HomeMy WebLinkAbout2002-P05604 - re-roof • - - PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos6oa
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 9�1i�2oo2
SITE ADDRESS: 2811 Casco Point Rd
WAYZATA,MN 55391
PID: 20-117-23-32-0013
DESCRIPTION: UBC Occupancy R3
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 pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 99.75
APPLICANT: THERESA A NORSTED OWNER: THERESA A NORSTED
2811 CASCO POINT RD 2811 CASCO POINT RD
WAYZATA MN 55391 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 P� EE S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Reouired). 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
•Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATIOI�+T
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 CONTRACTOR
JOB SITE ADDRESS: ' ,c� ZIP: �S���
NAME OF OWNER: � GT��� PHONE: (home) �SoZ �r/�D 7�
(work) �/2 3 7/ /�f U G
MAILING ADDRESS:��I���� ����G� CITY: ZIP: S�S 3 ��
CONTRACTOR: ¢ G`�'�1 , C PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: P�0. BoX 2 CITY: ZIP: �5 3��
STATE LICENSE: # �� � �y
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAIVIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remode eratio Land Alteration
PROPOSED WORK(describe in detai�: �E I 00 F
STORIES: 02- SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT.`.—L��-- Q �--
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���
I hereby apply for a building permit 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 Ciry 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 accor ance with the approved plan.
APPLICANT'S SIGNATURE: � DATE: '�/�l( /G �—
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.
� .
Sec.13.04 RIGHTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information req�rired to be given individual. An individua]asked to suppiy private or confidendal dara conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting"state agency,polidcal subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from lus supplying or refusing to supply
private or confidendal data;and(d)the identiry of other penons or enrides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigarive data, pursuant to section 13.82,subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the norice reauired 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 authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as pubiic, private or confidendal. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data wi[hout any charge to hun and, if he desires, shall be informed of the content
and meaning of chat data. After an individual has been shown the privace data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal data on the individual has been collected or created.
The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comp(y with the request
within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding 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 concerning himself. To exercise this right,an individual shall notify in wriang the responsible authority describing[he 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 nodfy past recipienu of
inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy 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 de[ermination of the responsible authority may be appealed pursuant to the provisions of the admuilstradve 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 pernut or license from the City 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 pemut 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 wich other local, state or federal agencies to the extent necessary to process
the pernut 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 nghts as stated ab
/
e
/
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NQT ICE SCHEDULED _���
PERMIT N0. f�Sla U� COMPLETED
ADDRESS ���� C^<�-rSCO /`"� � �
OWNER %��'c�c� �U'S/�``f CONTR. Ge.��.��'� GG ��L�l.�-
TELEPHONE N0. �P I�' ��D yo�3 C�
� DESCRIPTION ��� r` �``/f�I. �,C -
� 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
Z04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU: YES=NO
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOFi 0 CITATION ISSUED
0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ne inspection 24 hours in advance. (g52) 249-4600
OwnerlContr o s te:
Inspector. �-
White Copy/lnspector's Fi Canary CopylSite Notice