HomeMy WebLinkAbout2007-P11384 - re-roof PERMIT
CITY �F ORONO
2750;Kelley Parkway- PO Box 66 Permit Number: P11384
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
8/28/2007
SITE ADDRESS: 2871 Casco Pt Rd Unit#
Wayzata,MN 55391
P��� 20-117-23-31-0056
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:
Tear off and replace Cedar Shingles
FEE SUMMARY: Permit Fee: $ 552.85 valuation: $ 40,500.00
State Surcharge Fee: $ 20.25
TOTAL FEE: $ 573.10
APPLICANT: Shoreline Design OWNER: J Patrick Wolfe
4008 Shoreline Dr. 2871 Casco Point Rd
Spring Park,MN 55384 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 PERMITBE SIGNATURE UED BY S[GNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ , Date Received: 1� 02 ��
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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 inforrrcation)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB siTE ann�ss. 2X 7 l �'�s� D�� �d zir: S Sr3 ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ �10 If yes, a special event permit ts required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
suffrcient on-site parking is available. Non-permit2ed events will not be allowed.
NAME OF OWNER: �� �o/yy�� PHONE: (home)�3�2-�1?f-�ZZ O
(work)
MAILING ADDRESS: �87I CGzscp �j1 CITY: ZIP: S'-S3y2
CONTRACTOR: !-r�re� � � s � PHONE: y7 f-;SZ�OS
CONTACT PERSON• r' MOBILE/PAGER:
MAILING ADDRESS: � j� ',�. CITY: /c ZIP: ���'��
STATE LICENSE: #,�pt�$/q Z,Z EXPIRATION : 3/3 t/D8
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 MCJ�D review and permits !
PROPOSED WORK(describe in detai�: �2 ya�
STORIES: Z_ SQ.FEET OF EACH FLOOR: � , p(✓�/
NO. OF BEDROOMS: GARAGE STALLS: ATTACHE DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � �/�. SO�
I hereby apply far a building permit and I acknowledge that the information above is complete and accurate;
that the wark 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.
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APPLICANT'S SIGNATURE: .--Z�.� ' DATE: � -2 .�
31
. �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd. L Type of data. The rights of i�dividual 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 conceming 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 shal I
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 place the notice required under this subdivision in the individual income tax or property 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 infortned 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. Afrer an individual has been shown the private data and informed 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 of the private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making certifying,and compiling the copies.
The responsible authoriry shal I 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. 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. Procedure when da[a is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himself. To exercise this right,an individual shall notify in writing d�e 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 the individual;or(b)notify the individual that he believes the datato be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreemen[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 pern�it 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 this application or permit.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
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Signature
ResetForm � ;2
C`O D TE TIME �
CITY OF ORONO ALLED IN ` �
INSPECTION NO CE �p�(� SCHEDULED �7 __��
PERMIT NO. I I J� 1 COMPLETED
ADDRESS 2b �I ��.4 C'� �5,� •
OWNER CONTR. S ��r� �%j��
TELEPHONE NO. �S� ��l�oZ�D� �Sl�{�
� DESCRIPTION '�-���� 1�1G� �l �.�
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 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 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the n xt nspection 24 hours in advance. (952� 249-46�0
OwnerlContr o i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
A TIME �
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED "Z
PERMIT NO. � � � COMPLETED
ADDRESS a g 7I �S� � �
OWNER CONTR.SG�Z�.l.r�-e �Ciw
TELEPHONE NO. ��z �f 7/ z�Q—S
� DESCRIPTION /e�' D7� `` ���' ������L�
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ltr 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (J52� 249-4600
Owner/Contra o site:
Inspector. ��'
White Copyllnspector's e Canary Copy/Site Notice