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HomeMy WebLinkAbout2006-P09727 (building- re-roof) PERMIT CITY OF �JRONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9727 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4/5/2006 SITE ADDRESS: 3709 Casco Ave Unit# Wayzata,MN 55391 PI D: 20-117-23-31-0005 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: FEE SUMMARY: Permit Fee: $ 9�.25 valuation: $ 3,266.00 State Surcharge Fee: $ 1.65 TOTAL FEE: $ 98.90 APPLICANT: Midwest Roofing OWNER: R PRESLER/E J PRESLER TRSTES 313 Jefferson Hwy 3709 CASCO AVE Champlin,MN 55316 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. '1 r ,;�' ,- � �� , d,Zy'lCf� /��� �. . PLiCANT PERMITEF,SIGNATURE ISSUED BY SIGNA'1'URE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l 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 informnt�on) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O ONTRACTOR� JOB SITE ADDRESS: ��0� �5 c� � _ ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��10 /f yes, n specia!event permit is reqz�ired lvith Police Depnrtment and City Council appr•oval 60 days prior to the event. Shtdtle bus se�vice will be reqt�ired z�nless applicanl demonstrales suffteient on-si/e par-lcing is avniluble. Non-permitted evenis wi/1 not be a!lowec% NAME OF OWNER: ����� �;� 5 ��� PHONE: (home)`t5�- 4`1 i- 74�5 (work) MAILING ADDItESS: 3 7�>`t C�5 cr� � CITY:���,r�tio ZIP: CONTRACTOR: /4<�(��,-e5-1- ��� F. � PHONE: 7E 5- �=1z�- 9��G CONTACT PERSON: T�i e�es<< k-�f'� MOBILE/PAGER: MAILING ADDRESS: ��3 �c��e��r� �f�.��, CITY:��u !�� � ,�ZIP: :;��3�C, STATE LIC�NSE: # �c*-�r o�-7 7 EXPIRATION DATE: �-- �/^a�Z ARCHITECT/ENGTN��R: PHONE: MQ�r.rNG AnnuFSS: CiTv; ZIQ: NAM�: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move I-Iome Remodel/Alteration (ie: Siding, Windows) �-� Any earth movement may require MCWD review and permits! PROPOSED WORK lescribe in detain: �1��; �;-�-� `a- �c%-tz�� � � �_ �Q �� -,X- •^_� ��( 1 STORIES: SQ.FEET OF�ACH FLOOI2: NO. OF B�DROOMS: GARAGE STALLS: ATTACH�D DETACH�D <�, ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �66— 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[understand this is not a permit and work is not to start without a permit;and that the work wilf be in accordance with the approved plan. APPLICANT'S SIGNATURE: �;� --- DATL: Q-S-�� 3t Scc.13.04 RIG1iTS OF SUBJECTS OT DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set iorth in this section. Subd.2. lnfonnation required to be given individual. An individual asked to supply private orcontidential data conceming himselfshall be informed of. (a)the purpose and intended use of the requested dala within the col lecting sta[e agency,political subdivision,or statewide systein;(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 tederal law[o receive the data. This requirement shal I not apply when an individual is askcd to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofl�icer. 7'he commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informcd whether he is the subject of stored data on individuals,and wheHler it is classified as public,private or eonfidentiaL Upon his further request,an individual who is the subject of stored private or publ ic data on individuals shall be shown the data without any charge fo him and,if he desires,shall be informed of the content and meaning of that data. Afier an individuai has been shown dic private data and infonned of its meaning,thc data necd not be disclosed to him for six months thereatler unless a dispute or action pursuant to this section is pending or additional data on the individual has been coi lected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay die actual costs of making,certif'ying,and compiling the copies. The responsible authority shall comply immcdiately,if possible,with any requesl made pursuant to this subdivision,or within tive days of the date of the request,e�cluding Saturdays,3undays and legal ho�idays,if immediate compliance is not possible. [f he cannot comply wiUi the requesl within diac timc,he shall so inform the individual,and may have an additional tive days within which to comply with the request,escluding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is no[accurate or complete. An individual may contest the accuracy or completcness of public or private data conceming himself. To exercise this right,an individual shall notify in�vriting the responsible authoriry describing the nature ofthe 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 tha[he believes the data to be correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is included with Uie disclosed da[a. The detcrmination of the responsible authority may be appealed pursuant to thc provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY ln accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would lihe to infom�you that your request for a pern�it or license from the City of Orono or any of its departments may require you to furnish certain private or confidential infonnation. You are notified that: 1. The infonnation you furnish will be used to detennine 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 inforniation 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 name is required to process this application or pennit. � First Middle ' Last � Address f�� .�� City State Zip Phonc I understa my ' ts as stated above. / l . //.7-s�Ji .-�l/' Signature Reset Form 32 D TIME � CITY OF ORONO CALLED IN � INSPECTION TI E SCHEDULED -/oZ-Cxb -���D�o PERMIT NO. � COMPLETED ADDRESS 7O9 «/GO � OWNER CONTR. �� TELEPHONE NO. 7�3 5��7 9��� � DESCRIPTION ��'� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 � � O >. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMP�ETE � ❑CORRECT WORK&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 G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next nspection 24 hours in advance. (J52� 24J-46O0 OwnerlCon act s : � Inspector. White Copyllnspector's File Canary CopylSite Notice