HomeMy WebLinkAbout2001-P03669 - re-roof ��
. PERMIT �
CITY OF ORONO Permit Number:
2750 Ke{I�y Parkway - PO Box 66 Po3669
Crystal Bay, 11llinnesota 55323 Pe�mit Type: MinorAlterations
(952) 249-4600
Date Issued: 4i3i2ooi
SITE ADDRESS: 1910 Shadywood Rd
WAYZATA,MN 55391
P ID: 17-117-23-24-0020
DESCRIPTION:
Proposed Use: tcesidentiai
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 SUMMID►RY: PermitFee: $ 265.25 Valuation: $ 15,704.00
State Surcharge Fee: $ 7.90
TOTAL FEE: $ 273.15
APPLICANT: FLAGSHIP ROOFING COMPANY OWNER: J R MCMANUS&M E TULLY
3496 SHORELINE DRNE 1910 SHADYWOOD RD
WAYZATA,MN 55391 WAYZATA MN 55391
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 BUILDING CODE REQUIREMENTS.
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- AP L ANT PERMITEE SIGNATURE ISSLTED BY S[GNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: S ' � Date Received:
Entered By: �Y� Permit#: %" lJS G�C�`�
CITY OF ORONO - BUII..DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all information)
THE APPLICANT IS: (circle one) OWNER OR�CONTRACT�R
JOB SITE ADDRESS: /%lL' S���jc���:�.,:�,�.��/� ZIP: 5 S_�i/
NAME OF O���ivER: ; �r�;�s��i ���c -������ <; PHOivE: (home) /i%�%�' �'�
—�—� (work)
�IA.ILING A.DDRESS: `=r,- _ CITY: ZIP:
CONTRACTOR: " �"%� �,'� �.�.L '« C�. PHONE: �;1-�'7r- ��y�/
C011'I'ACT PERSON:� 7>h �;,,r;�sr:• MOBILEIPAGER: �i z - z�;� � ���,,�i
MAILING ADDRESS: �.;-�/G, S�l��, /,� , � ' CITY � ;�� ZIP: _ �'���
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STATE LICE�SE: # �= ��' -`�'
��=�� 71 �
ARCHITECT/EtiTGL`TEER: PHO\�:
MAILL�tG ADDRESS: CITY: Z�:
rJ��,�; REGISTRATION#
TYPE OF `�'ORK: New Addition Accessory Structure
tilove Remodel/Alteration� Land Alteration
PROPOSED�i'ORK(describe in detain: �':,x ��ky��-„ -�-�-� �:-�l ������� �����°��
STORIES: SQ.FEET OF EACH FLOOR:
IYO. OF BEDROO�iS: GARAGE STALLS: ATT. � DET.
ESTI1�i TATED CO`STRUCTION VALUATIO\ (excluding land): S /� �c ��� <�
I hereby apply for a building permit and I acknowled�e that the information above is complete and
accurate; that the work will be in conformance �virh the ordinances and codes of the City and with
the State Buildin� Cade; 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 �-ith the approved plan.
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APPLICANT'S SIGNATURE:;:-,: � � DATE: �/- �-�; I
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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.
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Sec.13.04 RIGHTS OF SLJBJECTS OF DAT.�
Subd. 1. Type of data. The righrs of individual on whom the data is stor:d or co be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be givm individual. An icdividual asktd w supplY private or confidendal data concerning himself shail
be informed of: (a)the purpose and incended use of the ceques�ed data wz�ia the collecdng State agency,poliacal subdivisioa,or sratewide system;
(b)whaher he may refuse oY is legally required to supply ehe requested dat+:(c)any l�own coascquence arising from his supplying or refusing to suppty
privace or conndenaal data;and(d)the idendry of ocher persoas or enrides auchorized by state or federal law m teceive the data..'Ihis requirement shall
nat apply whan an indir•iduai is asked to supply invesrigadve data,pursu�c co secdon 13.82,subdivision 5,to a law enforcemenc o�cer.
'Ihe commissioner of ce�enue mav olace the nodce rewired Lrder this subdivision in the individual income tax or provertv rax refund
instrucdons inscead of on those forms.
