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Home My WebLink About2005-P08346 (Reroof) PERMIT C I�Y C�F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P08346 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 1i��2oos SITE ADDRESS: 1436 Baldur Park Rd Wayzata,NII�155391 PID: 08-117-23-43-0006 DESCRI PTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 63.15 Valuation: $ 1,730.00 State Surcharge Fee: $ 1.40 TOTAL FEE: $ 64.55 APPLICANT: Erick N Kallerup Construction OWNER: Jeffrey&Margret Mikkelson 1602 Archwood Road 1436 Baldur Park Rd Minnetonka,MN 55305 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE 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. �� " C'��_�_____--- :iti.L-� �. � �� (< /--� APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 T'otal 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 pri�it all iiiformatio�z) THE APPLICANT IS: (circle o�re) OWNER OR CONTRACTOR �� /�_ ---_ ____—__i JOB SITE ADDRESS: ��l � � ��/(�1 v� �� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special everrt permit is ��eqzrired with Police Department and City Council ccpproval 60 clays prior to tlte even.t. Nori permittecl events will not be allowed. NAME OF OWNER �C-. � � ��1�� ''=��v1 PHONE: (home) (work) MAILING ADDRESS: I� � � �� ✓'` ��l�CITY: C��?��U CJ ZIP: CONTRACTOR: L/'� �� c �CC�v�O C��S'�- PHONE: � ! Z— 7� �� y,�`��-- CONTACT PERSON: �y �'� Gl� MOBILE/PAGER: MAILING ADDRESS: �C� �Z ��w�-�� CITY: 6�ti�� ZIP: j S�-�GS` STATE LICENSE: # � � � l ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: i' REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe iiz detain: i C_�t �^c��` � ��(:�'Uz� � �U US � STORIES: � SQ. FEET OF EACH FLOOR: � � U NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 730 °-= 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 accordance with the approved plan. � APPLICANT'S SIGNATURE: �l�l�� DATE: � r C� 7 � S Sec.13.04 RIGHTS OF SUSJECTS OF DATA Subd.i. Type of data. Thc rights of individual on whom tlie data is stored or to be stored shail be as set Corth in this section. Subd.2. Information required to be given individual. An individual asked to supply pcivate or contidential data concerning himscl(shall be infonned of: (a)the purpose and intended use of the requested data�vithin the collecting state agency,political subdivision,or statewide system;(b) whether he may retuse or is Iegally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities au[horized by state or federal latv to receive the data. This requirement shall not apply when an individua�is asked to supply im�estigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner ot revenue mav n�ace the notice reauired under this subdivision in the individual income tax or nronertv tax refund instructions instcad of on those 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�vhether it is classi(ied as public,private or confldential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be sho�vn the data without any charge to him and,if he desires,shall be informed o[the content and meaning of that data. A(ter an individual has bcen shown thc privatc data and informed of its meaning,the data necd not be disclosed to him 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 requcsting person to pay the aMual costs of making,certifying,a��d compiling tlic copies. The responsible authm-ity shall comply immediatcly,if possible,with any request made pursuant to this subdivision,or within five days of the date of thc request,excluding Saturdays,Sundays and legal holidays,if immediate compliancc is not possible. If he cannot comply with thc request witliin that time,hc shall so inform the individual,and may have an additional fivc days within which to comply with the requcst,excluding Saturdays,Sundays and Icgal holidays. Subd.4. Proccdure whcn data is not accin-ate or complete. An individual may contest the accuracy or complMeness 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)con�ect the data found to be inaccurate or incomplete and attempt tu notiCy past recipients of inaccurate or incomplctc data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is includcd with the disclosed data. 7'he detcrmination of the responsiblc authority may bc uppcaled pwsuant to the provisions of thc administrativc procedure act rclating 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 f'or a pernrit 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: 1. The information you furnish will be used to determine your qualification for the pernut or license requested. 2. You may refuse to supply data,but refusal may require ttiat 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 yoursclf. 6. Your full name is required to process tliis application or permit. t�� N �, �-y�� ! lcf�� V" First Middle Last � � �2 � TC, � (,v�� ' �� . Addmss 1� 1'l� � i'�l.N � � �J � U �' � lZ - 7G � ` `f �K�Z City State Zip Phonc I understand my rights as stated above. �� Signature V ��I/�� / J TIME CITY OF ORONO �CALIED IN INSPECTION N TIC SCHEDULED " � � PERMIT N0. 3 COMP�ETED ADDRESS ��3�0 �C,,1G�'�� /� /�� _ OWNER CONTR. �-G TELEPHONE NO. �� 7D / 98�z � DESCRIPTION �d�'i'"" �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAIL 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED I_� PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne;inspection 24 hours in advance. (952� 249-460� OwnerlContractgyepi e: Inspector. White Copyllnspector's File Canary CopylSite Notice /� � �; DATE TIME CITY OF ORONO CALLED IN I `��-v� INSPECTION NO ICE SCHEDULED �� •'OU. .�t.� PERMIT NO. connP�ETEo ADDRESS ��/�l� ��Cd.�/�(/�^ �i�. r�t-� OWNER CONTR. � �'��. �i�r f�� TELEPHONENO. C,P�� D� �j��o�. � DESCRIPTION G�%�-� C��*, ' ��U'J� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 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 Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q ti Z W � W � � a W� WORKSATISFACTORY:PROCEED [7 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� pH0T0 TAKEN INSPECTOR WILL RETItflN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContrac o $ite: Inspector. `, �I White Copyllnspector's Fi e Canary CopylSite Notice