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HomeMy WebLinkAbout2001-P04490 - re-roof PERMIT CIT�•OF ORONO 27� Kelley Parkway - PO Box 66 Permit Number: Po4490 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 1oi16�2ooi SITE ADDRESS: 3055 Casco Pt Rd Wayzata,l�II�I 55391 PID: 20-117-23-34-0018 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S- Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 8,200.00 State Surcharge Fee: $ 4.10 TOTAL FEE: $ 171.35 , � 1 �i APPLICANT: Repair Express Inc. OWNER: John Dennis 4537 Jefferson St NE 3055 Casco Pt Rd Columbia Hgts, MN 55421 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , � �(,� C� � ��� �(�'�C_J`v APPLICAN"I'PERMITEE SIGNATURE IS UEDBYSIGNATURE Cooies: 1-File(SiQnitures Reauired), 1-Anplicant 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 T�otal Fee: $ Date Received: Entered By: Permit#: r CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� \\. � JOB SITE ADDRESS: ��� J , ��t Gt �,� �c%'1,��� ^! ZIP: ,���j:�� � NAME OF OWNER: �L''�✓l 41 �E'c1�11 -�� PHONE: (home) (work) MAILING ADDRESS: '�C:; � � Ce�?C�� �����ITY: C�,�r�,�`�� ZIP: �+%;.;�-� I CONTRACTOR: t�C w-�c'L l�� �x1�'1�'�'.S-S _l_.� i L PHONE: (�1,� ' ,�1/�SS�5 CONTACT PERSON: �L L ��'�� MOBILE/PAGER: MAII.ING ADDRESS: �i���7 � � -�5�;�� �fi ����� CITY: "��,..�,��� �°� ��ZIP: .5>"�,� � STATE LICENSE: #� �3��' , ���' ARCHITECT/ENGINEER: '� PHONE: � MAILING ADDRESS: � CITY: � ZIP: � NAME: REGISTRATION# � TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration n 1'�G�-�i�( ` I PROPOSED WORK(descri in det��� ��"E�►'c'�� �. 1 n s� � �' . "� � �'�� ��'�'� �r�� ���} ,� ��L'i ���5� akC� �'� � ���G�� c� �.a�.�.� C;c-r �v. STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 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 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. � 1� �C APPLICANT'S SIGNATURE: ,(1��.�i�-- DATE: �IC�� NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. � , � Sec.13.04 RIGHTS OF SUB.TECTS OF D�TA Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given indiridual. An individual asked to supply private or confidenual data conceming himself shall be infortned of: (a)the purpose and intended use of the requested dara within the collecting'state agency,political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)[he identiry of ocher persons or enrides authorized by sta[e or federal law to receive the data. This requiremenc shall not apply when an individual is asked to supply invesrieaave data, pursuan[to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or properev tax re_fund instruc[ions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whether he is the subject of scored dara on individuals, and whe�her it is classified as public, private or confidenrial. Upon his further request, an individual who is che subject of stored private or public data on individuals shall be shown che data wichout any charge ro him and, if he desires, shall be informed of the content and meaning uf�hat 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 thereafrer unless a dispute or acrion pursuant to this seccion is pending or addiaonal data on the individual has been collected or created. The responsible auchority shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual coscs of making, certifying, and compiling the copies. The responsible aurhoriry shall comply immediately, if possible, with 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 possibie. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri��a[e data conceming himself. To exercise[his right,an individual shall notify in writing the responsible authority describing�he nature of the disagreement. The responsible authoriry shall wichin 30 days eichet: (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data in dispu[e shall be disclosed 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 administrative procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts 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 wiil be used to determine your qualification for the permit 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 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. 6, Your full name is required to process this application or perm.it. First Vfiddle Last Address Ciry State Zip Phone I understand my rights as stated above. � ,1.,`'`"""//�� Signature � � DATE TIME CITY OF ORONO � CALLED IN INSPECTION NO CE (�7� SCHEDULED � 0 '�7 ' (�7 PERMIT NO.���"!\I COMPLETED ,�C� `/_��( �_.%��� ADDRESS �y'�C�.'�� �J CG1SC C � �-� OWNER CONTR. n0.�i '� G-iCD+�P� TELEPHONE N0. l D� � ��� I —� �� � � DESCRIPTION .����5 " --�/ k��` �� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W - � � v C C� O � � O � W � Q � Z W � W � � ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector._�����,t ���.�� White Copyllnspector's File Canary CopylSfte Nolice C`/�� �� DATE TIME CITY OF ORON CALLED IN INSPECTION NO IC SCHEDULED f2 PERMIT N0. � COMPLETED ��",�---� ;' � ADDRESS � �C -c� �• /� ' OWNER_ CONTR. � .ti TELEPHONENO. �D�� ` I ',j'3 S � DESCRIPTION�'�'I/�%�r� ��� �Q� � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � O MENTS: � a �'� �{-✓� � � 6 �n� �l S � o - '� �� v� a 0 � /�, Ciw ' , ' � �v L,� vP � W � � � �� Q � a W � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �ottiuRRECT WORK,CALL FOR REINSPECTION TEMPORARY V� BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 Owner/Contrac r on site: Inspector. � " White Copyllnspector's File Canary Copy/Site Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOJ;F�� ,/j,�O SCHEDULED ,�� PERMIT N0.�`�l`�`'� COMPLETED 2�-�� ."30 ADDRESS <��j� � SC � OWNER CONTR. (✓ � TELEPHONE NO. � — � � � DESCRIPTION � �- I � � C�� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAI 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 05 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � ��WORK SATISFACTORY:PROCEED �.PROJ ECT COM PLETE ( W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: <` Inspector._ ��.G �L �'�.L� `� White Copyllnspector's File Canary Copy/Site Notice