HomeMy WebLinkAbout2006-P10010 (re-roof) -
- ' PERMIT
CITY OF ORONO
2750 Keiley Parkway- PO Box 66 Permit Number: P10010
Crystal Bay, Minnesota 55323 Permit Type:
Minar Alterations
(952) 249-4600 Date Issued:
6/20/2006
SITE ADDRESS: 3133 Casco Cir Unit#
Wayzata,MN 55391
PID: 20-117-23-43-0030
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: $ 195.25 Valuation: $ 11,000.00
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 200.75
APPLICANT: W.F. Smith Construction OWNER: G Becker&T Marchessault
6585 So. Saunders Lake Dr. 3133 Casco Cir
Minnetrista,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 C E REQUIREMENTS.
� V —
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), I-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 information)
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THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �� ,3� C�SC'-� << �'C-- = ZIP: SS-�� Z
Will this e a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS� NO If yes, c�special event permit is reqi�ired�vith Police Depai-Uiient and City Council approva/
60 days prior to the event. Sharule bz�is service will be r•eqzEir•ed a�nless applica��t demonst�•ates
su�cient a�-site par•%ing is available. Non-pe�•mitted events will not be allowed,
NAME OF OWNER: �� Q �� ���' PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �� � � �`�� ��"5 r' PHONE`�S�-'��- '6S�%
CONTACT PERSON: (�D MOBILE/PAGER: C�d-- ��-`�-��r �
MAILING ADDItESS:6�7d s S c. Si4�rJp�ns Llc (Zr� CITY: ,����/"� .r ZIP: s'� S` .r c�
STATE LICENSE: # S 3c��' EXPIRATION DATE: � ' / - � ')
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(��rrbe in detain:
T��7t-►�- Ci`�e�" �t, i2 �- S ��-,�,,,� �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
i ,,
ESTIMATED CONSTRUCTION VALUATION(excluding land): � I 1 ����r� `---
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 wlderstand this is not a permit and work i not tart without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE:� DATE: v `��� � �,
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. l. Type of data. The rights of individual 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 individual. An individual asked to supply private orconfidential data conceming himselfshal!be
informed of. (a)the purpose and intended use of the reques[ed 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 suppiy
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 shal I
not apply when an individual is asked to supply investi�ative data,pursuant to section 13.82,subdivision�,to a law enforcemenToffice�
The commissioner of revenue mayplace the notice rec�red wlder this subdivision in the individual income�-er orooertv 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 infonned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidentiai. Upon his further request,an individual who is the subject of
stored private or public data on i��dividuals shall be shown the dafa 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 subjec[ofthe data. The responsible authoriN
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 of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request
within that time,he shall so inform the individual,and may have an additional tive days within which to comply wi[h the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness ol publ ic or private data
conceming himself. To ecercise Ihis right,an individuaf 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 die individual;or(b)notify the individual that 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[he responsible authority may be appealed pursuant to the provisions of d�e 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 infortn 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 infor►nation.
You are notified that:
1. 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 rePusal 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 becorne
public.
5. You 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 permit.
�/�l f� r�. r� L r' r � )�, ��'�
First �tiddle Last
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Citv State Zip Phonc
I understand my ri s as s t d a ve.
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Signaturc
Reset Form �='
DATE TIME v
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CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED '��' -�6
PERMIT NO. �OD� COMPLETED
ADDRESS_��•33 e�� ��
OWNER CONTR. LJfi .��J
TELEPHONE NO. �� Z �� 7-3�� 7
� DESCRIPTION � ��`�"��
lL 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 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
� 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:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlCo r 'te:
Inspector. <
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