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Home My WebLink About2004-P07593 (re-roof) � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 po�s93 Crystal Bay, Minnesota 55323 Permit Type: Minor a�terac�ons (952) 249-4600 Date Issued: 6�i4�2oo4 SITE ADDRESS: 3251 Casco Cir Wayzata,MN 55391 P I D: 20-117-23-43-0007 DESCRIPTION: Proposed Use: Residential Buildin Census Code O/S-Building Pernut Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 114.25 APPLICANT: W•F. Smith Construction OWNER: Patricia Diegre 5975 Lynwood Blvd 3251 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. �-- � �� APPLICANT PLRMITEE SIGNA'I'URE SSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 Total Fee: $ J/</, Date Received: ��(}� Entered By: ____{�� L Permit#: _ G "75-�%:� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�it all iiiforfnation) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDR.ESS: 3�� C�'SC o' ��• ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is ��equirecl with Police Depc�rtment and City Council approval 60 days prior to the event. Non peY�nitted events will not be allowed. NAME OF OWNER: ��{-- �-�.e�t�L�, PHONE: (home) �� ,�aL C> S'� (work) MAILING ADDRESS: S/�� CITY: ZIP: CONTRACTOR:IN• F �iti.. �--/.�. C��. PHONE: �7�--�S 3 �'j CONTACT PERSON: 13 L,(� MOBILE/PAGER: (.l,�. - $(o `7 — 3��7 MAILING ADDRESS: 6�g � S�. Sa�.,,.n�crs �(cIYCITY: n^ l�-,�,.�,�,�/ ZIP: �� STATE LICENSE: # r3 a S ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration� Land Alteration PROPOSED WORK(describe in detai�: �- �� S1}-, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $�S� O G 0 I hereby apply far a building pernut and I aclaiowledge 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 pernut and work is not to start without a pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: � � `� — U . . Sec13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. 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 or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested 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 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 rvhen an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or oropertv taz refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a respoasible authority,an individual shall be informed rvhether he is the subject of stored data on individuals,and whether it is classiflied as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data rvithout any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and intormed of its meaning,the data need not be disclosed to him for six months thereafter 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 subject of the data. The 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 of thc date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days rvithin which to comply rvith the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when duta is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To erercise this right,an individual shall notify in writing the responsible authority describing the nature otthe 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 ot inaccurate or incomplete data,including recipients named by the individual;or(b)noti(y 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 i�cludcd with the disclosed data. The determinatioa of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.5.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit 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 furnish 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 permit or license requires Council action to approve, some information 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. � \�A,,z,►rLt� �- _ First Middle Last Address City State Zip Phone I understand my rights stated a ve. Signature ✓; DATE/� TIME CITY OF ORONO CALLED IN '� -V INSPECTION N ICE SCHEDULED /o f.�-D� ��.� PERMIT NO. D COMPLETED ADDRESS _��5�[� �� OWNER CONTR. %J F�i'►'�� TELEPHONE NO. ��"�� DESCRIPTION �1�C�J'-C?� �� 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 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next i spection 24 hours in advance. (952� 249-4600 Owner/Contract si � , . Inspector. White Copyllnspector's File Canary CopylSite Notice