HomeMy WebLinkAbout2000-P02190 - re-roof � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 .�e�-- Po�.i9�a
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 3iiioo
SITE ADDRESS: 835 Partenwood 1zd
LONG LAKE, MN 55356
PID: OS-117-23-34-0011
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 29,150.00
State Surcharge Fee: $ 14.60
� Misc. Fee: �
� TOTAL FEE: ��
� �s�: 3 s�
APPLICANT: NORTHERN CONSTRUCTION OWNER: W J KOTTEMANN ET AL TRUSTEES
16636 MANITEAU BLVD 835 PARTENWOOD RD
ANDOVER, MN 55304 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA DING CODE REQUIREMENTS.
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APPLICANT PERMITEE IGNATUR I SUED BY SIGNAT[JRE �
Copies: City, Applicant,Assessor, Finance Page 1
Total Fee: $ Date Received:
Entered By: Pemut#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will 6e started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: C,, �>� �G�'�'C:��c�'`•`�'" �.p ZIP: �� ���
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NAME OF OWNER: �� t � �G' � �-�'�'� PHONE: (home) `f 71-�
,�Il (work) `� 7� /
MAILIl��ADDRESS:��.� ��',��•���'' E�-�� CITY: G-.��J�� ZIP: ��. �o
CONTRACTOR: (��' ��1�'� �►v��> PHONE: ��7 ( �3 �
CONTACTPERSON: �Ot�� S�'''���Y� MOBILE/P GER: �G/"-%5Ew
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MAILING ADDRESS: lv 3C, �Qy!' �t R�uI.�ITY:� N,�d v�.� ZIP: �!`�✓�
STATE LICENSE: # � �
ARCHITECT/ENGINEER: PHONE:
l�ZAILING ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition _ Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: ��`'�'� vT! �`�� I���'�vt--
STOR�S: SQ.FEET OF EACH FLOOR:
NO. O� BEDROOMS: GARAGE STALLS: ATT. DET.
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EST�IATED CONSTRUCTION VALUATION (exclud.ing land): $���'J , /�L'
I hereby aoply 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; th�t I understand this i ot ermit and work is not to start without a
permit; and that the work w�ill be ' ccordan e wi e approved plan.
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APPLICANT'S SIGNATLRE• DATE: 5 � �'- U
NOTE! Parade of Homes event require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0-i RIGHTS OF SLJB.JECTS OF DaT�
Subd. 1. Type of data. The righcs of individual on whom[he data is stored or w be scored shall be as set forth in this secdon.
Subd.�. Informaaon reqirired to be�ven individual. An individual asked to suppiy private or confideorial data concerning himseif shall
be informed of: (a)the purpose and inrended use of the requested data within the collecting'state agency, polidcal subdivision, or sratewide rystem;
�b)whe[her he may refuse oi is legally required to suQply tbe requested da[a;(c)any known consequence arising from his supptying or refusing to suppty
private or conndendal data;and(d)the idenrity of o�er persons or enrides au�horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdeanve data, pursuanc ro secdon 13.82, subdivision 5, co a law enforcemenc officer.
The commissioner of re�enue mav pla- the nodcA reau�red under[his subdivision in the individual income tax or propem taz refur.d
insttucdans instead oi on chose forms.
Subd. 3. Access to data bp individual_ lipon request to a responsible au[horiry,an individual shall be inforcned whether he is the subject
of scored data on individuals,and whe[her it is cfassified as public, privace or conndznaal. lipon his further request, an individual who is the subject
of stored privare or public dara on individuals shall be show�n�he dara wichout any cnarge to him and, if he desires, shall be informed of the con�enc
and meaning of rhat data. After an individual has been shown the privat�data and iniormed of its meaniag,the data need not be disclosed to hirn for
six months[hezeafter unless a dispute or action pursuant to this secaon is pending or addiaonal data on[he individual has been coilected or created.
The responsible au[horiry shall provide copies of che private or public data upon request by the individual subject of the data. The responsible au[horiry
may require the requesdng person to pay the acnial cos[s of making. certifying, and compiling the copies.
The responsible au�horiry shall comply immediacely, if possibte, wi[h any request made pursuant to this subdivision,or wichin five days of
the dace of che requesc,exctuding Sacurdays,Sundays and fega]holidays,if immediate compliance is not possible. If he cannoc comply with the requesc
within that time,he shall so inform[he individual,and may have an addidonal five days within which to compiy wich the request,exc(uding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or pri��ate
data conceming himself. To exercise[his rieht,an individual shall noafy in writing the respoosible au[horiry describing the nature of the disagreement.
The responsible authoriry shall within 30 days ei[I:er. (a)correc[che dara found to be inaccura[e or incomplete and attempc to nodfy past recipienu of
inaccurate or incomplete data, including recipiea�s named by �e individual; or(b)nodfy the individual that he believes rhe dara to be correct. Dara
in dispute shall be disclosed only if the individual's statement of disagreement is ir.cluded with the disclosed data.
The dererminarion of[he responsible au�horiry may be appealed punuan[to [he provisions of the administrarive procedure act relacing to
contested cases.
DAT�, PRIVACY :�DVISORY
In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you that your reques[
for a permit or license from the City of Orono or any of its departmen[s may require you to furnish certain private or
confidential information.
You are notified that:
1, The information you fumish will be used to determi.ne your qualification for the pemut or license requested.
2. You may refuse to supply data, but refusai may require that the Ciry deny the permit or license.
3. The information may be shared wi[h ocher local, state or federal a;encies 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.
�, You have certain rights under M.S. 13.04 (available upon request) to review private da[a on yourself.
6, Your full name is required to process this application or permic.
First
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Stare Zip Phone
Ciry
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Signa re
� �AT��D TIME
CITY OF ORONO CALLED IN
INSPECTION N TI E'Pal D SCHEDULED � '" �- � ! �
PERMIT NO. COMPLETED S"-Z��� � '��G
ADDRESS �3 �S' � ��
OWNER/lL-��n�-s2-� CONTR. ��
TELEPHONE NO.
� DESCRIPTION /�-� ` h'�� '����E.
� 01 FOOTING 11 MECHANICAL 18 EXC / ADING/FILLING
Q FRAM 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
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� L i CORRECT WORK 8 PROCEED ( ISSUE CERTIFICATE OF OCCUPANCY
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. -- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
C INSPECTION FIEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContra r on site:
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Inspector.�� �-�C- �� � �
White Copyllnspector's File Canary CopylSite Notice
DATE c�Tl
CITY OF ORONO CALLED IN '$-�� /` ��
INSPECTION NO C SCHEDULED " ��
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PERMIT NO. b�� � COMPLETED �� � � ��d
ADDRESS � 5
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OWNER .�/-Z�-C ,� CONTR.�,/�'�/'��"� L�1
TELEPHONE NO. 7�" �-- — ��7 — ����
� DESCRIPTION ��.C� - ���'�^�
ly� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 Vi/QLI.$0.__ 12 WATER HOOK-UP 17 SITE INSPECTION
r OS FINA� 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ,�WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W �❑CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
Cl CORRECTUNSAFECONDITIONWITHIN HOURS. : pHOTOTAKEN
INSPECTOR WI�L RETURN
C� STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. S'/�CA.vC-f�Cc�17
White Copyflnspector's File Canary CopylSite Notice