HomeMy WebLinkAbout1999-012252 - reroof & reside PERMIT
,CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66
Permit Number: i'.:UILDING
Crystal Bay, Minnesota 55323
Date Issued: V14 ....,4
(612) 249-4600
SITE ADDRESS:
OLD LUNG LAKE RD
..,. .
DESCRIPTION:
REROOF ,& RESIDE
Building Permit Type COM-ADD/REMODEL
1J1ldin9 Work Type t.-:OMMERCIAL
C.In IM•=1U S C 0 i'i',-L,a 437 ALT . NONRES .
1
REMARKS:
FEE SUMMARY:
VC-"Li..;A-I C i ki
1 E..-A....-.".= .,...,..,.,.,
11
Surca
hroe
TotA.1 Fg.-..e
- --
$113 . 7S
CONTRACTOR: - Applicant - Si . LIC OWNER:
HORSH LAND COMPANY 181q186F, 20090414
1E:72 CASF AVE S45 OLD LONG LAKE RD
ST . PAUL MN ssloe ORONO MN SS3S1
(612) 819-1865
THE
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO, MAKE H ,REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY' OF
L_ ORDINANCES AND nRDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS':, - ...j
, Ale
_. ar„...„..z.f_...,.._,
is' API:LICA ERMITEE SIGNATURE 41 ISSUED BY.SIGNATURE
Total Fee: $ //3. 7 Date Received:
Entered By: Permit#: 5-2-,
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) OWNER (ONTRACTO
JOB SITE ADDRESS: eZ/S (?LJ k1oM Cr ed. ZIP:
NAME OF OWNER: p l'i{: Picoup PHONE: (home) _
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: Au Zs 14 . PHONE:
CONTACT PERSON: bprl,-►D Viurtg 4} MOBILE/PAGERZ )98O el-AY(
MAILING ADDRESS: /5-72 (_sem Acif CITY: 5(ir_Lyrc ZIP: SS'ioco
STATE LICENSE: # 7427,90Vy
ARCIITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): NEL()
A 1 -
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.X
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .�� �an
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:6-e- ! / 2
NOTE! Parade of 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.
Sec.13.04 RIGHTS OF SUBJECTS 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 required to be given individual. An individual asked to supply private or confidential dam 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 dr 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 unles9 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.
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 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Js77 ('9 £ At'
Address
6r. 9 A//(L 55/Os.
City State Zip Phone
I understand my rights as stated above. •
amre
D TE TIME
CITY OF ORONO CALLED IN / S/tel'j
INSPECTION NOTICE SCHEDULED ioZ/�o/Ss jc 5
PERMIT NO. /252-- COMPLETED t t y
ADDRESS 841f
OWNER_/nt‘• CONTR.
TELEPHONE NO. i/9 -
E DESCRIPTION
W 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
dialarra. 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
✓ 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
O
CC
O
W
W
CC
W
W
CC
d
WORK SATISFACTORY PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
tj BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac� it -
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
P
CITY OF ORONO CALLED IN ATE
/°' ° TIME
�7
INSPECTION NOTICE SCHEDULED (-/Z-o v '"O o
ier
PERMIT NO. c5 L COMPLETED ( /
ADDRESS �f�1TR.00��b 9J— &a X L , I =6
OWNER #6V6 ,#97 . CO7���/ -��
S
TELEPHONE NO. C�/�- rf f /A0
DESCRIPTION �' i
U.j~ 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL FINAL 14 SEWER HOOK-UP 06 PROGRESS
MO-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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
Q.
CC
0
CC
0
W
CC
Q
ti
2
W
Z
W
CC
S.
GWIORK SATISFACTORY:PROCEED 1DROJECT COMPLETE
CCW
El CORRECT WORK&PROCEED U ISSUE CERTIFICATE OF OCCUPANCY
C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contract r on site:
Inspector.X � 67612-0
White Copyllnspector's File Canary Copy/Site Notice