HomeMy WebLinkAbout2003-P06109 - re-side PERMIT
CITY OF ORONO Permit Number:
. 2750 Kelley Parkway - PO Box 66 Po6io9
Crystal Bay, Minnesota 55323 Permit Type: M�noraiterac�ons
(952) 249-4600 Date Issued: si2�i2oo3
SITE ADDRESS: 2930 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-31-0034
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Pernut Class: Building
Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25
Valuation: $ 10,000.00
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 186.75
APPLICANT: DanberryCompany OWNER: MarvinMenth
4410 Shoreline Dr 2930 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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;���L�I'�� ICANTPERMI SIGNATURE ISS � DBYSIGNATURE
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Conies: 1-File(Siunitures Required), 1-Annlicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
.
Total Fee: $ l ��p• � Date Received: �4 ��
, Entered By: _ ��� Perm.it#: 3
CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
� (please print all information)
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THE APPLICAN'T IS: (circle one) OWNER OR CONTRACT
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JOB SITE ADDRESS: � ��, Cc�z � z�: ��s �/
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NAME OF OWNER: J � � � e `� �`�'� HONE: (home)
(work)
MAILING ADDRESS: ,� �j �' C� 5<<� � ��ITY: (�%.�, z�- -��T ZIP: �s> �
CONTRACTOR: � �;�� �e PHO�IE: ��f"P� ��
CONTACT PERSON: ��.� MOBILE/PAGER: 6�1 ;2����7 O� 7
MAII.Il�'G ADDRESS: yy�D S Gr c�-c(,.�e ,��, CITY: �'i � �, �ZIP: r s' �
STATE LICENSE: # %�l��
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: � CITY: ZIP:
NAME: " REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �� S ��� � � �'`sC=
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
-,�?� �',�
EST�IA1'ED CONSTRUCTION VALUATION (excluding land): $ �(�(/�•
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 acco the oved plan.
/
APPLICAI�iT'S SIGNATURE: DATE: ,��/�� �
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
, .
Sec.13.04 RIGIiTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual azked to supply private or confidendal data concerning himself shall
be informed of: (a)�the purpose and intended use of the requested data within the collecdng�tate agency, polidcal subdivision,or satewide system;
(b)whether he may refuse oY is legally required to supply the requesced data;(c)any lmown coasequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idendry of o[her persons or enddes au[horized by state or federal law to receive the data. This requirement shall
not app(y when an individual is asked to suppiy invesrigadve data, punuant to section 13.82,subdivision 5, to a law enfoccement o�cer.
The commissioner of re�•enue mav place the nodce reauired under this subdivision in the individual income tax or propem taz refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher it is class�ed as public, priva�e or confidenaal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown che data wi[hout any charge to him and,�if he desires,shall be informed of the content
and meaning of that data. Aher an individual has been shown the private data and informed of its meaning,the dara need not be disclosed to him for
six months thereafrer unless a dispute or action pursuanc to chis secdon is pending or addidonal data on the individual has been collected or created.
The responsible authority shali provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesdng person to pay the actua!cosu of makine, certifying, and compiling the copies.
The responsible authority shall compiy 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 addiuonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuncy or completeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in wriang the responsible authoriry describing che nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy the individual that he believes the data to be correct. Dara
in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The decermination of the responsible au�horiry may be appealed punuant to the provisions of the adaunistradve procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
+ In accordance with M.S. 13.04, Subd.2, "Rijhts 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 fumish certain private or
confidential information.
You are notified that:
1. The information you fumish will be used to detemune 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 a�encies 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 vliddle Last
Addross
Ciry State Zip Phone
I understand my ' stated ab e.
Signanire
� � ti'�
C� � �ti ✓
ATE TIME
CITY OF ORONO CALLED IN .% �� ����j
INSPECTION NO _�CE �� SCHEDULED T� ���� _,�
PERMIT NO. C�` � COMPLETED
ADDRESS a`��� /��/ r!'�` �f" ��� �
OWNER CONTR. �"'
TELEPHONE NO. �_ � -, � � � - � � ,��
� DESCRIPTION � : .f��; ' �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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YE�NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑COFRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
Owner/ConUactor o
Inspector. �
White Copylinspector's File Canary Copy/Sfte Notfce