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HomeMy WebLinkAbout2001-P04145 - re-roof � �� .� , PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po4�4s Crystal Bay, Minnesota 55323 Permit Type: M�nor a�terat�ons (952) 249-4600 Date Issued: siv2oo� SITE ADDRESS: �92o Fagerness Point Rd WAYZATA,MN 55391 PID: 17-117-23-23-0031 DESCRIPTION: UBC Occupancy R3 Pro osed Use: Kesidentiai ' � G • p Census Code � ����% �� 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: $ 195.25 Valuation: $ 10,140.00 State Surcharge Fee: $ 5.10 TOTAL FEE: $ 200.35 APPLICANT: Sela Roofing& Remodeling, Inc. OWNER: BRUCE& CAMILLE CURTISS 4100 Excesior Blvd. 1920 FAGERNESS POINT RD St. Louis Park, MN 55146 WAYZATA MN 55391 THE UNDERS[GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNE TA UILDING CODE REQU[REMENTS. a ,/�.� �- �f �:'� � >'�'h-C"�I.� ('�"��� APP N ERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required),1-Applicant, 1-Monthly Reports, 1-Assess�ng, 1-F�nance Page 1 , � . Total Fee: �a -���'� ' > Date Received: �� - l�{i I Entered By: �,� Permit#: f-'C,- �l i y 1� CITY OF ORONO - BUII..DING PERMIT A.PPLICATION A.11 information must be submitted in full before plan re�iew will be started. ' (please print al1 information) l—�..=_-�,�-------------------= ------------------- ---� - -------------------- � THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRESS: � �C.> c� '.�:'� c ZIP: �;S��. � %�> � NAME OF OWNER: �1�� � � � ��S PHO�TE: (home) �S��- �{7( - �'5��� (work) I�IAILI1iG ADDRESS: _ CITY: ZIP: SELA ROOFING& REMODELINC-: CONTRACTOR: ' 410o EXCELSIo� s�_vn PHO�'E: y`� ��--�'2�-�G ��= oT � �i ii ono� ��ll-FFi�'; CON'I'ACT PERSON: � i�#000t o50 �I�B�E/PAGER: NI�iILi�i TG A.DDRESS• CITY: ZIP: STATE LICENSE: # �%�� �,-� ��' ARCHITECT/ENG�'EER: . PHO\rE: NIAIL�'G ADDRESS: CITY: ZIP: �T�-`,�: REGISTR.ATION# � TYPE OF `�'ORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration r/ � � r r PROPOSED tiVORK(describe in detai�: �����{-f� I(.-�, i�2�4- '�l��Z; 'S�' �r S�'���C,�- , "?� G�=,�c�r--� — ---�— STORIES: SQ. FEET OF EACH F'LOOR: NO. OF B�,DROOI�iS: GARAGE STALLS: ATT. � DET. � - � , . ESTI�i IATED CONSTRUCTION VALUATIO\ (excludiug land): S�� /�U� � - I hereby apply for a buildi.n� pernlit 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 understand this is not a perm.it and work is not to start without a permit; and that the work will be in accordance with the approved plan. ,, � ! �-,-- A.PPLICA.N'T'S SIGNATURE��� � � ` l' :I ,� � DATE: � �- � - b � , 1�'OTE! Parade of Homes events require separate permit approval by Police Depc�rtment and Ciry Council 60 days prior to the event. Non permitted events wi11 not be allowed. i ! � Sec.13.0-� RIGHTS OF SZ,'BJECTS OF DAT� Subd. l. Tr-pe oF data. "Ihe ri¢hcs of individual on whom c`.:data is s:�:�or ro be scored shall be as set forch in this secdon. Subd.2. Informatioa reqtrired to be given individual. An i:.c'i�idual asd�co suppiy privace or confidendal dara coacerning him.seif 55a11 �e informed of: (a) [he purpose and incended use of the rtqueszcd dara w:�in the eoLecang"sta�e ageacy,policical subdivision,or scacewide rys;�m; (b)whe�'�er he may rfuse or is legally requir.d to supply[he requested dan;(c)any lcex�a coasequecce arising from his supplying or rcfusing to supply privace or conndendal daca;ar.d(d)the idendry of o�her persoas or eaddes aachorized by s3[e or federal law to rceive the data..'Ihis requiremcac shaIl r.ot apply when an 'u:dividuaI is asked to supp[y invesdgadve dara,purr•..=.-c co szccoa 13.82, sutdivision S, co a law enforcemeac ofricer. Tha comrrussioner of re�•enue mav vlace the nor.ce r_Quired cr.c'er this s�'_^division in the individual ir.come tax or orooem ax r_fur,d instruccians ins�esd of on�Y:ose forms. Subd.3. access to data by indi�idual. Upon requa�to a r_roasible ae-`or.ry,an individual shall be inFormed whecher he is the subject of scor_d data on individu�ls,and wha�her it is class�ed as public,priva�or con@dor.r.