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HomeMy WebLinkAbout2004-P07482 - re-roof � PERMIT -�ITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07482 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: s�io�2oo4 SITE ADDRESS: 2649 Casco Point Rd Wayzata,MN 55391 PID: 20-117-23-24-0029 DESCRIPTION: Proposed Use: Residential Permit 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: n___t__ _c_r r�_`__t_� �_..__ v__._ _ ._t n r..�:_'. "_"'" _ ri_ _ __'_`t.__ __. .�..t......G�.::::: ::: l::.11:.:.C::�:.::.1'b'G� ��:.�i:GA:D::::"b' r.:lL::L::. J::::::b FEE SUMMARY: Permit Fee: $ 69.25 Vatuation: $ 2,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 70.75 APPLICANT: Owner/Self OWNER: Julianne Scherven � 2649 Casco Point Rd Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRIC'I'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . c •��— ,��J1 C��� APPLICANT PERM[TEE$1GN TURE SSUED BY SIGNATURE l Copies: 1-File(Si�nitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessin�. 1-Finance paQP i • Total Fee: $ Date Recei�-ed: Entered By: Permit#: CITY OF ORONO - BUILDING PERl'��IIT APPLICATION All information must be submitted in full before plan re�zew v�-ill be started. (please print all information) THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: ����� �C���� , �� ZIP: �� �� Will this be a ar de of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required titi-ith Police Department and City Council approva160 days prior to the event. 1�on permitted events will not be allowed. �� a•_ �l�_��( � , � �� ' �c���7�-�� �` 'S���-��I -C�� NAME OF OWNER: _ ��\W�v1Y�� �..�(�,-�� HONE (home) � n1 (�iork) �� � ^] ^ C�CG.33 MAILING ADDRESS: ���{ �C�Cv�, `�CITY: �G,��"��L- ZIp; 5'.j'^�cr � CONTRACTOR: �J��� PHONE: � �a—���--- C��� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: S��ti��� CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTR-�TIO\ # TYPE OF WORK: New Accessory Structure Addition Move Remode Alteration � Land Alterarion D N p2�-z��Cc��L_l PROPOSED WORK(describe in detai�: _ `�-E��c�� �6G � ��-�� -�X�\. ����- � S� ��--� „ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): S 2.,dOC�, O C=� � I hereby apply for a building permit and I acknowledge that the information abo�-e is complete and accurate;that the work will be in conformance with the ordinances and codes of the City and �:�h the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that tze��-ark will be in accordance�-ith the approved plan. � � APPLICANT'S SIGNATU ! S�-��-I-E; � ( G G � � Sea13.04 RIGHTS OF SliBJECTS 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 supph 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 shal] not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement oCficer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or orooertv taz refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be in[ormed whether he is the subject of stored data on individuals,and whether it is classified 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 without any charge to him and,if he desires,shall be informed of the content aod meaning of that data. After an individual has been shown the private data and in[ormed of its meaning,the data need not be disclosed to him[or sii 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 authorin�ma} require the requesting person to pay the actual costs of making,certitying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days ofthe date of the 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,exduding Saturdays,Sunda�s 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 da[a concerning himself. To exercise this right,an individual shall noti[y in writing the responsible authority describing the nature of 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 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 i❑ dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination o[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.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that}•our 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. First Middle Last Address C�tY State Zip Phone I understand my rights as stated above. • c ��� � iy--�_� 5�--�'� u�C___ Sig ture � ATE TIME � ���''�" ) `? I--� b CITY OF ORONO CALLED IN �-� y INSPECTION NOTICE ' I SCHEDULED 1 c9N �' -� PERMIT NO. �`� COMPLETED ADDRESS �C�r��� ��C: �f �'I OWNER �� 4�(� U(� i� CONTR. � TELEPHONE NO. N � DESCRIPTION � �-��-- � � tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G ING/FIL�ING � 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 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 J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRAC O (�MEET YOU:_YES � NO � COMMENTS. � � � �� �1��C'•�- g" �jGo, ��-J-�' l�-�- � ��% c_ �� Q_rvv`-fJ�-- 0 � � � Q I�l C���0.�'�-- -�, L( ��Q� ('��� � ���.fi�Y .r--' a � Q � z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�' CITATION ISSUED ❑ INSPECTION REOUIRED.CALI TO ARRANGE ACCESS. Call forthe next spection 24 hours in advance. (g52) 249-4600 OwnerlContra r 't Inspector. White Copyllnspector's File Canary CopylSite Notice