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HomeMy WebLinkAbout2001-P03827 - re-roof � - PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 no3s2� Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: sii�i2ooi SITE ADDRESS: 3200 North Shore Dr WAYZATA,MN 55391 P I D: 08-117-23-41-0001 DESCRIPTION: Proposed Use: Kesidentiai Census Code 434 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: $ 29.60 Valuation: $ 700.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 30.10 APPLICANT: Rick A. Windenburg OWNER: Rick A. Windenburg Shirley Hendrickson Shirely Hendrickson 3200 North Shore Drive 3200 NORTH SHORE DR Wayzata,MN 55391 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. , '� � � ;' �!�'12�- ����i��� PPL ANT P I NAT ISSUED BY SIGNATi.JRE Copies: City,Applicant,As essor,Finance Page 1 � ��, Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) THE APPLICANT IS: (circle one) O`�NER R CONTRACTOR JOB SITE ADDRESS: _�,�DO �C� �/�o�'c�_� ZIP: _,�S� �/ s�,;��/y /f��� �/So„ NAME OF OWNER: � ,�f � �/,������ PHONE: (home) (work)f1/2- a �� - 8"G�8' 11�IAILING ADDRTSS: _�a2Go �(/ �S'`i o-rF ,l�s* CITY: Z�:� .�'/ CONTRACTOR: ' /��,,� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: �: STATE LICENSE: # ARCHITECT/ENGIlVEER:�/,;,,E - - - _PHO\'E: _ MAILING ADDRESS• CITY: Z�' NAME; REGISTRATION# • TYPE OF WORK: New Addition Accessory Structure �Vlove Remodel/Alteration Land Alterarion PROPOSED WORK(describe in detain: ���.-,� �o�SF STORIES: SQ.FEET OF EACH FLOOR: ' NO. OF BEDROOMS: � GARAGE STALIS: ATT�. � DET. .. � �. e ESTIMATED CONSTRUCI'ION VALUATI0�1 (excluding land): $ '���/ =� 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 u not a permit and work is not to start without a permit; and that the work will be in accordance with the approved lan. ' e � APPLICANT'S SIGNATURE: � DATE: ,�/'t - a/ NOTE! �rade o,�Homes events require separ e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. „.... . � Sec.13.0.1 RIGFiTS OF SL'BJECTS OF D:�Ta Subd. 1. Type of data. 'Ihe righrs of individual on whom[he data is stor�3 or[o be storcd shall be as sec forth in this secdon. Subd.2. Information reqirired to be given iadiridual. .�.n individual uYod to suppty private or confidendal data concerning himsdf shall be informed of: (a)the purpose and inunded use of t6e requested daa wi3iin the collecang�tate agency,policical subdivision,or statewide sysum; (b)whaher he may csfuse oY is legally requimd co supply ehe requesud dan:(c)any Imowa consequence arising from his supplying or refusing to supply privace or conndendai data;and(d)the idendry o€other persons or endaes aaehorized by state or federat law to r�ceive the data..This requ'uemenc shall no[apply when an individual is asked to supply invesdgadve dara,purru�t to seccoa 13.82,subdivision S,to a taw enforcemenc o�cer. The commissioner of ro�erme mav place the nodce rewired�nd-r this subdivision in the individual income tax or nropem tax refund instructions inscead of on those forms. Subd.3. Access to data by indi�idual. Upon request to a resgonsible au[horiry,an individual shall be informed whether he u the subject of swred data on individuals,and whe[her it is classified as public,priva�.or confidecrial. Upon his further request,an individual who is the subject of scored private or public dara on individuals shall be shown the dara wi�ou[any c'�rge to him and:if he desires, shall be infocmed of the contenc and meaning of chat data. Afrer an individual has been shown the priva;�daca and in.°ormed of its meaning.rhe dara need not be disclosed to him for six monchs chereaiter unless a dispute or acdon pursuan�w chis secdon is F:nding or addiaonal data on the individual has been collected or creaced. Ihe responsible au�horiry shall provide copies of the private or public data upon requ-x.by the individual subject of[he daca. The responsible authoriry may require rhe requesang penon W pay ehe accual costs of makin¢,cerying,and compiling the copies. The responsible au�hority shall comply immediately,if possible,wi[h any r.quest made punuant to this subdivision,or within five days of the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediau^.compliance is not possibte. If he cannot comply with the request wichin chac time,he shall so inform�he individual,and may have an addirional five days wiehin which to comply wich che request,exeiuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. :�n individual may contest the accuracy or completeness of public or pri�•ate dara conceming himself. To exercise chis right,an individual shall noufy ia wriang�e responsible authoriry describiag che nacure of the disagreemeac. The responsible au�horicy shall wi[hin 30 days either: (a)correct che daa fcund m be inaccurate or incomplete and attempt to noafy past recipiencs of inaccurate or incomplete dara, including recipients named by the individi:�;or(b)�odfy the individual that he believes the data to be correcc. Data in dispuce shali be disclosed only if the individual's sta[emenc of disagres Lenc is i*.chaded with ehe d'uclosed data. The decerminadon of the rosponsible auehoriry may be appeal:d pursuanc to the provisions of ehe adminisaarive procedaro act reladng to contesud cases. . DATA PRIV:�CY AD�'ISORY � In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi data”, we would like to inform you that your request for a permit or license from the City of Orono or any of iU depar^ents may require you to fumish certain privace or confidential information. You are notified that: 1, The informacion you furnish will be used to de:emiine rour qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require ihat the City deny the permit or license. 3, The information may be shazed with other loc�l, 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 perm.ic. � ,f _ � inc , iadie �c .�.�' �G ..t� ��G/� /.�r - Address �,.�.�a �./ �s .��� �'�2-a�a - 8��� Ciry Scace Z►p Phone , I understand my rights as stated above. � �. ignamre / � � CITY OF ORONO CALLED IN _ D� INSPECTION TICE SCHEDULED ��'uD � PERMIT NO. ��3g Z� COMPIETED � � ADDRESS 3�d NCU� �� OWNER CONTR. (��CF_ Le��,� s� TELEPHONE N0._ l9 �� �-�I,�— U��� � DESCRIPTION T_�� � 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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: � W a � J O � � O � ti � Q � 2 W � W � � d � �DyORKSATISFACTORY:PROCEED i�iOJECTCOMPLETE W� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL flETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site- Inspector.����L��J� � White Copyllnspector's Ffle Canary CopylSHe Notice