HomeMy WebLinkAbout2002-P05065 - re-roof `CIT�Y OF R N PERMIT
� � � Permit Number:
2750 Kelley Parkway - PO Box 66 Poso6s
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 4�22�2002
SITE ADDRESS: 2930 Casco Point Rd
WAYZATA,MN 55391
P I D: 20-117-23-31-0034
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 pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: � 111.25
Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: W•F. Smith Construction OWNER: MARVIN E MENTH ET AL W/L EST
5975 Lynwood Blvd 2930 CASCO POINT RD
Mound,MN 55364 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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APPLICANT PERM[TEE SIGNATURE �UED BY SIGNATURE
Couies: 1-File(SiQnitures Rec�uired), 1-Applicant. 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
04/21/2002 19:09 9524726539 WF SMITH CONST: PAGE 61
. �
Total Fee: $
Date Received:y"��" � 2
Enured By: �-- Permit#: �'O v Cv S—
CI'TY OF ORONO - BUII.DING PERMI'r AP�LICATION
All information must be submitted�in full before plan rev�ew will be started•
,, (pdease print all information)
-------------__---�-._-, ____-____----
�THE AppI,ICANT IS�M �(circle one) OWNER O CONTRACTOR
JOB SI'I'E ADDRESS: o� O Sl.d � R ZIP:
NAME OF 4WNER•. .�-�N rn�J�� PHONE: (h,ome)
(wozk)_ ,
1VIAII,ING ADDRESS: C�' �'
CONTRACTOR: UJ��� SM. �`�-I."� C6�N6� PHONE:q�c�'-N�o�- 6S�'
CONTA.CT PERSON: �c1 D _MOBI,LE/PAGER: - b> - � 1
1V1AILll�TG ADDRESS: o CTTY: ���vD ZIP: S S3 t
STATE LICENSE: � 5 a .
ARC�II'TECT/ENGINEER: ���'
NiAILING ADDRESS: CI'TY: ZiP:
N�: �tEGYSTRATION#
TYPE OF WORK: New Addition Accessozy S�uctute
Move Remodel/Alteratiom Land Alteration
PROPOSED WORK(describe�n detain: ��R/�,-c�� f �ts�l�-i Nc�G � -
STORIES: SQ. FEET OF EACH F�.00R:
NO. OF BEDROOMS: GARAG� STALLS: ATT. DET.
ESTIlVIAI'ED CONST�tUCTION VALUATION (excluding Iand): $ C� f> U
I hez�eby apply for a buildin�g permit and I acknowledge that the information above is complete and
accurate; that the work will be in confoananc�with the ordinances an�d codes of the City and with
tbe State Building Code; that I understand th�s is not a permit and work is not [o sta�rt without a
pennit; and tt�at the work will be in accor an w' the approved �lan.
APPLICANT'S SIGNATURE. DATE: ` ��'� ��
NOTE! Parade ot.�� events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events wilY not be aUowed.
, «
Sec.13.04 RICrH'TS OF SUa.fECT3 OF AATA
Subd. 1. Type oP dats. Thc riBh�s of individual oa whom rhe da�is smred or[o be amrcd shall bo ss se[fatth ia ttw ucriun.
Subd.2. Informadoo requlred lo ba��en indlvldual- An indiv►dual asked co supply private or conGdendal data concernin�Gi,msett ahall
6e informad of_ (a)ehe poryose aad iuo�nded use of the mquea�ed dam wir�ia tha coilecdu�a�re age�y, pvlidaal subdivisau,or antewlde sysoew;
(b)wherher he may rof�se oT is legally required m supply�a rnquesc�d dara;(c)any knawn consequcnce atising from his aupplyina or relUsing to suPP�7
privax or confidendal daa;and(d)ihe idenary ot o�her pecsons or enades auchorized by stata or federal law oo reeelve the dam. 'rhis requireraenc shell
noc apply when an individual is asked to supply invesdgadve daca, purnant ro secrion 13.8Z, subdivision S, to a law eeforo�meae officer.
'Che comtni s_ i8 Oner of venve �»AY olace [he n4dce required under dti su6divie on in the � dividual in ortu tax oc_oroaem_taz_eetYn�
incm�Cti0f18 1115tC9f�OE On f}IOSG��•
Subd.3. Access to dete by indl"1dua1. Upon rcquest to a rosponsible authoriry,an iadividual shall be Worroed whethtr he is du sub)ect
oF swred da�on itidividuals, and wherher ic is clas9ef'ied at public,private or confidendal. Upon 11is further Rque�t,an iIIdividual who is the subjecc
of arorcd p�irace a�puDlic dara on individuals shall be show�s�he da�wi►houc any charge co him and;i�he desires,�a11 be informed of che coateru
end meaning of that data. Afur an indiY�dual has been shown the private data and informed of ia meanipg.�e daa need noc be disdosed oo him Fur
aix mond�s the��r unless a dispute or acdon pucsuanc m chis secrion is pendln8 or addidonal daca on the iedividual has been colleeaed or cceaoed.
The cesponsible auehoriq shall provide copies of the privsx or pubiic daca upon requ6se by ths individual subjecc of the da�. 13e napoasible auehoety
may roquire tl�e nquesdng person to pay rhe acmal cosrs of makin6,cecufying,snd compilin6 the eopie�.
