HomeMy WebLinkAbout2002-P05060 - re-roof � �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Poso6o
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions
(952) 249-4600 Date Issued: a�isi2oo2
SITE ADDRESS: 3898 North Shore Dr
MOLIND,MN 55364
PI D: 08-117-23-33-0048
DESCRIPTION: UBC Occupancy �t3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterarions Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 97.25 Valuation• $ 3,300.00
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 98.90
APPLICANT: Clem Co OWNER: ROGER GRANNING&WIFE
13700 91st.Ave.N 3898 NORTH SHORE DR
Maple Grove,MN 55369 MOIJND MN 55364
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 REQUIREMENTS.
�C � _ /`� � .
�.i
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-At�nlicant 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
h Y
���.- �`� �.
Total Fee: $ � ` Date Received: ��-�d ��,?�
Entered By: �-r -"'-- Permit#: � �-` ` ��` �;�
CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRAC OR
JOB SITE ADDRESS: �� � � ���� -,,�'!-�/6,c ��i' ZIP:
NAME OF OWNER: �C�G,� �� �r'�'o(��/��; PHONE: (hom �,,�z 1 - Q( 7��
(work)
MAILING ADDRESS: � � j� ��, Sh.. � � CITY: �o � v ZIP:
CONTRACTOR: LJc�� ,�o �� ��� r� �' � l SPHONE: �G.j �/Zo - �����
CONTACT PERSON�,9 ,-N c MOBILE/PAGER:
MAILING ADDRESS: �.3 7��0 � �} /�"1��� �Jv CITY: �'1�_ (� • ZIP:��-���
STATE LICENSE: # n Z a � -7 7 �p�}
ARCHITECT/ENGINEER: PHONE:
NIAII.ING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describy�in detain: ����� a�p S'h�.v� L e S
L�.� i�� L, ,�%� GcJ
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOM5: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�dZ�
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 ac rd nce with the approved plan.
APPLICANT'S SIGNATURE: � DATE: �-- ��- � Z—
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.
i w
Sec.13.04 RIGHTS OF S[JB.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 section.
Subd.2. Information req�red to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)t6e purpose and inrended use of the requesred dara within the collecting§tate agency,political subdivision,or statewide sysum;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply
privau or confidenaal data;and(d)the idenary of other persons or entides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgadve dara,pursuanc to secdon 13.82,subdivision 5,to a law enfo�ement o�cer.
The commissioner of revenue mav nlace the noace rewired under this subdivision in the individual income tax or proaertv tax tefund
instrucdons inscead of on rhose forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infocmed whether he u the subject
of stored data on individuals,and wherher it is ctass�ed as public,private or confidenaal. Upon his fucther request,an individuat who is the subject
of stored private or pubtic data on individuals shall be shown the dara without any charge w him and;if he desires,shall be informed of the content
and meaning of rhat dara. 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 thereafur unless a dispute or acdon pursuant to[his secdon is pending or addidonal data-on the individual 6as been collected or created.
The responsibie 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 cosu of making,certifying,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,exctuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the roquest
within that tune,he shall so inform the individual,and may have an addidonal 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. At►individual may conust the accuracy or completeness of public or private
data conceming himself. To exercise[his right,an individual shall nodfy in writing the responsible authoriry describing che nature of the disagreement.
The rosponsible authoriry shall within 30 days either: (a)correct the data found to be inaccu�ate or incomplete and aaempt to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he betieves the data to be correct: Data
in dispute shall be disctosed only if the individuai's statemenc of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry 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 eztent 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.
���.�v� �/ �-i+/ �/K ���Gt�C 2 rt�1 �
'Fi�� Middle Last
. /�.� 7� ^�'i/� �t,�-e �C7
Address
�P.�P� � L� v�v tJe ,ru .c� .�s��� �63� �FZo���'�
C�n, State Zip Phone.
I understand as stated abov .
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N,�jTICE SCHEDULED �-2�— /O'3dAv4l
PERMIT NO. ✓ Q SOCP O COMPLETED �� � ~
ADDRESS ���� /��iZ�'/ ���c— �E./�2 .
OWNER CONTR. ��1 Cv�
TELEPHONE N0. �C�� �I Z O � � ��
� DESCRIPTION __ t�� ��F � �e /-C d�
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
d
�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contracto si
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME
CITY OF O NO CALLED IN
INSPECTION N ICE / SCHEDULED ��� ��=��o�Z
PERMITNO. �Cpd COMPLETED
ADDRESS � � �� �� • E���- hJ/��
OWNER CONTR. C��
TELEPHONE NO. 7�3 �� � ��� /
� DESCRIPTION �?-�
� 01 FOOTING 11 MEC NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS � 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
V
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMME .
W l .
a
�
J
O
�.
�
O
�
W
�
Q
�
2 �
W '
�
W
�
�
� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOflECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
Ownerl tractor o ite:
Inspector. � �
� White opylinspector's File Canary CopylSite Notice