HomeMy WebLinkAbout2000-P02441 - re-roof � ,
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02441
Crystal Bay, Minnesota 55323 Pel'tlllt Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: si9ioo
SITE ADDRESS: 131 Chevy Chase Dr
WAYZATA,MN 55391
PID: 36-118-23-41-0021
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 167.25 Valuation: $ 8,368.00
State Surcharge Fee: $ 4.20
TOTAL FEE: $ 171.45
APPLICANT: FLAGSHIP ROOFING COMPANY OWNER: P D MOYNEUR& L W MOYNEUR
3496 SE-IORELINE DRIVE 131 CHEVY CHASE DR
WAYZATA,MN 55391 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.
� � ,
• PPLIC T PERMITEE SIGNATURE ISSUE B SIGNATiJRE
Copies: City,Applicant,Assessor,Finance Page 1
. 1
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - B�UII.DIVG PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
T'HE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ��� C.� � Cl�ise Z�= ��-��
NAl'�IE OF OWNER: j a���K�,��+ .�loy�u�; PHO�IE• (home) ���-.�7�7
(work)
1�IAII�ING ADDRESS: -�- /3% C��,v C/�-�, s�-CTTY:�y���� ZIP: Sssxt
CO�'TRACTOR: ��� "SGi�' 20��� � PI30�1E: �J/ -3�`�'�
CONT'ACT PERSON• 6 +=,,,�� < i s��-, _ MOBILE/PAGER: ��'� - 3 � 5�' .
NIA.II.ING ADDRESS: 3�f 9(� SGt�.e���.e ���. CITY: �t�����: ZIP: �"�s.�`I/ .
STATE LICENSE: # Z��z��i 7�_
ARCHITECT/ENGINEER: PHOti'E:
�IAII�Il�'G ADDRESS: CITY: ZIP:
N��,�: REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
�
r�oroSED WORK(��scri8e in�etai�: �Tw� �u rr ��✓ ��� � �� lu�:�_ ���
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET.
ESTI�i IATED CONSTRUCTION VALUATION (excluding lancn: $ ?��C�. �c=�
I hereby apply for a buildin�permit and I acknowled�e that the information above is complete and
accurate; chat 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 pennit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
i' � " ��� � o0
APPLICANT'S SIGNATURE: /�� �;��,-�'�— DATE: S�-i-
NOTE! Parade Q Homes events require separate permit approval by Police Department and
City Counei160 days prior to the event. Non permitted events will not be allowed.
r -
Sec.13.0�1 RIGHTS OF SLBJECTS OF DAT:�
Subd. 1. Type of da[a. 'I�e righa ot iadividual on whom[he data is sto:`d or oo be siored shall be as set for�h in chis secrion.
Subd.?. Information reqirired to be�vea indiridual. ,�n individual ask:d to suFriy privare or confidenrial dara concerning himself shall
be informed of: (a)[he purpose and inc:.nded use of[he cequesud dan wichin�he cotIecdn3"sa_agency,polidcal subdivision,or sracewide rystem:
�b)whecher he may rtfuse or is Iegally tequited co supply[he requested dara:(c)any I�own cons-:-eace arising hvm his supptyi:,g or refusing to supply
priva�e or conndenriai data;and(d)the idendry of ocher persoas or endaes auchoriz:d by szam or federal law to�eu1VC[I1G d3C1_ �115 iGqllllCIIiCd[5�13II
noc apply when an individual is asked ro supply iacesri¢adve dan, pursuanc ro secaon 13.82, si:bdivision 5, to a law eniorceazn[officer.
The commissioner of re�e�u nav ola- che nodc- r��uir^d under this svbdivision in the individual income tax or prooem taz refur.d
instrucaons inscead of on�hose forms.
Subd. 3. access to data br•individuaI. liport requesc to a responsible au�':oriry,�a individual shall be informed�vhether he is the subjecc
of stor_d data on individuais,and whe:her it is clusified as public, private or cocu:de::rial. tiFoa his further request,an individual who is the subjecc
of stord privace or public data on individuals shall be shown�he da[a wiehout any c:3r3e to h�and,-if he desires,shali be incormed of[he concenc
and m:aning oi chat dara. Aher an individual h�s been shown the privatt data and inforned oi its meaaiag,[he dara need not be disclosed m him for
six mon�hs thereaiter uniess a dispute or acrion pu;suanc to ehis secdon is pending or addidoeal data on the individual has been collect�d ar crea�d.
