HomeMy WebLinkAbout2006-P10516 - re-roof PERMIT
�iTY OF ORONO
2��50 Kelley Parkway- PO Box 66 Permit Number: P10516
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued: l0/30/2006
SITE ADDRESS: 2555 Fox St Unit#
Wayzata,MN 55391
PID: 04-117-23-44-0002
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
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: $ 2�9.25 Valuation: $ 16,900.00
State Surcharge Fee: $ 8.45
TOTAL FEE: $ 287,�p
APPLICANT: GL Roofing LLC OWNER: Mr. &Mrs. Eckerline
6719 Oakwood Ave.NE 2555 Fox St
Otsego,MN 55330 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APP CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(if Septic, I-Septic) Page 1
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^ �/Total Fee: $ �,�" ,� ���� DateReceived• ��' -��' U ��
Entered By: Permit#: /��-� ����/(G
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full befo�-e plan review will be started.
(plerrse pri»t all i�ifo�•rraatio�i)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: �� C ���'}C�,''�;� ZIP: ��-�_
Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home?
❑ yeS ��10 If yes, n specia!event permit is reqarired wrth Po/rce Deparl�rrent and Crdy Coerr�cil app��oval
60 days pria•to t12e ever�t. Shzrtde biis ser�vice 1vi/!be r•eqarir•ed unless applicant dernonstrates
siGffrcie��t o�z-srte parlci�7g is available. ���'or7-permitted everzts�ti�ill r7ot be allotived.
NAME OI'OWN�R: `���_�_�.,��,�'���L, PHONE: (home) L C9 f ��
(worlc)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ;L. �� 'L.C_._ PHONE: '�� -��11 -�� ,r1
CONTACT PERSON: � ', MOBILE/PAGER: �01�- 3Q� — �o��,j
MAILING ADDRESS �CITY:�'s - � ZIP: �'�3�
STATE LICENSE: #���l�p G/,�� EXPIRATION DATE.
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAM�: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windo�vs)
Any earth movement may require MCWD review and permits !
?'?2�?'G�SFTJ �I�RK;rl�screbe arr�det�ril;: �(�2 �.-�..ti e_C' ��_�.,c C�� �,.r�
=�"�'�e �v.\�
STORIES: �- SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED llETACHEll
ESTIIVIATED CONSTRUCTION VALUATION(excluding land): ��(� ��
I hereby apply for a buildin�permit and I ackno�vledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City and witl�the State Building
Code;that I understand this is not a per�zlit and�vork is not to start without a permit;and that the work�vill be
in accordance with the approved plan.
APPLICANT'S SIGNATURF,:�� —� � � DATE: `�, C�
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Scc.13.Od RIG[[TS OF SUBJECTS OF DATr�
Subd. L Type of data. The rights of individual on�vhom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply private or contidential data concerning himselfshall be
informed of. (aj the purpose and intended use of the requested data wi[hin the coilecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusino to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the da[a. This requirement shal I
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a la�v enforcement officer.
The commissioner of revenue mav_piace the notice required under this subdivision in the individual ittcome tax or property tax refund
instructions instead of on those fonns.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall bc informed whether he is the subject of
stored data on individuals,and�a-hether it is classitied as public,private or contidential. Upon his tLrther request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any char�e to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual has been shown the private daca aiid informed oF its meaning,the data need not be disclosed to hiin for si�
months thereafter unless a dispute or action pursuant to d�is section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies ofthe private or puUlic data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay die acwal cos[s of'making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
�vithin that time,he shall so inform the individual,and may have an additional tive days within��hich to comply witli thc request,escludine Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or coinplete. An individual may contest die accuracy or compieteness of public or private data
concerning himselE To exercise this ri�ht,an individual shalf notify in wTiting the responsible authority describing the na[ure of the disagreement. The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,includine recipients named by the individual;or(b)notity the individual that he believes the data fo be correct. Data in
dispute shall bc disclosed only if the individual's statement of disaereement is included with the disclosed data.
The detennination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance�vith M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit 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:
]. The infornlation you furnish will bP used to determine your qualification for the permit or license
requested.
2. You niay refuse to supply data,but refusai may recuire ihat ihe City dery t"e pe�n�it or licerse.
3. The information may be shared �vith other local, state or federal agencies to the extent necessary to
process the perniit or license.
4. [f your requested permit or license requires Council action to approve, some information may become
public.
�. You have certain ri�hts wider IvLS. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First i�tiddlc Lnst
:1Jdress
City Statc "Lip Phonc
• I understnnd my rights as stated above.
.�_ _ �.����r -
Signaturc
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Reset Forrn 32
�� D T _ TIME ✓
CITY OF ORONO CALLED IN ��
INSPECTION NOT�E SCHEDULED _�� �
PERMIT NO. : I��I�i� COMPLETED
ADDRESS -�5 � S �C",� �j
OWNER CONTR. �r � %<<'c' � ;L5/
TELEPHONE NO. ��• � � �1 �'1 ��
� DESCRIPTION ��<'�!�'Z j
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
�%5 FINAS, 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� pH0T0 TAKEN
INSPECTOR W{LL REfURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr site:
Inspector.
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