The URL can be used to link to this page

Home My WebLink About2005-P09358 - minor alterations- re-roof , � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09358 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: � 10/26/2005 SITE ADDRESS: 3225 Carn�an Rd Unit# EXCELSIOR,MN 55331 PID: 20-117-23-14-0009 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 permits required: NOTICES/REMARKS: Double Fee-Work Started without Permit FEE SUMMARY: Permit Fee: $ 223.25 valuation: $ 12,952.00 State Surcharge Fee: $ 6.50 Misc.Fee: $ 223.25 TOTAL FEE: $ 453.00 APPLICANT: Charles F. Little OWNER: D C&V A HOUCK 5462 Howards Point Rd. 3225 CARMAN RD Excelsior,MN 55331 EXCELSIOR MN 55331 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. / �I� ,'� � - ; _�---� L�s►-K,�✓l __-- APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 1 ' Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BIJILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please priiit all infornzc�tion) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (crrcle one) OWNER OR CONTRACTOR JOB SITE ADllRESS: �jZ� C.�P.�(AhJ �,`7 ZIP: '��3� ( Will this be a P� de of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS NO lfyes, n special everrt peri�iit is i•eqatir•ed tivith Police Depnr�tmefad and City Coaaacil approval 60 days prior•to!he event. Slnrttle bus service will be reguir�ed unless applica��t deinonstrates sirff cient o�rsite parking is available. Non-perinitted events wifl not be allo��ved. NAME OF OWNER:��jj �� N�,U�� PHONE: (hom� ��- (_iz.?? (work)�E 1VIAILINGADDRESS: 3�.'Z.S Ct(�t�� CITY: Ut2a�.)C� ZIP: SS�I CONTRACTOR�,qyy� F' �;7-�- PHONE: (�5� �3(��„ CONTACT PERSON: G'�/q,(2.c� MOBILE/PAGER: � MAILING ADDRESS: �yGz�C`,�„�Q� -��r �CITY: ��- �.�-fl ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITEC'T/ENGINEER: P�IONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(desc�•ibe in detnin: ��,n�-� S'I'ORIES: S�.FEET OF�r�C�i FY,0012: N�. OF BED�ZOOIVIS: GARAGE S"�'�II,LS: A'�"TACHED D�TA�:Y��D ESTIIV�AT'EI)CONST'IZUC�ION VAL,iJA�'I01�1(excluding land): $ 1 Z,Qj�L I hereby apply for a building permit and 1 acicnowledae that the information above is complete and accurate; that the work wil) be in conformance with the ordinances and codes of the City and�vith the State Buildin� 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 accordance with the approved �lan. r�PPLICANT'S SIGIdTATL'RE: � AT'E: �d'�o-4S 31 _ � Scc.13.04 RIGHTS OF Sl1BJECTS OF DATA Subd. 1. Type of data. The riehts of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential dataconceming himself shall be infonned of: (a)the purpose and intended use of the requested data widiin 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 arisine from his supplying or refusing to suppfy private or confidential data;and(d)the identity oY other persons or entities authorized by state or federal la��to receive d�e data. This requirement shall not apply when an individual is asked ro supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income ta�orproperty ta�refund instructions instead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shal I be infonned�vhether he is the subject of stored data on individuals,and�vhether it is dassified as public,private or confidential. Upon his tiurther request,an individual�vho 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 infonned of the content and meanine of that data. After an individual has been shown the priva[e data and infonned of its meanine,the data need not be disclosed to him for six months d�ereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individ�al subject of the data. The responsible authority may require[he requesting person to pay the actual costs of making,certifi�ing,and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or�i�ithin five days of the date ofthe request,e�cludine Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that[imc,he shall so inform the individual,and may have an additional five da�s 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 ot public or private data conceming himselE To e�ercise this right,an individual shall notify in writin�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 correct. Data in disputc shall be disclosed oniy if the individuaPs statement of disagreement is included�vith the disclosed data. Tlie determination ot the responsible authority inay be appealed pu'tsuant t0 tlie provisions of the adininistrative 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 tllat 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. ?. 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 pennit or license requires Council action to approve, some information may become public. �. Y'ou have certain rights under NLS. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or pennit. First Middle Lxst Address � C�ty State 7_ip ?'ho��e � understan m ights as stated above. S 1 i � Signaturc ' �� GcJ/G L/� ' / / D T'/ TIME �/ CITY OF ORONO CALLED IN �� -�� INSPECTION N I SCHEDULED D � /;—� PERMIT NO. �� COMPLETED O•J •� ADDRESS .3ZZS � /2,� OWNER CONTR. C�S�y� TELEPHONE NO. 6��-33/—�'lp�� DESCRIPTION ��`'C!� ' � � 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � 0 1� � �';�" � � d� _ � � 0 � w � Q � z W � W � � d � / W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE V W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECQVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED C INSPECTION REQUtRED.CALL'r0 ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: < Inspector. '��/�' ,p� White Copyllnspector's File Canary CopylSite Notice