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HomeMy WebLinkAbout2001-P04155 (Re-roof) ' ` PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po4iss Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations � (952) 249-4600 Date Issued: si3i2ooi SITE ADDRESS: 1212 Arbor st WAYZATA,MN 55391 P I D: 10-117-23-24-0 022 DESCRIPTION: USC Occupancy R3 Proposed Use: Itesidenriai Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 54.00 Valuation• $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 54.75 APPLICANT: J R CADY&S R CADY OWNER: J R CADY&S R CADY 1212 ARBOR ST 1212 ARBOR ST WAYZATA MN 55391 WAYZATA MN 55391 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIIVIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. ��� ��� ���� P C E I A ISSUED BY SIGNATLTRE Copies: 1-File(Sigvtitures Required),1-Applicant, 1-MonthlyReports,1-Assessing, 1-Finance Page 1 � � Tota.l Fee: $ �j�• ?� Date Received: �- ,�-O� Entered By: �`��, Permit#: �p�{/�'S� CITY OF ORONO - BIJII.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 CONTRACTOR JOB srrE annx�ss: _ `Z�� �'s��� �-_ zir: �S 3°� � NAME OF OWNER: �e��, � �o�+nnQ, ��,� PHONE: (home)�tSL-CE4�,�12 G� (work) �T�'.y S�tt- �3'�3 MAILING ADDRESS: tz.�L �r�� �� CITY: �Ghz. � ZIP: ��3�� CONTRACTOR: 'M��,��C PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: � CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New� Addition Accessory Structure Move RemodeUAlteration Land Alteration PROPOSED WORK(describe in detain: �e,�, �, ro,� �^ ��� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �y�a� 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 understan 's is n t a permit and work is not to start without a pemut; and that the work will be in acc ance i the approved plan. � � APPLICANT'S SIGNATURE: DATE: g 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. l �' Sea13.04 RIGIiTS OF S[JB.iECTS OF DaTA Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stared shall be as set forth in this section. Subd.2. Informaaon req�red to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,polidcal subdivision,or statewide system; (b)whe[her he may refuse oY is legalty required to supply the requested data;(c)any l�own consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenary of orher persoas or enddes aurhorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigarive dara,pucsvant to secdon 13.82,subdivision 5,to a law enforcement a�cer. The commissioner of re�•enue mav place the nodce required under this subdivision in the individual income tax or proaertv rax refund instructions mstead of on those forms. , Subd.3. Access to data by iadividual. Upon request to a responsible aurhority,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is classified as public,private or wnfidential. Upon ltis further request,an individual who is the subject of swred private or public data on individuals shall be shown die dara without any charge to him and,-if he desires,shall be informed of the content and meaning of chat data. Afrer an individual has been shown the private dara and informed of its meaning,the data need not be disclosed to him for sia months thereafter unless a dispute or acdon pursuant to [his secaon is pending or addidonal data on the individual has been collected or created. The 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,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 request,excluding Saturdays,Sundays and legal holidays,if immediate compHance is not possible. If he cannot comply with the reques[ within that dme,he shall so inform rhe 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 Ls not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise[his righG an individual shall notify in wriaag the responsible authority describing che nature of the disagreement The responsible authority shall within 30 days either: (a)correct the data found w be inaccurate or incomplece and attempt to noafy past recipienu of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correcG Data in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible authority may be appealed pursuant to the provuions of the adminisaarive procedure act relaang w 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 furnish certain private or confidential information. You are notified that: 1, The information you furnish will be used to determine 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 shazed 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 permit. First Middle �� Address . City State Zip Phone I understand my rights as stated above. Signaare a DATE TIME CITY OF ORONO CALLED IN � INSPEC'TION NOTI�� //!�� SCHEDULED ��r_�� PERMIT N0. `t COMPLETED ,� ADDRESS � �J o� �/�/CJ�1' ��'� OWNER ` CONTR. TELEPHONE NO. S �l � � DESCRIPTION /� / /�C.t�C ""' �(.�'/ � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 ti COMMENTS: � W 0. j O >. � O k W � Q � 2 W �C W � � O ��WORKSATISFACTORY:PROCEED �PROJECT COMPLET W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL HEfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor n site: Inspector.____��'(-��2� White CopyMspector's File Canary Copy/Site Notfce DATE TIME CITY OF ORONO CALLED IN INSPECTION M T E SCHEDULED PERMIT NO. �� COMPLETED --�! fO'�'S�' ADDRESS ��' �'vU✓ � OWNER CONTR. TELEPHONE NO. � DESCRIPTION����� 7� v �� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREM/ETLANDS 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 fvIfUNT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS: � W a � / J O _ � O � W � Q � W W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDI�ION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RERIRN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne�ct ins�ction 24 hours in advance.473-7357 OwnerlCont or on site: Inspector. Whlte CopqMspector's Flle Cenary CopylSite Notice