The responsibl�au�horiry shall provida copies oi che privace or public daca upon requ:s:by�he ir�'ividual subject of�he dan. The responsible auchoriry
may require the requesting person ro pay the acwal coscs of making,cerafying,ar.d:ompiliag �he copies.
The responsibia auchoriry shall compty immediatety, if possible, wich acy:rquest�L�pursuant to[his subdivision,or wichin five days oi
the daw of rhe requesc,ezciuding Saeurdays,Sundays and legal holidays,if immedu:e compliatce is not possible. If he cannoc comply with[he requesc
wichin rha[dme,he shall so inform[he individual,and may have an addidooal five days wishia which to comply wi[h the requesc,exciuding Sacurdays.
Sundays and legsl holidays.
Subd.4. Procedure whea data is nat accurate or complete. An indiviC:al may con�st che accurdcy or comp(ateness of public or pri�•ate '
data conceming himself. To exercise chis righ[,an individual shall noafy in wricing�`:e r-sPoes��i=auchoriry describing�he nacu:e of the disagteemeac. ..
The responsiblz au�horiry shall wi�hin 30 days ei�`.er. (a)correcc che dara found ro t�inaccu�=or incomplete and aaempe to nodfy past recipients of
inaccurace or incomplete daea, including recipien�named by �he individual: or(b)cecify d:a iLdividua!thac he believes[he dara to be correcc. Data
in dispuce shall be disc'.osed only if the individual's sra�emenc of disagreemenc is ir.cluded wica[he disclosed dara.
The determinadon of tha responsible auchoriry may be appealed pursu�:.c:o the pro�isions of tha admuustrarive procedure act reladng to
concesced cases.
DAT�, PRIVACY AD`ZSOR�'
In accordance wich M.S. 13.04, Subd.2, "Righcs of subjecu oi data", �.�e wouid like to inform you tha[your request
for a permit or license from the Ciry of Orono or any of its dep�-:.�.ents �y require you to fumish certain private or
confiden�ial information.
You are notified thar.
1. The information you furnisa will be used to determine your qua'.i;ication for the permit or license requested.
?. You may refuse to supply daca, but refusal may reau:re that the Ciry deny the perm.ic or license.
;. The informacion may be shared with ocher local, scac�or feden.l a;encies to the extent necessary to process
the permit or license.
:}. If your requested perm.i� or license requires Council action to approve, some informacion may become
public.
�, You have cenain riQhcs under M.S. 13.04 (availabl� uoon request) to review private data on yourself.
E, Your full name is required to process this applica�ion or pe.u:it.
� �
o��� f-�✓,�1 r�Sev�
Fint � vfiddle Last
�`t� SG„o. Q��� k/2
�ddcess $S j� - � � y`7`�
a '
�
ciry sace zip Proae
I understand my rights �s stated above.
'�
Si�'naniro
�-y�w�c. � d� �I� -+�-�.�'
Ylk�-�"`'� �'�' �'�� �,/"""— �^� DAT�� TI M E
ITY OF ORONO � CALLED IN '�J �� �' -��
INSPECTION N TIC� SCHEDULED 5�-�:.-c-�c �. a o
PERMIT NO. G ' �� COMPLETED —� ' ��
ADDRESS �-3 �'Y`� . «�— �--
OWNER_��:w�- CONTR. �
TELEPHONE NO. O ��`''l � 7 3 �, �-�-
� DESCRIPTION �'�'t°- ' _ c'��'�
�
ly 01 FOOTING 11 MECHA AL RI 1 XCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CO M ENTS:
� �' �✓ U p�' �G �h
�
J
O l
� �- /S )� )!�) S� -
�
� � �-✓S �i Q �' � �P �.�-, r
W
Q :� P, s. � �
�
� � � G �s�.
j
�d
ORK SATISFACTORY:PROCEED j!�OJECT COMPLETE
❑CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C] INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
\
Call for the next inspection 24 hours in adv nce. 24J-46�0
OwnerlContractor on site:
Inspector.��-���.� �l
i [
White Copylinspector's File Canary CopylSite Notice