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Home My WebLink About2004-P07474 (re-roof) PERMIT C�TY �O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po�4�4 Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations (952) 249-4600 Date Issued: si6i2oo4 SITE ADDRESS: 3127 Casco Cir Wayzata,MN 55391 P��: 20-117-23-34-0022 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: m=_.�rcrn_.n--cc-'--`---- ---� :::r�_n n n r�w.r i---�-�----� ----`-'-- ...... ::::.:.:c r.:;::: .��:,c:::::»::........�»::�.� . . ..._. . _.._._... ..,..:�:::.,.,...� �.,..,... FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 114.25 APPLICANT: �'� F. Smith Construction OWNER: Mr. &Mrs.Aakre 5975 Lynwood Blvd 3127 Casco Cir Mound,MN 55364 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. /� `�C�u1�`F'�. 6'�'�t �0'�-�1 PPLICANT PERMITEE SIGN T RE UED BY SIGNATURE Copies: 1-File(SiQnitures Requirecl), 1-Avplicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance 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 information) -------------------------------------------------------------------- ------�..� ------------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTOR� --� JOB SITE ADDRESS: s � � 7 Cf��SC� C i i2 � ziP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �. No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ��l� R� l� IZ C PHONE: (home) y 7�` / 7� (work) MAILING ADDRESS: `�/�-i-n �-�� CITY: ZIP: � • I� S�� PHONE:�S�- — �7� -,� -S �� CONTRACTOR: �' �( � � � . CONTACT PERSON: '��,> MOBILE/PAGER: C�i�-- $�,�— 3i� -� MAILING ADDRESS: 6 s�' S' _S�, S�,ci�r.��t�t,S� Lk D/� CITY: 1'3��n-N�-c'��i'.c�� ZIP: S s_?� z� STATE LICENSE: # �3c� 5' ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration� Land Alteration PROPOSED WORK(describe in detai�: j��-�- v�� L�� `� �= �` S�' � ��c� �' ►�' S" Q,L /�1� �'��'- �m �,�-,�,3 ��- S y s � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � , �� I hereby apply for a building pemut and I acknowledge that the information above is complete a�_d 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 pernut and work is not to start wit out a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: S /� G L Sec.13.04 RIGHTS OF SUBJECTS OF DATA ' Subd.1. Type o[data. The rights of individual on whom the data is stored or to be stored shail be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supph-private or confidenUal data rnncerning himself shall be informed oL• (a)the purpose and in[ended use of the requested data within the collecting state asency,political subdivision,or statewide system;(b) whether he may refuse or is Iegally required to supply the requested data;(c)any known consequence arising from his suppl}ing or refusing to supply private or confidential data;and(d)the identity 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,subdivisiou 5,to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income ta�or oropertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed�rhether he is the subject o[ stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an indi�idual who is t6e 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 ioformed of the cootent 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 su months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. 'Ihe responsible authority shall provide copies of the private or public data upon request by the indi�idual subject of the data. 7 he responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days o[the date otthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot comply with the request N•ithin that time,he shall so inform the individual,and may have an additional five days within which to rnmply with the request,ezcluding Saturdays,Sunda}s and legal holidays. Subd.4. Procedure when data is not accurate or complete. An iudividual may contest the accuracy or completeness o(public or private data concerning himself. To exercise this right,an individual shail noti[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 recipienu of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the indi�idual t6at he believes the data to be correct. 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 pro�isions of the admioistrame procedure act relating to contested cases. DATA PRIVACY AD�TSORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",«e would like to inform��ou that your request for a permit or license from the City of Orono or any of its departments ma��require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine y�our qualificarion for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the Cit�-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 appro��e, some information may become public. 5. You have certain rights under M.S. 13.04 (available upon reqvest) to revie�v private data on yourself. 6. Your full name is required to process this application or permit. First Nliddle Last Address C��Y State Zip Phone I understand my rights as stated above. � Signature ✓ DATE TIME CITY OF ORONO CALLED IN J'r-�o'�� INSPECTION N TICE '/ SCHEDULED -'S�� %�� PERMIT N0. 7�7 7` COMPLEfED ADDRESS 3�Z-7 C.-aSGO �'��t- OWNER CONTR. �/c�S/�2L�L �L4� . TELEPHONE N0. �S2 �72-- �53� � DESCRIPTION �P� � � �"�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q S�JAL 14 SEWER HOOK-UP 06 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �s� � s C�� 02 J QC� �-Y �1 � � O �. � � Gl.l� r'- � � l Q .. P� W � Q � Q S � C� Z W � W � � a W� ORKSATISFACTORY:PROCEED PROJECTCOMPLEiE � W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (g52) 249-46�� OwnerlContrac i e: Inspector. � White Copylinspector's le Canary Copy/Site Notice