HomeMy WebLinkAbout2001-P03681 - re-roof PERMIT
CITI� C�� ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po36sl
Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations
(952) 249-4600 Date Issued: 4�6�2ooi
SITE ADDRESS: 1885 Concordia St
WAYZATA,MN 55391
PID: 1�-i i�-r-23-o002
DESCRIPTION:
Proposed Use: Kesiaentiai
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: $ 167.25 Valuation: $ 8>900.00
State Surcharge Fee: $ 4.45
TOTAL FEE: $ 171.70
APPLICANT: M.E. Rimkus Home Improvement Inc. OWNER: JAMES V PECCHIA
1049 Arcade Street 1885 CONCORDIA ST
St.Paul,MN 55106 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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APPLICAN7'PERMITEE ATURE ISSUED BY SIGNATURE
Copies: City,Applicant, Assessor,Finance Page 1
Total Fee:� $ Date Received: '��Cv/C �"
Entered By: ���jj Permit#: / '��� -- %-
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CITY �F ORONO - BUII,DING PERIVIIT APPLICATION
All information must be submitted in full before plan review �vill be started.
' (please print all information)
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T'HE A.PPLICANT IS: (circle one) OWNER O CONTRACTOR�j
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JOB SITE ADDRESS: I��?% ����V l L-C� '�i�c, - ZIP: �S � `i/
NAME OF OWNER: t I �` � �� � c c, � � c1 PH0�1E: (home) (�1� -y�/ - 7G 7�
(work)
l�IAILI1i 1G ADDRESS: l Q,�i S� ec��-�c�,�<<` S 7, CIT`Y: c�r��v c' ZIP: ��3`J/
CONTRACTOR: " ��'�� .l�;��-.k�.�.5 PHONE: (�S l " 7 7l� ., `�5`/S
CONTACT PERSON: r r�„��� .�; e�lc;�u.� ,`�ZIIOBILE/PAGER: (os'l- :�� � -l��S-`1
1VIAII.,INGADDRESS: i7a/ o�d ��ds�,�, R � CTTY: S!,��k( ZIP: 5�s�o�
STATE LICENSE: # '�"��� ? �c� 7
AgCHITECT/ENGNEER: PHO\7E:
MA,IL�TG ADDRESS: CITY: Z�:
N��,�: REGISTRATION# �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK(describe in detai�: T�� c�(-�� \� ��c��\ % ��-�'� � �`��--• `�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF B�DROOMS: GARAGE STA.LLS: ATT�. � DET. � - �
EST 1MATED COti'STRUCTIO�' VALUATIOti (excluding land): S �� � `»� -
I hereby apply for a buildinJ permit 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.
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A.PPLICANT'S SIGNATURE: �tia,.�C . < � ' - DATE: �- (. _ �,. f —
1�'OTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events wi11 not be allowed.
_ . .
Sec.13.0-1 RIGHTS OF SUBJECTS OF DaTA
Subd. 1. Type oF data. "Ihe riehts of individual on whom the data is sto:-�or to be scored shall be as set forch in this secdoa.
Subd.2. Information reqirired to be given individual. �.n izdividual ask�to supply privac.or confidznaal data concecning himself shail
be informed of: (a) the purpose and in�ended use of the requesud dara w:�in the eolIecring'scace a�ency,potiacal subdivisioo,or sratewide rysum;
(b)whec.�er he may refuse oY is legally requird to supply che requested dact:(c)any Ico:�a eoasequence arising from his supplying or refusing to supply
privace or conndendal data;and(d)the idendry of o[her persoas or enades a�+uorized by state or federal law ro roceive the data..'Ihis requiremeac shall
no�appiy when an individual is asked to supply invesdeaave daa,pursi:�^.:co secaoa 13.82,subdivis:on 5, to a law enforcemenc o�cer.
Thz comrrussioner of r��enu� r-iav place the norce rauircd erd-r this subdivision in the individual ir.come tax or oropercv t�x reFund
instructions ins�ead of on those forms.
