HomeMy WebLinkAbout2001-P03687 - re-roof A , PERMIT
CITY OF O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03687
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600
Date Issued: 4i10i2001
SITE ADDRESS: 3700 Togo Rd
WAYZATA,MN 55391
PID: 17-117-23-31-0025
DESCRIPTION:
Proposed Use: Residentiai
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: $ 97.25 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 98.80
APPLICANT: Plymouth Roofmg&Insulation OWNER: SUZANNE D FACKLER
17525 Cty Road 24 3700 TOGO RD
Plymouth,MN 55447 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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I PERMI E I N TU ISSUED Y SIGNATURE
Copies: City,Applicant,Assessor,Finance Pagel
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Total Fee: $ Date Received:
Entered By: Permit#: Po 3(09/2
CITY OF ORONO - BUILDING PERNUT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTQR-"
JOB SITE ADDRESS: a O ZIP
NAME OF OWNER: S61 le- . �p�,c�� r' PHONE: (home)
(work)
MAILING ADDRESS:Z700 20i c) CITY:d ro r�a ZIP: SS.
CON`TRACTOR: a h/L �PHONE:C 76-3
CONTACT PERSO e. MOBILE/PAG R:
MAILING ADDRESS: 7 5" S' o? CITY: _ZIP:
STATE LICENSE:
ARCHITECT/ENGINEER: PHONE:
MAIMING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail):- ,� r. Ao wet
,ca"rra y -� P ,--V-WS 3- s u-,a s,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT-. DET.
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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==-
NOTE!
ed plan.
APPLICANT'S SIGNATURE: DATE: U �I
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.
1
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 a ithin the collecting State agency,political subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply the requested data:(c)any k--own consequence a,: g 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,pursu_.t to section 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice rewired under this subdivision in the individual income tax or property mx 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 wiu out 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 dam 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 uppon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,cep;ing, 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 addircral 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 ce responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the dam fcund 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 dam to be correct. Dam
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dam.
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 it; 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}'our 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 t processthis applica[ion or permit.
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First ddle Last
Addres Amt.)
City State Zip Phone
I underst d my rights stated abo% .
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Sig amre
CITY OF ORONO CALLED IN DATE TIME
INSPECTION T SCHEDULED
PERMIT NO. COMPLETED aLe,,&
ADDRESS _2706 IC 3
OWNER CONTR.
TELEPHONE NO. J
DESCRIPTION
w 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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
J 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMM NTS:
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Uj ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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w (❑CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN CITATION ISSUED
El STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contractor on site:
Inspectorr z��
White Copylinspector's File Canary Copy/Site Notice
VPATE TI
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. COMPLETED 'd
ADDRESS DCJ
OWNER CONTR.
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TELEPHONE NO. 171,o 3 - V 7-3 - 3 3-9
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
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0- ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W l
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W CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contra for on site:
Inspector. 14 CJS- A' c, C om► �
White CopylInspector's File Canary Copy/Site Notice