The URL can be used to link to this page

Home My WebLink About2001-P04382 - re-roof CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po43s2 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 24�-4600 Date Issued: 9i21i2ooi SITE ADDRESS: 1785 Concordia St WAYZATA,MN 55391 PID: 17-117-23-22-0016 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 permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 128.25 APPLICANT: Owner/Self OWNER: K T DULIN& B G DULIN n'IN 1785 CONCORDIA ST WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO p0 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ' _ � ' � /%�,p� � '�1�� t ��i��i�( APPLIC T P RMITEE SIG TURE ISSUED BY S IGNATURE - `�i' Cooies: 1-File(SiQnitures Repuired). I-Applicant, I-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 Total Fee: $�� J� Date Received: �T � �� Entered By: �v� Pernut#: f��/��, ' CITY OF ORONO - BUILDING PERI�ZIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------- -------------------------------------------------------- THE APPLICANT IS: (circle one) OWrN��OR CONTRACTOR JOB SITE ADDRESS: [ 7�jG� C'cN�G��+-� > > ZIp; ��`� ( NAME OF OWNER: K e.�.,�� ..�..,� PHONE: (home)��`��I�I - ��7 � (work) G t�-- -��c;— G�s 3� MAILING ADDRESS: �7�� 'o r��G� �� `� I CITY• r>iZo!v .�� ZIp• 5_;�-��( CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/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�: �1�--� S�n.v�q��_ ��`� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. n�^ ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/�� '�C� 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 accc� a c w'th the approved plan. i `i � APPLICANT'S SIGNATURE: � � � DATE: �''(� I ? �� 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. Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is scored or co be stored shall be as set for[h in this secrion: „ Subd.2. Information required to be given individual. r1n individual asked to supply private or confidenrial data concerning trimself shall be informed of: (a)the purpose and intended use of the requested data within the collecting"state agency, polidcal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply the reques[ed data;(c)any frnown consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the identiry of o[her persons or enriaes authorized by state or federal law to receive the data. This requirement shall no[apply when an individual is asked to suppty invesdeadve dara, pursuanc ro secrion 13.82, subdivision 5, to a law enforcement ofFicer. The commissioner of re enue mav place che nonce reauired under this subdivision in the individual income tax or propem tax refund instructions ins[ead of on those forms. Subd. 3. Access to data b�individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored dara on individuals, and whe[her it is cfassified as public, private or confidenaal. Upon his fur[t�er request, an individual who is che subject of stored private or public data on individuals shall be shown the data wichout any charge to hirn and,'if he desires, shall be informed of the content and meaning uf�hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute o�acrion pursuan[to [his secaon is oending 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 the data. The responsible authoriry may require the req�esting person to pay the actual cosu of makine, cerafying, and compiling the copies. The responsibfe authoriry shall compiy immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest thz accuracy or completeness of public or pri�•ate data conceming himself. To exercise this rieht,an individual shall nodfy in wridng the responsible authority describing�he namre of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomple[e and attempt to norify past recipients of inaccurate or incomplete data, including recipienrs named by the individual; or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. Ttie derermination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedare act relacing 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 request for a permi[ 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 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 pemut 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. 6. Your fuli name is required to process this application or permit. � J . �/��, ;� �.�.�Y��s � 1.v� First Middle Las[ r �� CG��f�C� �.�� Sr Address �, .� �� Z c�� rt- 5 5 ��i ( �5 - `l 7f City State Z�p Phone I understand my rights as 5ia above. ,� / C Signature � �DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI �J 2 SCHEDULED %- PERMIT NO. �`� � �V� COMPLETED � �-� ADDRESS �7 5 OWNER �A.�f/�- �Jt-c�'�c.�._. CONTR. �I/�I• l2cr��'�-- TELEPHONE N0. (�� `7 �� v , � DESCRIPTION ��/i-i� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FR,4MING L 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 J 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 � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS:�_ 2 � /`�iL�_� ' W � j . O >. _ . . __ . . �[ _ , _. _ _ O � W _ _. _._ _ . . _ . � Q � . . _ . _ _ _ � _ _. W � �. _. _ _ - W � j _ .. . . ._ _ � �NORK SATISFACTORY:PROCEED �ROJECT COMPLETE W� ❑CORRECT WORK&PROCEED /�ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ' ' ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCont tor on site: Inspector.'�"'�^•"�-� � White Copylinspector's File Canary Copy/Site Notice �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED � PERMIT N0.�� COMPLETED �' + "�� ADDRESS 17�� Cai'� <<�- c��= OWNER C�A�_ u I�Yl CONTR. � TELEPHONE N0. �� y'� I `�� DESCRIPTION � �C�y`1 �� r2 ' 1�06� � 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 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 FINAL .%� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: --�—n S�%C "t iOIY� CC�I�� Q� I��6n 1 Y��irc� W 0. � � � - �� `-� l�� 0 � W � Q � z W � W � j d � ?(�WORKSATISFACTORY:PROCE ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL AETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnedConUa to on site: Inspector./6��--�--��-��t-��I i While Copyllnspector's File Canary Copy/Site Notice