HomeMy WebLinkAbout2000-P02506 (building re-roof) - PERMIT
�C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2so6
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: s�3tioo
SITE ADDRESS: 3721 Casco Ave
WAYZATA,MN 55391
PID: 20-117-23-31-0058
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: $ g3•ZS Valuation: $ 2,915.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 84.75
APPLICANT: FLAGSHIP ROOFING COMPANY OWNER: D R WELTY& M M JIN
3496 SHORELINE DRIVE 3721 CASCO AVE
WAYZATA, MN 55391 WAYZATA MN 55391
THE UNDERSIGNED F-IEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI7Y OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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PLI ANT PERM E SIGNA7'URE UED BY SIGNATU
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Copies: City,Applicant,Assessor, Finance Page 1
. Date Received:
Total Fee: $
Entered By: Perm.it#:
CITY OF ORONO - BITII�DING PERIVIIT APPLICATION
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 O�CONTRACTOR %
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JOB SITE ADDRESS: � ;' ��' � �'�i S C� ��.�<_ ZIP:
� ,1 PHONE: (home) �.�_ - -1-7 � ��
NAl�iE OF OWNER: ^ ,��� � S� .� ' ; _ i �.;i ��
(work) � - C • � � ��i
1�IAII�ING ADDRESS: 7 7� 1 _.��•Sc"c; %��-� _CITY: ���%s � , ZIP•
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CONT'RACTOR: {-I<< ".__�S l �,�' ��,��.=� ��c� PHONE: ���, ; ;-7;- ._; f-t �
COi�1TACT PERSON: ��i�I�5 �(�r � 1�IOBILE/PAGER: ' � _
NIAII.�ING ADDRESS: =t-t�t i., ',�-, � :�l���- i;� - CITY: i_� �: ,''z� ZIP: �>>"���i .
STATE LICENSE: # ��%�=� > �-� S
ARCHITECT/ENGINEER• PH0�1E:
I�IAILIl�'G ADDRESS: CITY: ZIP:
N��,�: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
,
PROPOSED WORK(describe in detai�: j�°�r- �-� �= ��-���� �'r���� ` < � -� }l-, _
;
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET.
ESTI�i IATED CONSTRUCTION VALUATION (excluding land): $ � i i`� - =�-�=
I hereby apply for a buildin�permit and I acknowled�e that the information above is complete and
accurate; �hat 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 start without a
permit; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNAI'URE: � �' �' ` DATE: �,�- �>; - - ��
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NOTE! Parade�'Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permixted events will not be allowed.
Sec.13.0,i RIGHTS OF SL'BJECTS OF DaTA
Subd. t. Tvpe of daca. 'Ihe righc�of individual on whom[be data is stored or m be scorcd shall be as sec focth in[his secrioo.
Subd.?. Informaaon reqirired to be�ven individual. �1n individual bsked ro suppiy privatr or confidenrial data concerning himsclf shall
be informed of: (a)[he purpose and inrrnded use of the requesud dard wichin che collecring§t3ce agency, polidcal subdivision,or scitewide ryu:m:
�b)whecher he may r.fuse or is(e3ally requir�d ro suppty the Rquesud dat�;(c)aay lmown coasr�Neace arisin3 from his supplying or refusing co supply
privace or conndendal dara;and(d)[he idenacy of other persoas or enaaes auchorized by stac:or fedzral law to receive che dacs. This requiremeac shall
not app(y whzn an individual is asked to supply in��esri¢arive data, pursuanc�o secrion 13.82, subdivision 5, to a law enfoczeatnc officer.
The commissioner of r�enu r-iav plz- the noac- rauired under this subdivision in the individual income tax or proo�m raz refur.d
instrucdons ins:e�d of on chose forms.
