HomeMy WebLinkAbout2001-P04133 - re-roof CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P04133
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600
Date Issued: 7i30i2001
SITE ADDRESS: 900 Old Long Lake Rd
WAYZATA,MN 55391
PID: 35-118-23-14-0008
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
BuildingCensus Code 4,3<- L 1''9 0/s
Permit Class:
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,304.00
State Surcharge Fee: $ 3.70
TOTAL FEE: $ 156.95
APPLICANT: Les Jones Roofing Inc. OWNER: BRUCE B DAYTON
941 W 80th Street 990 OLD LONG LAKE RD
Bloomington,MN 55420 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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APPLI ANT P"' ITEE I NATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Jul-16.2001 11:49am From-CITY OF ORONO +9522494616 T-436 P.001/002 F-9T0
Total Fee: $ Date Received:
Entered By: Permit#:
•
CITY OF ORONO - BUM:O NG PERMIT APPLICATION =j
All information must be submitted in full before plan review will be started. " 2 5 2L1
(please print all information)
TEE APPLICANT IS: (circle one) OWNER O .CONTRACTOR
JOB SITE ADDRESS: 900 Old c ZIP: 5S3 °I
NAME OF OW? ER:Th ru 1� �.r PHONE: (home) S a -4-1-7 Co._Oa
(work)
i iAILL)NG ADDRESS: q (Q 5 01.41 . _CITY: O fc- o ZIP: ;S39/
•
(�- )
CONTRACTOR: '),_,)25 PHONE: 9 $g l - /
CONTACT PERSON: &-a)3-e_ 1, ._e_ MOBILE/PAGER: j,[a - 3
MAILING ADDRESS:T-1/2 I W . (6(44- St CITY:-6,2ovn 1-o). ": SS-4 aD
STATE LICENSE: # Co Ce O
ARCHITECT/ENGINEER: -11 La- , . PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move • Remodel/Alteration ---- Land Alteration
PROPOSED WORK(describe in detail); - . - - o o-E — ' -e-ace. o-Cf- . ;3+;
r d0 C--N/ . 'b. .- --x_w-
.qtr cwt S .
STORIES: b SQ.J ET OF EACH FLOOR:
NO. OF BEDROOMS:• GARAGE STALLS: ATT: • DET. . •- -. . _ •
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 13>p ,Oa -
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 accordanc ' • the approved plan.
r / 1110
APPLICANT'S SIGNATURE- ANI • - ! DATE: r7 — l g —U I
NOTE! Parade of Homes events require separate permit approval by Police Depqrtment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Jul-18-2001 11:49am From-CITY OF ORONO +9522494616 T-436 P.002/002 F-9Tj1
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the dam is stored or to be stored shall be as sec forth in this secdon.
Subd,2. Information required to be given individual. ,+ut iedividual asked to supply private or conFtdendal 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!mown consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of ocher persons orendtias authorized by state or federal law to receive the dace..This requirement shall
not apply when art individual is asked to supply investigative data,purse tot to section 13.82,subdivision 5,to a,law enforcement officer.
The commissioner of revenue may'slice the notice moulted ceder this subdivision in the individual income tax or property tsz refund
i worions instead of on those forms.
•
Subd.3. Access to data by individual. Upon request to a responsible autority,an individual shall be infotnted whether he is the subject
of stored data on individuals,end whether it is classified as public,private or conhdecdal. Upon his further request,an individual who is the subject
of stored private or public data 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 pdvE.e dam 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 data ueon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,ee t,ing,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. U he cannot comply with the request
within that time,he shall so inform the individual,and may have an addit:o:al 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
dam concerning himself. To exercise this right,an individual shall notify is 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)ratify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagree went is included with the disclosed data,
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRr%'ACY 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 de:ermine 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•privare data oa yourself.
6. Your full name is required to process this application or permit.
First Middle Last
'k (
SS4t q 5 ,
City State Zip Phone
I understan y rightias stat above.
J2
Signature
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YUL-18-2901 12:10PM FROM-LES JONES ROOFING 952-881-7009 T-779 P.001/001 F-007
J41-I11"CUUI 11:404M rluur'.iII yr 4•11V T... --- • -•-
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Total Fee: $ ��a� Date Received: / eJ
Entered By: M Permit#:
0(114 Di CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started,
(please print all information)
TIE APPLICANT IS: (circle one) OWNER O ONTRACTOR
JOB SITE ADDRESS: 9 o0 0l 1,0-Ks c.ZIP: 5S3 °i
NAME OF OWNER:Th( ( - PHONE: (home) 615,5 - 7 (4,-
(work) -(work)
MAI:MG ADDRESS: Cry 5 014,2 CITY: (0(en,,,, ZIP: 5 5.3 q I
CONTRACTOR: 'Le S - PRONE: 5 a- g - 1
CONTACT PERSON: G- e I BILE/PAGER: - 5 (03_
MAILING ADDRESS; CrrY ()Qat)!Jt61- :
STATE LICENSE: # 2co
ARCIDTECT/ENGINEER: � �.GZ PHONE:
IVTAI LIN1'G ADDRESS: CITY: ZIP:—
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration T
PROPOSED WORK(describe in ' • • - o o-e — o-�a� . _8-`4 rsfi
r 60 - ir2.: ^r ,c.� Q r cc.c '4- —X e A - ,
.may. •..tor' •
STORIES: b SQ.FEET OF EACHFLOOR:
NO. OF BEDROOMS:• GARAGE STALLS: ATT: - DET. , • • . •z. .
