HomeMy WebLinkAbout2006-P10439 (re-roof) PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10439
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued: l0/12/2006
SITE ADDRESS: 3700 Casco Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0040
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 391.25 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 403.75
APPLICANT: Northrup Roofing&Remodeling OWNER: Mr. &Mrs. Dongoske
4400 Nicollet Ave. 3700 Casco Ave
Minneapolis,MN 55419 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 BUfLDING CODE REQUIREMENTS.
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APPLI A PERMITLE SIGNA7'URE IS ED BY SIGNATURE C�
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
Oct 10 2006 9: z9RM HP LRSERJET FRX 612-825-1900 p. 3
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Total Fee: S D 3 � Date Received: ; ': - ! r.� f.'�,
Entered By: . Permit#: _� � ,�,,
CITY OF OR NO - BUILDING P�RMIT APPLICATION
All information mus be submitted in full before plan review will be started.
(please print al!information)
THE APPLICANT I5: circ[e one) OWNER O CONTRACTOR
JOB SITE ADDRESS: � O C V IA L° ZIP: J.���1
Will this be a Parade of Ho es,Remodelers Showcaae Home or other Display Home?
❑ Yes ❑ NO Ifyes,asp cial event permit is required with Police Departmeni and City Council approva!
60 days pri r to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient -site parking is wailable. Non permitted events will not be allowed
NAMEUFOWNER: ^ 1'Q I'►C'%!� 0 PHONE: (home) 1�v�2:B�$-38ZS
(work)
MAILING ADDRESS: 3 D Ve- CITY: 0� Zc�.'�GL ZIP: 53�
CONTRACTOR: 01'�{`I u oo �l �m oL�� 1 i r� PHONE: (vl7-SZS -335,3
CONTACT PERSON: �e � M BILE/P GER:
MAILING ADDRESS: �"Co �. CITY: in I ' ZIP; Ss�f19
STATELICENSE: # 2. q EXPIRATI4NDATE. 3/31�0'j
ARCHITECT/ENGINEER: pHONE;
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New H me Addition Accessory Structure
Move me Remodel/Alteration (ie: Sid.ing, Windows) ��
Any e rth movement may require MCWD review and ermits!
PROP05ED WORK(descri in detain: �IY�o v� Qv1Q ep �C P d 0
n us �e ra �
STORIE5: .FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALL5: ATTACHED DETACHED
ESTIMATED CONSTRUC ION VALUATION(excluding land): S_ �5�,UO O
I hereby apply for a building pe it and I acknowledge that the inforrnation above is complete and accurate;
that the work wiU be in conform ce with the ordinances and codes of the City and with che State Suilding
Code;that I understa.nd this is not permit a.nd�vork is not to start without a permit;and that the work will be
in accordance with the approved lan.
APPLICANT'S SIGNATU : � DATE: �� I �/
31
Oct 10 2006 9: 29RM HP LRSERJET FRX 612-825- 1900 p. 4
Sec.13.04 RIGHTS OF SUBJECTS OF D TA
Subd. I. Type of data. The rights of indrvidual on whom the data is stored or ta bc stored shall be as set farth in this sccHon.
Subd.2. Information required to b given individual. An indiv idual asked to supply private or con6dential data concerning himselfshall be
informed of: (a)the purpose and intended usc ofthe nequested data within thc collecting slate agency,political subdivision,or stalewide system;(b)
whecherhe may refuse or is tegally rcquired to suppiy the requested data;(c)any known consoquence arising from his supplying or refusing to supply
private or confidential data;and(d)the identi of other persons or entities authorized by state or fedeta)law to receive the data. This requireroent shall
not apply when an individual is asked to sup y investigative data,pursuant to section 13.82,subdivi�ion S,to a law enforcement ofFcer.
c o v I i
instrucrions instead of on�ose forms_
Subd.3. Access ro data by individ al. Upon request to a rosponsible aut6ority,an individual shall be infortr�ed whether he is the subject of
stored date on individuals,and whether it is ci ss�ad as public,private or confidential. Upon his further requesk an individual who is the subject of
stored private or public data on individuals'sh 11 be shown the data without any charge to him and,if he desires,shall be infortned of the contenc and
rneaning of that data. After�n individual has en shown the private data and informed of its meaning,the data nced not be disclosed to him for six
tnonths thenafter unless a dispute or action p uant to this section ispending ar additianal data on the individual has been collected or aeated. The
responsible authority shall provide copus of t e private or public data upon requast by the individual subject of the data. The responsible authoriry
may require Ihe requesling person to pay tha tual costs of making,certifying,and compiling the copies.
T6e responsi6le suthority shal l co ply immedielely,if possibl e,with any reguest made pursuant to this subdivis ion,or wrthin 5ve days of
the date�f the reques�excluding Saturdays,S ndays and legal holidays,ifimmediate compliancc is not possible. Ifho cannot eomply with the requast
within that qme,he sball so inforro the individ 1,and mey have an add itional five days within which to evmply wit6 the request,excluding Saturdays,
Sundays and legal bolidays.
Subd.4 Procedure when dats is n t aeeurate or oomplete. An individual may contestthe accuracy or completeness ofpubl ic arprivatedeta
concernine himself. To exercise this right,an i dividual shall norify in writing the responsible autltority dcscribing the nature of the disagreement. The
responsible authority shall withm 30 days ei er: (a)correct the data found to be inaccurate or incomplete and attempt ro nodfy past recipients of
inaccurate or ineomplete deta,including recipi nts named by the individual;or(b)notify the individual that he believes the data to be coaeck Data in
dispute shaq be disclosed only if the individu 's statement of disagroement is included with the disclosed date.
The determination of the responsi le authority may Ix appesled pursuant to the provisions ofthe administrative procedure act�elating lo
contestod 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 fumish certain private or
cunftdentisl information.
You are notified that:
1. The infomtation you furnish will be used to determine your qualification for the permit or license
reyuested.
2. You may refuse to su ply data,but refusal may require that the Ciry 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 icense.
4, If your requested pe it or license requires Co�mcil action to approve, some information may becorae
public.
5, You have certain righ s under M.S. 13.04(available upon request)to review private data on yourself.
6, Your ful)name is req ired to pracess this application ar permit.
Firct NORTHRUP RO FING �ODELING L�ct
4400 NICOL £7 AV�NUE SOUTH
Addreas (61 )825•3353
Cily Strte Zip Phooe
I understand roy rights as stated a ove.
Signature
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DATE TIME ✓
CITY OF ORONO CALLED IN ' �
INSPECTION NO ICE SCHEDULED IU'/�-O�i c f•�.(��
PERMIT NO. � COMPLETED
ADDRESS l O �� S � U � •
OWNER CONTR. IVO��-Z�'�v��"U ��
TELEPHONE NO �� �C� � 7 ..� ��O �
� DESCRIPTION _ S �f �-�Ce- �iJU� � fi�ltiY- d t�'
L4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED [� PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-46�0
OwnerlCon�tactor site:
Inspector.
White Copyllnspector's 'e Canary CopylSite Notice