HomeMy WebLinkAbout2001-P04314 - re-roof PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04314
Crystal Bay, h�innesota 55323 Pet'mit Type: MinorAlterations
(952) 249-46�1 Date Issued: 9iioi2ooi
SITE ADDRESS: 3496 Shoreline Dr
Wayzata,MN 55391
PID: 17-117-23-43-0091
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Buildin Census Code O/S-Building
Permit Class: g
Permit Sub-type(s): Building-Re-Roof
Permit Type: Minor Alterations
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 167.25 Valuation• $ 8,461.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 171.50
APPLICANT: Flagship Roofing Company OWNER: M�'•&Mrs.Frahm
3496 Shoreline Drive 3105 North Shore Dr
Wayzata,MN 55391 Wayzata MN 55391
THE UNDEILSIGNED 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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� APPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE
Conies: 1-File(SiQnitures Required). 1-Anplicant 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
� CITY OF ORONO - BUILDING PERNIIT APPLICATION
� All information must 6e submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACT
JOB SITE ADDRESS: _. �4 q(0 5�l ore.�i,� e \�� � ZIP: ��3 g I
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NAME OF OWNER: _ _�(�y� ►'c,�„—� PHONE: (home)
(work) �SZ- 4�� - �Q 4�
MAILING ADDRESS: CITY: ZIP:
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CONTRACTOR: u �i �ia-1-►�— G- PHONE: qgL - ��1-3 �-��
CONTACT PERSON: � � MOBILE/PAGER: (,�2 - I� -QS 3 a
MAILING ADDRESS: ,� . CITY: 2. ZIP: 'S 3�
STATE LICENSE: # z oo �'31?f�'
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: ��,r--�� A�d� �- ��G� __
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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 a ordance with the approved plan.
APPLICANT'S SIGNATLTRE: DATE: � ' �a' � �
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGHTS OF SLIBJECTS 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[his�on.
Subd.2. Information reqirired to be given individual. An individual asked to suppiy private or confidential dara concerning himself shall
be informed of: (a)the pucpose and iatended use of the requested data within the collecting�tate agency,political subdivision,or statewide sysum;
(b)w6ether he may refuse oY is legaliy required to supply the requested data;(c)any known consequence arisiag from his supptying or refusing to supply
privace or confidenual data;and(d)the idenury of other persons or enades authorized by state or federal law to receive the data. 'I'his requirement shail
not apply when an individual is asked to supply investigadve dara,pursuan�[o secdon 13.82, subdivision 5, to a law enforcemenc officer.
The commissioner of re�enue mav place the nodce required under this subdivision in the individual income tax or oroaem taz refund
instruccions inscead of on those forms.
Subd.3. Access to data by indiridual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whe�her it is classified as public,privace or con6dential. Upon his further request,an individual who is the subjecc
of stored private or public data on individuals shall be shown che data wirhout any charge to him and,-if he desires, shall be informed of the content
and meaning of[hat data. After an individua!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 acaon pursuanc w tlus secdon is pending or addidonal data on the individual has been collected or created.
The responsible authority shalt provide copies of the privace or public data upon request by the individual subject of the data. The responsible authority
may require the tequesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the cequest,exctuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with rhe 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 pubiic or private
data concerning himself. To exercise[his right,an individuai shall nodfy in wridng the responsible authoriry describing che nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the daca found to be inaccurdte or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data,inciuding recipiencs named by the individual;or(b)notify the individual that he believes the data to be correct. Data
in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible au[horiry may be appealed pursuanc to[he provisions of the administrarive procedure act relaang 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 fumish certain private or
confidential information.
You are notified that:
1. The information you fumish will be used to detemune 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 perm.it.
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I understand my rights as stated above.
Signamre '
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DATE ��IME
CITY OF ORONO CALLED IN �'/�/0�t/ �U'30 ts/�
INSPECTION N,pTICE SCHEDULED Cf' ��° � �'�
PERMITNO. ��O �'f��� COMPLETED �� � _��'�
ADDRESS__3 y4�a ��itsy�.�C.;..,� �
OWNER �rs�.�-r� CONTR. ���c Le �-� �
TELEPHONE N0. `�s��``���—3 �`��f
� DESCRIPTION ��Cl.�- — �"�-'l�
lL Ot FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ' 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O UTATION 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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W� ,�SAIORKSATISFACTORY:PROCEE ❑ PROJECT COMPLEfE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContr���o,�on site:
Inspector.
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White Copy/lnspector's File Canary Copy/Site Notice