HomeMy WebLinkAbout2002-P05861 - re-roof � PERMIT
C I Tl� O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Poss6i
Crystal Bay, Minnesota 55323 Pe►'mit Type: 1vlinor Alterations
(952) 249-4600 Date Issued: i i�2i�2oo2
SITE ADDRESS: 1390 Fox st
Wayzata,NIN 55391
PID: 02-117-23-31-0010
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 69.25
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 69.25
TOTAL FEE: $ 140.00
APPLICANT: Owner/Self OWNER: Jonathan&Greta Witcher
� 1390 FOX ST
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 BUILDING CODE REQUIREMENTS.
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APPUCANT PERMITEE SIGNATU ISSUED BY SIGNATURE
Covies: 1-File(Si�nitures Required), 1-Avplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
'1 otal Fee: $ --��1.��� Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATIOl�
All information must be submitted in full before plan review will be started.
" (please print all information)
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THE APPLICANT IS: (circle one� OWNER�R CONTRACTOR
JOB SITE ADDRESS: _ 1 � �� f�JX `=�i/2�� 1 ZIP: �� �
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9
NAME OF OWNER: �/��--(�^�,f'1 N % ���� PHOi�TE: (home) ' '� �
(work) �
MAII..ING ADDRESS: ��q� �i{'� �/� CITY: '___x�� �/
CONTRACTOR: PHO��tE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
;
PROPOSED WORK(describe in detain: ;%' �;/ �' �"
STORIES: � SQ. FEET OF EACH FLOOR: �h(� __ �
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. r
ESTINIATED CONSTRUCTION VALUATION (excluding land): $ �C�� s_
I hereby apply for a building pernut 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 pemut and work is not to start without a
permit; and that the work will be in accor ance wi the ap roved plan.
, �
APPLICANT'S SIGNATURE• - � DATE: G^ �� � �
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
i
Sec.13.04 RIGHTS OF SLIB.TECTS OF D�TA
Subd. i. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth ia this secdon.
Subd.2. Information reqwred to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)�he purpose and intended use of the requested data within the collecting"state agency, poliacal subdivision,or statewide sysum;
(b)whether he may refuse oY is legally required to supply che requested data;(c)any Imown consequence arising from his supplying or refusing[o supply
private or confidendal data;and(d)the idenriry of other persoas or enddes autborized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve dara,pursuan[to secaon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav piace the noace reauired under this subdivision in the individual income tax or propertv raz refund
instructions ins[ead of on those forms.
Subd.3. Access to data by individual. Upon request to a respoasible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject
of stored private or pubfic data on individuals shall be shown the data wi�hout any charge to him and,-if he desires, shall be informed of the content
and meaning of chat data. Aftzr an individual has been shown the privace dara and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on the individual has been coilected or created.
The responsible au[horiry shall provide copies of che private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesdng person to pay the actual costs of makinc, cerafying,and compiling the copies.
The responsible authority shail comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of
the date of the requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidonal five days within wtuch to comply with the request,excluding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing[he nature of the disagreemeut.
The responsible authoriry shali within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The decerminacion of the responsible authoriry may be appealed pursuant to the provisions of the adminisaarive procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request
for a pemut or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. Ihe information may be shared with ocher local, state or federal a�encies to the extent necessary to process
the pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this applica[ion or permit.
First ;�liddle Last
Address
Ci�y Srate Zip Phone
I understand my rights as stated above.
Signature
DATE TI
CITY OF ORONO CALIED IN
INSPECTION NO � , • SCHEDULED � "��� ��
PERMIT NO. �-' + COMPLETED
ADDRESS l,��'�i �Q�X ��
OWNER D y 11����tc� r` CONTR. Yl w�0 i•���v"
TELEPHONENO. �� � ��� �t�(! S " L�l� ��l�i �tC)U
� DESCRIPTION ����� ���
� 01 FOOTING / 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 ING FINAL 36 FOUNDATION/REMOVAL
� OWNERIC TRACTOR TO MEET YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR
�CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-46��
OwnedContrac�o ite:
Inspector.
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