The URL can be used to link to this page

Home My WebLink About2006-P10338 - re-roof PERMIT CITY OF ORONO permit Number: 2750 Kell�y iarkway- PO Box 66 P10338 Crystal F.�+eT�y, Minnesota 55323 Permit Type: Minor Alterations (952) 2�9-4600 Date Issued: 9/19/2006 SITE ADDRESS: 3890 Shoreline Dr Unit# Wayzata,MN 55391 P�� 17-117-23-33-0004 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 valuation: $ 4,500.00 State Surcharge Fee: $ 2.25 TOTAL FEE: $ 113.50 APPLICANT: Allied Construction Inc. OWNER: Edward&Marsha Held P.O.Box 457 3890 Shoreline Dr Watertown,MN 55388 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. PLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE /� Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 «. � ' Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infor�nation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: � g�� cx2�tr� 1�1��v-� ZIP: C�Qo N� Will this be a P�rade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ��No !f yes, a special event permit is reguired lvith Police Department and City Council approva! 6�days pi�ior to the event. Shz�ttle bus service ivil!be required arnless applicant demonstrates suff cient on-szte paf•king is available. Non pern�itted events will not be allowed. NAME OF OWNER: �d �e�d PHONE: (home) 9-S'Z 9 yY �2�Z (work) 9S2 -�l z - 2 z 8 7 MAILING ADDRESS: � `3`I� " ur�*�nt .Q'' CITY: ��ON O ZIP: CONTRACTOR: ��r� ��S�r�c�;�� - PHONE: �/Z- 5 99-y139 CONTACT PERSON: !�o u� MOBILE/PAGER: Co( 2-S 9 9-'f 13 � MAILING ADDRESS: P•o, ao� �FS7 CITY: �►��.2rou�� ZIP: ss3 g8 STATE LICENSE: # a Oo 973 So EXPIRATION DATE: 3- 3 t-a o0 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �— Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detain: T-e� -o� �� a f e- �'o�� STORIES: ' SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED ,�/ � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ JSvU 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 ot to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: I-�9"4Co 3t r � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA � Subd. 1. Type of data. The riglits of individuai 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 individuai. An individual asked to supply private orconfidential data conceming himselfshall be infonned of: (a)tite purpose and intended use of die 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 identiry of other persons or entities authorized by state or federal law to receive the data.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.place the notice reqsiired under this subdivision in the individual income tax or{�roper tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsibie 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 data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed ofthe 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 thereatter 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 upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosks of making,cenifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any roquest made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. If he cannot comply with the request within that time,he shal I 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 himsel£ To eaercise this right,an individual shal I notif'y in writing the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be corcect.Data in dispute shall be disclosed only if the individual's statement of disagreement 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 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: l. 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 NI.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. Do�c G N 5��,�+-^� First Middle Last � O. Qa�l `IS'� Address (,cl��—�'(�''(DwtJ 111� S`'S3 88 �(2 SS�9 �{i39 Cily State Zip Phone I unders d my rights as ted above. Signaturc Reset Form 32 �`-/ C./l� p+��'-� `-' C D TE �TIME vCITY OF ORONO� CALLED IN � � �� INSPECTION NOTICE SCHEDULED _�C%" PERMIT NO. 3� COMPLETED ADDRESS � �� OWNER CONTR. ,� /�/ �-�'� ��7'YJ� TELEPHONE NO. �f'I � � '�/�— Y �� DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ DING/FILLING � 02 FRAMING 13 MECHANICA�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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next i spection 24 hours in advance. (952� 249-46�� OwnerlContra Inspector. White Copyllnspector's File Canary Copy/Site Notice �/� DATE TIME � CITY OF ORONO CALLED iN l b,�1-U� INSPECTION N TICE SCHEDULED �(��5-OTo � PERMIT NO. COMPLETED, ADDRESS lJ , I�/�- OWNER CONTR. /7 �/i P�X �ZLS r . TELEPHONE NO. ��O� �7�� f � DESCRIPTION �G � /_�U� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W L BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � -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 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � O W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the nex 'nspection 24 hours in advance. (g52) 249-4600 OwnedContr o i e: inspector. White Copyllnspector's Fite Canary Copy/Site Notice