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Home My WebLink About2004-P07594 (re-roof) � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po�s94 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 6ii4�2oo4 SITE ADDRESS: 2428 Casco Point Rd Wayzata,MN 55391 PID: 2o-i i�-23-i2-oo22 DESCRIPTION: Proposed Use: Residential Pemut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 63.15 Valuation: $ 1,800.00 State Surcharge Fee: $ 1.40 TOTAL FEE: $ 64.55 APPLICANT: Owner/Self OWNER: Stephen&7ean Skoro � 2428 Casco Point Rd 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 MINNESOT ING CODE REQUIREMENTS. � � � �� P C1��%� APPLIC NT ITEE SIGNATURE ISSUEU BY SIGNATURE � Copies: 1-File(SiQnitures Repuired), 1-Applicant, i-Monthlv Revorts, 1-AssessinQ, 1-Finance 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 pri�zt all iiifortnatio�z) ------------------------------------------------------------------------------------------------------------------------------ .% - THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR JOB SITE ADDRESS: ��2�(�/�-�> f j,�j�_ ZIP: S S`�j( Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is reqa�ired tivith Police Department and City Council approval 60 days prior to the event. Non permitted events will not be c�llowed. NAME OF OWNER: -��,Z? S�,r�f, PHO�TE: (home) ��- 7�2,� (work) 7/ '�C/ C� MAILING ADDRESS: 2�.�' �<��i� /7 j CITY: f>A��7'�t ZIP: �� CONTRACTOR: (J/,�,�C,� PHONE: �7/ GY�/CU CONTACT PERSON: Fj j�L��-= ,�v�}�U MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration �_ Land Alteration PROPOSED WORK(describe i�z detai�: �� —,��"i�t- ��C�,� �,��1 ,�� 5�� u�-�"T STORIES: Z-- SQ. FEET OF EACH FLOOR: / ��`G� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��p� . UU I hereby apply for a building pemut and I aclmowledge 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 art witho permit; and that the work will be in accordance with the approved plan. , APPLICANT'S SIGNATURE: / � DATE: % b 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,politicai 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 re[using to supply private or confidential data;and(d)the identity of other perso�s or entities authorized by state or federal 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 ofecer. The commissioner of revenue mav n�ace the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individuaL 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 public,private or con�dential. Upon his further request,an individual who is the subject ot 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. 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 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 rvithin five days of the date of the request,escluding Saturdays,Sundays and Iegal 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 within which to comply with the request,ercluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when datn is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature o[the 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)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 determinatioa of the responsible authoritv may be appealed pursuant to the provisions o[the 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 confidentiat information. You are notiCed 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. �Tt=�,��,� ___� ��-l� ��r�o First Middle Last .�y� «SC'o �� 7� Address �ti ' ��-.4i /�.t� �S�`� � �IS�) �7/-�G�� City State 7.ip Phone I unders r hts as stated above. Signature DATE TIME Y CITY OF ORONO cn�� 7 11 INSPECTION NO ICE SCHEDULED � L� PERMIT NO. � �� COMPLETED ADDRESS a��-f� C.c�s c=�: f�f �� OWNER �f�%UF', CONTR. TELEPHONE NO. ��a �7 �, - L�G�I Q � DESCRIPTION f /� /`'!�l- �UC'r l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 O6 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUiRED.CALL TO ARRANGE ACCESS. Call for the next" spection 24 hours in advance. �95Z� 249-46QQ OwnerlContrac s e Inspector. - White Copyllnspector's File Canary CopylSite Notice r � DATE TIME � CITY OF ORONO CALLED IN INSPECTION N T CE SCHEDULED �� /:�Z� PERMIT NO. � COMPLETED ADDRESS___ � 7�8 L�c-C.SGU �7 f (I�-CL OWNER ��J� S�` L� CONTR. TELEPHONE NO. Ry,� �^] � �O I D � DESCRIPTION ��d� ^ ��C`'✓� D� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � �v� �� -- �=-��`E M � � 0 � W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�THIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contr o s�te: Inspector. � �" White Copyllnspector's File Canary CopylSite Notice