HomeMy WebLinkAbout2016-P06209 - re-roof CITY OF ORONO PERMIT
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Permit Number:2750 KdAley-Arkway- PO Box 66 PeP06209
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 4/21/2003
SITE ADDRESS: 1150 Wyndmere Rd
Wayzata,MN 55391
PID: 26-118-23-41-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 720.75
Valuation: $ 60,088.00
State Surcharge Fee: $ 30.55
TOTAL FEE: $ 751.30
APPLICANT: Sela Roofing&Remodeling,Inc. OWNER: Kern Hoppe
4100 Excesior Blvd. 1150 Wyndmere Rd
St.Louis Park,MN 55146 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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APPMf
ANT PERMITEE SIGNA IS BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Amlicant. 1-Monthly Reports. 1-Assessing, 1-Finance Page 1
Total Fee: S Date Received:
Entered-By: Permit#:
CITY OF ORONO - BUILDING PERMIT 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 OR CONTRACTOR
JOB SITE ADDRESS: J�� k ZIP:
NAME OF OWNER: V<\ey- y1 PHONE: (home) `I S-D- �-M
(work)
MAILING:ADDRESS: CITY: ZIP:
CONTRACTOR: ' f(gl X00f PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: 9 1-ev' ZIP:� n
STATE LICENSE: #J()
ARCHITECT/ENGL TEER: PHONE:
MAILENTG ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF `FORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`YORK ( scribe in detail):
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT-. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): S
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 accor a with the approved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade of Homes events require separate permit approval by Police Depqrtment 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 confideodal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data v::sin the eollecting'state agency,political subdivision,or statewide system;
(b)wheLher he may refuse or is legally required to supply the requested data:(c)any k--own 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 requiremeat shall
not apply when an individual is asked to supply investigative dace,pursu-t to section 13.82, subdivision S, to a law enforcement officer.
The commissioner of revenue may place the nonce rouired ur:d-r this subdivision in the individual income tax or prooerty tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a r_s-,.ansible aut oriry,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 wi-out any e:.arge to him and;if he desires, shall be informed of the content
and meaning of that dam. After an individual has been shown the priva,data and irZarrted of its meaning,the data need not be disclosed to him for
s'.c months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
;e 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,ter;: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,it 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 additiepal 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&4e responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)comct the dam found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data, including recipients named by the individ=J;or(b) notify the individual that he believes the darn to be correct. Dam
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 pursuact to the provisions of the adad istmrive 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 is deparments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to de:ermine 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.
j. You have certain rights under M.S. 13.04 (available upon request) to review private data ori yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
V/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. (Jrie 24 COMPLETED
ADDRESS 1150 +�
OWNER CONTR. Qx,
TELEPHONE NO. 1a 5 13 1 5 h�
Cc cti e-
DESCRIPTION C3 �(�� S S
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
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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:ZYES_NO
v0, COMMENTS:
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RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W CRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next
tt--inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/inspector's Fi Canary Copy/Site Notice