HomeMy WebLinkAbout2002-P04945 (re-roof) f r ,
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04945
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 3i��2oo2
SITE ADDRESS: 3704 Casco Ave
WAYZATA,MN 55391
P I D: 20-117-23-31-0039
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations 1'ermit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 1ll.25 Valuation: $ 4,896.00
State Surcharge Fee: $ 2.45
TOTAL FEE: $ 113.70
APPLICANT: Sela Roofing&Remodeling, Inc. QWNER: ROY SCHRADER ET AL W/L EST
4100 Excesior Blvd. 38 ADDRESS LTNASSIGNED
St. Louis Park,MN 55146 MN 00000
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALI,WORKIfN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDIN 'CODE REQUIREMENTS.
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APPLI ANT RMITEGS[GNATURE ISSUEDBYS[GNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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Total Fee: $ /�.�� / C� Date Received: �- �-� �--
Entered By: Permit#: %'U
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CITY OF ORONO - BUILDING PERMIT APPLICATIOle1
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: v � U �� C'�t S�c,'� �L L- ZIP:
NAME OF OWNER: ���, `�C �� r��c+�C� PH0�1E: (home) GJ��,� `l 7l-y I s�
(work)
MAII.ING ADDRESS: 3 ���� �'�i 5 C U ��c CITY: G�"C v�U ZIP: S 5���
CONTRACTOR: ..1�C'�c� )2���' ����� PHONE: G l 2-�S�3�����I�
CONTACT PERSON: V MOBILE/PAGER:
MAII.ING ADDRESS: 4�l 6� i: xrc i;,c,- i`3�,,�1 CITY: S i, 1 v� 'S '�i,��i ZIP: 5�'`llE
STATE LICENSE: # /C� S �'
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: / c'c r t;�� �r rc���-�? �����''��` �
�e -� ��'�, rc� C�c'�, ��,�C C_
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�r=_
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ���`l �
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 no a rmit and work is not to start without a
permit; and that the work will be in accor ance e approved plan.
APPLICANT'S SIGNATURE: � DATE: 3� 7- U �--
NOTE! Parade o�'Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Informatioo reqirired to be given individual. An individual asked to supply private or confidential dara concerning himself shall
be informed of: (a)the purpose and intended use of the requested dara wi[hin the collecting"state agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse or is legally required to suppiy the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idenriry of ocher persons or enrides authorized by state or federal law to receive the data. This requiremeot shall
not apply when an individual is asked to supply invesrieaave dara, pursuant to secdon 13.82, subdivision 5, to a(aw enforcement o�cer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or properN tax refund
instructions instead of on those forms.
Subd. 3. Access to data by indiriduai. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whe�her it is classified 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 che data without any charge to him and, if he desires, shall be informed of the content
and meaning of that data. Afte�an individual has been shown[he priva[e data and informed of iu meaning, the data need not be disciosed to him for
six months thereafter unless a dispute or acrion pursuant to this section is pending or additional data on the individual has been coliected or created.
The responsible authoriry s6a11 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 makine, certifying, and compiling the copies.
The responsible authoriry shall comply immediatety, if possible, with any request made pursuant to this subdivision, or within five days of
the date of the request,excluding 3aturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform[he individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal hotidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himself. To exercise this rieht,an individual shall nodfy in wriang the responsible authority describing�he nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to norify past recipients of
inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disc(osed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant ro the provisions of the administrarive procedure act rela[ing 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 notified that:
1. The information you furnish will be used to deternune your qualification for the permit or license requested.
Z. You may refuse to supply data, but refusal may require that the City deny the pemut or license.
3, The information may be shared with other local, state or federal a�encies to the extent necessary to process
the pernut 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.
(. Your full name is required to process this application or permit.
Fitst Middle Last
Address
Ciry � State Zip Phone
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I under d y rights stat� above.
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Signature
DATE TIME
CITY OF ORONO LED IN
INSPECTION NOTIC � J�Q SCHEDULED
PERMIT N0._ � / COMPLETED 3'I Z 'D� � 2< t�
ADDRESS �Zt9`l �� �-o
OWNER CONTR. S��
TELEPHONE N0.
� DESCRIPTION '(���
� 01 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
Z04 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
� COMMENTS:
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WnRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAFiY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
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� Z49-4600
OwnedContra o o s' :
Inspector.
While Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED � � �U y
PERMIT NO. �a`���-� COMPLETED f o �'
ADDRESS� c`� ' �'�--
OWNER CONTR.
TELEPHONE NO. `�T`�� 1���� �� 3 �L� �
� DESCRIPTION ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� fINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 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 FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
Owner actor on site:
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Inspector.
hite Copyllnspector's File Canary Copy/Site Notfce