HomeMy WebLinkAbout2002-P05635 - re-roof CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Pos63s
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 9i2oi2oo2
SITE ADDRESS: 3599 Livingston Ave
Wayzata,NIN 55391
PID: 17-117-23-43-0051
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Pemut Type: Minor Alterarions Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 60.10 Valuation• $ 1,700.00
State Surcharge Fee: $ 1.35
TOTAL FEE: $ 61.45
APPLICANT: Absolute Installation OWNER: Zelma McKinney
700 Ione Ave.NE 3599 Livingston Ave
Spring Lake Park,MN 55432 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.
�
PLI PE "--- -- - ISSUED BY SIGNATURE
Conies: 1-File(Si ' quired), 1-Aunlicant, 1-Monthlv Renorts. 1-Assessing, 1-Finance Page 1
� 'Total Fee: $ �' � �� �� � Date Received: ' -�L -� �-
Entered By: ;;�'�..- Permit#: C�S C� ���
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 OR CONTRACTOR
JOB SITE ADDRESS: �J��� �������S�� �r/< ZIP:
�. ��G��-�� Y�'l�.
: k.�,��.-
��� NAME OF OWNER: �/�i i� ���e j���- PHONE: (home)
� �( (work)
'� MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: J��C�X�Iu--���-1Z��5�����-��r7'I PHONE: lp�,�',���/���
CONTACT PERSON: 1 '/�� MOBII,E/PAGER: ��
MAILING ADDRESS: l� �� r�, � CITY: ��ir,� L:,I� ZIP: '`S5 y��
STATE LICENSE: # �—���'�
ARCHITECT/ENGINEER: PHOl�'E:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: � -��� � ���-���'`�-�'�
STORIES: Z SQ. FEET OF EACH FLOOR: ��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�__
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): ��/,��DO_
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 ord' an codes of the City and with
the State Building Code; that I understand this is not a pe ' an ork is not to start without a
permit; and that the work will be i c ordance i r6ved plan.
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APPLICANT'S SIGNAT � DATE: `" Z
NOTE! Parade of Homes events equire separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGH'TS OF S[TBJECTS OF DATA
Subd. i. Type of data. The rights of individual on whom the data is stoced or to be stored shall be as set farth in this section.
Subd.2. Information reqiared to be given iadividual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended nse of the requesred dara within the collecang§tate agency,political subdivision,or statewide sysum;
(b)whether he may refuse oY is legaily required to supply the mquested data;(c)aay known coasequence arising from his supplying or refusing to supply
priva[e or confidenual data;and(d)the idenriry of other persons or enaties authorized by state or federel law to receive the data. This requirement shall
not apply when an individuai is asked to supply invesrigaave data,pursuant to secrion 13.82,subdivision 5,to a law enforeement officer.
The commissioner of re�enue mav alace the nodce rewired under this subdivision in the individual income rax or Droperc�+tax refund
instmctions instead of on those forms.
Subd.3. Aecess to data by individual. Upon requesc co a rospoasible authority,an individual shall be informed whether he is the subject
of swred data on individuals,and whe[her it is ciass�ed as public, private or co�dential. Upon his further request,an individual who is the subject
of stored private or public data on individuats shall be shown the data without any charge to him and;if he desires,shall be informed of the content
and meaning of chat data. After an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant co this secdon is pending or addidonal data on the iadividual has been coltected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesang person to pay the actual cos[s of making,certifying,and compIling the copies.
The responsible authority shall comply immediately, if possible,wi[h any request made pursuant to this subdivision,or within five days of
the date of the request,exciuding 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 addidonal five days within which to comply with the request,exctuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An mdividuai may contest the accuracy or completeness of public or private
data conceming himsetf. To exercise this right,an individual shall nodfy in wridng the responsible authority describing ct►e nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to noafy past recipienu of
inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correcc. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disc(osed dara.
The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 permit or license from the Ciry 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 fumish 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. The information may be shared with other local, state or federal agencies to the eztent necessary to process
the permit 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.
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Clty State Zip Phone
I unde d my rigl�ts ated abo .
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NO CE SCHEOULED �,�.
PERMIT NO. 5 COMPLETED
ADDRESS L- �f��/I -S�d � .
OWNER CONTR. �? ,
TELEPHONE NO.__� � a - 4 � d � �drl I
� DESCRIPTION �P_Gt!' �f--� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOp TO MEET YOU:_YES_NO
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W WORK SATISFACTORIF PROCEED O PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR HEINSPECTION TEMPORAFiY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/ConU ite:
Inspector.
White CopyMspector's F e Canery Copy/SNe Notice
/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT N0. S��s COMPLETE -- s`'�•� �
ADDRESS 5 `
OWNER NTR.
TELEPHONE NO.
� DESCRIPTION 1 � 'r��
� 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
ZALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 FINAL 14 SEWER HOOK-UP 06 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.473-7357
OwnerlContr site:
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice