HomeMy WebLinkAbout2007-P10768 - re-roof PERMIT
CITY OF ORONO
�750 Kelley Parkway- PO Box 66 Permit Number: P10768
Crystal Bay, NGinnesota 55323 Permit Type: Minor Alterations
�952) 249-4600 Date Issued:
2/14/2007
SITE ADDRESS: 2785 Shadywood Rd Unit#
Excelsior,MN 55331 �
PID: 21-117-23-24-0054
DESCRIPTION:
Proposed Use: Residential Census Code O/S -Building
Permit Class: Building
Permit Type:
Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 209.25 valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 215.25
APPLICANT: Foss Exteriors LLC OWNER: C.K. One
1891 Sandbar Circle 161 Prim Rose Lane
Waconia,MN 55387 Plymouth,MN 55340
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 BUILDTNG CODE REQUIREMENTS.
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APPUCANT PERM[TEE SIGNATURE ISS D[3Y SIGNA'I URE
Copies: 1-File(Signa[ures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� '�'otat��:e: � � �ate,l��a��ce6v�d:
' Entered 13y: Permit#:
C�'I'Y UF ORONO - BUILD�_NG PEYZNI�'T APY�ICATION
All 'uiformation rnu5t be submitted iu fiill befo►•e plan ►•eview will be started.
(��lecrse p1•ir�tt nl1 infor�mafio�r)
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�Y�E�� A.PPI,IC�I`rT'T 1�: (circle vne) OWNEI2 O CONTRACTOI�
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� Will this b a Parade of I�o��rs, IZemodeiers Sho�vcase Home or otl�e►- llispla�� Ho►ne?
❑ YCS �NO ITyec, a specin/ere��/pern�i!i,s reqtrired u i1h Pollce Deparl�rren/a;�cl Crlv Coau�crl a��prrn�al
6�dcr��sl�riar fo l/ze et�e��l. S/ac�t/!e bzrti sei•rice ii�ill be r•eqzrh�ed zrn/es�s applrccrnl dc:rnarsrr�_u��s
srrfficieni ori-sile puri4irzg rs avni/uGle. TJoi�-per�nitl�d e��eur`s rvr//noi�e alloiv�d.
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ARCI3ITEC'I'/�NC�IN��I�: P�ION�: _
1�IEilL,II�1G AI)DI�ESS: -- C'IT�': ZIP:
1�A1�E: I2�GIS'lIt�'�"I�I\': #
�'v�'� ��'W�����e New H��n� Additioi� Accessory Structure
Move ?-Iome Remodel/Altecation (ie: �iding, Windo�vs)
71ny earth movement r,1ay require MCWD review and permits !
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�'�OI2I��: �Q.��E'T OF LACH F�.O�R: �
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I hec�by apply for a building��ermit and 1 acl:no���lcdge that the infori��ation above is co�nplete and accw�atc;
th�t the�vorl;will be �n conformanee �viti� ti�c ordinances and codes of the Ciiy and���iCi�the State 13uildin�
Cocie;that I unde�rstand this is not a permit�and «�orl:is not t'o st�irt��vitho�it a pe�rmit;and that thc�vorl:wi I I be �
in accorda��ce ��,�ith the approvec� plan. �
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s���.�:�.oa aic[rrs ol�su�.r�c�rs or na�r,� -
Subd.1. �Cype of daCa 'I�hc ri�hts of individuel on���hom thc d�ita is stored or tu be store.d shall be as sef forth in d�is section. �
Subd.2. Information rcquired to be�iven indiviilual. An individuai askcd to supply private or confi�ential data concerning himsclfshrll be
infonned of. (a)d�e purpose�ind intended use ot the rcqucsted data�vithin the collcctiila state agency,politicll subdivision,or state�vide systcm;(L)
wheihcr he mny rcfuse or is Icgally requircd[o supply the rcqucs[ed data;(c)any kno���n consequence lrisin�from his supplying or rcfusin;to supply
private or confidenti�il data;and(d)th�idcntity�of other persuns or entitics authorire�d by statc or fcdereil law to receive the da[a."Chis requirement shall
not apply�vhen an individual is asked to supply invesligalive cfata,pursuant to section 13.32,subdivision 5,Lo a Ix���enforcemcnt oft�icer.
