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HomeMy WebLinkAbout2001-P03754 - re-roof PERMIT C�ITV OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: po3�sa Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: s�v2oo1 SITE ADDRESS: 3339 Crystal Bay Rd WAYZATA,MN 55391 P ID: 17-117-23-41-0021 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,100.00 State Surcharge Fee: $ 1.05 Misc. Fee: $ 83.25 ' ��- TOTAL FEE: $ 167.55 APPLICANT: Excel Roofing OWNER: J D&T J HOFER 18633 Peridot Street 3339 CRYSTAL BAY RD Ramsey, MN 55303 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 MINNES TA BUILDING CODE REQUIREMENTS. j � �,� ,�� __ �'/ p G��i✓� � � '(.� �� �L� /��, � , AP LI ANT P MITEE SIGNATURE I LTEDBY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 ��� � ��� "� S3 � � .�-/- �/ Tota7 l�ee: $ /�/-�✓`��� Date Received: Entered By: ��- Permit#: � �% �' ''�_ �7�� v CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) ----------------------------------------------------------------------��------ --------------------------------= THE APPLICANT IS: (circle one) OWNER O ' CONTRACTOR JOB SITE ADDRESS: `'���"� C }�y�-�,�--- r>o,-, �•� ZIP: I\_�.'�iE OF OWNER: �c7�,.-, �I��t"{'� PHO�tE: (home) (work) �LAII�ING A.DDRESS: 3���� C K..r 5���.��CITY: G�a.�L Z�: ` 1-- �, -� PHO�IE: � L�� =7 I 2-���S� CON'TRACTOR: G��L�- �� ,,,< C0�ITACTPERSON: �'�.,�:.,.w -� MOBILE/PAGER: c�i�-- - ���s<�,-�1� l IAILING ADDRESS: l�b�3� r�e.r;c�o'� s=� CITY: iz..f�;���-, ZIP: 5 53�3 STATE LICENSE: # �z�1 cQ�1 Z� ARCHITECT/ENGINEER: PHO\TE: �L�iILING ADDRESS: __ CITY: Z�: �� ------ -- REGISTR.ATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: 1-�{�g_-a�-� iq,� �1�e--�,o� �� l3{��- `j�.c� o� ��ov,�� �= �,\ � ( 11 S�� — STORIES: � SQ. FEET OF EACH FLOOR: \O. OF BEDROOMS: GARAGE STALLS: ATT. � DET. ESTIII�IATED CONSTRUCTION VALUATION (excluding land): � � 1 ��=' 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 accordance w" the a pro�d plan. � '� /J r�iPPLICANT'S SIGNATURE: .i=-��� ` -- DATE: � ^ I° � I ' ��'OTE! Parade o Homes events require separate permit approval by Police Department and Cily Council 60 days prior to the event. Non permitted events will not be allowed. � . : Szc.13.0-i RIGH'I'S OF SL'BJECTS OF DaT� Subd. 1. Tyge of data. The rieh�s of indivic�.::1 on whom che data is sw:ed or co be storcd shall be as set forth in this secdon. Subd.2. Information reqiric�ed to be given indi�idual. An iLdividual askcd to supply privace or confidenrial dara conceming himself shall be informed of: (a) the purpose and inunded usr of the :�uested data a;�in[he collecring'state agency,polidcai subdivision,or sratewide system; (b)whecher he may refuse oY is legally required�o supply�e r_quested dan:(c)any]�own coasequence arising from his supplying or refusing to supply priva�e or conndential data;and(d)the idenacy of ocher pe:s��s or enrines auchorized by state or federal law to receive the data.,This requiremeac shall noc apply when an individual is asked to supply invesdeacive daa,purs�.c ro seccoa 13.82, subdivision 5, to a law enforcement officer. The commissioner of r�•enue t�av o'a- th - �� reauired nrd-r this sutdivision in the individual income tax or propem tax refund instruc�ions ins�zad of on those forms. Subd. 3. Access to data b�indi�-idual_ Upon:equesc to a r.sconsible auWoriry,an individual shall be informed whe�her he is the subject of scored data on individuals,and whecher it is cl:ssified�.;public, priva4 or confid�nrial. Upon his further reques�,an individual who is the subjecc of scored privare or public data on individuals s�a.'1 be s�o•»:i che data wi�out