HomeMy WebLinkAbout2002-P05751 - re-roof � ��
CI�Y OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Pos�si
Crystal,Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: io�23�2002
SITE ADDRESS: 1709 North Fann Rd
Long Lake,MN 55356
PI D: 27-118-23-44-0006
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 401.35 Valuation• $ 26,000.00
State Surcharge Fee: $ 13.50
TOTAL FEE: $ 414.85
APPLICANT: Western Cedar Supply OWNER' M�•&Mrs.Randy Rosengren
9700 13th Ave � 1709 North Farm Rd
Plymouth,MN 55441 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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �
Conies: 1-File(SiQnixures Required), 1-At�nlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ �1(�(, g� Date Received: �v a 3-��- .
Entered By: � Permit#: P O 5 75 j
CITY OF ORONO - BUII.DING PERMIT APPLICATIOleT
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 O ONTRACTO
JOB SITE ADDRESS: � �� N' �F�"� � ZIP: S.S��O
1QP��j��
NAME OF OWNER: o PHONE: (home) �—
(work)
MAILING ADDRESS: �/���" CITY: �t,,-�►�� ZIPtsS 3�'
CONTRACTOR: l.c�S�,^•1 �2�'�i PHONE: �-� 3 'Sr//-o3c3 y :
CONTACT PERSON: M�vC MOBILE/PAGER: rc��-18�"�{o?SS
MAILING ADDRESS: ��� /3 � CITY: P�yw�c�, ZIP:�SSYf//
STATE LICENSE: # �D/.SSS�
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: �' � '�G1'��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ('�6�1
I hereby apply for a building permit and I aclrnowledge 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 SIGNA DATE: l�' ���
NOTE! Parade of H^ omes events require separate permit approvaZ by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
. , �
Sec.13.04 RIGHTS OF SIJB.TECTS 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 secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential dara concerning himself shall
be informed of: (a)the purpose and inrended use of the requested data within the collecting State agency,political subdivision,or statewide system;
(b)whether he may refuu oY is legally required to supply the requested data;(c)any]mown consequence arising from his supplying or refusing to supply
privau or confidendal data;and(d)the identiry of other persons or enddes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigative dara,punuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of re�enue mav alace the nodce rewired under this subdivision in the individual income taz or propertv taz refund
instcuctions instead of on those forms.
Subd.3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whe[her it is classified as public,private or confidenaal. Upon lus fucther requcst,aa individual who is the subject
of stored private or public data on individuals shall be shown the data wi[hout any charge W him and;if he desires,shall be informed of the content
and meaning of that dara. After an individual has been shown che private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant w this secdon is pending or addidonal 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 actual costs of making,certifying,and compiling the copies.
The cesponsible 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 Satu�days,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
wirhin that tune,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 mdividual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this righc,an individual shall noafy in wricing the responsible authority describing rhe nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct rhe data found to be inaccurate or incomplete and attempt to nodfy past recipienu of
inaccurate or incompiete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data
in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinarion of the responsible au[horiry may be appealed pursuan[to the provisions of the administrarive procedure act relating to
wntested 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 full name is required to process this application or permit.
First Middle �t
Address �
City State Zip Phone
I understand my rights above.
SignaNro
DATE TI
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED fc��3-o� �
PERMIT NO. ' COMPLETED
ADDRESS / �70CI �lJ�7�/�,u �� .
OWNER CONTR. ��ES� ��w
TELEPHONENO. � � � 'v��� - �a55 ,
� DESCRIPTION ti'�' T� �f�.
� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z U4 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR
0 CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaU for the nqxt inspection 2a hours in advance. (952) 249-4600
Owner/Contr site:
inspector.
WhNe Copyllnspector's File Canary CopylSfte Notics
DATE E
CITY OF ORONO CALLEO IN
INSPECTION NOTIC SCHEDULED ✓�
PERMIT N0. l��J��Sr COMPLETED �
ADDRESS � ��1 � � �l�,tz1'!YI ��
OWNER CONTR.�'A,p�l�IIYI �9�1)�-
TELEPHONE NO. ` t.�l L� 7��% � `���( - U�C�i�l ��
., �
� DESCRIPTION �" '� `
� 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
��05 FINAL` 14 SEWER HOOK-UP 06 PROGRESS
�"�'�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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEFiTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContra 'te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice