HomeMy WebLinkAbout2001-P04000 - re-roof \
` , i pERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poa000
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 6i2�i2ooi
SITE ADDRESS: 3485 Crystal Pl
WAYZATA,MN 55391
P I D: 17-117-23-43-0011
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai
Buildin Census Code O/S-Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,945.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 142.75
APPLICANT: Sela Roofing& Remodeling, Inc. QWNER: BLAIR N REUTHER
4100 Excesior Blvd. 3485 CRYSTAL PL
St. Louis Park, MN 55146 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 BUll,DING CODE REQUIREMENTS.
�- .,� ,� �fG-��- ��
APP I ERMI EE 1 NA U ISSLTEDBYSIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
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 OR ONTRACTOR �
� _--�',
ZIP: �
JOB SITE ADDRESS: J� � ��
�� . �c PH0�1E: (home) Z`f� - ��I �'
I�TAME OF OWNER: i_�' - ��� .
(work)
1�IAILI1�i TG ADDRESS: . CITY: ZIP:
SELA ROOFING& REMODELING
4100 EXCELSIOR BLV� pHOti'E: �-�'�2�`���'���{�_
CONTRACTOR: � ��T I Qj,ll'�, PARK ���I 5F,41 F�
CO�1'I'ACT PERSON: �D#000i o5�1IOBILE/PAGER:
MAILING ADDRESS: CI'TY: ZIP:
STATE LICENSE: # � ��
ARCHITECT/ENGI�7EER: PHO\�:
MA,IL�'G ADDRESS: CITY: Z�:
N�y�: REGISTRATION# �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK (describe in detain: � ��,�t?- �(� ���� !�'�tiS�� ��-�u<< ��
( � R ( I
�,�L,� C��G1� �v-��,Qil' c-� �r' ��'�c�� '�Yt.,ti\ r c ��c� c ',, ,��.�r�..� d���4-[�,;,a �,�`�. ca,(� cYIS c�(
.
��.C.Lj �c.����vL� ��+�� -
STORIES: SQ. FEET OF EACH FLOOR:
I�TO. OF B�DROOi�7S:� GARAGE STALLS: ATT�. � DET. - - - �-- �
�'� �
EST iMATED C4`'STRUCTION VALUATIO\ (excluding land): � �c , �l �.� -
I hereby apply for a buildin;perniit and I acknowled�e 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 under tand this is not a permit and work is not to start without a
permit; and that the work «�ill be ' c�orda�;ce w~�th the approved plan.
� i i �%; �_ I �
APPL
ICANT'S SIGNATURE ' ` i ��" � � � ,� � D�TE: O Y < �
h'OTE! Parade Qf Homes eve ts require separate permit ap�roval by Police Deparlment and
City Council 60 days prior to the event. 1Von permitted events will not be allowed.
a . .
Sec.13.0-1 RIGHTS OF SL'BJECTS OF DaT:�
Subd. 1. Type of data. The ri¢h�s of individual on whom[�e data is sto:_3 or to be scored shall be as set fotth in this secaoa.
Subd.2. Information reqirired to be given individual. An iLdi�idual uk�to supply privace or confid�ndal dara concerning himself shall
be informed of: (a) [he purpose and incended use of the requested daca w:ain che collecang"stace agency,potidcal subdivisioa,or scatewide syscem;
(b)whec.'�er he may refuse oY is legally required to supply[he requested daa;(c)any 3�own coasequeece arising from his supplying or refusing to supply
privace or conndential data;and(d)the idendry of ocher persoas or endees an�uorized by s�ate or federal law to roceive tho data.,'Ihis requiremenc shall
no�appiy when an individual is asked to supply invesdeadve dara,purs�.:[o seccoa 13.82, subdivision 5, to a law enforcemenc o�cer.
'Iht commissioner of roverm� r�av place the nocce r�auired L^d-r this subdrv�sion in the individual income tax or propertv tax refund
instruc[ions inscead of on those forms.
