The URL can be used to link to this page

Home My WebLink About2005-P08519 - re-roof -,r . _ CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Possi9 Crystal Bay, Minnesota 55323 Permit Type: Ivtinora�terations (952) 249-4600 Date Issued: 3�ia�2oos SITE ADDRESS: 1300 Bracketts Pt Rd Wayzata,MN 55391 PID: 11-117-23-32-0017 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S -Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 125.25 Valuation• $ 5,300.00 State Surcharge Fee: $ 3.15 TOTAL FEE: $ 128.40 APPLICANT: W�F. Smith Construction OWNER: �eorge Pillsbury 6585 So. Saunders Lake Dr. 1300 Bracketts Pt Rd Minnetrista,MN 55364 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TFIE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � "� `�L � .�lil.. �,�� APPL[CANT PE MITEE IGNATUR ISSUED BY SIGNATURE � Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance 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 pYirit all i�ifornaatio�a) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle oize) OWNER OR CONTRACTOR JOB SITE ADDRESS: ' _�,v� �rL�� IC.�`�'� �� ZIP: SS1's-' � Will this be a Parade of Homes, Remodelers Showcase IIome or other Display Home? ❑ Yes ,�No If yes, a special event permit is rec�uired tivitlz Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: C�L.,a/` � I lS`I� vCZ PHONE: (home) (work) MAILING ADDRESS: CI Y: ZIP: CONTRACTOR:W� F. S� r '�� (_:.6'►��- PHONE: �1� � y�a � 6 S-�j CONTACT PERSON: 13 U f� MOBILE/PAGER: � i�.- gb� - 3 i � -7 MAILING ADDRESS: (oSBS S� SA ��-t�rn� L1c t�� CITY: ►'�'1�n;n�eFns I,} ZIP: �� STATE LICENSE: # �—'3�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(de cribe i�z detai�: j�C��. ;�`�� --i �� cf' �-� - ��- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $� �� S� i� U I hereby apply for a building permit and I aclrnowledge 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: DATE:� "— ��- '� S\ Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc rights of individuai on whom the data is stored or to bc stored shall be as set forth in this section. Subd.2. lnformation required to be given individual. An individual asked to supply private or confidential data concerning himsclf shall be intormed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whMher he may refuse or is Icgally required to supply the requcsted data;(c)any known consequcnce arising from his supplying or refusing to supply private or conedential data;and(d)the identity of other persons or entitics authorized by state or federal law to reccive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforceinent officer. The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or nroaertv taz refund instructions instcad o(on thosc forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or conedentiaL 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 contcnt and meaning of that data. After an individual has been shown the private data and informed af its meaning,the data nced not bc disclosed to liim 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 of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exduding Saturdays,Sundays and Iegal holidays,if immediate compliance is not possihle.If hc cannot comply with thc request within that time,he shall so inform the individual,and may have an additional five days within which to complq 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 this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. Thc 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 recipicnts named by the individual;or(b)notify the individual that he bclicves the data to be correcL Data in dispute shall be disclosed only if the individual's stateinent o[disagreement is included with the disclosed data. The determination o(the responsible authority may be appcaled 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,"Rights of subjects of data",we would like to inform you that your request for a per►nit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are noti�ed 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. 1,tit� n,,� ��'-� � S n , i -��4 Eirst Middlc ast ��'�� J�� J � v r... � C-�✓� � " ��., p �' Address �-, , v�,�fr, s � � � s s s� �/ � S:� - `--/ �� _c �-��- City State Zip Phone I understand my rights as stated above. � `----_ '�. Signature -. DATE TIME \;' CITY OF ORONO CALLED IN INSPECTION NOTIC ��.�lt� scHE�u�Eo PERMIT N0. �� COMPLETED 3-�`�--�� ADDRESS f 3�� 1'�C-�:7"� o niT OWNER CONTR. W•L- S�^'��Tn �o �� TELEPHONE N0. � DESCRIPTION �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 FOUNOATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO c � Cc�,`.,M ENTS: � a l��F �o�.t � o � � � -�-� ( m�s--�.� �. � 0 � W � Q � a W � w � � W lslWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (95Z� Z49-46�� OwnedContr c on ' Inspecto . White Copyllnspector's File Canary CopylSite Notice