HomeMy WebLinkAbout2001-P04010 - re-roof CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4oio
Crystal Bay, Minnesota 55323 Permlt Type: Minor Alterations
(952) 249-4600 Date Issued: 6i2g�2oot
SITE ADDRESS: 2605 Kel►y Ave
Excelsior,MN 55331
PID: 2o-t t�-23-ta-oo22
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Buildin Census Code O/S-Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 431.65 Valuation: $ 28,196.00
State Surcharge Fee: $ 14.10
TOTAL FEE: $ 445.75
APPLICANT: Western Cedar Supply OWNER: Mr.&Mrs. Stoddard
9700 13th Ave 2587 Kelly Ave
Plymouth, MN 55441 Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNATURE �SUEDBY SIGNATURF.
Copies: 1-File(Sienitures Repuired). 1-Annlicant, 1-Monthlv Reports, 1-Assessin�, I-Finance Page 1
Tota.l Fee: $ Date Received:
Enter�d By: Permit#:
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CITY UF ORONO - BUII�DING PERNIIT APPLICATION
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 O CONTRACTOR �
JOB SITE ADDRESS: �v� �e`/` 'e— ZIP: �
NAME OF OWNER: �� � s��" ���v _ PHOiVE: (home)
(work)
1�IAILI�i TG ADDRESS: ��- - CI'rY: � �'� o ZII':
CONZTtA.CTOR: 'C����"/'1 ��d� S PHOYE: l G 3 " S�/�^�.3Q�
CON'TACT PERSON: �y�� 1�IOBILE/PAGER:
MAILING ADDRESS: 7ce r r`�yi iv . CITY: �� ZIP: S3�
STATE LICENSE: # �5��_
ARCHITECT/ENGIYEER: PHONE:
MAIL�'G AUDRESS: CITY: ZIP:
Nt�ME: REGISTRATION# '
TYPE OF
WORK: New " Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: T���d{�/�''�aa'� �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF B�DROOMS:� GARAGE STALLS: ATT: . . DET. _ .��_ ..3::. ... _,. _
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ESTII�i IATED CONSTRUCTION VALUATIO\ (excluding lan.d): 5 �
I hereby apply for a building 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 Buildina Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in acc nce with the approved plan.
APPLICANT'S SIGNATITRE: �1 DATE: � � d�
NOTE! �arade o Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events wi11 not be altowed.
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Sea13.0-1 RIGFiTS OF StJB.TECTS OF D�Ta '
Subd. 1. Type of data. 'Ihe righcs of individual on whom the data is sto:�or to be stored shall be as set focth in this secaon.
Subd.2. Information reqtrired to be given indi��dual. An ir.di�idual asY�to supply priva[e or confidendal dara conceming himself shall
be informed of: (a)the purpose and iacended use of the requuud data v.i�in the colleccing�tate agency.polidcal subdivision,or sratewide rys[em;
(b)whe�her he may refuse oY is legatly required co supply ehe r.quested dan:(c)any l�o�vn coasequeace arising from his supplying or refusing to supply
privace or conndenriai data;and(d)the idendry of oeher penoas or endda acchoriz-d by scate or federal law to receive the data..This requiremenc shall
no�apply when an individual is asked to supply invesdgadve daea,pursur::co secaoa 13.82,subdivision 5,co a.taw enfarcement o�cer.
The commissioner of revenua mav place the noace rewired crd-r this subdivision in the individual income tax or oroaertv tax refund
instructions inscead of on chose forms.
Subd.3. Access to data by indi�idual. Upon request to a r.roosible aechoriry,an individual shall be informed whether he is the subject
of scored data on individuats,and whecher ic is classified as public,privar�or con@der.rial. Upon his further requesc,an iadividual who is the subjecc
of scora�i private ar pubtic dara on individuals shall be shown the dara wi^auc any c'narge to him and;if he desires,shall be informed of the concent
and meaning of chac data. Aftar an individual has been shown ehe priva��aca and i�:ormed of i�s meaning,the data need not be disetosed ro him for
six mon�hs choreafcer unless a dispute or acaon pursuanc co chis secdon is�ending or addidonal data on[he individuai has been cotiected or creaced.
The responsibla auchoriry shali provide copies of the privace or public data econ reques:by che individual subject of the daea. The responsible auchoriry
may require che requesring person to pay the accual cosu of makin¢,ce._:;ing,and compiling the copies.
'Ihe responsible au�horiry shall comply immedia�aly,if possib!_.wi�h any r_quest made pursuant to this subdivision,or wichin five days of
the data of the reques�,excluding Saturdays,Sundays and legal holidays,ii irnmcdizt.^.compliance is not possible. If he cannot comply with the request
within thac rime,he shall so inform che individual,and may have an addi�ec�l five davs wirhin which to comply wich[he request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. �n indivizual may contest rhe accuracy or compteceness of public or private
daca conceming tiunself. To exercise[his righc,an individual shail nodfy ia wridng c:e responsibte authoriry describing che nacure of the disagreemeat.
The responsible auchoriry shall within 30 days either: (a)corrct che dat�fcund to be inaccurat�or incomplete and attempt to nodfy past recipiene�of
inaccucace oc incomptete dara, including recipients named by che individi:a[:or(b) �odfy[he individual that he balieves the data to be cocrece. Da�a
in dispu�e shall be disclosed only if ehe individuai's stacecr.enc of disagrea�=nc is�.c:ided with che disclosed data.
The de�erminadon of the responsibte auchoriry may ba appea:ed pursuacc to �he provisions of cha administrarive procedure act reladng to
contesced cases. . � �
DATA PRIV:�CY AD�ZSORY
In accordance with M.S. 13.04,Subd.2, "Rights 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 of ia depar�ents may require you to furnish cercain priva�e or
confidential information.
You are no[ified that:
1, The informa[ion you fumish will be used to de;ermine�•our qualification for the permit or license requested.
2. You may refuse to supply daca, buc refusal nay require that the Ciry deny the permit or license.
3, The informacioa may be shazed with ocher loc�l, stace or federal agencies to the excent necessary to process
the permit ar license.
4. If your requested permit or license requires Council action to approve, some information may become
. . public..
�. You have certain ri,Phts under b1.S. 13.04 (a.ailable upon request) to review private data on yourself.
6, Your full name is required to process this aoplica[ion or permic. �
Firsc Middle �� �
Address -
Ciry Stam Zip Phone
I understand my ri�hts as stated above.
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Signature •
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¢� ��"' � DATE TIME
CITY OF�RONO �4�LED IN
INSPECTION NOT E��Q SCHEDULED �' �
PERMIT NO. �� � COMPIETED � --��
ADDRESS [-� �
OWNER CONT . ��.
TELEPHONE NO. ��� (� Cj — _�,��
� DESCRIPTION �� �✓��
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAI 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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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W� ❑WORKSATISFACTORY:PROCE �PROJECTCOMPLEfE
W j�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� r�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedConUactor on site:
Inspector. ��%G�ti'��
White Copyllnspector's File Canary CopylSite Notice