Subd.3. Access to data by inditiidual. Upon requesc to a r_s�oasible a��.oriry,an individual shall be informed whether he is the subject
of scored data on individuals,and whecher ic is classified as public,priva�.or confid=nrial. Upon his fur�her request, an individual who is the subjecc
of scortd privare or public data on individuals shali be stiown the data wi�out any c:.arge to him and;if he des'ues, shall be informed of the content
and meaning of chat da�a. After an individual has been shown che priva��a3 and iL."ormed of i�s meaaing, che dan need not be disclosed to him for
six mon;hs �hereatter unless a dispute or acaon pursuant to [his secdon is t��ding o;addiaoaal data on the individual has been collecced or crea�d.
The responsible au�horiry shall provide copies of the privace or public da3 L�on req�:s:by[hz ir.dividu:l subject of the data. T'he responsible authoriry
may require �he requesang person to pay the ac�ual coscs of making,ce=:;ing, ar:d compiling the copies.
The responsible au�horiry shall comply immediately, if possib!:.•��ich any request made pursuant[o this subdivision,or wichin five days of
the dac�of rhe request,ezcluding Sanirdays,Sundays and legal holidays,i;is.mediace compliar.ce is no�possible. If he cannot comply wich the requesc
wichin tha[ame,he shall so inform�he individual,and may have an addi�e:31 five days wichin which to comply wich che request,ezctuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. �i individuzl may concest the accuracy or completeness of public or private
da�a concerning himself. To exercise[his rieht,an individual shall nodi;r i.wridn�c�respoasible authoriry dzscribing the nature of the disagreemeat.
The responsible auchoriry shall wi�hin 30 days ei[her: (a)correct[he dae ic�nd to be inaccurate or incomplete and attempt to nodfy past recipienu of
ir.accurte or incomplete data, including recipien�s named by the individ���;or(b) r_odfy th�individusl 4`�at he bzlieves the data to be correct. Data
in dispu��shall be disclosed only if rhe individual's statement of disa;r:��:nt i5 i.c:_ded wich the disclosed data.
Ttie dz�erminarion of the rosponsiblz authoriry may be appeale� pursuaLc to the provisior,s of[he adminisaarive procedure acc relarin; to
contested cases.
DATA PRI�'�,CY AD�ZSORY
In aecordance with M.S. 13.04, Subd.2, "Rights of subjects oi daca", we would like to inform you that your reauest
for a permit or license from the City of Orono or any of ia depar.�.ents may require you to furnish certain private or
confidential information.
You are notified that:
1. "Ihe informacion you fumish will be used to de;ermine�'our qualification for the pemut or license requested.
?. You may refuse to supply data, but refusal nay require that che Ciry deny the permit or license.
3, The informacion may be shared wich other locz, state or federal a�encies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council zccion to approve, some information may become
. public.
�, You have certain rishts under NS.S. 13.04 (a•:ailable upon request) to review private data on yourself.
6. Your full name is required to process this applicacion or permi�.
•-1 t'�a✓��/ S� �2 �.��� �'W�� �—Z
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First �11ddlz L��
/ �7� ( C�l� {��dso 1 ��
Address
1 '7 r�r1,0 �S /U l.� (�S /— 7 1 CQ _. `I S/
Ciry � I Sta�e Z!p Phone
I understand my ri�hts �s stated above.
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Signature
DATE TIME
CITY OF ORONO CALLED IN � ���� �
INSPECTION NOTICE SCHEDULED a c i �a:�
PERMITNO. `'v 34��� COMPLETED � ^d �GX�
ADDRESS__ 1 ��S 5 C�n r c;��l i � }�
OWNER CONTR. �� �� t rn k�c s
TELEPHONE NO. C�I � (o�.� � - Z �'� - l� l��= �7
� DESCRIPTION �_f ��-- C F=� - (Z-C�t�_
� Ot 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUND ON/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� OMMENTS: �«� �l./��� ��S ��l�
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� �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN NOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contr�c,�or on site:
Inspector. `���(��n� S
White Copyllnspector's Ffle Canary CopylSite Notice