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Home My WebLink About2002-P05042 - re-roof . �f , � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05042 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 4iisi2oo2 SITE ADDRESS: 2056 Shoreline Dr Wayzata,MN 55391 PID: is-i i�-23-2i-0002 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 391.25 Valuation: $ 25,000.00 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 403.75 APPLICANT: St. Croix Valley OWNER: Dean&Victoria Terry 2511 Hwy 7 2056 Shoreline Dr Excelsior,MN 55331 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. -� . �� '�� , PPL PERMITE TURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . � . Total Fee: $ Date Received: �-/�-�CjU �� Entered By: �y�2v Pernut#: vn �`-'(��/� CITY OF ORONO - BUILDING PERMIT APPLICATIOIeT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: Z��(o �S�oR e��.e J� � ZIP: (�� NAME OF OWNER: ��C'tc,�� Fi ��`� PHONE: (home) (work) MAILING ADDRESS: �r�n/�E CITY: ZIP: CQ�P CONTRACTOR: f - � o�.,� (/f l�e;� PHONE: �3'l-- 7�s=��'ss CONTACT PERSON: ��„; �� l��lQ MOBILE/PAGER: MAII.ING ADDRESS: , ( CITY: CX�� L�;0,2 ZIP: �S ( STATE LICENSE: # G ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��G�� STORIES: ( SQ. FEET OF EACH FLOOR: �S�'�C NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $�S QQ c� i 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 acc r a with the approved plan. APPLICANT'S SIGNATURE: DATE: � 0 Z- NOTE! Parade gf 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 RIGFTTS OF S[TB.fECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqiared to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and inunded use of the requested data withia the collecting ttate agency,poliacal subdivision,or statewide rysum; (b)whether he may refuse oY is legally required to supply the requesud data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idendry of other persons or enades authorized by state or fedecal law to receive the data. T6is requirement s6all not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income taz or propertY tax cefund instcuctions inscead of on[hose forms. Subd.3. Access to data by individuai. Upon request to a responsible aurhoriry,an individual shall be infocmed whether he is the subject of stored data on individuals,and whe[her it is classified as pubtic,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data wirhout any charge to him and,-if he desires,shall be informed of the content and meaning of chat data. Afrer an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal 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 che data. The responsible authoriry may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies. The responsible au[horiry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot comply with the requesc within that time,he shall so inform the individual,and may have an addirional five days within which W 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 accurecy or completeness of public or private dara conceming himself. To exerciu this right,an individual shall nodfy in wricing the responsible authoriry describing�he nature of the disagreement. The responsible authoricy shall within 30 days either: (a)correct the data found to be inaccurau or incomplete and attempt to noafy past recipients of inaccurate or incompiete data, including recipiencs named by the individual;or(b)notify the individual thac he believes the dara to be correcc. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible au[hority may be appealed pursuant to the provisions of the administrarive 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 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 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 requesied 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 ihis application or permit. �c�5oa� (,'� • Urd�l� First iddle �t � • Ad V On a, ti l/ � � �l� - City State Zip Phone. I understand my ' ated above. Signamre O"� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED � � PERMIT NO. ��` COMPLETED �� 1� ADDRESS_ ,-��C7L.o ��P-�Y�- l�i�� OWNER CONTR. �� Q��( � p�� TELEPHONE N0. �/1 S�"�7S -�� DESCRIPTION ° � 01 FOOTING 11 MECHANICAL RI t EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL n f 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W 0. � J O a � O � W � Q � Z W � W � j d W �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ,��❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOFi WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUtRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnedContractor 'te• Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO E SCHEDULED 5=/f� :O� PERMIT N0. � C MPLETED 1� I� ADDRESS O S C� - /l C�f� ��f`�- E� . OWNER CONTR.� C�'DiK �G�/ TELEPHONE N0._�� 7 �� :7 , � DESCRIPTION !' � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING l/ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � ORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContract s' • Inspecto White Copyllnspector's File Canary Copy/Site Notice