HomeMy WebLinkAbout2001-P03760 - re-roof PERMIT
CITY C�F ORONO
2750�elley Parkway - PO Box 66 Permit Number: Po3�6o
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600
Date Issued: s�2i2oo�
SITE ADDRESS: 113 Chevy Chase Dr
WAYZATA,MN 55391
PID: 36-118-23-41-0012
DESCRIPTION:
Proposed Use: Kesidentiai
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: $ 195.25 Valuation: $ 10,160.00
State Surcharge Fee: $ 5.10
TOTAL FEE: $ 200.35
APPLICANT: SELA Roofing& Remodeling, Inc. QWNER: WALDO L NELSON ETAL
4100 Excesior Blvd. 113 CHEVY CHASE DR
St. Louis Park,MN 55146 WAYZATA MN 55391
THE UNDERSIGNED IIEREBY 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 PERMI EE NATU IS� D BY SIGNATURE
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Copies: City,Applicant, Assessor,Finance Page 1
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Total Fee: $ Date Received: �
Entered By: � Perm.it#: �'0 3 7�r �
CITY OF ORONO - BUILDING PERMIT A.PPLICATION ,
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A,.11 in.formation must be submitted in full before plan revietiv w-ill be started. .
(please print all information) .
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1'HE A,PPLICAI�'T IS: (circle one) OtiVNER CONTRACTOR
2 � ZIP: _ � S � � �
JOB SIT'E ADDRESS: l J ��l'tl�.(� 5-�- � I.
NA11�iE OF Oti�'ER: �a'c�X\ ��ti1,s� PI30NE: (home) 95Z-�1 ZZ - �`�Z Z �p
(work)
i�iAILING ADDF.ESS: CTTY: ZIP:_______
SELA ROOFINfa & REMODELING, II�It.
4100 EXCELSIOR BLVD. �'
COi�1'IRACTOR: ST. LOUIS PARK, MRI 5541F pgQ�; C�l Z` �z � - �5�`' `��o
CO�I'I'ACT PERSO�: MOBILE/PAGER:
MATLTtii'G ADDRESS: CITY• ZTP:
STATE LICE�'SE: #� /"CU 5 b �
ARCHITECT/ENGINEER: PHONE: .
MAILItii'G ADDRESS: CITY: ZIP:
�TAME: REGISTRA.TION#
C'��..�
TYPE OF tiVO�New Addition Accessory Structure
Move Remodel/Alteration Land Alteration _ /�( 5�
� (�� V��- � c���c
PROPOSED�'YORK( escribe in detai�: e �� .�
c�1- � C( , � ,� � � < <`Q--��
;az�-� ����r v p
STORIES: SQ.F'EET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT• DET. � � .
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EST .Tl�i TA'I'ED CONSTRUCTION VALUATION (excluding land): $ / t/ �� r �.�
I hereby apply for a building pernut 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 Ciry and with
the State Buildi.n� Code; that I understand this is not a permit and work is not to start without a
pernut; and that the work will be in accordance with ihe approved plan.
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APPLICA.I�'T'S SIGNATUitE• ` �
� r d H m events require separate permit approval by Police Department and
NOTE. �R �
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Total Fee: $ Date Received:
Eritered By: Permit�:
CITY 4F ORONO - BUILDING PERNIIT A.PPLICATION
All information must be submitted in full before plan re�iew will be started.
' (please print all information)
THE A,PPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: Z��
NAME OF OWNER: PHOYE: (home)
(work)
I�IAILI�i tG ADDRESS: . CITY: ZIP:
CONTRACTOR: ' PHONE:
CON'I`ACT PERSON: ZIOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/EI�'GPi IEER: PHO\rE:
1VIA,IL�YG A.DDRESS: CITY: ZII':
N��: REGISTRATIOiv# '
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK(describe in detai�:
STORIES: SQ. FEET OF EACH k'I.00R:
I�TO. OF B�DROOl7S: GARAGE STALLS: ATT. � DET. � - = � -�
ESTII�i IATED CONSTRUCTION VALUATIO\ (exclud.ing land): S
I hereby apply for a buildin� pernut and I acknowled�e that the information above is complete and
accurate; that the work will be in conformance wich the ordinances and codes of the Ciry and with
the State Buildin� 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.
APPLICANT'S SIGNATURE: D`���
1�'OTE! Parade of Homes events require separate permit approval by Police Department atad
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sza13.0-1 RIGHTS OF S�JB.TECTS OF DaT?.
Subd. 1. Type of data. 'Ihe ri¢h�s of individual o¢whom ch�data is s�:='r or co be scored shall be as set for[h in this secdon.
