HomeMy WebLinkAbout2002-P05007 - re-side/re-roof PERMIT
C I TY O F O RO N O Permit Number:
275b Kelley Parkway- PO Box 66 Posoo�
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: aia�2oo2
SITE ADDRESS: 3477 Livingston Ave
Wayzata,MN 55391
P I D: 17-117-23-43-0069
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side
Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIAMARY: PermitFee: $ 139.25
Valuation: $ 6,500.00
State Surcharge Fee: $ 3.25
TOTAL FEE: $ 142.50
APPLICANT: Sun Contractors and Home Improvement OWNER: Mark Schulte
2365 Commerce Blvd 3477 Livingston Ave
Mound,MN 55364 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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APPLICANT PERMITEE SIGNATURE ISSCTED SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Monthlv Reuorts, 1-Assessine, 1-Finance Page 1
Total Fee: $ Date Received: `��°a-
' Ente�ed By: Pemnit#: 050�7
CITY OF ORONO - BUII�DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforniation)
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THE APPLICANT IS: (circle one) �_R OR CONTRACTO M ~
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JOB SITE ADDRESS: ��`�7� �v�`�Gszc�./' �v� ZIP: �5 'J R l
NAME OF OWNER: �Q�� �-�'�-�--��C PHONE: (home) 95 Z ��z �Z� o
(work)
MAILING ADDRESS: 3�l�—� �J:Nys�o,.1 �"� CI1'Y: f���-zq2.4 ZIP: S�3�(
CONTRACTOR: �u,•; Cc:.r�����c�2.5 f��ne -��,PHONE: �I�z �{7 L 3 `I�Z
CONTACTPERSON: �w�� w� ��rc���MOBILE/PAGER: 6�z �g� 3�8
MAILINGADDRESS: 7-3coS L°�,,�,�.�„zce CITY: �b�,-.r� ZIP: ss3�c.(
STATE LICENSE: # 2�9�' 3 3 S
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �t �.�oF �' ��b ��� � �-�cla
STORIES: ��S SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��O�'•D� _
I hereby apply for a building permit 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 permit 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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APPLICANT'S SIGNATURE:� DATE: — ���
NOTE! Parade of H^ omes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sea 13.04 RIGFTTS OF SLJBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom rhe data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial dara concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting 3tate agency,potidcal subdivision,or stacewide sysum;
(b)whether he may refuse oY is legally required to suppiy the requested data;(c)aay�own consequence arising from his supplying or refitsing to supply
privau or confidential data;and(d)[he idendry of ocher persoas or enrides authorized by state or fedeial law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of re�enue mav piace the nodce rewired under this subdivision in the individual income tax or propertv taz refund
instructions instead of on those foRns.
Subd.3. Access to data by individual. Upon request to a responsible 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 public data on individuals shall be shown rhe data wiehout any charge to him and;if he desires,shall be informed of the content
and meaning of chat data. Afrer an individuai has been shown the private dara and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal data on the individual has been collected or created.
The responsibie authoriry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authority
may require the roquesting person to pay the acrual costs of making,cerdfying,and compiling the copies.
The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,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 addidonai five days within which to comply with the request,exciuding Saturdays,
Sundays and legat holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in wriang the responsible authoriry describing che nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurnte or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be coaect. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act reladng 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 permit or license from the Ciry of Orono or any of its departments may require you to fumish 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 pemut or license.
3, The information may be shared with other local, state or federal agencies 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 application or permit.
First Middle Last
Address �
C�ty State Zip Phone
I understand my rig as stated above.
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Signamro
DATE TIME
CITY OF ORONO CALLED IN --.���
INSPECTION NOT CE��� SCHEDULED �/9
PERMIT NO. COMPLETED
ADDRESS _ �1� ¢1� �� �'�`'r,��°';.�3Y? t�t�"'
OWNER CONTR. r����"' C��i`'�` ;
TELEPHONE N0.__ ��a ` �`�� " '-��'�r��^
� DESCRIPTION ��c.p`'h C�f� '
� Ot FOOTING i t MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WO00 BURNER/FIREPIACE 34 TREE REMOVAL
Z04 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
� OWNERICONTRACTOR TO MEET YOU:_YES NO
v�, COMMENTS:
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WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContracto n 't •
Inspector.
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