HomeMy WebLinkAbout2002-P05620 (re-roof) PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Pos62o
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 9�1s�2oo2
SITE ADDRESS: 3600 Casco Ave
WAYZATA,MN 55391
P I D: 20-117-23-31-0042
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Sub-type(s): Building-Re-Roof
Pernut Type: Minor Alterations
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 11125 Valuation: $ 4,975.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 114.25
APPLICANT: O'Brien Roofing&Conshuction OWNER: �CHARD J HAEFELE
4143 Minnehaha Ave. So. 3600 CASCO AVE
Minneapolis,MN 55406 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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UCANT PERMITEE SIGNATURE T�[SSUED BY SIGNATURE �
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
Total Fee: $ / ��.p� �� Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING 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 CONTRACTOR�
JOB SITE ADDRESS: ���� CC��('� �(/ ZIP:
NAME OF OWNER: � - '' � (�Q PHONE: (home) � '���'a��
(work)
1�IAILING ADDRESS: ���� l (SG,�) �U CITY: ���U�.�C� ZIP:
CONTRACTOR: C� r�Y(�y'1 ' � ,�i,�/ PHONE: ��a — �'��� � r�1 �
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: T-// Q"f�n�U �C��S CITY: 7 ZIP: <�_�
STATE LICENSE: #�`�Ur�(���i �.
ARCHITECT/ENGINEER: PHONE:
MAILIN(T ADDRESS: CITY: ZIP:
NA1�iE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROP SED WORK(describe in detai�: �
�� � � �
STORIES: (- SQ. FEET F EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
" c� c`�
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 Czty and with
the State Building Code; that I understand this is not a permit and w.a�k-�s-�ot to star without a
permit; and that the work will ce with the approved plan.
APPLIC��TT'S SIGNA URE: DATE: � �
� -
NOTE! Parade of Homes events requir sep' te permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed. �
Sec.13.04 RIGHTS OF SLTBJECTS OF DaT�
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set fonh in this secrion.
Subd.'_. Information reqirired to be given individual. An individual asked to suppiy privace or confidenrial data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data wichin the collecting'state agency, political subdivision,or statewide system;
(b)whe[her he may refuse oY is legafly required to supply che requested data;(c)any laiown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idenriry of other persons or entides au[horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrieadve dara, pursuant ro secdon 13.82, subdivision�, to a law enforcement officer.
The commissioner of revenue r-iav pface the noace reauired under this subdivision in the individual income tax or propertv tax refund
instructions instezd of on those forms. _
Subd. 3. Access to data by'indi�idual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of scored data on individuals,and whe[her it is classified as public, private or contidential. Upon his further request, an individual who is�he subject
of stored private or public data on indi��iduals shall be shown che data wi�hout any charge to hirn and, if he desires, shall be informed of che content
and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for
six months thereafter unless a dispute or acaon pursuan[to this secaon is pending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the pnvate or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay che actual costs of makine, certifying, and compiling the copies.
The responsib(e authoriry shall comply immediately, if possible, wi[h 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
wi[hin that time,he shall so inform the individual,and may have an addidonal five days within which to comply with[he request,excluding Sacurdays,
Sundays and legal holidays.
5ubd.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�his right,an individual shali notify in wridng the responsible authoriry describing�he nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incompiere and attempt to norify past recipients of
inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual tha[he believes the data to be correct. Data
in dispute shall be disclosed only if che individual's statement of disagreement is included with the disclosed data.
The de[ermina[ion of the rzsponsibfe authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to
contested cases.
DATA PRIVACY :�DVISORY
In accordance with M.S. 13.04, Subd.2, "Riahts 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 pemut 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 riQhts under M.S. 13.04 (available upon request) to review private data on yonrself.
(. Your full name is required to process this application or permit.
First �fiddle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signacure �
Sep 16 02 04: 18p p, l
1 � /
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, �� Total Fee: $ �� o�J Date Received:
V Entered B
Y� _ Pemut#:
CITY OF ORONO - BUILDING PERMIT APPLIC.' �'_�__
A1i information must be submitted in full before plan review wil
(please print all information)
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THE APPLICANT IS: (circle one) OWNER CONTRACTOR
� ,
JOB SITE ADDRESS: � � �(��� ZIp; � ''
� .
NAME OF OWNER: , /,.;�,,Q PHONE: (home) '�y�'o?,�1.�
NIAILIl�TG ADDRESS: (work)
�(fi�C� �S .�1 �7/� CiTY: _���n.�C�_ZIP:
CONTRACTOR: � �E�Yr � l � PHONE: ��a — ���3 � �
CONTACT PERSON: ..� MOBILE/PAGER:
MAILIl�TG ADDRESS: � u (��, ' CITY: ZIP: ,S (��
STATE LICENSE: #��� �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NA�� REGISTRATION�'
TYPE OF WORK: New Addition Accessory Structure � � -
Move Remodel/Alteration� Land Alteration
PROP� ASED WORK(describe in detai�:
t�0(1a- �
STORIES: �_ SQ.FEET F EACH FLOOR:
NO. OF BEDROOII�IS: GARAGE STALLS: ATT. DET.
" c� c�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $�q 7��
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 st without a
permit; and that the work will ce with the approved plan.
A.PPLIC��TT'S SIGNA - C.' DATE: (J�
. �
NOTE! Parade of Home,� events require p� te pernzit approval by Police Department and
City Council 60 days prior to the event. Nan permitted events will not be allowed. �
� DATE TIM
CITY OF ORONO CAL ED IN � �.-
INSPECTION NOTI E �r.�SCHEDULED
PERMIT NO. � ����,�cOMPLEfED
ADDRESS _ -�C�C�C- CC-� S��> I��"-F _
OWNER CONTR. 1���j� �.l`�� �1 e
TELEPHONE NO. _ � �' l�� � d-t� — ���o'-�
� DESCRIPTION _ �`�C�-Y' ���
� Ot 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
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContr r site:
Inspector. �
White Copyllnspector's ile Canary Copy/Site Notice