HomeMy WebLinkAbout2000-P02727 - re-roof - � � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2�2�
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: ��2a�2oo
SITE ADDRESS: 2245 Bayview Pl
WAYZATA,MN 55391
P ID: 17-117-23-44-0028
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: 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: $ 9�.25 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 98.80
APPLICANT: SAMMY'S CONSTRUCTION OWNER: GINA I SUMMERS
12303 EVERGREEN ST NW 2245 BAYVTEW PL
COON RAPIDS,MN 55448 WAYZATA MN 55391
TNE 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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PERMI E SIGNATURE ISSUEDBYSIGNATURE
Copies: City,Applicant, Assessor,Finance Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: o��s ,1�1 V L'I�J-�I�LJtt� ZIP. J��J� �
NAME OF OWNER: ���� �i,►•,rv��� PHONE: (home) ySZ - �f7� - SO�i�
(work)
MAILING ADDRESS: Z Z� � ��/�hc�✓,���ITY: ��r�a ZIP: S5 35/
CONTRACTOR � �c� PHONE: lt,l z Z.-�i -- y oz�
CONTACT PERSON: �J MOBILE/PAGER: L��t Z51 -4�ZS
MAILING ADDRESS: � N w CITY: Coa.� �z.�S ZIP: �543 �
STATE LICENSE: # Zo/g3 2a7
AF L:IITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIlVIATED 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 i accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: �] ���}—��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sea13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or co be scored shall be as set fonh in this secrion.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data conceming himself shall
be informed of: (a)the purpose and intended use of the requesced data within the collecang'state agency,polirical subdivision,or sntewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising fmm his supplying or refusing to supply
privace or confiden6al data;and(d)�he idencity of o�her persons or enrides auchorized by state or federal law ro receive the dara. This requirement sball
no[apply when an indie�idual is asked to supply invesrieaave data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income �x or prooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by indi�lduai. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject
of stored data on individuals, and whether it is classified as public, private or confidendal. Upon his further request, an iadividual who is the subject
of stored private or public data on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content
and meaning of rhat data. After an individual has been shown[he private data and informed of its meaning,che data need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuant to [his secrion is pending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of che daB. The responsible authoriry
may require the requesting person to pay[he accual costs of makine, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision, or wi[hin five days of
the date of the request,exctuding Saturdays,Sundays and leea]holidays,if immediate compliance is not possible. If he cannot comply with the reques[
within that time,he shall so inform the individual,and may have an additional five days within which to compiy with[he request,exc?uding Saturdays,
Sundays and legal hotidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate
data concerning himself. To exercise this rieht,an individual shall norify in writing the responsible authority describing rhe na[ure of the disagreement.
T'he responsibte authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplere and attemp[to norify past recipienu of
inaccurate or incomplete data, including recipiencs named by [he individual; or(b)notify the individual that he believes-.:e data to be correc[. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminis[rari�'e procedure act relarine 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 reauest
for a permit or license from the City of Orono or any of its departments may require you to fumish cenain private or
confidential information.
You are notified that:
1. The information you furnish will 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 permit or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
�, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
First Vliddle Last
Address
Ciry State Zip Phone
I understand my ri�hts as stared above.
Si namr
DATE TIME
CITY OF ORONO CALLED IN 7-3�� �_ 3 �
INSPECTION NOTICE —7 SCHEDULED ,-�°v �� -3 �'
PERMIT NO. `��a �� / COMPLETED '
ADDRESS ��`f-5' �a�i2x�� -�"��
OWNER ����mll.�� CONTR. 'y �
TELEPHONE NO. �G l.� ��Go`3.S'
� DESCRIPTION -
l� 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z ��
Q FINS AL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� �WORK SATISFACTORY:PROCEED �.,PROJECT COMPLETE
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr or on si -
Inspector.� �'G �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE�--� SCHEDULED �
PERMIT NO.� ��_ COMPLETED ���
ADDRESS aa`�.S` ��/ 1(-�4.�-� � (
OWNER CONTR.�mn�,V �S Cs�n�
TELEPHONE NO.
� DESCRIPTION wl Ccr1'FYc�C'1�-�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 0 Q50LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W��/ORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlCon tor on si :
Inspect
White Copyllnspector's File Canary CopylSite Notice