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Home My WebLink About2006-P09912 - re-roof PERMIT CG�Y �F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: po9912 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/30/2006 SITE ADDRESS: 2879 Casco Pt Rd Unit# Wayzata, MN 55391 PID: 20-117-23-31-0054 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minar Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 valuation: $ 9,500.00 State Surcharge Fee: $ 4.75 TOTAL FEE: $ 186.00 APPLICANT: W.F. Smith Construction � - � OWNER: Lawrence&Kathleen Elsen 6585 So. Saunders Lake Dr. 2879 Casco Point Rd Minnetrista,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. � �� APPLICANT PERMITEE SIGNATURE SSUF:D BY SIGNATUR!? Copies: 1-File(SignaturesRequired), l-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) 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. (please print all infor•mation) � ------------------------------------------------------------------------------------------------------------------------ -- ��_._... . __.____ THE APPLICANT IS: (ci�•cle one) OWNER CONTRACTOR� JOB SITE ADDRESS: �� CI ��—� �� ZIP: -S S��t � Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �NO If yes, a special eveivt permit is rega�ired witlz Police Depar�tment and City Coamcil approval 60 ctays pria•to the event. Shuttle baEs sei�vice��ill be reqa�ired unless applicant denionslrates satfficient on-szte par�king is available. Non-perr�aitted events��vill not be alloi�ved. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR:W.� Srn+`t�'J C�� PHONE�S�-�7�-� C�S`�`j CONTACT PERSON: 'P� t�n MOBILE/PAGER:G,(a- -�67-3 �i 7 MAILINGADDRESS:6s�s�,.5,�;,,,,.,��v' C„� ��; CITY:��I��rS(� ZIP: S�S�c-� STATE LICENSE: # �3��i 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(describe in detain: l�,�� ' 12�'_S(�-r ,� v� (�Q STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �S�O � `� `� I hereby apply for a buildin�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 Buildina Code;that I understand tliis is not a permit and�vork is not to start without a permit;and tllat the worh will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � ` ` DATE: 5 '' .�� 31 . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. L Type of data. The rights of individual on whom the data is stored or to be stored shail be as set tiorth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or contidential dataconcerning himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting sta[e agency,political subdivision,or statewide system;(b) whedier 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 supply investigative data,pursuant to section 13.82,subdivision S,to a faw enforcement officer. The commissioner of revenue ma�lace the notice required under this subdivision in the individual income ta�or propertv ta�c refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon requestto a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or contidential. 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 infonned 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 dle individual subject of the data. The responsible authoriry may require the requestirtg person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal I comply immediately,if possible,with any request made pursuant ro this subdivision,or within tive days of die date of the request,exduding 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 tive days within which to comply�vith 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 oY the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notity past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data[o be correct Data in disput?shzll be disclosed only if t�ie individual's scTtement ofdisagreement is included��ith the disclosed data. The determination ofthe responsible authority may be appealed pursuantto the provisions ofthe 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 infornl you that your request for a pecmit 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. �3. 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 yourseif. 6. Your full name is required to process this application or permi . � A-�.�.�-r-' � ��-� �1�- �I First N[iddlc Last C�S c�� S��. S A v ��`{J�,—n-S �- - .D j'Z , .4ddress '1 M� � �.i�i+v �[�"�( S ( A i ' 1 Y�� 1 L� �? S�- —L.f�7 a — �v S �C � Cih� State Zip Phone I nderstand my rig ts as sta ed above. � Signature Reset Form .?� �`o � DATE TIME CITY OF ORONO ALLED IN � INSPECTION N C SCHEDULED PERMIT NO. � �� COMPLETED ADDRESS a87 9 �CO � �� OWNER CONTR. ��. TELEPHONE N0. �� . �� 7 �✓// � � DESCRIPTION �� 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 Z Q 05 FINAL 14 SEWER HOOK-UP O6 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED C I PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O G CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN INSPECTOR WlLL RETURN � CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContract ite: Inspector. �- White Copyllnspector File Canary CopylSite Notice