�. �� yl2 I`�f�� L..��- Address vt��%�� n�.�1 ��S�C rv�� y°r-�Y�y. City State Zip Phone I understand my rights as stated above. __.��- " ` Signatu e Reset Form 32 � � L yM DA T E � ITY OF ORONO �� I INSPECTION NOT CE SCHEDULED q ,�-� � PERMIT NO. COMPLETED � � ADDRESS Z � I.�Y�-� OWNER CONTR. �V�� -�'1 TELEPHONE NO. � Z- - " 0`fy`�" � DESCRIPTION I �LII' - � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j o cZC� a � 0 � W � Q � z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next"nspection 24 hours in advance. �95Z� Z49-46�� OwnerlContra it • _ � Inspector. White Copyllnspector's File Canary CopylSite Notice �`� "`-� AT TIME � CITY OF ORONO cALLED IN �� 7 INSPECTION NO ��F�' /D SCHEDULED D' -D PERMIT NO. �" COMPLETED ADDRESS o��J� /I�1�-�2. �/ OWNER�/P_ ��d� CONTR. TELEPHONE NO. �O/a 79�} -��g � � DESCRIPTION ��'`'�-'�� ❑ FOOTING p MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE p TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q p FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a o ��X ��n/n 4 �?C ( _J{�tS2 �-(�•�2�( � � /'P �C�� S (�us l�Q c� v� � ��v ��I� /'-� �t-�eS� Q %.r r� R � c-� S � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours irt advance. (952) 249-46�� OwnertContractor on site: Inspector. �/ / � S White Copyllnspector's File Canary Copy/Site Notice