HomeMy WebLinkAbout2001-P04085 - reroof �!' '�
a PERMIT �
CI �Y OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poaoss
Crystal Bay, Minnesota 55323 Pe�mit Type: [vlinor Alterations
(952) 249-4600 Date Issued: v�3i2ooi
SITE ADDRESS: 2476 Dunwoody Ave
WAYZATA,MN 55391
P I D: 20-117-2 3-21-0004
DESCRIPTION: UBC Occupancy R3
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Proposed Use: Kesidentiai ��y'%'
Census Code •434 j�`� �
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: $ 9�•25 Valuation: � 3,850.00
State Surcharge Fee: $ 1.95
TOTAL FEE: $ 99.20
APPLICANT: W• F. Smith Construction OWNER: T J OGLAND ET AL SUBJ/LE
5975 Lynwood Blvd 2476 DUNWOODY AVE
Mound, MN 55364 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL [MPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINN SOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE
Copies: 1-File(Signitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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Total Fee: �a �l� �� Date Received: 7-/�
Entered By: � Permit#: �'G'�( �i�
CITY OF ORONO - BIJII.,DING PERtVIIT A.PPLICATION
All information must be submitted in full before plan review will be started.
' (please print all information)
THE A,PPLICANT IS: (circle one) OWNER CONTR.ACTOR
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JOB SITE ADDRESS: �V �v w:���D ZIP: �� ��j �
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NAME OF OWNER: ��4 O t1.� � � �.-� /�� PHO�IE: (home)
(work)
l�IAILING ADDRESS: �P�,� . CITI': ZIP:
TOR: , � � � ��/`'S� PHONE: �S� � L� 7�- ��S�y'
corrrx�c U�1 � �M �
CON'TACT PERSON: � �D �IOBILE/PAGER: .6 � —3 / 1 �
MAILING ADDRESS: 5��7S� L�r�+.��� 1��vY> CTI`Y: Y��'� L�r�b ZIP: �c� i�
STATE LICENSE: # �3 � F
ARCHITECT/EIVG�YEER: PHO\7E:
1VIAILING ADDRESS: CITY: Z�:
�T��: REGISTRATION# �
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
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PROPOSED`VORK(describe in detai�: � �ft /L Q�� `� ��-'�� ��
STORIES: SQ.FEET OF EACH�I.00R:
NO. OF B�DROOMS: GARAGE STALLS: ATT�. � DET. � - - � . ,
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EST iMATED CONSTRUCTION VALUATIO\ (excluciing land): �� _
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 with the ordinances and codes of the City and with
the State Buildin; Code; that I understand this is not a perm.it and work is not to start without a
permit; and that the work w' be in accor ce with the approved plan.
ICANT'S SIGNATURE. � ` ' DATE: � � 6 �
A.PPL J ,
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 will not be allowed.
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Sec.13.0-1 RIGHTS OF SL'BJECTS OF DaTa
Subd. 1. Tyge of da[a. "Ihe ri¢h�s of individual on whom t�e data is sto:_3 or to be scored shall be as set forth in this secdon.
Subd.2. Informatioa reqirired to be given indiridual. r1n icdi�-idual�sk�to supply private or confidendal data concerning himself sball
be informed of: (a)[he purose and intended use of the requesud dard w:�in che collzcring'stace a;ency,poliacal subdivisioa,or sratewide syscrm;
(b)whe��er he may refuse oi is legally required to supply ehe rquested dan;(c)any I�o�eoasequeace arising from his supplying or refusing to supply
priva[e or conndendal data;ar.d(d)the idendry of o�her persoas or earides aLchorized by srate or federal law ro rceive the da�a.,'Ihis requiremea�shall
not apply when an individual is asked co supply invesdeaave dara, purs�.:to seccoa 13.82, subdivision 5, to a law enforcemeoc officer.
The commissioner of r��•enu� mav place the norice rauired �^C�r this sutdivision in che individual ir.come tax or oropem tax reEur.d
instruc�ions insczzd of on chose forms.
Subd.3. Access to data bp indiridual. Upon requesc to a r_soasible a��.oriry,an individual shall be informed whether he is the subject
oF scored data on individu:ls,and wherher ic is classified as public,privae or confid�nrial. Upon his furcher requesc, aa individual who is the subjeu
of scored private or public da�a on individuals shall be shown the data wi�ouc any c:.3rge to him and;if he dzsires, shall be informed of the con[enc
ar.d meaning of chac data. After an individual has been shown the priva��ac�and i�:onned of i�s meaning,the dara need not be disclosed to him for
six mon;hs therea[ter unless a dispute or acdon pursuant to this secdon is c:nding o:addiaoaal data on the individual has been collecced or creactd.
The responsible au�horiry shall provide copies of the private or public da�L:on req�:s:by the individual subject of�h�data. The responsible authoriry
may requir� che requesdng person co pay the acmal costs of makine,cer;:ing, and compiling che copies.
The responsible au[horiry shall comply immediately, if possib!=,wich an}' requesc mada pursuant to this subdivision,or wirhin five days of
the dac_of�he requesc,etcluding Sanirdays,Sundays and legal holidays,ii is.mediace compliance is not possible. If he cannot comply wieh che reques�
wichin chac dme,he shall so inform�he individual,and may have an addice:31 five da;s wi�hin which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. ?.n individual may contest the accuracy or completeness of public or pri�•ate
daca conceming hunself. To exercise chis rieh[,an individual shall nodfy ia wridn�c�responsible auchoriry describing�he nacure of the disa;reemeac.
The responsible au�horiry shsll wichin 30 days either. (a)comct[he da�icund to be inaccurate or incomplere and attempc to nodfy pasc recipiencs of
inaccura�e or incomplete dara, including recipients named by tha individL�;or(b) �ocify the individual that he believes ehe data to be coaecc. Dara
in dispuce shsll be disclosed orily if the individual's stacemenc of disa;re=�=nt is i^.c:::ded wirh the disclosed data.
Ttie de�erminarion of the rosponsible auchoriry may be appza'_� pursuan�to the provisions of the admuustrarive procedure act relaring to
contes:ed cases.
DATA PRI'�':�CY AD�`ISORY
In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects oi data", we would like to inform you tha[your reauest
for a permit or license from the Ciry of Orono or any ot iu depsu.ents may require you to furnish certain private or
confidential information.
You are notified that:
1, The informa�ion you furnish will be used to de:ermine�'our qualification for the permit or license requested.
?, You may refuse to supply data, bu� refusal nay require tha[ the City deny the permit or license.
3. The informacion may be shared with other loczl, state or federal a�encies to the extent necessary to process
the permit or license.
4, If your requested permit or license requires Council action to approve, some information may become
. . public. �
j, You have certain riQhts under N1.S. 13.04 (a•:ailable upon reques[) to review private data on yourself.
(. Your full name is r ired to process this 2pplicacion or,permic. �
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I underst d my 'gh as st t above.
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Signanire
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC �-^- SCHEDULED � � �/
PERMIT NO. Q�0 J COMPLETED ' �� �-��
ADDRESS o?�� �
OWNER CONTR. ��' S � ,
TELEPHONE NO.
� DESCRIPTION �� GL� c.-2�
� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �JORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector./���� �
White Copyllnspector's File Canary CopylSite Notice