HomeMy WebLinkAbout2001-P03747 - re-side/re-roof PERMIT
CITY OF ORONO
2�-�0 Kelley Parkway - PO Box 66 Permit Number: Po3�4�
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: 4i2�i2ooi
SITE ADDRESS: 1655 Bohns Point Rd
WAYZATA,MN 55391
PID: i�-ii�-23-il-0002
DESCRIPTION:
Proposed Use: fcesidentiai
Census Code 434
Permit Class: Building
Permit T e: Minor Alterations Permit Sub-type(s): Building Re-Side
YP Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SU1I�MARY: Permit Fee: $ 293.25 Valuation: $ 18,000.00
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 302.25
APPLICANT: Stonehenge OWNER: G K NEWMAN JR&M M C NEWMAN
3387 Brownlow 1655 BOHNS POINT RD
St. Louis Park, MN 55426 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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APPLICA P ITEE SI NATURE ' I ED BY SIGNATURE
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Copies: City,Applicant,Assessor,Finance Page 1
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Tot.�l Fee: $ , Date Received: `/ - 7���
� Entered By: Permit#: f� 3�7
CITY �F O ONO - BUII..DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
' (please print all information) _ _
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THE A.PPLICANT IS: (circle one) OWNER O�CONTRACTOR
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JOB SITE A.DDRESS: ��SS �D�(Nj �r_ Re. z�:
�R^r1`t /��rti�,c�,
NAME OF OWNER: - PHO�TE: (home)
(work)
l�iAILI�IG A.DDRESS: / �� � n�S ��1� CITY: o/��„_io � ZIP:
CONTR.A.CTOR: � S�N�N���' Pxo�: {��2 - 3 2� -o S�y
CO�ITACT PERSON: l',C,�2 L �IOBILE/PAGER:
MAII�ING ADDRESS: �38 7 �fZa...�N�_ac,�l CITY: �i� C:o��rS pA�k ZIP: .�.��/Z�
STATE LICENSE: #
ARCHIT'ECT/ENG �NEER: PHO\rE: .
MA,ILIITG A.DDRESS: CITY: Z�:
N��,�: REGISTR.ATION# �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
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PROPOSED WORK (describe in detain: �'��/C� � k'��o�'� �r���<6 / C.,o��RI�GE� i�c���6�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF B�DROOMS: GARAGE STALLS: ATT�. � DET. � � :- - �� - -: .-_
ESTII�i LATED CO`'STRUCTION VALUATIO\ (exclud.ing land): S ��, b�v.
I hereby apply for a buildin�permit and I acknowledje 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 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.
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` `C-.._._ DATE: �� � Z- ca 1
A.PPLICANT'S SIGNATURE: —
1�'OTE! Parade o Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be altowed.
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Sec.13.0-3 RIGHTS OF SUBJECTS OF DaTA
Subd. 1. Type of data. The rieh�s of individual on whom t�e daca is s�:_3 or[o te scored shall be u set forth in this secaon.
Subd.2. Information reqirired to be given indiridual. P.n icdi�•idual asY�co supFi:�Privace or confidenaal dara concerning himself shall
be informed of: (a) the purpose and in�ended use of the requesud dam wi�in the collccang��-ageacy, poliacal subdivision,or statewide syscem;
(b)whe��er he may refuse ot is legally required to supply che requesced dati;(c)any�own co�c:_=aco ar.sing from his supplying or refusing to supply
pri�+ace or conndeneal data;and(d)the idenrity of other persodt orenaa:s a�chorized by seate o::=deral law to r_ceive the data..This requiremeac s6a11
noc apply whan an individual is asked to supply invesdeadve daea,purs�:_.��o seccoa 13.82,s.:�division 5, to a law enforcemeac o�cer.
"Ihz comrrussioner of r�venu� r-iav place the noricc rnauired ard-r this subdivis�o� in che ir,dividual ir.come tax or propem ax refund
instrvaions insread of on chose forms.