ESTIMATED CONSTRUCTION VALUATION (excluding land): S (7 L4 ,Q )
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 star: without a
permit; and that the work will be in accordanc "th the approved plan.
APPLICANT'S SIGNATURE. r - / - DATE: -- ( g -0
NOTE! �'ara 'e_ F1'Qmes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
ri1L-18-21301 12:18PM FROM-LES JONES ROOFING 952-881-7009 T-782 P.001/001 F-008
4111I-Ie-4YYI I I.TW M . ..... -. ....
' Seo.13.O4=Gins OF SUIUECTS OF DATA
Subd. 1. Type of data. The rights of individual oa whom the dam is stored or w be cored shall be as set forth in this Peden.
•
Subd.3. Inforhmdon required to be given individual. An irdividual asked to supply private or coufiidendal dam CG@Cetninls bimtett shall
be Wormed ofs (a)the purpose and intended we of the requested dam within the eoTiesdng into agency,political subdivbiaa,at statewide mew
(b)whether he may refutar oris legally mgnlred to supply the requested dug(c)any itesowa eoosequence etlsing from his supplying ur refusing to supply
Fir=or confidential dare:and(d)die identity of other papal or caddis autl3otized by state or Meal law to receive the dats..TF.is requiremeot shall
not apply when an b:dividual Is halted to supply inveadgadve data.puma=to sect on.13.82.subdivision 5,to a la.w enforcement officer.
a ,,,,, •f- . w - ata .Isco to ogee ii,_ r-' , 5V-•.i. 'i ..x 4. "LI i .71 i- _I' to i- 0 • . .. - r_
Wrh talons Intaad of on t ose forms.
Sobel.3. Access to data by individual. Upon request to a rapanst�la au*.atlty,an individual shall be informed whether be is the subject
of stored data on individuals,and whether ii Is Classified as public,privat:or confrdroial. Upon his further request.an individual who is the subject
or stored private or public data on individuals shall be shown the data without any chuge to him and;if he desires,shall be informed of the contras
end nteaning of that data. After an individual has beets shown the privies dant and Informed of its meanies,the data used not be disclosed to hila for
six months thereafter unless a dispute or semen pursuant to this seeton is pending or additional dam on rhe individual has been collected or created.
The terponsible authority shall provide copies of die private or pubtie data con request by the individual subject of the data. The responsible aedioriry
c may require die requesting person to pay the actual costs of making,cc_ging.and compiling the copies,
The responsible authority shall comply iimmediately.If patrol:.with any request made pursuant w this subdivision,or within live days or
the date of rbc request.mccluding Seasrdaye.Sundays and legal holidays,if immediatecompliance which Is to ecosible• If he ply with the request,ecCiel with theSatrequest
within dear time.he shall so inform tic individual,and may have an addi..a.sl live da
Sundays and legal holidays.
Subd,4. Procedure when data is not accurate or complete. An individual nay contest the accuracy or congslectoess of public or private
dam coneeming himself. To exercise this right.an individual shall way in wniong the responsible authority describrog the matte of the dkagmement.
The responsible authority shall within 30 days atter (a)correct the dam tend to be language or incomplete and attempt to nodty put recipients of
inaccurate or incomplete data,including recipients named by the individu l;or(b)cadty the individual that he believes the dam to be correct Data .
in dispute shall be disclosed only if the individual's statement of disagrr--nt is ixe uded with the disclosed data.
The detennination of the responsible authority may be appear pursuant to the provisions of the administrative procedure act=Wag to
contested cases.
DTA FRTVA.0 : •N SOR
•
In accordance with M.S. 13.04,Subd.2, "Rie,,,ihts of subjects of data",we would like to inform you that your request
fora permit or license from the City of Orono or any of it, departments may require you to furnish certain.private or
confidential information.
You are notified that:
1. The information you furnish will be used to de ermine 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 i><lformadon 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. Your full mere is required to process this application or permit. •
Eidc Middle Last
L\�L • <g (2 "`
y
MS e ' nail,A ) Si" aO Se) ,'ra L/1
City Sate Zip Phone •
I undue y rich las $t above.
'' �_ r t -
Signature 0 ' r
DATE TIME
CITY OF ORONO CALLED IN
•
INSPECTION NOTI 2 SCHEDULED —
PERMIT NO. q 3_3 COMPLETED •tel/ v 0
ADDRESS qOC) 060 4 .0
OWNER CONTR. Le
TELEPHONE NO. 3(O' /
DESCRIPTION act ti
L.L., 01 FOOTING 11 M ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
yo COMMENTS:
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W� 1K SATISFACTORY:PROCEE ❑ PROJECT COMPLETE
■ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t - :xt ins•- •n 24 hours in advance. (952) 249-4600
Owner/Cour. ty
Inspecto-. J
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN _
INSPECTION NOBCE, SCHEDULED /� //''40 04/0
PERMIT NO. re COMPLETED 9 ! 4:e'-41( //-O0
ADDRESS 900 OW L-0,06* 6_4(667 ler0,
OWNER 2/" CONTR.` r. Ccr/S "-S
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TELEPHONE NO. K !) ✓CC J l 5 4 (Sr J- J�
DESCRIPTION F1 Cedar i
Lu
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
CI) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WAL D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
- ITE 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
10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
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CC
O
W
CC
W
CC
WCC SATISFACTORY:PROCEED OJECTCOMPLETE
? )RK
ID CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
WO BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Cor/ tor on site
Inspectoffi
White Copy/Inspector's File Canary Copy/Site Notice