HomeMy WebLinkAbout2001-P04145 - re-roof �
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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.
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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
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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)
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THE APPLICANT IS: (circle one) OWNER CONTRACTOR
JOB SITE ADDRESS: � �C.> c� '.�:'� c ZIP: �;S��. �
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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
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PROPOSED tiVORK(describe in detai�: �����{-f� I(.-�, i�2�4- '�l��Z; 'S�' �r S�'���C,�-
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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.
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A.PPLICA.N'T'S SIGNATURE��� � � ` l' :I ,� � DATE: � �- � - b �
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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.
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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.
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Address
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Ciry Scace Zip Phone
I underst d my '�hts�as s[ated above.
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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:
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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:
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�/�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