The URL can be used to link to this page

Home My WebLink About2004-P07758 - re-roof CITY OF ORONO PERMIT 2750 K�I�ey f�arkway - PO Box 66 Permit Number: Po��ss Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: �i29i2ooa SITE ADDRESS: 2829 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-32-0007 DESCRI PTION: Proposed Use: Residential Pernut 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: $ 125.25 Valuation: $ 5,700.00 State Surcharge Fee: $ 3.35 TOTAL FEE: $ 128.60 APPLICANT: Incline Enteiprises Inc OWNER: Bruce&Mary Peterson 26175 Birch Bluff Rd 2829 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 ORDINANCES AND STATE OF MINNESOTA BUIL G CODE QUIRE NTS. r � .�� ,� � LICAN ERMITEE GNATURE SSUED BY SIGNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 T�tal Fre: $ 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 al1 iiiformatio�i) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle o�:e) OWNER OR CONTRACTOR JOB SITE ADDRESS: � UcZ ," � ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �j] No If yes, a special evertt pernzit is reqtcired with Police Depa�tment and City � Couricil c�pprovc�l 60 days prior to tlze event. Non periyaitted events will not be allowecl. NAME OF OWNER: �� -��`� PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: .f- CONTRACTOR: —��G��`�- `o�- �'� -�c� PHONE: y7�9'��,� CONTACT PERSON: � ��! . M�BILE/PAGER: —� - � y7 MAILING ADDRESS: � 1,l CITY: J�je�,�%' ZIP: _ ST�� STATE LICENSE: # ��3� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration Land Alteration , PROPOSED WORK(describe in detain: ��G��" ��,� I/' � �, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �-��/� I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the work will be in conformance with the ordinances nd codes of the City and with the State Building Code; that I understand this is not a pemut and work is not to st with t a permit; and that the work will be in accordance with the approved plan. �✓ APPLICANT'S SIGNATURE: DATE: / � A • Sec.13.04 RIGHTS OF SUSJECTS OF DATA Subd.t. 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 required to 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 collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally 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 shall not apply when an individual is asked to suppl,y investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav a�ace the notice required under this subdivision in the individual income tax or aroperh�tax refund instructions instead of on thosc 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 classi�ed 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 meanin;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 thcrcafter unless a dispute or action pm•suant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the 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 five days of the datc of thc request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the requestwithin that time,he shall so inform the individual,and may have an additional Gve days within which to comply rvith the request,excluding Satw•days,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 esercise this right,an individual shall notify in writing the responsible authority describing the nature otthe disagreement. Thc responsible authority shall witl�in 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify pust recipients ot inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dlspute shall be disclosed only if the 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 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 City of Orono or 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 th�s application or permit. �� , �� Fir t n Middle �� / ` Last �S( / // �J ,'1.�� Address :�b�r� (� �r,/ ��"S�� City State Zip Phone I understand my righ as stated ve. Signature V CITY OF ORONO CALLED IN �� 'E' �1 �I�AE L� INSPECTION �F--�•�� SCHEDULED d � PERMIT NO. � COMPLETED ADDRESS 2 ��Z- C�� I�i OWNER CONTR. .L—Y�C�II� � � TELEPHONE NO. �lJ I 2- �� G�-I�1� �� DESCRIPTION ��"� ��0-9 � 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOL�OW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O '' �b .� ✓ � 0 � w � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE ✓ W ❑CORRECT WORK&PROCEED G' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspe tion 24 hours in advance. (952� 249-4600 OwnerlContra site: Inspector. � White Copyll�spector's File Canary CopylSite Notice �./ DATE TIME CITY OF ORONO CALLED IN ��`r D INSPECTION �ICE �-7 �f SCHEDULED ��/�/�`� � ''�5�`— PERMIT NO.� � / �D COMPLETED ADDRESS �U � � C_--� S �'� j�'`i` IC Q� OWNER CONTR. �C'�.c /�r� �'�c�9-�j TELEPHONE NO. 9c��' 7 �� — �� J � DESCRIPTION `�— ly� 01 FOOTING 11 MECHANICAL RI 18 EXCA /G ADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 9 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU�YES�NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor 't : Inspector. - White Copyllnspector's File Canary CopylSite Notice