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Home My WebLink About1994-006278 - tear-off/re-roof PERMIT CITY-OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815Etl. I Ln I Nr-i i Orono. Minnesota 55356-0815 Permit Number: .'7 - Date Issued: '� (612) 473-7357 07/27/q.4 � SITE ADDRESS: 770 OLD CRYSTAL BAY RD N ISV P. I . N. ; 28-11 ; =-43-00 DESCRIPTION: TEAR-OFFIRF-ROOF iOF Building Permit Type INET-ADD/REMODEL Building Work Type RE-ROOF CI TY OF ORONO L•jA./4•i! L OFFICE 1 17MITl 4L 13131 00001 4 01 61.---iii 330•V0 1222200000 4 V1 5.71.1T 1b.JV 1313100000 r" V1 151..!T l 7 ,ENJsJV ' is•VV+H CHECK Ti.. 6 78.5 Ct •I-f Fii` REMARKS: 4309980 f iLLLi11 7 (r��(tTHANA YOU Fol3O99 V 4001 R01 T12:15 J•Z l• f1i �� V t //I4 FEE SUMMARY: VALUATION $37„000 base Fee. $:::::::0. 00 Surcharge $18 . S0 Investigation ____*: ::::...-)..,00 Total Fee $678 . 50 CONTRACTOR: - Applicant - OWNER: OMNI ROOFS, INC . 148431 0 ORONO SCHOOL DISTRICT #278 SF.8F:E\J_ . I r:1 770 OLD CRYSTAL BAY ' 3 N S OREVIEW MN S5126 ORIJNO tiN S5.:CE (i-7,12;} 4.:::4.--31:::0 V . a 4xr R ":°,.' � � �8"r` a ;: w 7.:„,,,;,'!„. •: :t y 3 , ' r, `-' THE �Rsz�D 1 ESY 'REQUESTS PERMISSION TO , 'I% THE REALIMPROVEMENTS SPECIFIED D ACRES DO.ALL ' RK I STRICT ' •I ' XANGE WITH ALL CITY OF' ' . ROWY, CES ST "E OF I :..S I LCOIWiC' E REQ#U I REMENTS., APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE r lb. , CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ Date Received: Date Approved: Entered By: Permit#: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: (c,/2._c-,1_ c v�� « ( ��T� ZIP: (work) NAME OF OWNER: L/2 � � � �`7-/ ' ,29ef,29PHONE: (home) MAILING ADDRESS: l 1() // ' L4 . ITY: / ✓` 4W6: /// ZIP: 1- -35T,W CONTRACTOR: Q� 711i � f� AC PHONE: 9-pc/`i/(jo MAILING ADDRESS: CITY: of C rr/i 4'ry ZIP: S �/s� 6 STATE LICENSE: # AIA /---/-17--c-11 Acts-- j"-c ARCHITECT/ENGINEER: /�o-ev1.7 4- 4:ro C PHONE: %�% c,7>'2!c MAILING ADDRESS: ,5 j J / %7t1,lJv f� CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : /'C'✓ O r c /24"W000 / �c,1 O STORIES: / SQ. FEET OF EACH FLOOR: /X,711'1:2_ /5 .4; /1n eel ,2 2/O NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. cw 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 SIGNATURE: DATE: /.47/!'6 • A CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONO On the North Shore of Lake Minnetonka 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 to review private data on yourself. 6. Your full name is required to process this application or permit. sji--/e/4/' Ar//'( 7.-EVE.0.-e J..0,-, First Middle Last Address oncvs City State Zip /%/ c/Jv Phone I understand my rights as stated above. 'Ai i 72 Si ure BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS—473-7359 ASSESSING . x.04 RIGHTS OF SUBJECTS OF DATA Subdivision L Type of data.. The rights of individuals on whom the data 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 to • supply private or confidential data concerning himself shall the be informed state agency, PPY purpose and intended use of the requested data may refuse or is legally political subdivision, or statewide system;c) (b) whether �oWnr�o�euence arising from his required to supply the requested data; supplying or refusing to supply private or confidential data; and (d) the identity of PP state or federal law to receive the data. This. other persons or entities authorized by 1 investigative data, requirement shall not apply when an indtvialawalaw enforcementis asked to uofficer. pursuant to section 13.82, subdivision 5, o The commissioner of revenue ma .lace the reotice re.uired und lnstructions�nsteadder hos subdivision in the individual income tax or .ro.ert on those orms. -— Subd. 3. Access to data by individual- Upon request to a responsible authority, an individual shall be informedh ubLc, privatethe or confident al.stored Upon his individuals, and whether it is classified P al. data on further request, an individual who is the subject of storede him and, ifo he desires, shall individuals shall be shown the data withoutof that data. After an individual has been Se informed of the content and meaningthe data need disclosed to shown the private data and informed of its meaning, neednot beeis section iso him for six months thereafter unless a dispute or action pursuant pending or additional data on the individual haseenr public collected orupreare created. bye require the responsible authority shall provide copies oft p the individual subject ofthe actual•costs The of making,l certifyinge , and and may the requesting person to pay copies. if possible, with any request The responsible authority shall comply immediately, made pursuant to this subdivision, or within five days of the date of the request, excluding Saturdays, Sundays and legal holidays,within that immediate shall cso ompliance inform the possible. If he cannot comply with the requestwithin which to comply with the individual, and may have an additional five v dho days. request, excluding Saturdays, Sundays legal s. Subd. 4. Procedure when data is not accurate or complete. An individual may public or private data concerning himself. To contest the accuracy or completeness of the concerning authorityT exercise this right, an individual shall notify in wrt ghe re poy shall within describing the nature of the disagreement. The responsible 30 days either: (a) correct the data found to be inaccurate incngpeec piaentsnd named by to by notify past recipients of inaccurate or incomplete datathe individual; or (b) notify the individual that he believes the data to be correct. t. Data in dispute shall be disclosed only if the individuals statement of disagreement is • included with the disclosed data• be appealed pursuant to the The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FOR ISSUANCE OF PERMITS �_• FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: DESCRIPTION OF WORK: ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake) : Right Side: Rear (Street) : Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File:# Resolution #: Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site . Plumbing Grading/Filling Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) :