HomeMy WebLinkAbout2002-P05811 (Re-roof) PERMIT
C I�T� O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 PosBii
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: iii6i2oo2
SITE ADDRESS: 1285 Arbor St
WAYZATA,MN 55391
P I D: 10-117-23-31-0034
DESCRIPTION: UBc occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterarions Permit Sub-type(s): B��g-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 9�•25 Valuation• $ 3,700.00
State Surcharge Fee: $ 2.35
TOTAL FEE: $ 99.60
APPLICANT: �cline Enterprises Inc OWNER: C J ALBRECHT&J L ALBRECHT
26175 Birch Bluff Rd 1285 ARBOR ST
Shorewood,MN 55331 WAYZATA MN 55391
THE UNDERSIGNED HIItEBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREE O DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINI�SOT DING CODE S.
4 /`''//�A�SV
AP LICANT PERMITEE SIGNATURE I D BY SIGNATURE
Copies:1-File(SiQnitures Required),1-Anplicant 1-Monthlv Reports. 1-A�essin�,1-Finance Page 1
,
. `Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII.,DING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
" (please prinx all infornzation)
THE APPLICANT IS: (circle one) OWNER OR C R
JOB SITE ADDRESS: �o� � ���-�Ts ZIp:
NAME OF OWNER: C�'6'1� ������ PHONE: ome
- (h )
(work)
MAILING ADDRESS: CITY• ZIP:
CONTRACTOR��p Gh�L�2���!'�� ��c, PHONE: 117�-9°�(y.�
CONTACT PERSON: ''�, BILE/PAGE •
MAII.ING ADDRESS: 2 �7,� , CITY: ZIP:.�3 3�
STATE LICENSE: # � �3 f
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Siructure
Move RemodeUAlteration � Land Alterarion
PROPOSED WORK(describe in detai�: �_�f' d-�- � ,�--R_�c�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ �G(� �
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will� 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 ' acc danc wi e pproved plan.
APPLICANT'S SIGNATURE: DATE: �
NOTE! Parade o,�Homes events require separate pernut approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
4
Sec.13.04 RIGATS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stoced shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked w supply priwste or confidendal dara conceraing himself shall
be informed of: (a)�he purpose and incended use of che cequested data wirhia the collectin�33taate agency,political subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply the cequested data;(c)any]mown consequence arising from his supplying or refusing w supply
private or confidential data;and(d)the identiry of other persoas or enuues authorized by state or federal law w receive the data. This requirement shall
not apply when an individual is asked to suppty investigadve data,pursuant to secdan 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the noace reouired under this subdivuion in the individual income ta�c oc proaertv raz refund
instrucdons instead of on those forms.
Subd.3. Access to data by individual. Upon request ro a responsible authority,aa individual shall be informed whether he is the subject
of stored data on individuals,and whether it is class�ed as public,private or confidendal. Upon his further request,an individual who is the subject .
of stored private or public data on individuals shall be shown the data without any charge to him and;if he desires,shall be informed of the content
and meaning of[hat data. After an individual has been showa the private dara and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acflon pursuant to this section is pending or addidonal data on the individual has been collected or created.
The respoasible authority shall provide copies of the private or public data upon request by the iadividual subject of the data. The responsible authority
may require the requesting person to pay the actual cosu of making,cerdfying,and compiliag 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 compliance is not possible. If he cannot comply with the requese
withiit that.time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,eacluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data Ls not accurate or camplete. An mdividual may contest the accuracy or compleoeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in wriung the responsible authoriry describing the nature of the disagreement
The responsible authority shall within 30 days either. (a)correct the data found to be iaaccutate or incomplete and attempt W aodfy past recipients of
inaccurate or incomplete data,inciuding recipients named by the individual;or(b)nodfy the individual that he believes ttse data to be correct Data
in dispute shali be disclosed oaly if the individual's statement of disagreement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appealed pursuant to the provuions of the adminisuative 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 its departments may require you to furnish certain private or
confidential information.
You are not�ed 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 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 nazne is required to process this applica[ion or permit.
� �1�/ _ \ ��
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Ci�y Srate Zip Phone
I understan my ' as st above.
Signatuce
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED ` �
PERMIT NO. COMPLETED
ADDRESS�/ �� 1r�n/� � ' _
OWNER CONTR. �1�-c./�D �_r
TELEPHONENO. , .�� � 7 / ' ���i�_�
'���-l.�J�.�`c_
� DESCRIPTION `
ly 01 FQOTING 11 MECHANICAL RI 18 C GRADING/FILUNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FlNAL 14 SEWER HOOK-UP O6 PROGRESS
� O7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FlNAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLEfE
W ❑CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORREGT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CRATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. •
Call for ths next inspection 24 hours irt advance. (g52) 249-4600
OwnerlContr on site:
Inspector.
wi,ne copynns o�8�ie Canary Copy/Site NoUce