Subd.3. Access to data b�individual. Upon nquest to a responsible aushoriry,an individual shall be informed whether he is the subject
of stored data on individuais,and whec6er it is classified as public,privac:or confidenrial. Upon his fu�ther request,an individual who is the subjec�
of stored private or public data on individuals shall be shown�he dara wiaouc any c'aarge to him and;if he desires,shall be informed of the coatent
and meaning of chac daca. After an indi�idua!has been shown che priva:��ac�and in:ormed of ics meaning,the data need not be d'uclosed to him for
siz mon�hs chereaiter unless a dispute or acrion pursuanc to[his secrion is ptnding or additioaal data on the individual has been collected oc created.
The responsible auchoriry shaQ provide copies of the privace or public daca cpon reques:by the individua!subjecc of the data. The responsible authociry
may require rhe requesdng person W pay the actual cosu of making,cerying,and compiling the copies.
'Ihe responsible authoriry shall comply immedia[ely,if possible,wirh any request made punuant to this subdivision,or within five days of
the date of the requesc,ezciuding Saairdays,Sundays and(cgal holidays,if im.�nediace compliance is not possible. If he cannot comply with the request
wiehin thac ame,he shall so inform che individual,and may have an addiconal five days wi[hin which to comply with the request,excluding Satutdays,
Sundays and lega(holidays.
Subd.4. Procedure when data i�not accurate oc complete. An individual may conust the accuracy or completeness of pubiic or private
data concerning himself. To exercise chis righ4 an individual shall nodfy ia wridng�e responsible authoriry describing ehe nacure of the disagreement.
'I1u responsible aurhoriry shall within 30 days either: (a)cortect the dara fcund to be inaccucate or incomplece and aaempt to nodfy past recipienes of
inaccurate or incomplete data, iacluding recipients named by�he individi:al:or(b)�oafy the individual thac he believes the data to be correcc. Data
in dispuce shsll be disclosed anly if the individual's statement of disagr:e�ent is ir.chsded with the disclosed dara.
The decerminarion of the rosponsible authoriry may be appeal�d pursuacc to the provisions of the adminisaarive procedure act relaang to
conrested cases. .
DATA PRIVaCY AD�'ISORY
In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi data",we would like to inform you that your request
for a permit or license from the City of Orono or any of ia deparments may require you to fumish certain privace or
confidencial information.
You are notified that:
1, The information you furnish will be used to de:ermine rour 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 shazed with other loc�1, 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 applica[ion or perm.ic.
Firsc Middle �t
Address •
Ciry State Zip Phone
I understand my rights as scated above.
Signacurc
✓ DA Vf�� �t TIME
CITY OF ORONO CALLED IN �
INSPECTION NO CE SCHEDULED �-`/-�/ %U A+�-�
PERMIT NO. ?� COMPLETED �f d •�d
ADDRESS / g�� �hC�.r�( ia/C��
OWNER �`�C �a.r�ri CONTR., �lG���►T
TELEPHONE NO. l� I� � � � J L�d �
� DESCRIPTION��-/�����T�" ���' a�� `"�7/ -�`�C/y
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� /�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon c or on site:
Inspector��%C�-G��il,
White Copylinspector's File Canary Copy/Site NoHce
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CITY OF ORONO CALLED IN 'a
INSPECTION �OTICE ( � SCHEDULED IU 0
PERMIT N0. , v-3 ��r1 COMPLETED �/d� �
ADDRESS l�i �C� ��1ca*,r�c�.,c�?�� ��c �.
OWNER �y�r,��`�i"-►�m CONTR. ��Q� S�°s��r'-,
TELEPHpNE NO."f�� � — ��-I�F�{'
� DESCRIPTION �' r��"/�'`�-�. .
� Ot 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
Z 0 D. 12 WATER HOOK-UP 17 SITE INSPECTION
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 HARO COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED OJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE AC�CESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlConUac or on site:
Inspector./��Q1� ��'x-�'!3
White Copyllnspector's Ffle Canary CopylSite Notice