HomeMy WebLinkAbout2003-P06588 - re-roof <
' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po6ssa
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterarions
(952) 249-4600 Date Issued: �i2si2oo3
SITE ADDRESS: 1669 North Farm Rd
Long Lake,MN 55356
PID: 27-118-23-44-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 265.25 Valuation• $ 16,000.00
State Surcharge Fee: $ 8.50
TOTAL FEE: $ 273.75
APPLICANT: Hamann Construcrion Inc. OWNER: Joseph Offerman
304 S.Main St. 1669 North Farm Rd
St.Michael,MN 55376 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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�`- ����
AP I T PERMITEE SIGNATURE ISSUED BY SIGNATLJRE
Copies: 1-File(Si¢nitures Required). 1-Anplicant,1-Monthlv Renorts, 1-Assessins, 1-Finance Page 1
. Total Fee: $ Date Received:
� Entered By: Pernut#:
CITY OF ORONO - BiTII..DING PERNIIT APPLICATIOl�
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: lG (, �j d�'c;,�f� �,a y-.� �� ZIP:
NAME OF OWNER:_ -.� �� � C'�`� r ��v�' PHONE: (home) �:5�,� '� 7`� - 2.3 y.5-
(work)
MAILING ADDRESS: �� �� �/t,'��!rlj ��9iP nn��ITY: dle�rv J ZIP:
CONTRACTOR: �,�4 v✓1/4v� v�. Gd►ti4� ��C. PHONE: ��3- %y'�' ��
C0�1'TACT PER50N: ��c,h„Q,,,�, �../�,�n,� �.,,�, MOBILE/PAGER:
� CITY• �cGvSz-e / ZIP: S- � 7�
MAILING ADDRESS: '3 i�� S. /YI A�r� 5 • ,��_ . �—
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAII�II�TG ADDRESS: CITY: Z�:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: "y'�-{� �' � �0�7�
� � �.��,Q�� �P,�1�� S fr�-K�. �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMA.TED CONSTRUCTION VALUATION (exclud.ing land): $ J�'�
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
pernut; and that the work will be in ac rdance w' the approved plan.
APPLICANT'S SIGNATURE: DAT`E: ' `�_
NOTE! Parade of 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 RIGHTS OF S[JBJECTS OF DATA
Subd. 1. Type of data. The righcc of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be givm individual. An individuai asked to suppiy private or confidential data coacerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting 3�tate agency,poliacal subdivision,or statewide system;
(b)whether he may refuse oY is legaily required to supply the requested data;(c)any lmown consequence arising from his supplying or refusiag W supply
private or confidendal data;and(d)the ideatity of other persons or enrides authorized by state or fedecal law ta roceive the data. This requirement shall
not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of revenue mav place the notice tewired under this subdivision in the individual income tax or provertv taz refund
instcucdons 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 subject
of swred data on individuals,and whether it is classified as public,privace 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 wirhout any charge W him and;if he desires,shall be informed of the 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
siz months thereafur unless a dispute or acdon pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the acmal cosu of making,cerdfying,and compiling the copies.
The responsible authority 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 nquest
within d►at time,he shall so infocm the individuat,and may have an addidonal five days within which to compiy with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may conust the accuracy or compieteness of public or private
data conceming himself. To exercise this right,an individual shall notify ia wriring the responsible authoriry describing che nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be iaaccurate or incompiete and attempt w noafy past recipienu of
inaccucate or incomplete dara, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsibie authoriry may be appealed pursuant to the provisions of the administraave 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 Ciry 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 shazed 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 full name is required to process this application or permit.
First Middle �s�
Address
Cin, State Zip Phone
I underst d y rights st ed above.
Signa re
v
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TI SCHEDULED � � -�--
PERMIT N0. COMPLEfED
ADDRESS_ 1�O g (��TT;�rQ-�
OWNER CONTR. G'�►nC�n vl Cd v�r�'.
TELEPHONE NO._C D I o2 �97 �S��
� DESCRIPTION �.LGc./' O� �{�
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �
Q03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS F�NAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
O STOP ORDER POSTED.CALI INSPECTOR
0 CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
OwnedConUact it :
Inspector. -
White CopyMspector's Fi e Canary CopylSNe Notiee