Thc commissioncr of_rcvcmic mav+place thc notice requircd undcr this subdivision in thc iiulividual incomc tax or property tax rcfund
instructions inslead oCon fhosc forms.
Subd.3. Acecss to d.ita by individual. Upon rcquest to a responsible authority,an individual shall be�infornicd�vhether he is thc subject of
stored data on individuals,and��hether il is classiticd as public,private or contidential. Upon his further requcst,an indi��idual who is thc subject of
storcd privatc or public data on individu�ls shall be shown the data�vithout any cltarge ro him and,if hc dcsires,shall be informcd of the content and
tneanina ot'that dnta. Atter an individual h�s been sho�vn the privatc dala and inCormcd o[its mcanin„the data necd not be discloscd to hin��for si�
months thereaft�r unless a dispute or acfion pursuant lo this section is pendin�or additional data o�i fhe inctividual has becn collccted or creatcd. The
responsible authoriry shall provide copics of the priv��tc or public dat�upon rcquest by the individu�l sul�ject ofthe data "l�hc responsible��uthori[y
ma��rcquire thc requesting person to pay the acWal cosU�of mal:ina,c�ertilying,and compiling thc copies.
The responsible authoriq�shall comply immediatcly,if possible,with�ny request made pursuant to this subdivision,or�vithin�five days of
the date ofthc request,c�cluding S�turdays,Sundays�nd le:.�al holidays,ifimmediatecompliancc is not possible. Ifhe cannot comply�aith the rcquesl
�vithin d�at time,he shall so inform thc individual,and inav h����c an aiddilional five days�vit�hin which to comply wid�thc request cxcludi�� �9aturdtiys�-
Sundays and le�al holidays.
Subd.d. Procedure���hen dala is not accurate or coinplete. nn indiviilual may conlest the accuracy or complc;r���ess of public oc private data
conccrnin;I�imseif. To e�ercisc this ri�ht,an individu�l shall notify in writing lhe responsible�uthority describingihe nalure oPthe disagreement The
responsible authority shall�vithin 30 days eilher. (a)correct thc dala Found to.be inaocurate or incomplefe and attempt lo notif��past recipicnts oi�
inaccut��te or incomplete dat1,includino re�cipients namcd by thr,individunl;nr(h)noti ly the individual that he bclievcs the data to be correct. D�da in
dispiite shall be discloscd only if the inciividual's statement of disagrecmcnt is indudecl�vith the djsdosed data.
I he determintition of the responsible authority may be�ppcaCed pursuartt ta'{hb provisio��s of the administrali��e procedure act relatin2 to
contcstcd cases.
DATA PRI�'ACY.�Di'1S�12Y
In accordance�vith M.S. 13.04,Subd.?,"Riahts of subjects of dat�",,we�vould lil:e to inform}rou that your request
for a��ermit or license fro�n the City�f Orono or ai�y of its deparUi�ents may.,rcquire you to fiunish certain private or
conFidential infortnation. � � �
You are notified tl�at:
l. The iilformation you furnish �vill be uscd to dcter-mine yotir qualification for the pennit or license
requested.
2. You may refuse to supply data,but refusal may require thai the City deny the permit or license.
;. Tlie iilformation may be sl�arecl witl� ot�he�r local, state or federal agencies to the exi�ei�t necessary to
process the pem�it or lice�lse.
4. If your requested permit or license req�iires Council actio��to approve, soil�e inforil�atioi� i1�ay become
public. , , ,
5. You have certain rights ��nder M.S. 13.04(available upon rcqucst�)to revie.��v private data on }�ow�self.
G. Your fuli name is requir�d to process this applicatioii or permit.
Girst �Aiiddlc Last
riddress
Cih' Statc "/.ip Phanc
1 under. �nd mi� o•i� ts�as stat�ed .�bove.
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'� ` DI�TE�t�� TIME
TY F ONO CALLE ��l�
INSPECTION I � SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS ' �T � �
OWNER CONTR. �
TELEPHONE NO. l ���/ � � �
� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS 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 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i�spection 24 hours in advance. (952� 249-4600
OwnerlContracf�r sii�e t
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