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Home My WebLink About2005-P08812 - re-roof PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po8812 Crystai Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/7/2005 SITE AD[JRESS: 1755 Concordia St Unit# Wayzata,MN 55391 PID: 17-117-23-22-0018 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: Pernut Fee: $ 97.25 valuation: $ 3,700.00 State Surcharge Fee: $ 1.85 TOTAL FEE: $ 99.10 APPLICANT: Incline Enteiprises Inc OWNER: Douglas Kohrs 26175 Birch Bluff Rd 1755 Concordia St Shorewood,MN 55331 Wayzata, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGR ES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNES A BUILD �i CODE REQUIREMENTS. �� r��c�� ,�'�� APP T PERM NA ISSUED BY S[GNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, ]-Monthly Reports, I-Assessing,([f Septic, 1-Septic) Page 1 Total Fee: $ Date Received: - Eu''tered By: Permit#: . CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pYint all infortnation) _ -- ___. � _ THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR JOB SITE ADDRESS: / �.S� ��(�C , � 'STZIP: � Will this be Parade of Homes, Remodelers Showcase Home or other Display Hott�e? ❑ Yes � NO If yes, a special event permit is required with Police Departmer�t and Czty Council approval 60 days prror to the event. Slzzrttle bzrs servrce will be required unless applicanl demonstrates strfficient on-site parkrng is available. Non pern2itted events will not be allowed. NAME OF OWNER: ��`� �C� �a� PHONE: (home) (work) MAI�,ING ADDRESS: CITY: ZIP: CONTRACTOR: ,S�Q� � +� �"� PHOl�,�: �'/��--�d'(�� CONTACT PERSON: , MOBILE/PAGER: �— }rJ'� MAILING ADDRESS: 1"— _ �� CITY: •S �Cts�tj�2 ZIP: _��33/ STATE LICENSE: # � '� EXPIRATION DATE: �� ARCHITECT/ENGINEER: PHONE: MAiLING ADDRESS: CITY: ZIP: NAME: REGISTR.ATIOl�T: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration %(� r— ' � �._. � PROPOSED WORK(descf•ibe in detai�: ��7 Ci i�� r STORIES: SQ.FEET OF EACH Fi,00R: NO. OF BEDROONIS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRL�CTION VALUATION(excluding land}: $ `j��_ I hereby apply for a building permit and I acknowledge t t the information above is complete and accurate; that the work will be in conformance with th ordinanc and code the City and with the State Building Code;that I understand this is not a permit a work is t to start i ut a pe ' � and that the work will be in accordance with the approved plan. ^ APPLICANT'S SIGNATURE: DATE: ~--S 31 Sec.13.04 RIGHTS OF SUB,TECTS 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. Information required to be given individual.An individual asked to supply private or confidential data conceming himselfshall be informed of: (a)the gurpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply priva[e 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 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mav�lace the notice required under this subdivision in the individual income taY or pronertv tax refund instructions instead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authority,an individuzi shall bz informed whether he is the subject of stored data on individuals,.and whether it is classified as public,private or confidential. Upon his further request,an individua(who is the subject of stored private or public data on individuals shall be sho�vn the data�vitllout any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispu[e or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible au[hority shall provide copies of the pnvate or public data upon request by the individual subjec[of the d2ta. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible au[honty shat]comply immediately,if possible,with any request made pursuant to this subdivision,or within five days o` the date of the request,excluding Saturdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot compiy with the reques: within that time,he shall so inform the individual,and may have an additional five days within«�hich to comply wi[h the request,excluding S2turdays, 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 conceming himself.To exercise this right,an individual sha11 no[ify in wiiting the responsible authority describin¢the nature of the disagreement.The responsible authoriry shatl within 30 days either. (a)conect the data found to be inaccurate or incomplete and attempt[o notify past recipients of inaccura[e 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 statemen[of disagreement is included with the disclosed data. 'Ihe determination of the responsible au[hority may be appealed pursuant to the provisions of the administrative procedure act rela!ing Co contes[ed cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subj ects of data",we would like to infonn 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 deternune your qualification for the pern:it 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 pernlit or license. 4. If,your requested permit o:license requires Council action to approve, some infornlation may become public. 5. You have certain rijhts under M.S. 13.04(available upon request)to review private data on yoursetf. 6. Your full name is required to process this appli ation or permit. � ,� �.� � L� � _ �' F' t Midd] �� Last , �r�/ � �-- - Address � ti� � � C�ty State Zip Phone ---_-- I understand m}�rights as stated above. Signature 32 G� � D TIME V CITY OF ORONO ALLED IN INSPECTION N SCHEDULED � � PERMIT NO. �/�COMPLETED ADDRESS � �7 SS ��-� � 4S� OWNER CONTR. �l'1!'_�� TELEPHONE NO. �/a S�� ! r 7 7 � � DESCRIPTION�P[.vv �'" ' � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next•'nspection 24 hours in advance. (952� 249-4600 OwnedContract�fo� 't : Inspector. � White Copyllnspector's File Canary CopylSite Notice � ✓ � DATE `��`TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -�j -�� PERMIT NO.��n� � COMPLETED , , ADDRESS � OWNER CONTR. TELEPHONE NO. C��.� — ��^ / �� DESCRIPTION � �/'�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVA� J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � d ✓ W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR !� CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the n xt inspection 24 hours in advance. (952� 24J-46O0 OwnerlCon ite: Inspector. � White Copyllnspector's Fi e Canary CopylSite Notice