HomeMy WebLinkAbout2000-P02573 (re-roof) ° PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 po2s�3
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 6i19�oo
SITE ADDRESS: 2691 Caroline Ave
WAYZATA,MN 55391
PID: 20->>�-2�-24-oo2s
DESCRIPTION:
Proposed Use:
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: $ 139.25
Valuation: $ 7,000.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 142.75
APPLICANT: JERRY ELLIOTT OWNER: THELMA J PULVER
10450 SWEDE LAKE RD 2691 CAROLINE AVE
WATERTOWN,MN 55388 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 NIINNESOTA BUII,DING CODE REQUIREMENTS.
-� -' - y /� ,
I AN"I'PERMII' '.IG ATURE ED BY SIGNATURG �
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Copies: City, Applicant,Assessor,Finance Page 1
Total Fee: $ Date Received:
Entered By: Perm.it#:
CITY OF ORONO - BLTII�Dlti'G PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: ���`�� C,��l�� �� Z�:
NAILIE OF OWNER: -��� ,,�.�,� �v\�� r' PH0�1E: (home) ��l- `���3�
(work)
1�IAII.P�'G ADDRESS: CITY: ZIP:
C0�1TRA.CTOR: J� � ��<i o PHONE: ���z�- �1��(- I(Z 3
CON'TACT PERSON:�T c��,�o- 1�iOBILE/PAGE • -
1�IAILING ADDRESS: i o y�r� S w�1e L.�-� �.� CTI'Y: �c.1�- -�w ZIP:- `�
STATE LICENSE: # Qz��; _
�RCHITECT/ENGI�1i EER: P����
I�LAII�I�i'G ADDRESS: CITY: ZIP:
N�y�: REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: re�%�, '-e�� � � � � ��^�
,u � v� r� t'� C.L.� �`+-Z�45.�%� � ' �Zl��-ti -��. _
STORIES: SQ.F'EET OF EACH FLOOR:
NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET.
. �
ESTII�i IA'I'ED CONSTRUCTION VALUA'�ION (excludi.ng lan�: $_� C2fiC
I hereby apply for a buildin� permit and I aclmowled�e that the information above is complete and
accurate; cha[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 at a perm.it and work is not to start without a
per�nit; and that the work will b ' accordance wi the approved plan.
,� i .
APPLICANT'S SIGNATURE: � DATE: p-�� "� _
1�'pTE! _P�rade of Homes events r� uire separa.te permit approval by Poliee Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0,1 RIGI3TS OF SUBJECTS OF DaTa
Subd. (. Tvpe of data. "Ihe righcs oi i�dividual on whoci[he data is s:or_d or m be scor:.d shall be as sec forrh ia chis section.
Subd.2. Informaaon reqirired to be�vea individual. ?.n individual uked w suppiy private or conr.dendal daa coacerning himself shalI
be informed of: (a)�e purpose and iaL.aded use of�he requencd daca wichin�e:ollecdn3 3ar-ageary,polidcal subdivisioa,or scimwide rystm;
�b)whe:her he may r.fuse or is le3a[ly cequited w si:pply ehe requesud dati:(c)acy Icown coasr�uence arisin3 from his supplvi.^.g or refusing m suoply
privar.or confidendal dara:and(d)che idaadty oi or*erpersons or enddas au�horiz�by sca[_or fad�ral law to rceive[he da�a. This requiremen�shall
noc app[y wFan an individuai is asked to s�pply ia�•esaeadve daa,pursuanc ro sec�oa 13.82, subdivision 5, [o a law enfocze^�ac o�eer.
The commissioner of rve�ue mav olac_ the noace reauired under �his subdivision in the ir,dividuai income ct:c or orooem mz refur.d
inscrucuons ins�ead of on�hose forms.
Subd.3. access to data b�indiridual. tipon reques[to a responsiblt auchoriry,aa individual shall be infocmed wh.erher he is the subject
of scored dact on individuals,and whe:�er ic is d�ssifed as public, privace or con:de^dal. L'poa h-is fur�er rertuest,an individual who is the subjecc
of scorrd privace or public daci on indir-iduals shall be show-n che daca wichouc any caar3e tD hia and:if he desires, shall be iaiorczed of[he concer.c
ar.d meaning oi chat dac�. Aher an individua!hu 6ecn shown che privam dara and iaiormed oi iu meaning,the data need aoc be disclosed w him for
six monctu �her_aiti:r unless a dispute or acrion pucsuanc[o chis secdon is pend�.g or addidoa�l dara on che individual has beea coUected or creared.