Subd.2. Informatioa reqirired to be given individual. An iLdividual ask�to supply privace or confidzorial dara concetning himself shall
be informed of: (a)the purpose and in[ended use of the requesud dara w:�in the cc�'ecdng's�ce agency,polidcal subdivision,or sratewide ryscem;
(b)whe��er he may refuse oY is legally required to supply the requested dari;(c)any I�e��a coasec,�:ence arising from his supplying or refusing to supply
privam or conndenrial data;ar.d(d)the idendry of orher peaoas orenrid:s ac fuorized by s3te or federal law to rceive the data..'Ihis requiremenc shaIl
no�apply when an individual is asked to supply invesrieadve daa,purn:�c to seccoa 13.82, s.:tdivision 5, to a law enforcemenc ofFicer.
The commissioner of rvenue nav place the norice rauired �rd-r this s•^division in the individual u:come tax or oropercv tax reFund
instructions instead of on those forms.
Subd.3. ?.ccess to data by indi�-idual. Upon requesc to a r_s�onsible a��-�ority,an individual shall be informed whe[her he is the subjecc
of scored data on individuals, and whecher it is classified as public,privac�or conFid=�. Upon his furcher requesc,an individual who is the subjecc
of scored privace or public data on individuals shall be shown the da�a wi�ouc any c��-3e to hi�and;if he desires, shall be informed of[he contenc
ar.d meaning of chac dara. After an individual has been shown the priva��z�and ir:��ed of is meaning,che data need not be disclosed ro him for
six mon�hs �:ereafter uriless a dispute or acdon pursuant to [his secrion is�e^ding e;a�didonal data on the individual has been collected or creaced.
The responsible au�horiry shall provide copies of the privace or public dac�n�on req��s:by che ir.dividual subject of che data. The responsible authoriry
may requir� rhe requesring pecson to pay the accual costs of makine, ce^:;ing, ar:d c��piling [he copies.
'Ihe responsible auchoriry shall comply immedia�aly, if possio?e,wirh an}•:=�uest made punuant to this subdivision, or wichin five days of
the dat�of ch�reques�,e�cluding Saturdays,Sundays and legal holidays,ii is.media:e compliance is not possible. If he cannot comply wich the requesc
within chat ame,he shall so inform�he individual,and may have an addi�e:.31 five da;s wi�hin which to comply wi[h the request,exctuding Saturdays,
Sur.days and legal holidays.
Subd.4. Procedure when data is not accurate or complete. �n indivi��l may cor.test thz accuracy or complereness of public or pri�•ate
daca eoncerning himself. To exercise chis rieht,an individual shall nodfy ia writing c=:esponsible authoriry describing�he nacure of the disagreemenc.
The responsibt�authoriry shsll within 30 days either. (a)correct the da�tcund to t=�accurac_or incomplete and atcempe to nodfy past recipien�s of
inaccurate or incomplete data, inctuding recipients named by che individ��l;or(b)�==.`y[he ir.dividual thac he bzlieves the data to be coaecc. Da�a
in dispuc�sh311 be disclosed only if the individual's stacemenc of disagre:�=nc is L.c:=�=d witih tht disclosed data.
Tiie dececminarion of the rosponsible authoriry may be appza�e�'punu�4.::a nhe provisions of che adminiscrarive procedure act relaang to
contesced cases.
DATA PRi'�'�,CY AD�ZSORY
In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects o��aca", we would like to inform you that your reauest
for a permic or license from the Ciry of Orono or any of i� dep�-�.ents may require you to furnish certain privace or
confidencial information.
You are notified that:
1. "I1-le information you furnish will be used to de:zrmine��our qualification for the permit or license requested.
?, You may refuse to supply da�a, bu� refusal nay req�e that che Ciry deny the permit or license.
3, The information may be shared wi�h ocher locz, stace e:federal agencies to the ex[ent necessary to process
the permit or license.
4, If your requested permic or licease requires Councl zction to approve, some information may become
. , public..
�, You ha��e certain ri�hts under M.S. 13.04 (a•.ailabl� L?on reques[) to review private data on yourself.
6, Your full name is required to process this zpplicacio� or perm.it.
Firsc Middle Last
Address
Ciry State Zip Phone
I understand my ri�hts as stat,ed above.
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Signa�ur
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED '
PERMIT NO. �� COMPLETED ^- U'� 3 �
ADDRESS C �- fJ _
OWNER CONTR. �-_...�---�L -C�i2("'�,z
TELEPHONE N0. �� c� ��/�� � c�� �
� DESCRIPTION i
� 01 FOOT�NG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YE NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEE �'�ROJECTCOMPLETE
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W CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL AETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46��
Owner/Contrac r on site:
Inspector.
White Copylinspector's Fiie Canary Copy/Site Notice