HomeMy WebLinkAbout2003-P06229 - re-roof � •
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6229
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 4�2a�2oo3
SITE ADDRESS: 2648 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-24-0039
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 223•25 Valuation: $ 12,946.00
State Surcharge Fee: $ 7.00
TOTAL FEE: $ 230.25
APPLICANT: Sela Roofing&Remodeling,Inc. OWNER: Jeffrey&Barbara Essen
4100 Excesior Blvd. 2648 Casco Point Rd
St. Louis Park,MN 55146 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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APPLI ANT PERMITEE SIGNATURE �ED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $_ �3('�, � � Date Received: �-� Y—U3
Entered By: �� Pernut#: •�'p�,,Z Z �y
CITY OF ORONO - I3UILDING PEIZMIT APPLICATION
All information uiust be submitted iii full before plan review �vill be started.
(please print all tnforrrtation)
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T�� A.PPLICANT IS: (circle one) OWNER OR ONT
JOB SITE ADDRESS: , �'� I�C�-Z�:
NA.ME OF Oti�NER: ��-�--F L S S e � Pxo�: (home)�1.5-�-'��/- a�d' �
(work)
1�IAII,L�1G�DDRESS: . CITY: ZIP:
SELA ROOFING&REMODELING,INC.
CONTR.A.CTOR: � 410o Ex . 1��n RT�m PHONE: (,�/� -�,�;�- � � y (
C0�1'TACT PERSON: ST.LOUIS PAR,K,IVIN 5541h IIOBILE/PAGER:
MAIIfING A.DDRF,SS: ID#000105(� C�r; Zjp:
STATE LICENSE: # j� �-j��
ARCHI'T�CT/ENGI��ER: P�IO\TE:
IYIAILL�(G ADDRI;SS: CITY: ZIP:
�'�'�� � REGISTRATION#
TXPE OF ��'ORK: Ne�v Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED tiVORK (describe in detai�: _ �`��� ��.�rra�.; -� 1���;�'
��_,I 1 �n r �1 c�� �!G✓'C.�7
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF B�DKOOMS: GARAGE STALLS: ATT. � DET. � _ . . ...
ESTIIVIATED CO�'STRUCTION VALUAT�O\ (exclucliug laud): � � o� , yL/ �
I hereby apply for a buildiug pern�it and I acknowled�e that the information above is complete and
accurate; that the work �vill be in conformance �vi�h the ordinances and codes of t�ie City and with
the State Build'ui� Code; that I understan�i 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.
APPLICA.NT'S SIGNATLTRE: �------_ DATE: �" ( _� ; ,_ � _
h'OTE! ,Parade Q Homes events require separate permit c�pproval by Police Depgrhnent and
City Council 60 days prior to the event. Non permitted events tivill �tot be allowed.
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Sec.13.0-t RIGHTS OF SUBJECTS OF D,-1T.�
Subd. 1. Type of data. 'I�e rig6ts of individual on whom t�e data is scD:� or to be scnrcd shall be as set forth in this scction.
Subd.2. Intormation req�rired to be�ven Indiv9dua], ,�ir�i�idual asc�co supply priva[e or confideooal dara conceming himseLf s6a11
be informed of: (a) [he purpose and in[ended use of[he rcquesud dara u;�thc collecring Ytaee ageocy, poliacal subdivisioo,or satewidc sys�.m;
(b)whe�her he may refuse or is I�gally cequired[o supply ehe requested dan;(c)any i�o•xn coasequeace arising!rom his supplying or rcfusing to supply
priva�e or conndential data;ar.d(d)�he idendry o(other persons or eaodes ae�horized by s�ate or[ederal law ro rceive the data..This requ'vement shall
not apply whtn an individual is ask�d to supply invesdgadve datt,pursu�:�co seccoa 13.82, subdivision 5, to a law enforcement officer. �
Tht commissioncr of r_veaue mav lace the norice rwircd �r.�er this sutdivision in the individual 'u:coma �az or ro em ax reFund
instruc�ions ins�esd o(on �hose forms.
