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Home My WebLink About2001-P04525 - re-roof j k CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P04525 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/22/2001 SITE ADDRESS: 375 Wakefield Rd WAYZATA,MN 55391 PID: 36-118-23-31-0017 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residentiai 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: Permit Fee: $ 377.25 Valuation: $ 23,900.00 State Surcharge Fee: $ 11.95 TOTAL FEE: $ 389.20 APPLICANT: Sela Roofing&Remodeling, Inc. OWNER: D K&A C WARNER 4100 Excesior Blvd. 38 ADDRESS UNASSIGNED St. Louis Park, MN 55146 MN 00000 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 OFMINNESOT B DING CODE REQUIREMENTS. APPLIC E EE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page] Total Fee: $ Date Received: 0 Entered By: Permit#: 0 yJr3,.S CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review -vvill be s-arted. (please print all information) THE APPLICANT IS: (circle one) OWNER O ONT�R�C�TOR� JOB SITE ADDRESS: 3�S �,� ((,¢_ �� oQ ZIP: _-gs-15 Is`1 NAME OF OWNER: �� Wc��'ISL.�( PHONE: (home) �4 (work) MAILING ADDRESS: CITY: ZIP: SELA ROOFING&REM0!.,1- +,- 4100 EXCELS;:` CONTRACTOR: ' ST. GUIS PARKHi;.-- _PHONE: CONTACT PERSON: ose _ ZIOBII /PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # /d f�-d ARCHITECT/ENGI 1EER: PHONE: IVIAILrgG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration -t..o PROPOSED WORK (describe in detail): Qa F&VIfES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATIO\ (excluding land): 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 Buildincg 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: J NOTE! Parade of Homes events require separate permit approval by Police Depqrtment and City Council 60 days prior to the event. Non permitted events will not be allowed. r r Sec.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 stared 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 concerning himself shall be informed of: (a)the purpose and intended use of the requested data w::hin the collecting Imte agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested dam:(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entices authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative dam,pursr—.c to section 13.82,subdivision S,to a law enforcement officer. The commissioner of revenue may place the notice rouired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a res;ansible aut oriry,an individual shall be 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 individual who is the subject of stored private or public dam on individuals shall be shown the dam wi out 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 priva-z dam and in:ormed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public data u:on request by the individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of making,ce,=:;ing,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,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidoaal five days within which to 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 accuracy or completeness of public or private dam concerning himself. To exercise this right,an individual shall notify is writing ce responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the dam fcund to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete dam, including recipients named by the individual;or(b) notify the individual that he believes the data to be correct. Dam in dispute shall be disclosed only if the individual's statement of disagree-ent 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 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 deparments may require you to furnish certain private or confidential information. You are notified 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 ocher 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 nehts 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. First Middle Last Address City State Zip Phone I understand my ri;hts as stated above. Signature DATE TIME CITY OF ORONO CALLED IN INSPECTIONIC �6— SCHEDULED . PERMIT NO. (( COMPLETED ADDRESS S 6 e OWNER CONTR. TELEPHONE NO. DESCRIPTION 1 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION QFINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 0 a cc 0 W cc f z W Z d Wcc ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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) 249-4600 Owner tract r on site: c Inspector. AiCopy/Inspector's File Canary Copy/Site Notice