HomeMy WebLinkAbout2001-P03859 - re-roof PERMIT
C I TY O� O RO N O permit Number:
2750 Kelley Parkway- PO Box 66 P03859
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: s�29�2ooi
SITE ADDRESS: 2865 North Shore Dr
WAYZATA,MN 55391
� PID: 09-117-23-24-0001
DESCRIPTION:
Proposed Use: utner
Permit Class: Building Census Code 437
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required: �n�'-ll
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 18,766.00
State Surcharge Fee: $ 9.40
TOTAL FEE: $316.65
APPLICANT: COTY CONSTRUCTION INC OWNER: ��CO PARK RESERVE DIST
1001 6TH St S 2865 NORTH SHORE DR
HOPKINS,MN 55434 WAYZATA MN 55391
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
PERMIT
CI��.��� ORONO
2750 k�lley Parkway - PO Box 66 Permit Number: Po3gs9
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: si29i2oo�
SITE ADDRESS: 2865 North Shore Dr
WAYZATA,MN 55391
P ID: 09-117-23-24-0001
DESCRIPTION: ���. (�✓�
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Proposed Use: utner —�`�G��
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required: �n�'-U
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 18,766.00
State Surcharge Fee: $ 9.40
TOTAL FEE: $ 316.65
APPLICANT: COTY CONSTRUCTION INC OWNER: HENN CO PARK RESERVE DIST
1001 6TH St S 2865 NORTH SHORE DR
HOPKINS,MN 55434 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREF� DO ALL WO IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE C}F"MIN�N�FSOTA BU NG CODE REQUIREMENTS.
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N ITEE I NATURE SS D BY SIGNATURE
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Copies: City,Ap ' ant,Assessor, Finance Page 1
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T�tal �ee: $ Date Received: � -�%-��
�ntered By: Permit#: � �' ,� :��-5 J
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be st:irted.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �O�i� iV �'y�' �C1r.tc�Z COvN�ZIP:
'� ���= �" /���� ,�'���. �° %_ ����._.,
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ��i`' �/�S�dZucTl�w rxorr�: 9.S�o� - �'�3� 3S 3�
CONTACT PERSON: �'Q G MOBILE/PAGER: /n/7 ` S�5 � 7L-S�7
MAILING ADDRESS: /'D D/ lo '�' Sj• 1'a u%�� CITY: � lC rv �_ZIP: s�
STATE LICENSE: # �C - �3S
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORIi: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detain: %1 fh'L �j ►?%' � l�� �G'C�JIG
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i� , 7�i�
I hereby apply for a building pern-ut d ckno e that the information above is complete and
accurate; that the work will be in c o c ith the ordinances and codes of the City and with
the State Building Code; that I un ers n th is ot a permit and work is not to start itho t a
permit; and that the work will be ��co ce ith the approved plan.
APPLICANT'S SIGNATURE: DATE: Z S C� �
NOTE! Parade �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.
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Sec.13.04 RIGHTS OF SLJBJECTS OF DATA
Subd. 1. Type of data. The righ[s of individual on whom the data is stored or ro be scored shall be as set forth in this secdon.
Subd.2. Information req�rired to be given individual. An individual asked to supply priva[e or confidenrial da[a concecning himself shall
be informed of: (a)[he purpose and intended use of the requesred data wirhia the collecdng�ta[e agency,polidcal subdivision,or sracewide sysum;
(b)whether he may refuse oY is legaliy required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
private or confidential dara;and(d)che idenury of ocher persons or enriaes auchorized by state or federal law to receive the data. This requirement s6a11
not apply when an individual is asked to supply invesrigadve data,pursuanc to secdon 13.82, subdivision 5,to a law enforcement o�cer.
The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income rax or aroPertv¢ax refund
instructions instead of on those forms. �
Subd. 3. Access to data bp individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher it is classified as public,privace or confidendal. Upon his further request,an individual who is the subjecc
of scored private or public data on individuals shall be shown che data wichout any charge to him and, if he desires,shall be informed of the content
and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,che data need not be disclosed to him for
six months ihereafter unless a dispute or acrion pursuanc to this secdon is pending or addidonal data on the individual has been coilected or created.
The responsible auchoriry shall provide copies of the private or public data upon request by the individual subject of rhe data. The responsible authoriry
may require the requesring person to pay the actual cosu of making,certifying,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 tequest,excluding Santtdays,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 additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate
data conceming himself. To exercise chis right,an individual shall nodfy in wridng the responsible authority describing�he nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy past recipienu of
inaccunte or incomplete data,including recipients named by[he individual;or(b)notify 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 decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to
contesced cases.
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri.¢,,hts 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 fumish 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 tnay be shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
�. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
Fint vliddle Lasc
Address
City State Zip Phone
I underst d my ' t e - above. .
Si e
, / DATE TIME
CITY OF ORONO V CALLED IN
INSPECTION N�J,TIC2E SCHEDULED � -� � �
PERMITNO. � U _J�� COMPLETED ~r
/� i �'�''_ ..�,c..�.�_ .
ADDRESS � �-� ''
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OWNER d �/ CONTR. Cc'�.-�� "' ..
TELEPHONE NO. �-� � —" ���- �3S 3�
� DESCRIPTION � -
l� 01 FOOTING 11 MECHANIC I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 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
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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d WORK SATISFACTORY:PROCEED �_ PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED I 1 ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-, pHOTO TAKEN
INSPECTOR WILLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for ihe next inspection 24 hours in advance. 249-46�0
OwnerlCont�or on site• _
Inspector� //�� �.�-�f,�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN C�� �
INSPECTION NOTIC SCHEDULED J�-w�
PERMIT NO. COMPLETED �� tr��
ADDRESS_ ��C�S`/�l• S�,�✓sz. �
OWNER CONTR. ��1�1 Cr/�--s�'.
TELEPHONE N0. ��� f 3..3-35� �o
� DESCRIPTION�� I�SZ �'G d�
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLUW-UP
i09 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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� �ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ,O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. D PHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr c r on site:
�
Inspector., , ��iC�C�f S
White Copyllnspector's File Canary CopylSite Notice