HomeMy WebLinkAbout2001-P04530 - re-roof CITY OF R N PERMIT
� O O O
2750 Kelley Parkway - PO Box 66 Permit Number: Po4s3o
Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations
(952) 249-4600
Date Issued: 1oi23i2ooi
SITE ADDRESS: 2941 Casco Point Rd
Wayzata, MN 55391
PID: 20-117-23-31-0047
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai
Permit Class: Building Census Code O/S-Building
Permit Type: Minar Alterations Permit Sub-type(s): Building- Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25
Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: B&7's Construction OWNER: Curtis&Kathleen Midthun
1556 North Snelling 2941 Casco Point Rd
St. Paul, MN 55108 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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APPLI A PERMITEE 1 NATURE SUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
Total Fee: $ Date Received: �� �a,3-�/
Entered By: Permit#: � �{S3 a
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 APPLICANT IS: (circle one) OWNER OR ��-jNTRACTOR
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JOB SITE ADDRESS: � 9 '� / �S� �v � �i � � ZIP: S5 �� /
NAME OF OWNER: �,��`�'�1S ��c�TLtU�n PHONE: (home)
(work)
MAILING ADDRESS: �� �:1 �CL�C�a�-�CITY: ���� ZIP: c;�,3�I
CONTRACTOR: ;=�„� �� �S �v�S�u e-��- PHONE: ���`��-I��"�'R`�3
CONTACT PERSON: �3r�.v�-t ����54e-i MOBILE/PAGER: �$3-�,4'1 )
MAILING ADDRESS: t'�5 cp ufl .S��_l��-�� CITY: `5� -(�cL.u.D. ZIP: �-'� • �S l O�
STATE LICENSE: # `
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�: �Q,- � _
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �o�- �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:L���-��-.� �`7'7i.�-�-�-� DATE: lL� -,�� - o �
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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 RIGHTS 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.Z. Information reqtrired to be given individual. ,an individual asked to supply private or confidendal data concerning himseif shall
be informed of: (a) the purpose and intended use of the requested data within the collecRng"state agency, political subdivision,or statewide system;
(b)whether he may refuse oY is legaily required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
priva�e or confidential data;and(d)the idenriry of o[her persons or enriaes auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrieadve dara, punuant ro secdon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or propertv tax refund
instructions inste�d of on those forms.
Subd. 3. Access to data by indi�ldual. Upon reques[to a responsible au[hority,an individual shall be informed whe[her he is the subject
of stored data on individuals,and whe[her it is classified as public, private or confidendal. 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[hat data. Afrzr an individual has been shown the private data and informed of its meaning, the data need not be disclosed to hicn for
six months thereafter unless a dispute or action pursuant to this secdon is oending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of making, cervfying,and compiling the copies.
The responsible authoriry shall 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 che individual,and may have an addirional 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 individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise chis rieht,an individual shall notify in writing the responsible authoriry describing che nature of the disagreement.
The responsibte authonry shall within 30 days either. (a)eorrect the data found ro be inaceunte oc incomplete and attempt to nnrify past reeipienu 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 if the individual's statement of disagreement is included with the disclosed data.
Tt�e determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Ri�hts of subjects of data", we would like to inform you that your request
for a pernut 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 pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
pubiic.
5, You have certain rights under M.S. 13.04 (availabie 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
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. _Ic1 `1�� COMPLETED �' �"�' � -� � U
ADDRESS ��� ��-s�� �� �.r�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �-f��� -' G�'"� �
LL 01 FOOTING 11 MECNANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
J 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra�c�r on site:
Inspector. '��
White Copy/lnspector's File Canary CopylSite Notice
V DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED
PERMIT NO. Q S 3 d COMPLETED d"��'�`� U=3�'
ADDRESS �L�( C�-S�'� �/�`
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION /�� —�� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVEflING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra tor on site:
Inspector���,�,�,��t"4 �Lj�
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White Copyllnspector's File Canary CopylSite Notice