HomeMy WebLinkAbout2002-P05324 (re-roof) - � PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P05324
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 6iisi2oo2
SITE ADDRESS: 3127 Casco Cir
Wayzata,MN 55391
PI D: 20-117-23-34-0022
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,900.00
State Surcharge Fee: $ 3.95
TOTAL FEE: $ 143.20
APPLICANT: Sun Contractors and Home Improvement OWNER: Mr. &Mrs. Aakre
2365 Commerce Blvd 3127 Casco Circle
Mound, MN 55364 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUEDB SIGNATURE v
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
.
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Total Fee: $ Date Received:
Entexed By: Permit#:
CITY OF ORONO - BUII,DING PERMIT APPLICATIOlet
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �
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JOB SITE ADDRESS: .�1� 7 ��%�o C�-C�� ZIp;
NAl�� OF OWNER: ���� �Q��'� PHONE: (home) 1�a- 5�7/- `�/7.3
/ (work)
MAILING ADDRESS: ..�/a 7 L Cr.s�o �irc/E CITY; �'irC;�?o ZIP:_�=�� 5539/
CONTRACTOR: Ju� ��r�Z�u e 7��� PHONE: �S�� S�7o7 -3�3�
CONT'ACT PERSON: J c%✓/� C�� r r v ! MOBILE/PAGER: �; /a.2 - � �'S� 5.30 3
MAII.ING ADDRESS: � 36 � o rnrn e T�e �j�.�/ CITY: �1"1 o U n c/ ZIP: 5 5 3� �
STATE LICENSE: # a0� �93 3�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NA1�IE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detai�: �r',�o �e � /��pl�C � �G�o� ���.����
STORIES: SQ. FEET OF EACH FLOOR:
1�r0. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, JGL% - L� �
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 not to start without a
permit; and that the work will be in accordance with the approved plan.
i �
APPLICANT'S SIGNATURE� � / � DATE: � /� ���-
NOTE! Parade Qf Homes events equire separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidenaal data conceming himself shall
be informed of: (a)the purpose and intended use of the�equesud dara within the collecdng"state agency,polidcal subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequeace arising from his supplying or refusing to supply
private or confidendal data;and(d)the identiry of other persoc�s or enrides authorized by stace or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrieadve dara, pursuan[to secnon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or oroper[v tax refund
instructions ins[ezd of on those forms.
Subd.3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whe[her i[is classified as public, priva�e or confidencial. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to hun and,�if he desires, shall be informed of the content
and meaning of[hat data. After an individual has been shown the private data and infoaned of irs meaning, the dara need not be disclosed to him for
six months thereafrer unless a dispute or accion pursuanc to this secdon is o�nding or addidonal data on the individual has been collected or created.
The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies.
The responsible au[horiry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
5undays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compieteness of public or private
data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing[he nantre of the disagreemen[.
The responsible authoriry shall wichin 30 days either: (a)correct[he data found to be inaccurate or incomplete and attempt to nodfy past recipienes of
inaccunte or incomplete data, including recipients named by[he individual;;or(b) notify the individual that he believes the data to be correct. Data
in dispu[e shali be disclosed only if the individual's statemenc of disagreement is included with the disclosed data.
Tlie determinarion of the respensible auchoriry may be appealed pursuant to the provisions of the admuusa-arive procedure act reladng to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request
for a pemut or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the perm.it 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 pemut or license.
4. If your requeste� permit or license requires Council action to approve, some informa[ion may become
public.
j. 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 permit.
First �tiddie Last
Address
C��, State Zip Phone
I understand my rights as stated above.
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Signatu
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DATE TIME
CITY OF ORONO ALLED IN
INSPECTION TI�� t ' SCHEDULED � " ( —�/�
PERMIT N0. ` `-� �'���t COMPLETED
ADDRESS � � �� �C� SC �� ��
OWNER CONTR. �Z'�-1� CC%n�Z� .
TELEPHONE NO. �`� ���t"� a � � / 3�
� DESCRIPTION . I�--�---C��-- Cc'X `I� -
� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS
y 03 INSULATION 24/25 WOOD BUFiNER/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 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor qr�site:
Inspector. ��( �.���—
White Copyllnspector's File Canary Copy/Site Notice