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Home My WebLink About2007-P11636 (re-roof) � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11636 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/30/2007 SITE ADDRESS: 3287 Casco Cir Unit# Wayzata,MN 55391 PID: 20-117-23-43-0044 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: Tear off and ReRoof FEE SUMMARY: Permit Fee: $ 167.25 valuation: $ 8,300.00 State Surcharge Fee: $ 4.15 TOTAL FEE: $ 171.40 APPLICANT: Minnesota Statewide Roofing&Remodel OWNER: Jon&Kathleen Wright 5790 Kelsey Dr 3287 Casco Cir Excelsior,MN 55331 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSfON 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 PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: En�ered 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) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O ONTRACTO JOB SITE ADDRESS: � � � � �� 5 � o ,`!�c 1 ZIP: Will this be�a P rade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS /U[J No If yes, a special event permit is reguired with Police Department and City Council approval �l�� 60 days prior to the event. Shuttle bus service will be r•eguii�ed unless applicant demonstrates sufficient on-site par-king is available. Non-permitted events will not be allowed. NAME OF OWNER l�( ��, � PHONE: (home) (work) MAILING ADDRESS: �, �Z� 7 ��s<<, C�'�� I.� CITY: ZIP: CONTRACTOR: >� -I��n� 5 c-'� ��-�2-�-e v., i c�� PHONE: �> �—�/�-U I D� CONTACT PERSON: �� v�f�c�.-��, MOBILE/PAGER: , � - j( � MAILINGADDRESS: �"7y� {�'e�s.e;� �Q�, CITY: �L,o�� ., ��r ZIP: ��3 / STATE LICENSE: # �n 2 �� g'_�S- EXPIRATION DATE: � -� � — �� - ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move I�ome Remodel/Alteration (ie: Siding, Windows) `� Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: ��1 r r�� ,�.,1� � -,��-� �s ,'�-�� c� 5 n �,t.�/� 5 � �� t S STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �3 v p 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. � � APPLICANT'S SIGNATURE: DATE: I U'��' — U 7 31 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. Informatfon required to be given individual. An individual asked to supply private or confidential dataconcerning himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,pol itical subdivision,or statewide system;(b) whether he may refuse or is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or en[ities authorized by state orfederal law to receive the data. This requirement shall not apply when 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�lace the notice required under this subdivision in the individual income tax or propertXtax refund instructions instead of on those forms. Subd.3. Access to data by individ�al. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as publ ic,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 without any charge to him and,if he desires.shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer 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[he private or public data upon request by the individual subject ofthe data. The responsible authoriry 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 ofthe 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 additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (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 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 the responsible authoriry may be appealed pursuant 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 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. / �it T 7"Y�itn/ �� r�,�_ 5 ��C.G��/��n First iddle Last a� �5-1-;� +��, �5�a Address �.�f� l� ��„�t�a /I ! �s��i � �-� - � ��- a � � �- City State Zip Phonc I understand my rights as stated above. �j+ ,�.�_ Signature Reset Form 32 �� D�� D TIME �/ CITY OF ORONO CALLED IN /�-� INSPECTION N IC SCHEDULED //-3D-17 �� PERMIT NO. � � COMPLETED ADDRESS 3� 7 C�SGC� GJ OWNER CONTR. /tl�U S TELEPHONE NO. 763 7/ 7 Dl ag � DESCRIPTION ��-�` 4-'�v f � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � t o �`'�°. _;�F �> ;.i �'� f�'�-� � �-�'-�-�`"i �`-C.�(_��3 U a ` � � a �l. Q ✓�— �l� � C:Ct ✓� \ C� Cc/c1 W � �, Q I S �:Vr � f Otx- � Z w � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor '�: Inspector. -� White Copyllnspector's le Canary CopylSite Notice �� / D E TIME � CITY OF ORONO CALLED IN `�� INSPECTION N C / SCHEDULED ��O f;D"D PERMIT NO. ��0.3 c� COMPLETED ADDRESS �a�7 �� OWNER CONTR.�/"f"' TELEPHONE NO. ��c3 7i � a�� DESCRIPTION ��'`—�� ❑ FOOTWG � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FR,4MING ❑ MECHANICAL FINA� ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP � SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN �NSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (J52� 249-46�0 Owner/Contra r sit : Inspector. ` _ � White Copyllnspector's File Canary CopylSite Notice