HomeMy WebLinkAbout2006-P10126 (re-roof) � � ' PERMIT
CITY OF ORONO
1 2750 Kelley Parkway- PO Box 66 Permit Number: P10126
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
7/20/2006
SITE ADDRESS: 2474 Casco Pt Rd Unit#
Wazyata,MN 55391
PID: 20-117-23-12-0020
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:
FEE SUMMARY: Pernut Fee: $ 111.25 valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: Washek Exteriors Inc. OWNER: Lyle Buerkle
12116 Joanne Lane 2474 Casco Point Rd
Minnetonka,MN 55343 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 BIJILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
' . .
Total Fee: $ � � �J ^ �� Date Received: 7 (J
Entered By: Permit#: � /U/�-(„
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infornzation)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (cir•cle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: c�y7� CC�SC� (� R� ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �NO If��es, a special event per�r7it is r•equired with Po/ice Department and Ciry Coz�ncil approval
60 days prior to the eve»t. Shuttle bzGs service will be r•equired unless applicant demonsh•ates
sarfficient or�-site parki�vg is available. Non-perrnitted events wi!/not be a!lowed.
NAME OF OWNER: PHONE: (ho�ne)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: V-� aSt���,( �k,"��^zo��S PHONE: C'da. -3(�' �a��C�
CONTACT PERSON: I rav;.� WaS I�Q-lC MOBILE/PAGER: '` `` `�
MAILINGADDRESS: 1�.�� IQ��cc,,�„�Q �-Av�� CITY: v_v�,u�v�e`T��l/,,q_ ZIP: 5S3Y
STATE LICENSE: # (�c ao.S�.S a�� `f EXPIRATION DATE: �( � �o�T
ARCHITECT/ENGINEER: PHONE:
1Ylti1L11\TV�L�Lti7J. �ii 3: �iL:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe irz detain: �oo� i v�a
STORIES: �_ SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
��
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SILY'x��
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confonnance 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:��-�.W DATE: �I � C�Co
3l
• . � . � , s � •
Sec.13.0a RIGEITS O�SUBJECTS OF Dr�TA
Subd. L Type of data. The rights oti individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Infonnation required ro 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,political subdivision,or statewide system;(b)
whether lte may refuse or is legal ly required to supply the requested data;(c)any known consequence arising Yrom 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 when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The comtnissioner of revenue may place the notice required under this subdivision in the individual income tax or pro�erty tax refund
insVuctions instead of on those forms.
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 classitied as pubiic,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 dafa without any charge to him and,if he desires,shall be informed ofthe content and
meailing of that data. After an individual has been sho�vn the private data and infonned of its meaning,the data need not be disclosed to Itim for siz
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 daca. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compilin�the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe cannot comply with the request
�vithin that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,e�cl uding 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 Itimself. To esercise this right,an individual shall notify in writing tlie responsible authority describing the nature of the disaereement.The
responsibie authority shall within 30 days eithec (a)correc[the data found to be inaccurate or incomplete and attempt to notity 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 shail be disclosed only if the individuai's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions ofdie 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 pemiit or license.
4. [f your requested permit or license requires Council action to approve,some infoiznation 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.
`TfC�.vi S � � Q-S�-��
First �liddlc Lxst
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Address
�E �,n�-��/�- rn� �S 3y 3 ��a-3�o�a,�`-(
City State Zip Phone
I understand my rights as stated nbove.
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Signature
Reset Form 32
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License Detail
Here are the details for the license you are currently looking for:
Licensee Name: WASHEK EXTERIORS INC
Licensee Address: 12116 JOANNE LN
City State Zip: MINNETONKA, MN 553430000
License Number: 20565004
License Type: Residential Building Contractor
License Status: ACTIVE
License Effective Date: Feb 15,2006
License Expiration/Renewal Date: Mar 31,2007
Qualifying Person: TRAVIS WASHEK
Number of hours of continuing education required to renew license: 7.0
Enforcement Action: No
r' ' fiifi��iiil�
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ATE TIM
CITY OF ORONO CALLED IN � D
INSPECTION NOTICE SCHEDULED 2 �
PERMIT NO.fPl�o COMPLET D
ADDRESS ��I��f ��SC O �� • ���
OWNER CONTR. ��-SI�P(C,
TELEPHONENO. �D �:� �� I C� �����
� DESCRIPTION �2G`F �}�T� - �('Cs�j�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITtON WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952� 249-4600
OwnerlContractor
Inspector.
White Copylinspector's File Canary CopylSite Notice
CE/I��� �pIT� TI E
CITY OF ORONO ALLED IN l
INSPECTION TiI��� SCHEDULED
PERMIT NO. � COMPLETED
ADDRESS a�7� C�-�C�SC-D C�� �
OWNER CONTR. �as�e� ��+"l�''S
TELEPHONE NO. ��a ��D � ���
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� DESCRIPTION ��/� ��
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n' xt inspection 24 hours in advance. (952� 249-4600
OwnerlC site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice