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Home My WebLink About2006-P09676 (re-roof) PERMIT CITY UF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09676 �n �-t • Crystal Bay, Minnesota 55323 Permit Type: Addition/Re deURepair ��b��\ (952) 249-4600 Date Issued: 3/20/2006� SITE ADDRESS: 3227 Casco Cir Unit# Wayzata,MN 55391 PID: 20-117-23-43-0018 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Addition/Remodel/Repair 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 Plan Review Fee: $ 25431 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 658.06 APPLICANT: A Friend of the Family Inc. OWNER: Pamela Plain 11091 100th Avenue N. 3227 Casco Cir Maple Grove,MN 55369 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. � � ._.__..__._ _-. � -..._ , � � t�-C,< <<�•j� CC l� /C� APPLICAN RMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Sig�iatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1 Total Fee: $ Date Received: Ente►-ed By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review witl be started. (�Iease print�!!information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR`CONTRACTOR `�._, JOB SIT�ADDRESS: 3�� C,��c� C ,Z, zrn: S�� Will this be a Parade of Homes, Remodclers Showcase Home or other Display Home? ❑ YeS � �10 If yes, a special event pernait is rec�ttired with Police Departnaent and City Cozmcil appr•oval 60 days prior to the event. Sl�uille bvs service will be required unless applicura[denionstrates sufftcienl on-site parking is nvailable. Non-permitted evenls w!!1 not be nllowed. NAME OF OWNER �j��;�� 1�<,��w PHONE: (home) �✓a-s S � ' S '� y S 1 (work) MAILING ADDRESS: ��c7' � C%tS�c� C►�, CITY: lJ'c�i z��4 ZIP: CONTRACTOR: ' �� C) � � {�,u��` �. PHONE:��s�5'r/'s'�.��`� CONTACT PERSON: � , L--c,�e�% BIL AGER��,�- v�'��ar�� MAILING ADDRESS: �!D 5/ !Ov�` I�L- CITY: ' y�r�r�:� ZI : �S.jlo > STATE LICENSE: # ��2p3/7�� EXPIRATION DATE: `3 3/ a��' ARCHITECT/ENGINEER: PHONE: MA iI:TNG A.�nRFSS: f TTS'_ �IT'; NAME: REGISTRATION: # TYPE OF WORK: New Horne Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(descrihe irt detcri�: %�4� _ �,�-l-�' �,�a 2J��k_��' . , �ct :- �u��: {� «��)� (�'l S/�l/ ft'=C//�(iY/s '=� .JZs<� li.l) Vil�Cy JC'�irt'�i k � �Gt« <i(�c �! /�'��S O STORICS: � SQ.FE�T OF EACH FLOOR: NO. OF BEDROOMS: GARAG� STALLS: ATTACH�ll DETACHED ESTIMAT�D CONSTRUCTION VALUATION(excluding land): � ��$�,��v �- 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 I3uilding Code;that I understand this is not a pennit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE��„� �� DAT�: 3�v D� 31 , a Scc.13.04 RIGHTS OF SUBJECTS OF llATA Subd. I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set lorth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private orcontidential dataconceming himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or sWtewide system;(b) whether he may rcfuse 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 otlier 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 investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. "I'he commissioner of revenue may olace tlie notice required under this subdivision in thc individual income tax or property tax refund instructions inscead 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 che subject of stored data on individuals,and whether it is classified as public,private or contidentiaL Upon his further request,an individual who is the subject of stored privatc or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of Uie content and meaning oPdiat data. Atter an individual has been sho�wl the private data and infonned of its meaning,the data need not be disclosed to him for six months thereatter unless a dispute or action pursuant to tliis 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 reques[by the individual subject of the data. The responsiblc authoriry may require the requesting person to pay[he actual cosLs of making,certifying,and compiling the copies. l he responsiblc authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date of the request,e�cluding Saturdays,Sundays and legal hol idays,if immediate compliance is not possible. If he cannot comply with the request within diat time,he shall so inlorm the individual,and may have an additional five days within which to comply wilh the request,excluding Saturdays, 5undays and Iegal holidays. Subd.4. Procedure when data is not accurate or complete. Aii iiidividual may contest the accuracy or completeness of public or private data concerning himself. To eacrcise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagrcemenL 'The responsible authoriry shaU 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 that he believes die data to be correcL 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 pursuan[to the provisions ofthe 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 inform you that your request for a perniit 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 information 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 pennit or license requires Council action to approve,some infonnation 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 permit. \\��✓J ��- c F / c� �P r' -�— First Middle Last � �{i �� UU�� V t V� �' Addr ss �-,v�� }�� f1/�N- S5� �' ��..�- �ir3 .��J �i City Statc 7,ip Phonc 1 understand my rights as stated above. � �� - � _ �gnature Reset Form 32 � �� DA,TE/�,� � TIM `��CI OF ORONO CALLED IN -��--L� INSPECTION NOT E �--1� SCHEDULED PERMIT N0. � COMPLETED � ADDRESS ��o�� C b � ; � OWNER CONTR. �� TELEPHONE NO� `(' L� -"i ` � � �� c� �"� � DESCRIPTION � �'" I�, �� / 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 � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W � � � O a � O � W k Q � Z w � w � � a W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REiNSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContra te: Inspector. White Copyllnspector's File Canary CopylSite Notice