HomeMy WebLinkAbout2006-P09858 - re-roof ,, PERMIT
G�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9858
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
5/19/2006
SITE ADDRESS: 2970 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0060
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:
FEE SUMMARY: Permit Fee: $ 153.25 valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 157.25
APPLICANT: Northern Exposure Exteriors Inc. OWNER: Jerry&Bonnie Martinson
9097 S HWY Dr. 2970 Casco Point Rd
Lexington,MN 55014 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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APPUCANT PERM]TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
May 11 06 10: 35a Katie Runstrom 7637831811 p. l
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Total Fee: $ �57 2 � Date Received: �" ��-��v
Entered By: Pet�tcit#: ��qQ,S'g
CITY OF ORONO-BUILDING PERMIT APPLICATION
All information must be submitfed in faII before plan review will be started.
(please print all information)
THE APPI.ICANT IS: (circle oRe) OWNER OR C TRACTO
Jos srrE�unxEss: 2c17o CsCD �i�1 f�: SS3�Z
Will t6is be a P rade of Iiomes,Remodelers Showcase Home or other Display Home?
❑YCS �NO !f yes,a specia/evenr permit is required witk Police Uepartment and City Cuuncil approv�/
60 days prior t o ihe event. Shuttle bus service will be required unless appliccml demo�rstrates
su�cienl on-sire parking is available. Non permitled even�s wi!!not be allowed.
NAME OF OWNER ;��P,Vl�GI ��Gl'f?'��'6l�! PxorrE: (home) �'S2 - �-1�1-��p 2 Z
(work)
MAII.ING ADDRESS: ,S��f� �.-d d r�S,�' CTTY: ZIP:
coNTxacTox: o���e�h �S�i�� ��e`id�PxornE: 7�3- 7�3-/�2/
CONTACT PERSON: � MOBII.E/PAGER:
MAILING ADDRESS: 119 7 S i/cvr-�• �: C`ITY: L�PXiir.�i�'/N ZIP: S�G/�/
STATE LICENSE: # /�'—�7� �e,� EXPIRATION DATE: 3/ZOI�7
ARCHITECT/ENGINEER: Nl� PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NAME: REGIST'RATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeUAlteration (ie: Siding,Windows) Z
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in delain:_/���1.lL�C '� v�T/'�j��� lidd�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACIiED DETACHED
ESTIMATED COI�TSTRUCTION VALUATION(exclnding land): $ ���U � �
I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate;
that the work wili 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 SIGNATLJRE: �!�6(:�l �LJ���(�/?// DATE: S 1! l d�
31
May 11 06 10: 35a Katie Runstrom 7637831811 p. 2
Scc.13.04 RIGHTS OF SUBJECTS OF DATA
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 section.
Subd.2.Informationraquiredtobegivenindividual.AnindividualaskedtosupplyprivateorconfidentialdataconceminghimselEshallbe
infortned of (a)the purpose and inoended use of thc rcquested data within the collecting st'ntc agency,politicat subdivision,or statcwide systcm;(b)
whed►er he may refuse or is lcgally requirud to supply the requcs[ed data;(c)any known consequence arising from his supplying or refusing to supply
private ar�delrGal data;and(d)thc iderrtity of onc�r persons or errtities authorized by state or federal law to rcx.eive�he datl This rcquiremerrt sha11
not apply when an individua!is asked to supply investigativc data,p�usuant to scction 13.82,subdivision S,to a law enforcement o�cer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or nroaettv tax refund
instrvctions instead of on thase fom�.c.
5ubd.3. Accesstodaffibyindividual. Uponrequesttoaresponsibleauthority,anindividualshallbeinformedwhetherheisthesubjectof
storc�d dara on individuaLs,and whether it is classified as public,private or confideniial. Upon his fucther request,an individual who is ihe subject of
srored privute or public dafa on individuals shali be shown the data without arry charge to him and,if hc desires,sha!I be inEormed of the content and
meaning of tha[data After an individual has beat shawn the privatc dnra and infomicd of its meaning thc data need nat be discloszd to him for six
months thercafter unless a dispute or action pursuant to this secrion is pending or additional daha on thc individual has bcen collettcd or crcated. 'i'he
responsible authoriry shall provide rnpies ofthe private or public data upon roqucst by the individual subjec[of the data. The responsiblc suthority
may require the requesting person to pay the aetua!costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply imrnediat�ly,if possible,with any nquesc made pursuant[o[his subdivision,or within five days of
the dabe ofthe request,excluding Satutdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe cannottomply with the request
within that time,he shall so infonn the individusl,and may have an additional 1 ive days within which to comply with tha request,excluding Savudays,
Sundays and le�al holidays.
Subd.4.Procedure when data is not accurace or complete. M individua]may contestthe accuracy orcompleteness ofpublic or private data
c:onceming himtielf.To exercise this right,an individual shall notify in writing the responsiblc authority describing the nature oftpe disagreetnent The
responsible suthoriiy shall within 30 days either. (a)cortect the data found w be inaccurate or incompJete and attempt to notify past recipients of
inaccwatc or incomplctc dala,including raipicnts namcd by thc individuel;or(b)notiCy Ihc individual that hc belicves thc dala ro be cormct I3ata in
dispute shall be disclosed o�ly if the individual's siatement of disagreement is included witti the disclosed data.
The dctermination ofthc responsiblc authoriry may bc appealed pursuant to the provisions of the administrative pracedure act rclaung to
corttestc�d cases.
DATA PRIVACY ADVISORY
In accordance with M.5.13.04,Subd.2,"Rights of subjects ofi data",we would like to inform you that your n�qucst
for a pennit or license from the City of Orono or any of its departments may require you to fumish certain private or
confrdeniial information.
You are noti f ed that:
l. The infbrmation you futnish wilI 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 federaJ agencies to the cxtent necessary to
process the permit or liccnse.
4. If your requested pem►it or license requi�es Council action to approve,some information may become
public_
5. You have certain righks under M.S. 13.U4(avarlable upon request)to review private data on youis f.
6. ur full name is requ' to process lhis application or permit. �
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First D�� Middk La.ct
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CrtY State 7.ip P6one
I understand my rig�ts as stated above.
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s�gnamre
Reset Form 32