Subd. 3. access to data b�individual. [ipon requesc to a responsible au�horiry,an individual shall be informed whecher he u tfie subjecc
of scor=d dan on individuals,and whe:her ic is ci�ssified as pubiic, privace or coniidendal. lipon his furcher request,an iadividual who is the subjecc
of stord priva�e or public dam on individuals shall be shown[he dara wichout any charge to him and,�if he desires, shall be iruormed of[he concent
ar.d meaning of�hat dara. Aher an individual h�s been shown[he priva[e dara and informed oi iu meaning,�he data need noc be disclosed m him for
six monchs cher_aiter uriless a dispute or acrion pursuan�tn chis secdon is pending or addidooa!data on the individuai 6as beea coilected or creaced.
The responsibla au[horiry shall provide copies of diz privace or public data upon request by the individual subjecc of�he daca. Tne responsible auchoriry
may requir[he requesring person ro pay the acaial cosu of making.cerdfying,and compiling rhe copies.
'Ihe responsible auchoriry shall compiy immediacety, if possible, wi[h any request madt pursuant co rhis subdivision,or within five days oi
the dace of rhe requesc,excluding Sacurdays,Sundays and legsl holidays,if immediace compliance is noc possible. If he cannot comply with the reques�
wichin chac[ime,he shail so inform[he individual,and may have an addiaonal five days wi[hin which to comply wi[h the tequest,excluding Saturdays,
Sundays and legsl holidays.
Subd.4. Procedure when data is not accurate or complete. An individua(may contest the accucacy or compleceness oF public or private '
dara cor.ceming himself. To exer.ise this right,an individual shall noafy in wridng rhe responstble auchoriry dzscribing che nacu:e of the disagreemeac. .
The responsible au�horiry shall wi[hin 30 days ei�`.er: (a)correct[he data found ro be inaccurace or incomplece and aaempe to norify past recipiencs of
inaccurace or incomplece dara, inciuding recipiena named by che individual; or(b)¢odfy d:a individual thac he believes the dara to be correcc. Dara
in dispuce shall be disc!osed only if�he individual's sacement of disagreemen�is ir.cluded wi�h the disclosed dara.
The de�erminadon of eha rzsponsibte auchoriry may be appealed pucsuanc co the provisions of the adminis�arive procedure act relaring [o
contested cases.
DAT� PRIVACY �DVISORY
In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjecu of data", we would like to inform you tha[your reauest
for a perm.it or license from the Ciry of Orono or any of its departments may require you to fumish certain private or
confiden�ial information.
You are notified that:
1, The information you furnish will be used to determine your qualification for the permit or license requested.
?. You may refuse to supply da�a, buc refusal may require thac the City deny the permit or license.
3, The information may be shared wich orher local, sca[e or federal a�encies co the extent necessary to process
the permit or license.
:�. If your requested permit or license requires Council action to approve, some information may become
public.
�, You have cenain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your full name is required to process this applicacion or permit.
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Signantsr
DATE TIME
CITY OF ORONO �� 1�0 �' CALLED IN
INSPECTION NOTIC scHEou�E� �"____����
PERMIT NO.��-�n��%�" COMPLETED � � � ��
ADDRESS ��� I C �S C'C /� V�
OWNER CONTR. �� �����.X-��
TELEPHONE NO. �'l 5-.�- �l7/-3�1N`'�I ���`� ��i P
� DESCRIPTION �G�F �'� ���eC��' �'`-e-�.�'t� �
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
QRAMING� 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
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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� �WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPOFIARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlCont��r on site�
inspector.; L�.��
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO �Y�O CALLED IN ��S�Q�
INSPECTION NOTIC SCHEDULED �7_��',�1
PERMIT NO. COMPLETED `"'�/ � '�7
ADDRESS �-3��� �-CE'� �
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OWNER CONTR.
TELEPHONE NO. ��� ^-J���
� DESCRIPTION
ly� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
05 INAL 14 SEWER HOOK-UP 06 PROGRESS
� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WOFIK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. /,N(�/L �G-L�J-S
White Copyllnspector's File Canary CopylSite Notice