Subd. 3. Access to data b�indir-idual. Upon requesc to a r_s:odsible aec`:oriry,an individual shall be inforrued whether he is the subject
of scored data on individuals,and whecher i�is clusified as public,priva�or confid�nrial. Upon his funher requesc,an individual who is the subjecc
of scorod privace or public dau on individuals shall be shown che dara w�i�out any c:arge to him and;if he desires, shall be informed of[he conrenc
and mzaning of chac data. After an individual has been shown[h�priva��a�and i�:ocnled of i�s meaning,che data need not be disclosed to him for
six mon;hs thereafter unless a dispute or accion pursuant to �his secdon is c:�tding o;addiaonal daea on the individual has been collecced or creaced.
The responsible au�horiry shall provide copies of the priva[e or public dac��:on requ;s:by che individual subjecc of�he data. The responsible authoriry
may requir� che requesring person to Qay the accual eosu of m�lcing,ce_;;ing, and compiling the copies.
'Ihe responsible auchoriry shall cor„ply immedia�ely, if possib!=,wich any requesc made pursuant to chis subdivision,or wichin five days of
the da[e of che requesc,excluding Sanirdays,Sundays and leg�l holidays,i:ir..mediace compliance is not possible. If he cannot comply wich the requesc
wichin�ha�dme,he shall so inform che individual,and may have an addice:.31 five da;s wichin which[o comply wich�he request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data u not accurate or complete. An individuzl may contest the accuracy or completeness of public or pri�•ate
da�a conceming himselF. To exercise chis rieht,an individual shall nod�+ia wridng c=r=sponsible authoriry describing ehe nacure of the disagreemeot.
The responsibte auchoriry shall wichin 30 days ei�:er. (a)corr.cc[he da�icund to be inaccurate or incomplece and attempc ro noafy past recipienrs of
inaccur2�e or incomplete data, including recipients named by [he individ��ai;or(b) coafy che individual 4`�at he believes the data to be correct. Data
in dispu�e shsll be disclosed only if the individual's statemenc of disagre��:nc is i.c:::3ed with the disclosed dara.
Ttte dececminarion of the rtsponsible auchoriry may be appea'_� pursuaL:to the provisions of the admirus�arive procedure act reladng to
contested cases.
DAT?. PRIV:�CY AD�ZSORY
In accordance with M.S. 13.04, Subd.2, "Ri�.hts of subjects oi daca", we would like to inform you that your reauest
for a permic or license from the Ciry of Orono or any ot i*s dep�r.ients may require you to furnish certain private or
confiden[ial information.
You are nocified that:
1, 'Ihe informacion you furnish will be used to de:ermine�'our qualification for the permit or license requested.
?. You may refuse to suppiy data, but refusal nay require that [he Ciry deny the permit or license.
;, The information may be shared wich other loc�1, state or federal a�encies to the ex�ent necessary to process
the permit or license.
4, If your requested permit or license requires Council action to approve, some informacion may become
. .. public.
�, You have cectain rights under N1.S. 13.OY (a•:ailable upon request) to review private data on yourself.
6, Your full name is required to process this 2pplication or permic.
� Lasc
Firsc 4100 EXCELS� �BLVD.
Address ID#0001050
Ciry State Zip Phone
I under d y ri�ht s ed above.
�
Signatu
JDATE TIME
CITY OF ORONO CALLED IN
INSPECTION N I�EL /� � SCHEDULED �
PERMIT N0. G �-"��� COMPLETED
ADDRESS � � �$ ��--
OWNER CONTR. ���- �'
TELEPHONE NO. __1 ��— ��S — ���-�--
.,
�
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EX AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINA� 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
J —
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
O
W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR FiEINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Ow�er/Contractor on site:
Inspector. �
f'� ! � _.,
te Copylinspector's File Canary CopylSite Notice
�� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED -��/ �.��
PERMIT NO. � �v� COMPLETED /�/ �'� � ��
ADDRESS � �
OWNER �-t� CONTR. ��-- �C �
TELEPHONE N0. ��,��%�S 7�/�
�
� DESCRIPTION �� `�-" �'L .�di,�-�.'��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 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
a
,
� �� ,����:--�:. y
0
�
�
0
�
w
�
Q
�
z
w
�
W
�
j
d ❑WORK SATISFACTORY:PROCEED C l PROJECT COMPLETE
W
� [1 CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
Q �iCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� ` BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _, pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cali for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector. ,%��� < = r.��-L;' -'
White Copylinspector's File Canary CopylSite Notice