HomeMy WebLinkAbout1996-007715 - roof repair PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 WILQING
Permit Number: 00 / LI
Crystal Bay, Minnesota 55323
Date Issued:
(612)473-7357 02/13/96
SITE ADDRESS:
405 OLD CRYSTAL BAY RD S
CH
P. I .N. 04-117 -24-0004
DESCRIPTION:
ROOF REPAIR
Building Permit Type SF-ADD/REMODEL
Building Work Type REPLACE EXISTING
UBC Occupancy R-3
Construction Type VN
Census Code 434 ALT . RESIDENTIAL
1
REMARKS:
FEE SUMMARY:
VALUATION $3, 800
Base Fee $87 . 25
Plan Review $56 . 71
Surcharge
Total Fee $145. 86
CONTRACTOR:
- Applicant - ST. LIC . OWNER:
DESLAUR I ERS 6 SONS INC 1478681:3 1701 DALEN MARY
332 C:OMMAN :HE TR 405 OLD CRYSTAL BAY RD S
HAMEL I MN 55:340 ORONO MN 55:355
(.612) 478-6813 I 473-8497
TJ 'Nrs.
THE UNDERSIGND HEREBY UESTS,r,--'PERMISSIONMAKE THE REAL
SPECIFIED, AND', AGREES TO - ALL ,WORK IN STRICT COMPLIANCE. WITH ALL CITY ciF,,
ORONO OROINAN Et AND STA E OF MINNESOTA BUILDING CODE REQUIREMENTS. 1
L
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Milk.
Total Fee: $ , &/.- :j c- DateReceived:
• Date Approved:
Entered By: <l Permit#: 7 '17
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
So✓Th old cc$7
JOB SITE ADDRESS: 'e f Y va cP ZIP: 5 3 6-4,
NAME OF OWNER: r1CC. ‘-ba.If PHONE: (home) 473- 8-67
7
yv c .,Th o ids J(y 5TC.1 (work)
MAILING ADDRESS: CITY: LaNs L(A ZIP: SS 35-4,
CONTRACTOR: 1,ir5/-4 vr;
CITYofORONO
Municipal Offices
f� s ti , Office Box 66
_
s�:
\•tt fr to ;•i1;., �4�r �� Post Crystal Bay,Minnesota 55323-0066
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 (see following page) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRLNT
4J�5 � s� c' ci
�a`i ` (Si ` I It`rA_ L
First Middle� � Last
3024,2 a,77,0-744) 6-40
Address
ilia.
" / A ) 3c' /J-*7
City State Zip Phone
I understand my rights as stated above.
3/ Df ..
Signature
TELEPHONE-473-7357• FAX-473-0510
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I
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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 required to be given individual. An individual asked to supply
private or confidential data concerning himself shall be informed of: (a) the purpose and
intended use of the requested data within the collecting state agency, political subdivision, or
statewide system; (b) whether he may refuse or is legally required to supply the requested data;
(c) any known consequence arising from his supplying or refusing to supply private or
confidential data; and (d) the identity of other persons or entities authorized by state or federal
law to receive the data. This requirement shall not apply when an individual is asked to supply
investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the
individual income tax or property tax 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 confidential. Upon his further request, an individual who
is the subject of stored private or public data on individuals shall be shown the data without any
charge to him and, if he desires, shall be informed of the content and meaning of that data.
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 thereafter unless a dispute or action pursuant to this
section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the
individual subject of the data. The responsible authority may require the requesting person to
pay the actual costs 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, 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.
Subd. 4. Procedure when data is not accurate or complete. An individual may
contest the accuracy or completeness of public or private data 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 data
found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or
incomplete data, including recipients named by the individual; or (b) notify the individual that
he believes the data to be correct. Data in dispute shall be disclosed only if the individual's
statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions
of the administrative procedure act relating to contested cases.
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY 4410ADDRESS OR LEGAL: 4-/O /,S So 1i-t O4_O C/1 - 6,4-ti
PID:
DESCRIPTION OF WORK: RADcor l? A 2
ZONING REVIEW BY: /U (A DATE APPROVED:
BUILDING REVIEW BY: e DATE APPROVED: 2- z-q‘.
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 IEb
SAC Yes No J SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoning District: Shoreland District:
Fire Department: h Post Office: School Distri :
Lot Area: Sq.ft. Acres W dth 'epth
Survey Submitted: Yes N a Date of Survey:
Proposed Setbacks
Front e): �--- ''ght Side:
Rear (S' - t): Left Side:
Adj• ,it Struc es: etland:
Building Hei l-A t: Def. t. 'eak Hgt.
Avg. Setbac.: : uff Setback: Lot Coverage:
Existing Proposed
Hardcove : 0-75'
75-250
250-500'
500-1000'
Hard••ver Variance Require: Yes No Date of Council Approv. :
Gra ing: Staff Approval D:te: By: Council Approv• Date:
Sea tic: Staff Approval D• e: By:
coning File: # Resol tion: # Resolution Date:
' • ' (in hi •):
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BUILDING REVIEW CHECK LIST
UBC: -3 CONSTRUCTION TYPE: V�
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3,900•
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
pC Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
pLFinal Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
27
DpRvt>`R Fl..6.ST IG ORONO COPY
?�dC�p ASPu. 5w LIGl..�+s e r r:'r
I Provides 2 Layers Of 15l.B `°'�
rsz oss Qoo� Felt Solid Mo�l,ed Together
2a„ nsi►.•:1 �: , . ,.r,}c; I lane
�auGERs tc, • 36" For Wood Shincgles Or Shakes
zxta QiK got.T To xST . . $t— po�•C-F-- t 5 tic=-A-COO
-- LX l a CEDt..g Ft\S _ (A
2x10 eAFTtg.(2S K.S16 <. --
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• wATE 2'14.7_5 �_._. PERMIT NO. ._,..-____
SPECIAL NOTE i Arr-r,'0•, .:rt A: :L.leviTTEID
SEE ATTACHED SHEET `"' it'•i ; c,,, ..t) V:1111 cOt;Ra;TloNs AS NOTE[)
ti^ • - NOT A f:pi;C:'l Et) CORRECT & RESUBMIT
FOR S VMDIC= C7(r TEC.Tp(Z.. .::)rrtroent- aro for your u torntstIon. An work shall$e!rri
CODE R. . ENTS co.nc,,,z;M.e x'it~ ref impII.*ati4 lvt i St ten+ne au*. 'e'
."�+" #J! EP�� %.g4ilMW.fII.S inc,ni.1"'t, tams not soecttically noted In th-: -5.e.
--...__—_._..`.__. , F :t-ai' .^ A r-.. _,a: i. i\i-f L C , t I
DATE TIME
CITY OF ORONO CALLED IN ` )/-
INSPECTION
!INSPECTION NOTICE SCHEDULED — -3 y.. 3 c.'
PERMIT NO. 7 7 / COMPLETED h r F
ADDRESSy l�C _.5
OWNER t6-1,1t</ /VO1a -1 CONTR. l.,A,Xg.-
TELEPHONE NO. 97 6 a/3
DESCRIPTION
01 F Q 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
(Q FRAMING13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
I` 07 DEMO SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 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
F,:), COMMENTS:
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CC
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W
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CC
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC ❑CORRECT WORK i£PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
.Y• N.CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.
White Copy/inspector's File Canary Copy/Site Notice