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
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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
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STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT:
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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
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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
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Q OWNERICONTRACTOR TO MEET YOU: YES NO
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COMMENTS:
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1.2
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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