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Home My WebLink About2004-P08140 - re-roof � � ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po8i4o Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: io�2g�2oo4 SITE ADDRESS: 3061 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-34-0017 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 335.25 Valuation: $ 20,500.00 State Surcharge Fee: $ 10.75 TOTAL FEE: $ 346.00 APPLICANT: WesturnRoofing OWNER: DorisMolitor-Waters 9700 13th Ave 3061 Casco Point Rd Plymouth,MN 55441 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . � �—y�-� 7�7�(. �L �1'L- � � y � APPLICANT PERMITEE S URE ISSUED BY SIGNATURE Conies: 1-File(Sienitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 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. (pleaseprint all i�ifor�natio�a) � �_,��_Z3 y,� u�,� ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR JOB SITE ADDRESS: �l4� �" ��`� �9S�v �;j�:�� ZIP: ' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a speciczl event perrriit is requirecl with Police Department and City Council approval 60 days prior to tlte eve�zt. Non permitted events will not be allowed. NAME OF OWNER: ,.ij�� //�,�,� PHONE: (homer�/�7�j3-�/'3 � (work) MAILING ADDRESS: <'�ir,,� CITY: D�oNc� ZIP: CONTRACTOR: l�c/�'S/Lf �� PHONE: �!3-��-n�� CONTACT PERSON: �j�-;C� MOBILE/PAGER: MAILING ADDRESS: 97�j� /3rJ„��--E �� CITY: �,�,��,�,�,� ZIP: '� � STATE LICENSE: #J�� /S� �ll ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(describe i�z detai�: y��;��>� STORIES: SQ. FEET OF EACH FLOOR: � NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $��_ �� 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: � .� �%��`� DATE: ��}/ --. �� Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc 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 conFdential data concerning himself shall be informed ot: (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 conGdential data;and(d)the identity oCother 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 nlace the notice required under this subdivision in the individual income tax or pronertV tax re(und instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authorit,y,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 intormed of its meaning,the data need not be disclosed to him for six months thereafter 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 af 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 madc 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 additional five days within which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedurc whcn datu 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 noti(y in writing the responsible authority describing the nature of the disagreemenL The responsible authority shall rvithin 30 days either: (a)correct the data found to be inaccurate or incomplete und nttempt to notify past recipients of 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 dispute shall be disclosed only it the individual's statement o[disagreement is included with the disclosed data. Thc dctcrmination of the responsiblc authority may be appcaled pursuant to the provisions ot 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 qualiCcation 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 right s stat abov �� Signature �;�� v/ DAT TI M E CITY OF ORONO CALLED IN �' 'G INSPECTION NO CE SCHEDULED Jf-a��`� ��-'� PERMIT NO. COMP�ETED ADDRESS �G � I C�S r � ;�K� OWNER CONTR. ��S-�v/�i TELEPHONENO. ��i ca��f �`7n �i� � DESCRIPTION � -i'1�U � � 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 12 WATER HOOK-UP 17 SITE INSPECTION Q FIN 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 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContr�oro ite: Inspector. C White Copyllnspector's ile Canary CopylSite Notice