HomeMy WebLinkAbout2006-P10387 - re-roof PERMIT
CITY OF ORONO permit ►vumber:
2750 Kelley Parkway- PO Box 66 P10387
Crystal Bay, �'..:r�nesota 55323 Permit Type:
Minor Alterations
(952) 24�3-4600 Date Issued:
9/28/2006
SITE ADDRESS: 2700 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-24-0022
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 perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ g3•25 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ $4.75
APPLICANT: Incline Enterprises Inc OWNER: Daniel Buesing&Linda Running
26175 Birch Bluff Rd 2700 Casco Point Rd
Shorewood,MN 55331 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 ORDWANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A A T M E NA RE ISSUED BY SIGNATURE
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Copies: ]-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
'i'otal�Fee: $ Date Received:
"Ente��ed By: Permit#:
CITY OF ORONO - SUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all itifof��nation)
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THE APPLICANT IS: (circle o�ze) OWNER OR CONTR.ACTOR 1
JOB SIT�ADDItESS: �� � � J �i-�C� � l ZIP�J
Will this be arade of Homes, Remodelers Sho�vcase Home or other Display Home?
❑ Yes No If yes, a special event perrnit is reqadred rvitl�Police Depnrtmenl and Cily Cotn7cil npprovnl
GO cfays pr�ior•to 1/�e eveilt. Shuttle ba�s ser>>ice rvill be requir�ed t,u7less applicalTt dernaasU•ales
sa�cie�7t on-site parking is m�ailable. 1Von-pern�ittec�evenls will not be allotived.
NAME OF OWNER: �C`1S� `71!�-'���1 PHONE: (home)
(�vorlc) _
MAILI�TG ADDItESS: CITY: ZIP:
CONTRACTOR: ��lCi�r�, E��-� �t,�� PHONE: � C,�- 9����
CONTACT P�RSON: . J�Jh� _ MOBILE/PAGER: ���> 5PJ—d�.�) ?L
MAILINGADDRESS::�)7.>' �-��� i�?l� �-t CITY: _�,c�.�,�;,� ZIP: ,L�S=3��
STATE LICEI�ISE: # ,-��,'�5��'�d�� EYPIRATION DATE: CJ�_
ARCHITECT/E\'GINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Sidiiig, Windo�vs)
Any earth movemen� may require M WD review and per�nits !
PROPOSED �VORK(desa•ibe i» �letai�: ��1�e,�--�� � ��'/��
STORIES: � SQ.FE�'T OF EACH FLOOR: ���
l�'�. OF BEDROOIViS: G�2A�E �TALLS: ATTACH�I3 DETA�I�E _
ESTII�IATED CONSTRUCTION VALUATIO:�'(excluding lancl): � .�(/G�C/
I hereby apply for a building permit and I ackno�vledge t�'f�t the it�formation above is complete and accurate;
that the�vork wi ll be in conformance �vith the or nan�es and ,t�es of the City and with the State Building
Code; that I understand this is not a pern it and� rk is`n t to s a`t�vit �ut a pen��it; and that the woi�k�vill be
in accordance �vith the approved plan. �
APPLICANT'S SIGNATUR�: �A��=: n�� . ��
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Scc.13.0�1 RICF(TS 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 foRh iii this section. ,
Subd.2. Information required to be given individual. An individual asked to supply private or contidential dataconceming himselfshall be
informed of: (a)the purpose and intended use ofthe requesced data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is le�ally 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 shal I
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 place the notice required�mder this subdivision in the individual income tax or�rooerry ta�refund
instructions instead of on those fonns.
5ubd.3. Access to data by individual. Upon request to a responsible authority,an individual shail be informed whether he is the subject of
stored da[a on individuals,and whether it is classitied as publ ic,private or contidential. Upon his further request,an individual who is the subjcct of
stored private or public data on individuals shall be shown the data�vithout any charge ro him and,if he desires,shaU be inFonned ofthe 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 ro him for six
months thereafter unless a dispute or action pursuan[to this section is pendine or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or publ ic data upon requesc by the individual subject of the data. The responsible auchority
may require tl�e 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 tive days of
the date ofthe request,excluding 5aturdays,Sundays and legal holidays,if iinmediate compliance is not possible. [f he cannot coinply with the request
within that time,he shal I so inYonn the individual,and may have an additional tive days withiii which to comply with the request,escluding 5aturdays,
Sundays and leoal holidays.
5 ubd.4. Procedure�vhen data is not accurate or complefe. An individual may contest the accuracy or completeness ofpublic or private data
concernin�himself. To exercise this right,an individual shali notity in�vriting the responsible authority describing the nature of the disagreement. The
responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notif�•past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notity[he individual that he believes the data to be correct. Da[a in
dispute shall be disclosed only if the individual's statement of disagreement is included with[he disclosed data.
The determination 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.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforn�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:
l. The information you furnish will be used to detern�ine 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 oc license.
3. The infonnation 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 infornZation may become
public.
5. You have certain rights under MS. 13.04 (availablz upon request)to review private data on yourself.
6. I'our full name i requir d to rocess this application or pemiit.
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First �diddic ,� \Last
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Address
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CiIF SiAic %iP i'i0��e
I understand m� rirhts as st d above.
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Sign;�turc
Reset Form �''
� `v � D TE j TIME �
ITY OF RONO � CALLED IN � � r U�
C 0 � �/- �
INSPECTION NO CE '"� SCHEDULED � _��"
PERMIT NO. �L���� / COMPLETED
ADDRESS ���`C� ��,�7C L �� `J��
OWNER CONTR. ��(`,1'�/T C �f�- � ,
TELEPHONE NO. �-F J � - �� �3�- ��� ��,
� DESCRIPTION �(�GL-� �OU�
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 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 FOUNDATfON/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YE _NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT 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.
Call for the next i sp ction 24 hours in advance. (J52� 249-46�0
OwnerlContr or ite
Inspector.
White Copyllnspector's File Canary Copy/Site Notice