Tne responsibia au�hociry shall providz copies ot�he privace or Qu61ic daea upon r_Yu:sc by[he individual subjecc of cl:e daci. Tne responsible au�horiry
may r:quire che requesring person ro pay che acn:al cosu of malcinc.certifying,ar.d compiIing the copies.
Tne r_sponsible auchoriry shall comply ir.ur:ediate(y, if possible, wirh�:.y:�qu�st�d�PutSuant co[his subdivision,or wichin five d�ys oi
the dace of che requesc,e�cluding Sacurdays.Sur,days and legsl holidays,if immedu::compliacce is not possible. If he cannoc comply wich the requesc
Wl4tl1l1 d13[QIIIC,he shall so inform che individual,u:d may have an addidonal five days wichin which�o comply wica�he request,excluding Saturdays.
5undays and 1eg31 holidays.
Subd.4. Procedure when data is not accurate or complete. An ir.div;Cual may concest[he accuracy or completeaess of public or pri�•a[e '
daci cor.ceming himself. To exer.ise�is righc,an individual shall noafy in wri�g:�:rspoasiole aurhoriry describing�he nan::e OL�le d153gltemeac. .
'Ihe responsible au�horiry 5ha11 wichin 30 days ei�`.er: (a)correcc�he da�a found ro:�inaccc�c_or ir.complem and aaempc co nod,`y past tecipiencs of
inaccum:o or incomple:e dars, including recipienc�named by [he individual:or(b)�orify ch: i�dividual chac he believes the dara to be coctzec Dac�
in dispuce sh�ll be disc!osed only if[he individu�l's sa�emenc of disagreemenc is i^:tuded wiL`�che disclos:d dac3.
'Ihe dece:minadon of cha rtsponsiol� auchoriry may be appealed purn:��:ro the provisions of tha admuusaarive pro.edure act reladag co
concesrd cases.
DAT?� PRIVACY :�D`'ISORY
In accordance with�1.5. 13.04, Subd.2, "Righ[s of subjecu oi data", w�e would like to inform you tha[your reauesc
for a permit or license from the Ciry ot Orono or any of ics depz�.ments may require you to fumis� certain private or
confiden�ial information.
You are notified that:
1. The information you fi:rnisa will be used to determir.�your quzliLication for che permit or license requested.
? You may refuse to supply daca, buc refusal may reeuire thzt che Ciry deny the permi� or license.
;. The informacioa may be shared with ocher local, stat�or federal a�encies co the extent necessary to process
the permit or license.
.}. If your requested permit or licease requires Council action to approve, some informacion may become
public.
�. You have cercain riQhcs under �1.S. 13.04 (availabl� upon request) to review private data on yourself.
6, Your full name is required to process chis applica�:oa or pe:mic.
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I under d my ri�hts as stared ao�e.
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Signacure '
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED a �
PERMIT NO. COMPLETED `2 '� � �d
ADDRESS a`�� � L���l(�'l.t 7�"�-
OWNER CONTR. ��/TC�f'� G��',/.
TELEPHONENO. �7`7-112-3
� DESCRIPTION �-fY�F
lyi 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �VORKSATISFACTORY:PROCEED �OJECTCOMPLETE
W� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. _, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlCont�ry�or on site-
Inspector. � ���I/IC
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN '� / d
INSPECTION NO ICE SCHEDULED �/.zoloa = �
PERMIT NO. ��73 COMPLETED a�
A D D R ESS �C�1� �,�:.e-��� �.c�-�•
OWNER CONTR. ������
TELEPHONE NO. '���'����-Z 3
� DESCRIPTION /f'���z.,r
lL 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� RAfVRiQC 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
0 LATION 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� 1�1/VORK SATISFACTORY:PROCEED - PROJECT COMPLETE
�SC� CORRECT WORK 8 PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY
O C� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '. CITATION ISSUED
i_; INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor n sitQ:
f.
Inspector. '
White Copyllnspector's File Canary CopylSite Notice