°�. Upon his furcher request, aa individual who is the sti:bjecc of scored privace or public dac�on individuals shall be shown the data wi�out any c�:.Se to him a:.d,-if he dasires, shall be informed of t�e concenc ar.d m�aning of�hac daca. Ah:r an individual has been shown[he priva��aa and iL'o-r.ed of ics ceaniag.the daca need not be disdosed to him for six mor.;hs tt:eraccer unless a dispuce or acaon punuane co [his secdon is teading o:a��i3onal daca on the individual has been collecced or c:eacad. The responsible aucY:oriry sha1l provide copies of the private or public da3�con req�a:b;+che ir.dividu:l subjec�of L'�=data. The responsible au;:.oriry ray r:quir� che requesdng person to pay the accual eoscs of m3king,ce=.;:ing, az:d c��pi!ing che copies. The responsible au�horiry shall comply immedia�e(y, if possible,wich aey r_�nese mad�pursuant to chis subdivision,or wichin five days of th=date of the request,ezcluding Saturdays,Sundays and legal holidays,i:is.mediate cor.:pliance is not possible. Ii he cannot comply with the r_quest wichin[hac ame,he shall so inform che individuai,and may have an add;�cr�!Five da:s Wi��in which to compty wi�h tha request,exctuding Sam;days, Sur.days and legal holidays. Subd.4. Procedure when data is not accurate or complete. ?.n individ�`1 nay contest the accuracy or complateness of public or pri�'ate dara concerning himself. To exercise chis rieh�,an individual shali norirr i.•xriang�e:=spoasible auchoriry d�scribing che na�ure of a`�e disa;r_=meac. The responsib(�au�horiry s:�all within 30 days eicher: (a)corr_ct[he dae ioand to be�_ccurata or incomptece and aaemp�to nodfy past recipiencs of inaccur�e or incomplete da�, including recipienes named by �he indivi�=l;or(b) �e�:; �he individual thac he beli�ves[he data to be correcc. Data in dispu�e shall be disclosed orily if[he individual's staremenc of disagrr_�ent is ir.c'._'__d wi�h the disclosed daca. T}ie de�ecminarion of ehe responsib[e auehoriry may be appea':'_ punu:�::� �`:o provisions of eha adaunisaarive proced�re act r_l�ang to contes:ed eases. DATA PRIV:�CY AD�ZSORY In accordance with M.S. 13.04, Subd.2, "Rights of sn�jects of ea:a", we would like to inform you tha[your reeuest for a permic or license from the Ciry of Orono or any of ia dep�r�ea:s may require you to furnish cenain priva�e vr confidencial informa�ion. You are no�ified that: 1, 'I11e info;macion you fumish will be used to�::ermi.ne ��our qualification for the perm.it or license requested. 2. You may refuse to supply data, but refusal �:ay reqtL;e taat the Ciry deny the perm.it or license. ;. 'Ihe information may be shared wich other lec��, state o:federal a�encies to the extent necessary to process the permit or license. 4. If your requested permic or licease requires Council ac:ion to approve, some information may become . public. . �. You have certain rights under M.S. 13.04 (z•:ailable c�on requesc) to review private data on yourselr". 6, �'ou� full name is required to process this appticatio� e: pecmic. S C l C �G�3�f- � �1 � Firs� �fiddle Lasc �ll� �X� � � ��6�- �3��-�.� Address S-t �v�, ��S ��c�r 1'( � r� 5 5�1� 7s��� �� 3-��6 Ciry Scace Zip Phone I underst d my '�hts�as s[ated above. f i� ` S ig nacu re DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -4 -O �U� PERMIT NO.__PC��II��S COMPLETED « t' ADDRESS o� � -� �� � OWNER CONTR. - �G'i.v(r TELEPHONE N0. �S�� , �7�/ JC�.��=— � DESCRIPTION ZLE � ���-� Q�''1 �"���� lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL �4 SEWER HOOK-UP O6 PFOGRESS � 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �NS�L� o�-�l 12t�U //?,t. - � �.L � /[,� S ��Pc3�U (.�2 0 � � � �� � �,�,,.► r� 4��- W � Q - � z - W � W � j d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED t�fF9SPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContrac r o ' e: Inspector. White Copyllnspector's File Canary CopylSite Notice �/���. DATE TIME CITY OF ORONO CAL�ED IN INSPECTION NOT E SCHEDULED !C?� � PERMIT N0. `� �� � COMPLETED O�7 I���I � ,�_ 7 � ADDRESS ��'/ �� /`�C j�� �/,",_I..9 �� � �4'-�• OWNER CONTR. =��"� 1 TELEPHONE N0. ��5;�- 7�S 7�:� C�% � ._ , � � DESCRIPTION `�� ��--'� -��-� ����`� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAM�NG 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 O6 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � J O �. � O � W � Q � 2 W � W � � �/�VNORKSATISFACTORY:PROCEED PR JECTCOMPLETE ��ulCORRECT WORK 8�PROCEED ❑I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContra �r�si e: Inspector. ��/ C�'!� White Copyllnspector's File Canary CopylSite Notice