Subd. 3. Access to datn 6p indi.idual. Upon reques�to a r_stansible au�.oriry,an individual shall be informcd whether he is the subject
oF s�ored data on individuals, and whe[her it is classificd'as public, privac�or confideetial. Upon his funher requesc, an individual who is the subject
of scored pRvate or public dara on individuals shall be shown che daraµ�i�ouc any ei�rge to him and,'if he desu-es, shall be informed of the concen�
ar.d meaning of tha�daca. After an individual has been shown che priva��aa and i�:ormed of its meaning, �he dara need not be disclosed to him for
si.c mon�hs �herea[[er unless a dispute or action pursuant to chis secdon is Fending or addidooal data on the individual has b�en collecced or creaced.
The responsiblt auehoriry shall provide copies of the privato or public daca��on reques;by[ha individual subject of th�data. The responsibl�authoriry
ray require the requesring penon to pay the actual costs of makin¢, ca`:ling, and compiling the copios.
The �esponsible auchoriry shall comply immediately, if possible, wi�h any r.quest made pursuant to ehis subdivision, or wi[hin five days of
the dace of the request,e.�cluding Sanirdays,Sundays and legal holidays,ii ir,Jnediate compliance is not possible. Lf he cannot comply with the requ:s[
wi�hin[hac dme, he shall so inform che individual,and may have an addi�o�!five da}•s wi�hin which to comply wicb tho r�quest,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Ftocedure wheo d�ta[s oot accurate or complete. An indivi�ual may contest the accuracy or completeness oFpublic orpri�•ate
da�concerning himself. To ezercis�ehis ri¢ht,an individual shall notiFj ia wridng d;o rsponsible authoriry d�scribing the n�[uce of the disagre:meoc.
The responsib(t authoriry shaJl within 30 days eitfur: (a)correct the da�ic�nd to�e in�ccuate or incompieee and accemp[to nodfy pas�recipi�n�s of
inaccurate or incomplete daca, including recipienes nam�d by eho individ�J;or(b) rorify the individual that he believes the data to be correct Dan
in dispu�e shsll be disciosed only if ehe individual's statement of disagre:�:nc is ir.cl��ded with the disclosed data.
Tlu decerminadon of the rosponsible authoriry may be appea;ed pursuanc to �he provisions of tha administrarivo procedure act rdadng to
contesxd cases.
DATA PRI4'aCY AD�`ISORY
In accordance wich M.S. 13.0�1, Subd.2, "Righ[s of subjects ot daea", we would like to inform you that your reauest
for a permit or license from the City of Orono or any of i�s depa�-.,�.eats may require you to furnish certain priva[e or
confiden�ial informa�ion.
You are nocified char.
1. The informacion you fumish will be used to d"zrniine �-our qualification for the permit or license requested.
2. You may refuse to supply data, bu� refusal nay require tha[ the City deny che permit or license.
3. The informatio❑ may be shared wieh other loc�l, state or federal ageacies to the exteot necessary to process
the permit or license.
4. If your requested permit or licease requires Council action to approve, some informa�ion mav become
. public. -
�. You have cer[ain riehts under h1.S. 13.04 (z•:ai(able upon request) to review private data on yourself.
6. Your full name is required co process this zpplicacio❑ or permi�.
Firsc �fiddle Lasc
Address
Ciry State ZiP Phone
I understand my ri;hts cated above.
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Signa�ure
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DATE TIME
CITY OF ORONO CALLED IN S�
INSPECTION NOTIC,��� � � � SCHEDULED 5--7-D_ �
PERMIT NO. �j COMPLETE
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ADDRESS ��y GZSG �'
OWNER CONTR. ��3e�.�
TELEPHONENO. IS�=� `���` 7��'�
� 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 FEMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedConUactor �te•
Inspector. v
White Copyllnspector's File Canary Copy/Site Notice