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HomeMy WebLinkAbout2001-P04070 - re-roof PERMIT C 1 T�,',,O F ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04070 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/12/2001 SITE ADDRESS: 685 Old Crystal Bay Rd N LONG LAKE, MN 55356 PID: 33-118-23-21-0002 DESCRIPTION: UBC Occupancy R3 Proposed Use: Commerciai Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 888.75 Valuation: $ 84,691.00 State Surcharge Fee: $ 42.35 TOTAL FEE: S 931.10 APPLICANT: Omni Roofs Inc. OWNER: ORONO PUBLIC SCHOOLS 568 Kent Court 765 OLD CRYSTAL BAY RD N Shoreview, MN 55126 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE T14E 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. 'fflPPL N t PER TEE IGNATURE ISSptDBY SIGNATURE el- Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Pagel ota1"I'ee.• $ ''11 - / Date Received: 7 D 1� T. � I Entered By: Permit#: 14 0 V'5,76, CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNERCONTRACTOP JOB SITE ADDRESS: l �� F,._ ZIP: 5_3;:KS r 00?,4 NAME OF OWNER: �S&,00 S�So� rZ� _ PHONE: (home) (work) NIAILING ADDRESS: ZIP: K:F3 °-con CONTRACTOR: ' r`�a,,- ���tIr 1�f�-c PHONE: — CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: ARCHITECT/ENGINEER: A,c V-07s _L. z PHONE: , oZD MAILL TG ADDRESS: CX, CITY:-/5;-^— ZIP: NAME: REGISTRATION TYPE OF WORK: New Addition / Accessory Structure. Move Remodel/Alteration // Land Alteration PROPOSED WORK(describe in detail): s 2ti / � ,u eE �-sr•� / z Cr STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT: o-c�J 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 SIGNA DATE: NOTE! Parade of Homes a ents 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 SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the dam 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 supply private or confidential data concerning himself shall be informed of. (a)the purpose and intended use of the requested data within the nolle g grate agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested dam:(c)any I�ow consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identityof other persons otenddes authorized by rate or federal law to receive the data..This requirement shall not apply when an individual is asked to supply investigative dam,purse=:t to section 1 .82,subdivision 5,to a law enforcement officer. The commissioner of revenue may i3lace the notice rewired under this su ivision in the individual income tax or prooertv rax 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 subject of stored data on individuals,and whether it is classified as public,private or confidenaL Upon his further request,an individual who is the subject of stored private or public dam on individuals shall be shown the dam whhout any e' a to him and;if he desires,shall be informed of the content and meaning of that dam. After an individual has been shown the private dam and info ed 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 a ditional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public data uron request y the individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of making,cerying,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 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. I Subd.4. Procedure when data Is not accurate or complete. An individual may contest the accuracy or completeness of public or private dam concerning Himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the dam found to be ccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, individual;or including recipients named by the individuor(b)ao if}m+the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagree--ent is inchtied with the disclosed dam. The determination of the responsible authority may be appealed pursuant tb the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADS SORY In accordance with M.S. 13.04,Subd.2, "Rights of subjects of ata",we would like to inform you that your request for a permit or license from the City of Orono or any of is depar ents may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine -our 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 br federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Counc' 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 applicatio or permit. First Middle Int Address City State Zip Phone I I understand m rights as stated abov . Signa DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED t,40 PERMIT NO. F"4310 COMPLETED ADDRESS CS \ OWNER CONTR. 6h^na TELEPHONE NO. DESCRIPTIONQ W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKES HORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 J 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 J Q OWNERICONTRACTOR TO MEET YOU: YES NO Z COMMENTS: W Q. cc J O cc O W cc Q 1.2 Z W z W cc WOd XLI1fORKSATISFACTORY:PROCEED ROJECT COMPLETE W ❑ CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN C;STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contractor on site: Inspector/4 aq-t43 White Copy/inspector's File Canary Copy/Site Notice