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HomeMy WebLinkAbout2000-P02425 - re-roof 1 PERMIT CITY OF O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P02425 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 5/5/00 SITE ADDRESS: 3640 Northern Ave WAYZATA,MN 55391 PID: 17-117-23-34-0017 DESCRIPTION: Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: SCOTT GARDNER OWNER: SCOTT W GARDNER 3640 NORTHERN AVE 3640 NORTHERN AVE 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. INV &APP61MANT ITE TU ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Pagel Total Fee: $ Date Received: Entered By: AV, Permit#: "", CITY OF ORONO - BUELDL 1G PERMIT APPLICATION All information must be submitted in full before plan review will be started. . (please print all in THE APPLICANT IS: (circle one OWNER R CONTRACTOR JOB SITE ADDRESS: A640 ZIP: NAME OF OWNER: PHONE: ome) &M1"2U_0 _ (work) rAILING ADDRESS: CITY: lft�M ZIP: Yh�s CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: . STATE LICENSE: # ARCHITECUENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New ddition Accessory Structure Move Remodel teration Land Alteration PROPOSED WO (describe in detail) kA t9 1�P -�At� STORIES: SQ.FEET OF EACH FLOOR: IQAte ?P NO. OF BED OOMS: GARAGE STALLS: ATT. :DET.ESTIMATED CONSTRUCTIONVALUATION(excluding land): $ fpr 1� •�c / I hereby apply for a budding permit and I acknowledge that the information bov complete an accurate; chat.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 or the approved plan. APPLICANT'S SIGNATURE: DATE: a-4—L_ NOTE! Parade of 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. c � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting State agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the dam. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may nl2ce the notice required under this subdivision in the individual income mx or oroaerm tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public dam on individuals shall be shown the data without any charge to him and;if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public dam upon request by the individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of malting,certifying.and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the dare 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 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 private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. .. The responsible authority shall within 30 days either. (a)correct the dam found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete dam,including recipients named by the individual;or(b)notify the individual that he believes the dam to be correct. Dan in dispute shall be disc:osed only if the individual's statement of disagreement is included with the disclosed dam. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 City 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 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 permit or license. 3. The information may 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. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Yo r full name is required to process this application or permit. First Middle Inst ADCity State Zip Phone I unders my is as stated above. Signatu SaWA DATE TIME CITY OF ORONO CALLED IN -5--.2-©o /Q` 00 INSPECTION NOTJQE SCHEDULED PERMIT NO. Ud►� a_COMPLETED — 5` ADDRESS_ �Q L/O T OWNER CONTR. TELEPHONE NO. �Z:7/- Z2 D 3 DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 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 OWNER/CONTRACTOR TO MEET YOU:_YES NO Z COMMEN z LU a 0 LL W cc Q Z W W CC o �NORK SATISFACTORY:PROCEED E. PROJECT COMPLETE W Uj W D CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O 11 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� BEFORECOVERING PERMANENT E CORRECT UNSAFE CONDITION WITHIN HOURS. F' PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR F CITATION ISSUED EI INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contr or on site: Inspector -� White Copy/inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN .S�Sv� /Z-`v 0- INSPECTION NgTICE SCHEDULED Cc, `v PERMIT NO. r 24COMPLETED ADDRESS L/O &LtAAf't— CGV`Q. ` OWNER t CONTR. TELEPHONE NO. Ll 7 Z-2 ,3 DESCRIPTION W 01 FOOTING 11 MECHANI k RI 18 EXCAV/GRADING/FILLING W 02 IN 13 MECHAN AL FINAL 19 LAKES HORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z12 WATER HOOK-UP 17 SITE INSPECTION 05=FINALL05 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 LWT 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W W cc O O a O W W cc Q Z W z W cc j d Wj *0011FIRECT RK SATISFACTORY:PROCEED ROJECT COMPLETE W WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Co t actor on site: hecto White Copylinspector's File Canary Copy/Site Notice