HomeMy WebLinkAbout2002-P05896 - re-roof PERMIT
CITY OF �RONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poss96
Crystal Bay, Minnesota 55323 Permit Type: Minor aiterations
(952) 249-4600 Date Issued: i2ii2izoo2
SITE ADDRESS: 3065 Casco Point Rd
Wayzata,MN 55391
P��: 20-117-23-34-0011
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 permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 111.25 Valuation: $ 5,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 114.25
APPLICANT: W•F. Smith Construction OWNER: Robert&Jeanne Jerdee
5975 Lynwood Blvd 3065 Casco Point Rd
Mound,MN 55364 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 PERMCI'EE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Apolicant. 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
12r11/2062 97: 51 9524726539 WF SMITH CONST: PAGE 01
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�'� ; ,�._!"j Date eived: � - � � � ` -
Total Fee: $ `�
Entered 5�+: l��`�-- Per�nit �f �
�� CITY OF ORONO - BUII.DING PERNIIT PLICATION
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��-' All ingormation must be submitted in full before plan r ew wi11 be started.
(please print all information)
TgE AppT,ICANT IS:Y (circle one) OWNER OR ONT CTOR�
JOB SITE ADDRESS: O ZIP: 5S S'� )
nf' PH NE: (home)
NAME OF OWNER•_, IS � —
(w rlc�
MAII.INGADDRESS�S� C,P�K� CITY: ZIP:
CONTRACTOR: � . PH NE:GS� -4'72.– 65 3�
CONTACT PERSON: MOBILE/PA ER:
MAILING ADAYtESS:��'7 S" C..`I' 1��o��.u�ITY: ���
STATE LICENSE: #� 53 0
ARCHITECT/ENG�NEER: P ONE:
MAiL1NG ADDRES5: CTTY: ZIP:
NAME: REGIS TION#
TYP� OF WORK: New A.dditior� ssory Stxucture
Move ReinodellAlceradon�,_ Land Alteration
PROPOSED WORK(describe in detain: ��i'� G� -S �'
STORIES: � SQ•�T OF EACH FLOOR:
NO. OF BEDROUMS: GARAGE STALLS: A?T DET.
EST�MATED CONSTRUCTION VALUAT�ON(excluding 1 d): $ � a a v �
I hereby apply foz a buildin,g permit and I aclrnowledge that the ' rmation above is complete and
ac�urate; that the work will be ir�conforrnance with the ordinance and codes of the City and with
rhe State Bui�di.ng Code; that I understand rhis is not a pezmit woxk is not to start withaut a
permit; and that the work will be i.n accordanc with the approv plan.
APPL�CANT'S SIGNATURE: DATE: �a` T �1 –a Z–
NOTE! P,arad'e nf li� events require separate perntit appr val by Police Depa.riment and
� City Council 60 days prBor to the event. Non permltted eveRts �ll not be aYlowed.
12/11/2002 67:52 9524726539 WF SMITH CONST: PAGE 61
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Sec.l3_04 RIGHTS OF 3IJSAECTS OE DATA
5ubd. 1. ?ype o[data. The rights of iadlvldual on whom�he da�is awred or oo be �ed ahall be aa set forth iu�Is sacdaa
SuEd.2. in[ormstion req�red to ha��ea IodirSdual. An fndividual asked o�supply imraoc or coofldeadal dan coocorufn8 himself shW
be informed of: (a)the Purpos�and tntended use of Q►�tecryesoed dam w�d�iu the wUecdnY l� eocY,PoGdcal subdivision,oc sacewide syst�m;
(b)whethar he m�y tetUse ot is k�ally required co supply rhe iequesoed daca;(c)any lmown coas e arisinS iroa►his auPP�Y�B or cefusing w supplY
privaa or confidessd�l da�:uid(d)�he ideuriry oE other persous or enudes�utb.orized by s�am or f tsl law to�celve tho dau. This re4uilem�°�shsll
not apply when an lndividual is aslced to supply invearigadve daea.pursvanc ro secdon t3.82, �vision S,to a I�w anforeemaat o�icet.
