HomeMy WebLinkAbout2003-P06228 - re-roof - � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po622s
Crystal Bay, Minnesota 55323 Per'mit Type: MinorAlterations
(952) 249-4600 Date Issued: a�2a�2oo3
SITE ADDRESS: 2745 Casco Point Rd
Wayzata,MN 55391
P I D: 2 0-117-2 3-23-0006
DESCRIPTION:
Proposed Use: Residential
Buildin Census Code O/S-Building
Pernut Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 114.25
APPLICANT: Trevor Foss Roofing OWNER: Mr. &Mrs. Steven Peterson
1891 Sandbal Cir. 2745 Casco Point Rd
Waconia,MN 55387 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 BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ //�`� � S � Date Received: ` �
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Entered By: �z_ Permit#: ��L��, -� Z,�'
CITY OF ORONO - BUILDING PERMIT APPLICATIOI�
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR ONTRACTO�
JOB SITE ADDRESS: l�� �� C������ l�,N, ZIP: ��
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NAME OF OWNER: -7'.�7-�r_;,";�� PHONE: (home)
(work)
MAII.ING ADDRESS: ��%' y'� �<�c� ��� CITY: �>�.�_,�.,�; ZIP: �;;'
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CONTRACTOR: I t�=���r� ��`�� ��-�� ,� PHONE: Cv� Z--Z,<<T- ��(1
CONTACT PERSON: ��a.� MOBILE/PAGER: �,�`r��.�
MAILING ADDRESS: r' ��I `-�✓��,n.l�-�: C;��� CITY: ��;�����,r_ ZIP: ��'�-'--j
STATE LICENSE: # �������c�,��i 3 i ;
ARCHITECT/ENGINEER: PHONE:
MAILI�IG ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: j�=.✓�r� -- c�{� � r�- k'_�,��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTNi IATED CONSTRUCTION VALUATION (excluding land): $ �u�=�C�J-
I hereby apply for a building pernut 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 pernut and work is not to start without a
permit; and that the work will be in a ance with the approved plan.
APPLICANT'S SIGNATURE: , �f� DATE: �� �:�-
NOTE! Parade o Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUSJECTS OF D,�TA
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 reqirired to be given individual. An individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and intended use of the requesred dara within the collecdng'stace agency,polirical subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply che requested data;(c)any lmown consequence arising fmm his supplying or refusing to supply
private or confidential data;and(d)the idenaty of other persons or enrides au[horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigaave dara, pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or propertv taz refund
instructions inscead of on those forms.
Subd. 3. Access to data by individual. Upon reques[to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classiFied as public,private or confidenual. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to him and,'if he desires,shall be informed of the content
and meaning of chat data. Afrzr an individua!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 pursuanc to chis secdon is pending or addidonal data on the individual has been collected or creaced.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the accual coscs 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 of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that ticne,he shall so inform the individual,and may have an addiriona!five days within which to comply with the request,exciuding 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 pri�•ate
data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing[he nature of the disagreemeat.
The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, inciuding 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 statemenc of disagreement is included with the disclosed data.
The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the adminiscracive procedure act reladng 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 Ciry of Orono or any of its departments may require you to fumish 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 pemut 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 ri�hts 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.
Fitst Middle Lasc
Address
Ciry State Zip Phone
I understand 'b ts as stated above.
Signature
DATE TIME " ,
CITY OF ORONO CALLED IN �� � 4 �'
INSPECTION NOTICE SCHEDULED �(--�5`-C;' �
PERMIT NO. �(�"?2� COMPLETED
ADDRESS��� _( -C�SC r� ,���:1� 2e�.
OWNER CONTR. f�Q L�'�I��' ��c�,i�y
TELEPHONE NO. � ( � ' ����C� c�Cv �� ��
� DESCRIPTION C{' Gt�` d� " /�/`
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 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 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑COflRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor i :
Inspector. -
White Copy/lnspector's Fil Canary CopylSite Notice