any c:.ar3e to hun and,-if he desires, shall be informed of the conrenc and meanin3 of cha�dara. After an individual his been s:.oa�n che priva��ac�and i�:ormed of ics meaning,che data need not be disclosed to him for six mon�hs ehereaiter unless a dispute or acrion punuanc� chis secdon is�ending or addiaonal data on the individual has been coliected or creaced. The responsible authoriry shall provide copies ot=:�priv_=or public data L�on reqses:by[he individual subject of[he dara. The responsible authoriry may requir�[he requasring person ro pay the aca:al costs of makine,cer,::ling, and compiling the copies. The responsible au�horiry shall comply imme�=:=1y, if possiol=,wich any request made pursuant to this subdivision,or wi[hin five days of the date of the reques�,excluding Sacurdays,Su:.�ays and:c3�1 holidays,ii ir:.mediace compliance is not possible. If he cannot comply with the request within cha[dme,he shai(so inform�he individual,and rray have an addicer.al five days wi�hin which to compiy with the request,excluding Sarurdays, Sundays and legal holidays. Subd.4. Proeedure when data is not accuraie or complete. An indivizuai may contesc the accuracy or completeness of public or pri�•ate dara concerning himself. To exer:.ise[his riehc,za indir.�::a1 shall noriF�ia wridn,c:=responsible authoriry describing[he nacure of the disagreemeat. The responsibte authoriry shall wichin 30 days ei_.er: (a)comct[he da�tcund to be inaccurate or incomplete and aaempt to nodfy past recipienu of inaccurate or incomplece data, including recipi:�cs nam� by the individL�I; or(b) coafy the individual tha�he bzlieves the data to be correct. Da[a in dispu�e sha11 be disclosed only if[he individ��'s stace-ea�of disagu��_nc is i.cl::ded with the disclosed data. Tt�e deczrminarion of the rosponsibl_zuehor.r: .:ay be appea:_�pursuaac to the provisions of ehe administrarive proeedure ac[reladng to conres�ed cases. D�T�, PRIV�CY AD�TSORY In accordance with N1.S. 13.04, Subd.2, 'Rig.hts of subjects ot data", we would like to inform you that your reauest for a permit or license from the City oi Oro�o or any of ia deparments may require you to furnish certain privace or confidential information. You are notified that: 1, The information you furush w�i1 be used to dz:emune��our qualification for the permit or license requested. 2. You may refuse to suppiy data, buc refusal rnay require that the Ciry deny the permit or license. 3, The information may be shared R•ith ocher loc�i, state or federal a�encies to the excent necessary to process the permit or license. 4. If your requested permit or lic�nse requires Council action to approve, some information may become . public. 5. You have cenain rights under ti.S. 13.04 (availabie upon request) [o review private data on yourself. 6, Your full name is requLed to p.-ocess this applica�ion or perm.i[. �.:5< <<�"sz Lasc Address Ciry Stam Zip Phone I understand my rights as sta e bove. _.('' � " � _ - �„�,��.� - s�,na�,�e � DATE TIME CITY OF ORONO CALLED IN INSPECTION N TJ�CE SCHEDULED r��-- �' b. � t3v PERMIT NO. �� S COMPLETED J �� d � Q� ADDRESS 3 3 3 G OWNER � CONTR._ TELEPHONENO. ��P� ' 7�� � � 7�� � DESCRIPTION - l� 01 FOOTING 11 MECHANIC I 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANI �L FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � j � L� ORK SATISFACTORY:PROCEED �'P�OJECT COMPLETE W Ci CORRECT WORK R PROCEED � I�SSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN f' CITATIONISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContra t on site- Inspector.���������'�� White Copyllnspector's File Canary CopylSite Notice