The URL can be used to link to this page

Home My WebLink About2001-P04204 - re-roof I�'1�`'OF ORONO PERMIT C ' Permit Number: 2750 Kelley Parkway - PO Box 66 P04204 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: si2oi2ooi SITE ADDRESS: 2813 Casco Pt Rd Wayzata,MN 55391 P I D: 20-117-23-32-0012 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,500.00 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 99.00 APPLICANT: Incline Enterprises Inc OWNER: John Stern 26175 Birch Bluff Rd 2813 Casco Pt Rd Shorewood, MN 55331 Wayzata MN 55391 THE UNDERSIGN HEREBY REQUESTS PER�vIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES T O L WORK STRIC,�COMPLi,�1NCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA LDI G CODE , QUIREpv1-ENTS. , t /, / � �/ � � / t / f� ••.�'_�.j r2"�'zG� !n A CANT PERMITEE SIGNA RE IS UEDBYSIGNATURE Cooies: 1-File(SiQnitures Reauired). I-Anplicant, 1-Monthlv Reports, 1-Assessine, l-Finance Page 1 T�tal Fee: $ Date Received: • Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O CON'I'�A�^CTO� JOB SITE ADDRESS: ,��J,� �C�Sr�� (��j �Z� ZIP: NAME OF OWNER: ,�u. {1 r� ��-�-s��.. PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: �'nc ),� - „ -��- �,�� rxo�: ,!�� S�J��7� COi�'TACT PERSON: ,j ,')J S�� r� MOBILE/PAGER: MAILING ADDRESS: "-.��i 7r �l,t�r� �J�„�� CITY: �/��!��'u„� ZIP: .l�=33 STATE LICENSE: # TG� ��' � � i��l� � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1�1E: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration r / PROPOSED WORK(describe in detai�: '�l _o,�` �{� � �--�-- ;�'1'' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �5�Gi' 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 City and with the State Building Code; that I understand this is not a permit and work is not to start without a pernut; and that the work will be in ac rdance wit the approved plan. /� / APPLICANT'S SIGNATURE: �,/� DATE: �- ��-�`/ NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � Sea13.04 RIGH'I'S OF SLlB.TECTS OF DaT� Subd. i. Type of data. The rieh[s of individual on whom�he data is s[ored or co be stored shall be as set forth in this secdon. Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidenrial data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecRng'state ageocy,poliacal subdivision,or statewide system; (b)whether he may refuse oT is legally required to supply the requested data;(c)any l�own consequence arising from his supplying or refusing to supply privace or conndential data;and(d)the idendry of o[her persons or enndes authorized by sta[e or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigaave data, pursuant to section 13.82, subdivision 5, to a law enforcement ofFicer. The commissioner of re�enu� mav place the norice reauired under this subdivision in the individual income tax or propeccv tax tefund instructions instead of on those forms. Subd. 3. Access to data by indi��dual. Upon reques[to a responsible au[horiry,an individuai shali be informed whe[her he is the subject of stored data on individuals,and wherher it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject of stored private or public data on individuals shal►be shown the dara wichout any charge to him and, if he desires, shali be informed of the content and meaning of[hat data. Aftzr an individual has been shown the privare data and informed of its meaning, the dara need not be disdosed to him for six months thereafter unless a dispute or acrion pursuanc to this secaon is pending or addiaonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the privace or public data upon request by the individual subjecc of�he dara. The responsible authority may require the requesting person to pay the acrual cos[s of makine,cerafying, and compiling the copies. The responsible authoriry shall comply immediate(y, 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 time,he shall so inform the individual,and may have an addiaonal five days within which to comply wi[h the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or comple[eness of public or private data concerning himself. To exercise this rieht,an individual shall noaiy in wridn;the responsible authoriry 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 aaempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual; o�(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data. The determina[ion of[he rosponsible au[horiry may be appzaled pursuant to the provisions of the administrarive procedure act relacing 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 reauest for a permit 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 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 pernut or license. 4. If your requested permit or license requires Councii 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. (, Your full name is required to process this application or permit. ��, , ��,� lr. � , „ , First � Last dl , � �� ,,�'-� �� >7�- �},, , � Address � � 1 -� -�/ ,, J - � � -� �'�-�,�,�� l --,,� �;° a� 5-?� /��`�`� � c. � Ciry � State Zip Phone 1 I understand my rights state '�at�ive. � �,� � / . Signamre - �DATE TIME CITY OF ORONO CALIED IN �--�'�' INSPECTION TICE_ SCHEDULED � — �� PERMIT NO. �C� �� COMPLET � - -d� ' ADDRESS �� OWNER CONTR. TELEPHONE NO._��1-� s �� 15�� DESCRIPTION .��- �Z�:n� � 01 FOOTING 11 MECHAN �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 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 HAFiD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMM TS: � W a � J O j � O � W � Q � 2 W � W � � � �110RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlConUa t r on site: Inspector.�1��C'[�� v�s White Copyllnspector's File Canary CopylSfte Notice DATE TIME CITY OF ORONO CAL�ED I� � INSPECTION NS TICE SCHEDULED s��. -�� PERMIT NO. / �o,�'� COMPLETED =�5�'�v` /t O ADDRESS � �f� �QSC'D �7` �p� OWNER CONTR. �C�P/20 �il_.�,D. TELEPHONENO. � �01 �' �� 1'�{�7 � DESCRIPTION l�-e-GY� � 01 FOOTING 11 MECHANICAL RI XCA�//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 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o � , ��i �'-� " � � 0 � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OADER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContr r on site: Inspector. `��-�L.1Z- �--1� r White Copylinspector's Fiie Canary CopylSite Notice