HomeMy WebLinkAbout2001-P04338 (re-roof) CITY OF ORONO PERMIT
2r1�0 Kelley Parkway - PO Box 66 Permit Number: Po433g � �j�
Crystal Bay, Minnesota 55323 Permit Type: 1�tinarAlterations . /� �
(952) 249-4600 Date Issued: 9i13i2ooi ! \
SITE ADDRESS: 3131 Casco Circle
Wayzata,NII�155391
P I D: 20-117-23-34-0007
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Aiterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 403.75
APPLICANT: Sidney Feathersone Const. OWNER: John Sumner
32140 2]0 Avenue 3131 Casco Circle
Red Wing,MN 55066 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.
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APPLICANT PERMITEE SIGNATURE ISSU D BY SIGNATURE
Copies: 1-File(SiQnitures Reauired), 1-Anolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ Date Received:
Entered By: Permit#: '
CITY OF ORONO - BUILDING PERNIIT 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 one) OWNER OR`CQL��TRACTO
JOB SITE ADDRESS: �( � 1 C�SCO C l�cC� ZIP:
NAME OF OWNER J 0 �1 rU ��Itl�� PHONE: (home)
(work)
MAILING ADDRESS: �� � � C�jCo C//�/�CITY: �a2��✓� ZIP:
CONTRACTOR: S //Ji����=�.�Tr1�s�� cn�s-�. r,�c. PHONE: �Si-- 3�f��y�
CONTACT PERSON: �'1�J MOBILE/PAGER:
MAILING ADDRESS: �2 ( �0 2�� /�(J CITY: j2L`�� �11�a ZIP: M,
STATE LICENSE: # Zo 2 �g���
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: (��� ,(���/�/���"� �i�f
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROONiS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�,�OQ , �O
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 cor nce ' the approved plan. —
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APPLICANT'S SIGNATURE: �� ATE: � %.3 ��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sea 13.04 RIGHTS OF SUBJECTS OF DATA
Subd. i. Type of data. The righ[s of individual on whom[he data is stored or to be stored shall be as set for[h in this secrion.
Subd.2. Information reqirired to be given individual. Art individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse or is legally required to supply[he requested data;(c)any lrnown consequence arising from his supplying or refusing to supply
privare or coru�dential data;and(d)the identity of other persoc�s or endties authorized by state or fedecal law ro receive the data. This requirement shall
not apply when an individual is asked to supply invesoearive dara, pursuanc to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re enue mav place the norice reauired under this subdivision in the individuai income tax or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data bv individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of s[ored data on individuals, and whether it is classiFied as public, priva[e or confidendal. Upon his further request, an individual who is the subjec[
of stored private or public data on individuals shall be shown the data wichout any charge ro him and, if he desires, shall be informed of the content
and meaning of[hat data. Afrzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six mon[hs thereafter unless a dispute or acrion pursuant to this secdon is oending or addidonal 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 individual subject of the data. The responsible authoriry
may require [he requesting person to pay the actual cosa of makine, certifying, and compiling the copies.
The responsible authoriry 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 tune,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Sarurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individua(may contest the accuracy or completeness of public or pri�•ate
data concerning himself. To exercise[his rieht,an individual shall nodfy in writing the responsible authoriry describing�he nature of the disagreement.
The responsibte au[horiry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by che individual; or(b)notify the individual that he believes the data to be correct. Data
ut dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The de[ermination of the responsible authoriry may be appealed pursuan[to the provisions of the administrarive procedure act relating ro
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 that your request
for a pernut 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 fumish will be used to determine 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 pernut or license requires Council action to approve, some information may become
public.
j. You have cenain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your full name is required to process this applica[ion or permit.
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Signa[ure �
DATE TIME
CITY OF ORONO CALLED IN �_
INSPECTION N I � 1`� SCHEDULED ' �L �.�� `�/ r
PERMIT N0. �� f�-' COMPLETED� ���-�`�-�� �' c�
ADDRESS � ' i 1 L- ��� ���� L�/� .
OWNER CONTR. � � " � `"
TELEPHONE N0. ^`'� � '�. '�� /� �� �
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� DESCRIPTION 1��; % � _��,i��'
l� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLINC�
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ;!�
O03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL �1
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W 'O-�VORKSATISFACTORY:PROCEE ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConUa tor on site:
Inspector
White Copy/lnspector's File Canary Copy/Site Notice