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Home My WebLink About2005-P09341 - re-roof :,. . � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9341 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: l0/24/2005 SITE ADDRESS: 2080 Spates Ave Unit# Wayzata,MN 55391 P�� 10-117-23-31-0104 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: $ 125.25 valuation: $ 5,200.00 State Surcharge Fee: $ 2.60 TOTAL FEE: $ 127.85 APPLICANT: Plymouth Roofing&Insulation OWNER: Terry&Christine Morse 17525 Cty Road 24 2080 Spates Ave Plymouth,MN 55447 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. v � .—. � / � �� L�) A PE EE S[GNATURE ISSUED BY SIGNATURE Copies: I-File(Signatures Reguired), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ ��_� 7�'� Date Received: jC��?L;��C�-� Entered By: ;��jl-�. Permit#: ��' ��3�/ � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print al!iiifornaation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci1•c!e oize) OWNER OR ONTRACTOR Jos siTE a�nx�ss: �0�� ,r�C��_� S ��e% zlP: _. S�` ��/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Y0S �1�10 !f yes, a special event pernsit is reqarlr�ed with Police Depai7ment and City Council cappr•oval 60 dnvs prio��to the event. Shartlle bzrs ser•vice tivilf be r�eguired un/ess applicant demonstrates szrff cienl or�-site par•king is avai/able. rVon-pernlitted events will r�at be nllolved. NAME OF OWNE1t: �� O`'S��_ PHON�: (home) 95�-`f73 ,3'�D� (work) MAILING ADDRESS: ��ZO�� ,C�l �� /�U� CITY: G'�U�C1� ZIP: '.5 S-�qi CONTRACTOR: l y�c % � /2 � ��,.. PHONE: 7��-�7�-33i7 CONTACT PERSON: �� ` � � � -;.� MOBILE�PAGER: ia - / -D 53� MAILING ADDRESS: j7.S�S Cc� ��/ ,�/ CITY: �� ZIP: S �7 STATE LICENSE: # S 3 S�� EXPIRATION DATE: ,%��rr=/� G�� ARCI�ITECT/ENGINEER: PHONE: MAILING ADDRESS: CI'TY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WOI2K(describe in detai�: ce�r o� lo /Ge .b��r�r-ir',�' r�r��,:.�,��S G�/��F ��S L�/' � /� L S'I'ORIES: SQ.F'EET'OF Ef1C�3[F'LOOI2: Ie1�. OF BED�2001YIS: GARAGE S'I'ALLS: A'I"TACHED DE'I'ACI�� cC� �STIMA'I'EI)CONS'I'I2�JCT'ION VAL,UA'TION(excluding land): � S��J� 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 ��ith the ordinances and codes of the Cin� and with the State Buildin� Code;that I understand this is not a permit and work is not to start witl�out a permit;and that the work will be in accordance with the approved plan. � ._ _ r a��LIc�NT�s s1�N��: , - � `�, ��: �D- �� D.S , - _ _ �1 , 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. Infonnation required to be given individual. An individual asked to supply private or confidential data concerning himselfshall be infonned of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide systetn;(b) whether he may refuse or is le�ally required to supply the requested data;(c)any known consequence arisine from his supplying or refusing to supply private or confidential data;and(d)che identiN oY other persons or entities authorized by state or federal law to receive[he 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 enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tae or property taz refund instructions instead of on diose forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and whether it is dassified as public,private or confidential. Upon his further request,an individual who is die subject of stored private or public data on individuais shall be sho�vn the data�vithout any charge to him and,if he desires,shall be infonned of the content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six months diereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subjec[of the data. The responsible authoriry may require the requesting person to pay the actual costs of makin�,ceRifi�ine,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or wid�in five days of the date of the request,excluding Saturdays,Sundays and legal holidays,it immediate compliance is no[possible. If he cannot comply with the reyuest within that time,he shall so inform the individual,and may have an additional five days within�vhich to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.�l. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himselF. To e�ercise tliis right,an individual shall notify in writine tlie responsible authority describine the nature of[he disagreement. The 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 recipients named by the individual;or(b)no[ify the individual that he believes the data to be correct. Data in dispute shall be disdosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to conCested 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 pern�it 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: l. The inforn�ation you furnish will be used to determine your qualification for the permit or license requested. ?. 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 ce��tain rights under NI.S. 13.04(available upon request)to review private data a�yourself. 6. Your full name is required to process this application or pennit. First Middle Last :lddress Ci±}' Statc 2ip Phone i unders n�i� ri ts as ated ov J �' �'` i� ; , �' ,��/ ��- si arure �? - �� l/,�. ,/ �,f DATE TIME ITY OF ORONO CALLED IN I O• 2 y^U� INSPECTION N ICE SCHEDULED /U-Zy-oS f PERMIT NO. COMPLETED I /"3��3-1-�.?,� _7��L� ADDRESS ��r�� P�.O /��• OWNER CONTR. ��/nd� TELEPHONE NO. � /� 71�=� �-��-�U-� � DESCRIPTION j�reC.��- c*�� lL 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 06 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 FOUNDATIONiREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � �-- r� 5 -Ff S��rS � � � �„� � �.A-!fe G —' ��t� � � � i�J � �f ef o u� �.� -�i 2' i=I A 1-- W Q � �t`s � W � ,?. P U (f� �G.. ^3 ��S c' /c�a�S /r�c� W � j d A/ W �q WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector._�� / White Copyllnspector's File Canary CopylSite Notice �j"� � �� I�� D E TIME � CITY OF ORONO CALLED IN �� INSPECTION N CE SCHEDULED -�� PERMIT NO. COMPLETED ADDRESS D C� �S J-� OWNER CONTR. � TELEPHONE N0. � �-� � -��C � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 1 XCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 1 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:_��(�9 C�l� ��-' ' . �'�;�� w � / � �J � � O �. � O � W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDlTIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContracto on sit Inspector. � White Copyllnspector's File Canary CopylSite Notice