17ie reapansibla aurhoriry shall comply immediauly.if possibie, wieh anY�e4uosc made purauant�o ehis subdlvision,o�w+thiu Ave days of
ihe dsoe of the�squesc,excluding 5an►�daYs,Sundays and Iegal holidays,if immedia[e campliaace is not possible��h�e�canaot6 omX�y��d►��ayst
w�thin thac dtse,be shall so infortn the individu�l,and may have an addidonai tiva days within w6ich m comply q�
Sundays and Iegal holidAys.
Subd,d. Procadute when dato is not�ccurate or comp�ete. M in6ividual may concesc du u�curacy or comple�eneas oF public o��a��
dacs concemina himself. 'fo e:erciee rhis righc.�n individusl shnll noaiy in wricu���he responaible auchori�y deacnbing che nawce of the disag
The mypunsibie auehodry shAtl wirhin 30 days ei�hee. (a)cornc�ehe dara Pound ro be���e��vidual d�a�he believ�a rh dara�ba co�rect�.� Dam
inaccuraoe or incompletc data, lncludinB racipients named by rhe individual;or(b)natify
in diapuoe shall be disciosed only if che indiridual's staccmenc of disagrcement is includcd widi d��d►s��Q6�d dara.
'The doterminarion of rhe rosponsible authoriry may be appealed pursuanc eo the pcovisiona of the adminisa�arive procedute act nlaring ro
conmaced cssea.
AT P AC Ab OR
in accordance wich M.S. 13.04, Subd.2, "ltigbes of subjeces of daca", we would like to inform you that your request
foi a permit or lieense from the Cicy of Orono or any of its departcn�ncs may require you to furnish eertain private or
confidcntial itsfornaaaion.
You are notified that:
1, The information you furnish will be used to determine your qualification for the permit or lictnse requesttd.
Z, You may cefuse co supply dara, but refusal may require that the Ciry deny the permit or licensc.
3, The information may ba shazcd wich other local, state or federal agencies to che extent neccssary to process
the Qersnit or license. become
4. if yvur requestcd permi� or license requires Couacil action to approve, somo information may
public.
g, You havo certain rights under M.S. 13_Q4 (available upon ccquest) to review private data on youtself.
6, 'Your full name is required to ptocess this applicat'on or permi�.
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1 derstand my ri ts as st ced a ve. .
Sigeature
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� ' Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
--------------------------------------------------------------------------- -- -------------------------------------
THE APPLICANT IS: (circle one) OWNER OI�CO_NTRACTOR )
JOB SITE ADDRESS: c�q ;5:::� C��SC-C� �-f- �cI ZIP:
NAME OF OWNER: �71� rna��-I,� PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: V�• �`', �M 1�-t�' l"1v/��' PHONE:qSc�-y�o�- - E;�� `�
CONTACT PERSON: �,,�D MOBILE/PAGER: �,��.-��,� - � i � 7
MAILING ADDRESS: �,� ��" [�T/v u�,o��� g U.'�CITY: 1�11r��1u D ZIP: s S j c •
STATE LICENSE: # S:;� `�
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NAIVIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: ��. -cs�� -°� VC.�s t�i��l. �-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ;5 C� �J r�
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 accor an� wi�h the approved plan.
APPLICANT'S SIGNATURE�,�- DATE: `¢ �'� � ��
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
Sec.13.04 RIGHTS OF SUB.TECTS OF DATA
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. Information reqirired to be given individual. An individual asked ro supply private or confidential dara concerning himself shall
be informed of: (a)the purpose and iatended use of the requesred dara within the collecdng'state agency,political subdivision,or statewide 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 confidendal data;and(d)the idenriry of other persons or endaes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesagaave dara, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund
instructions inscead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whe[her i[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 wi�hout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. Afrer an individual has been shown che private data and informed of its meaning,the data need not be disclosed to him for
six monrhs thereafter unless a dispute or acrion pursuan[to this secrion is pending or addidonal data on the individual 6as been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry shall compty 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 possible. If he cannot comply with the request
wichin that time,he shall so inform the individual,and may have an addirional five days within which to comply with the request,excluding 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 private
data concerning himself. To exercise this right,an individual shall noafy in wriring the responsible authoriry describing rhe narure of the disagteement.
The responsible authoriry shall within 30 days either: (a)correct the data found to 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 correcc. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The de[ermination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng 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 pemut 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 detemune your qualification for the pemut 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 [o the extent necessary to process
the pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
g. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your fuli name is required to process this applicat'on�or permit.
VU �� �'
First Middle Last
� `�I `7 C �.Y)�I►xrc�� � (��i L�
Address �,� �" �`�(� � �J�—��� `�.�.�� ��
;��� � N� y -
Ciry State Zip Phone
I u derstand my ri ts as st ted ab ve.
_._._�
Signature
DATE TIME
CITY f�F ORONO CALLED IN
INSPECTION NOTI SCHEDULED �-� �
PERMIT NO. �.� S COMPLETED << u
ADDRESS ��.3L�C� �Z�• /�•
OWNER CONTR.Gt� �. ���`yu'«� �.
TELEPHONE NO. �.So� ' y7� ' �5.� 7
� DESCRIPTION ^ /L� -
� 01 FOOTING 11 MEC L RI 8 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 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/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�=1�oRK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE
��CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContracto sit
Inspector.
hite Copyllnspector's File Canary Copy/Site Notice