e o �ssi r o even e mevi ce che d e re ui und rhis �vis d► !� inc � �
K
- d on e fo
Subd.3. Acceaa to dsta by indivldual. Upon rcques�to a nspoAsible eu[hodry��n la furtherall bea�indlvidusi wlw is the subjecc
of smced dara on individua�s.aed wherhar ic is cla9si�ed as public,privace ar conAdendsl. Upo �9
of storod priva[e or pubiic daw on individu4ls sha116e showu rhe da�wi�hout sny cherga w him 'if 1�c des�es,eball be info'a°ed of rhe cnncent
and meaning of d�a�data- After an iedividu�l has been shown the private data and infarmsd of ita meanina,r�e dan nced noc ba disctosed m R1na fo�
aix monrha dureaf�er unlesa a disput�or acdon pursuanc oo�►is sacdoa is pending or addirioua] n•on rLe in�dividual has beea coUecaed or oraced-
The iospoasiblc sut6oriry ahaU p����copies of rhe privace or public data upon rcques�by rhe indi idual subjac of the dan. 17xe respoaaible suthority
may�equire d�e roques�person co pay rhe acaial coscs of makln��cerrifying,end compilin8 nc �opiea.
'1't�e reaponsible aurhoricy shall comply irnnudiaroly,if passible, wich enY rcquesc mad pu�suan[w Wia aubdivision,or Wirhln 6ve days of
t6e dam of fie[e9uac,eaduding Saw�lays,Sundays and legal holidays.if immediau compliance' noc possibla [f he canaot comply witti che nques[
Wi�a tbat rime,he sha11 ao inform rhe iadividual�uf�d maY have an addiqonal five days widtia w � ��o�P�Y Wim�e requeot,excluding SaNrdaya,
Sundays and kgal holid�ys.
$u�,4, pYy�edure w6en d�ta�not accurate or complete. M individual m�y co s[du accuracy or compleo�ness of public or privace
dam concemin6 h{msnlf. To exercis�rhis riSh�.��+dividual shell nodfy in wriang thc rospoa,sihl authoriry dweribiaq rhp namre of�e di�6mm°of
'fba responsible au[honty shall wichie 90 days e'tther. (a)comecc rhe daca fouad oo be i[�accura[e incomPle�e aad sttsm c to noaiy paa P
ituccuiate or incomple�e dam, incl�din�ncipieaa namcd by�he individual;or(b)noatq�he � iduel thxt he Delievas rhe data ro be cociecc Dara
in dispuoe shall be disclosed onty if uu indi.idual'9 snt�mea�of disag a'�antu��i�pro�. �n,s of the�idministiarive procedure ac�reladng ro
The dar�rminadon of rhe responsible authoriry may bo aPP� P
conte9ted cases.
D TA P A VISO Y
In accordance wi[h M•S. 13.04, Subd.2, 'Rigbts of subjects of data",we ould like tv inform you that your request
for a permit or license from the City of Orono or any of ics departmen�s ma require you to furnigh certaia privace or
confidential information•
You ate notified that:
1, The informacion you furnish will ba used to determine youc quali ication for the pecmit or licer�e requested.
2, You may xefuse to supply daca, bu�refusal may require cha[ City deay the permit or license.
' 3 �e �nf�rmation,may be shared wich other local, scace or fedaal gcneies to the extent necessary to process
the pecmit or license.
4. Xf your requested perm.it or license nquires Council aetion to appcove, some informadon may become
public.
g, You have certain rights under M.S. 13.04 (available upan req est) tv review privace daEa on yourself.
6, Your full name is r�quired [o process this application or pe c-
� � � �Y1n i�'�
First
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C�ry
I erstand my rights stated ab ve. .
Signatnre