HomeMy WebLinkAbout2007-P11606 - re-roof PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p116o6
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued:
10/23/2007
SITE ADDRESS: 2815 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-32-0011
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 per resolution#:
Separate permits required:
NOTICES/REMARKS:
Double Fee-Work Begun Without a Pernut
FEE SUMMARY: Pernut Fee: $ 125.25
Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
Misc. Fee: $ 125.25
TOTAL FEE: $ 253.50
APPLICANT: Peak Roofing,Inc. OWNER: Kurt&Kelle Bowe
14939 Raven St.NW 2815 Casco Point Rd
Andover,MN 55304 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 I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. j
Total 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)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �/.� ��s �� T�:� 7L/�' ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS ❑ No If yes, a special event permit is required with Police Department and City Council approval
60 days pi•ior to the event. Shuttle bus service will be reguired unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed
NAME OF OWNER: /�� �� ao � � PHONE: (hame) �s�'y��9� �-j
p/ / (work)
MAILING ADDRESS: •?g ���Jca/�`• /c� CITY: ,�� o ZIP:
CONTRACTOR: �c�, `c /�•d �� �1 ��. PHONE: �1�?�?-�Q 6 d
CONTACT PERSON: �A �-.' � lc MOBILE/PAGER:
MAILING ADDRESS: /Y9� f' i2a,�e` s�, ti�.�/ CITY: �-.,a/ov�w- /�r IP: �s"'3a �
STATE LICENSE: #_� 03 F,'o"? 0 3 EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(desc��ibe in detai�: �om �:c,t — ��..., d�'�'
�G�e 4 �,.�a.'�c �-- �"m C ad.�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �G��/' D C�
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 permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: ���`G� ATE: � d���
31
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5ec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. L Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required[o 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 col lecting state agency,pol itical subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)anv known eo�sequence 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 shall
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 alace the notice reauired under this subdivision in the individual income tax or prooerty tax refund
instructions mstead of on those forms.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed 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 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 to him for six
months thereafrer 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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry
may 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 of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f 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,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 writing the responsible authority describing the nature ofthe 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 Ihe individual;or(b)notify the individual that he bel ieves the data to be correct. Data in
dispute shall be disclosed only ifthe individual's statement of disagreement is included with the 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 PRNACY 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 City of Orono ar 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
City State Zip Phone
I understand my rights as stated above.
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Reset Porm 32
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CITY OF ORONO CALLED IN L�—/�
INSPECTION N ���0 SCHEDULED -1 '0 � _1���
PERMIT NO. k� COMPLETED
ADDRESS �1��-S C�� �� ��
OWNER 1�� ��1�� CONTR. �-
TELEPHONE NO. 9�2- T 7/ ����
� DESCRIPTION ��� ���
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ��'-�ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. �_���
White Copyllnspector's File Canary CopylSite Notice