Subd.3. Access to data b�•indi�idual. Upon request to a r_s;oasible ae�:^.ority,a:i:dividual shall be informed whether he is the subject
of s�ored data on individuals,and whe[her it is classified as public,privac�or conFid�r.rial. U;���his fur�`er request, an individual who is the subjecc
of srorcd privace or public daca on individuals shall be shovm the data wi�out any c;.arge ro t�and;if he desires, shall be informed of the concenc
and meaning of cha�data. Afc:r an individuai has been shown[he priva:��an and iL:or,ned o:i�mea.ai.^.g, the dara need not be disclosed to him for
six mon�hs chereafrer unless a dispute or acrion pursuanc co chis secdon is�eading o;addide�:�ata on 4`�e individual has been collect�d or crea�ed.
'Ihe responsible aurhoriry shall provide copies of the privare or public dac�L:on req_=s:by eh�;:'ividual sti:5ject of che data. The responsible authoriry
may require che requesdng person to pay the accual coscs of making,ce_.::ing,and eompilu:a`e copies.
The responsible auchoriry shall comply immediacely,if possio!:,wich any z=quesc r-'=punuant to this subdivision,or wichin five days of
th�date of the requesc,excluding Sacurdays,Sundays and legal holidays,i;ir..media�e compli��:=is no�possible. If he cannot comply wich the requesc
wichin tha�ame,he shall so inform�he individual,and may have an addi�er.�l Five da:s wich�:��`-`-ch to comply with the request,excluding Saturdays,
Sundays and legat holidays.
Subd.4. Procedure when data is not accurate or complete. ?.n individuzl may cc'�st the acceracy or complereness of public or pri�•ate
dara conceming himself. To exercise this righ�,an individual shali nodfy ia wridng c_rspo�=:.author,ry describing�he nanire of the disa;reemeac.
The responsible auchoriry shall wichin 30 days eirher: (a)correc[the dae icand to�e inaccu=_or incomplece and attempc to noufy past recipiencs of
inaccurate or incomplete data, including recipients named by[he individL�;or(b) �odfy tt:=�Jividu�.l �`�ac he believes the data to be correcc. Data
in dispuce shall be disclosed only if[he individual's statemenc of disagre��.nc is ir.c:nded wi_.�e disclosed data.
"Ilie dzcerminarion of the rzsponsible auchoriry may be appea:a�pursu�:to the p�•�isions of the admirustrarive procedure act reladng to
contes�ed cases.
DATA PRIV�,CY AD�ZSOR�'
In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects oi da�a", �•=would like to inform you tha[your reauest
for a permit or license from the Ciry of Orono or any oi ia deparu.ents L..� require you to furnish certain priva�e or
confidencial informacion.
You are notified that:
1, The informacion you furnish wili be used to de:ermine�'our q�.:�i�ication for the pemut or license requested.
?. You may refuse to suppty data, but refusal �ay require thzt c;e City deny the permit or license.
3, The information may be shared wich other locz, scace or fede�� agencies to the ex[ent necessary to process
the permit or license.
4, If your requested perm.i[ or license requires Council action :o approve, some information may become
. public.
�, You have certain ri�hts under M.S. 13.04 (available upon r�c�.:est) to review private data on yourself.
6. Your full name is required [o process this applica�ion or pe.�.ic.
First �fiddle Lasc
Address �
Ciry State Zip Phone
I understand my ri�hts as s[a�ed above.
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signacure
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �`�'
PERMIT N0. � ��7 COMPLETED 5 + `d ��'�
ADDRESS � h.�-S �� �' ,
OWNER �-wLc�-e�-- CONTR._i��� '
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TELEPHONE NO. lI���-�,�15' C� ��7
� DESCRIPTION � K� �
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PAOGRESS
� 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/AEMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �'�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W/ ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConUac on site:
Inspector.��I� (�-7i1�
White Copyllnspector's File Canary CopylSite NoUce
DATE TIME
CITY OF ORONO '�c�LLED I
INSPECTION NOTIC ��3 SCHEDULED � �
PERMIT NO. COMPLETED � S
ADDRESS j `� � v ��
OWN ER CONTR.
TELEPHONE N0.
� DESCRIPTION
LV 01 FOOTING 11 MECHANICAL 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
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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OJ�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
�j6TOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
�❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. ��-�G-'Z �w''!�
White Copyllnspector's File Canary CopylSite Notice