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Home My WebLink About2001-P04583 - re-roof - � ... PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Poass3 Crystal Bay, Minnesota 55323 Permit Type: Minor Atterations (952) 249-4600 Date Issued: ii�2�2oot SITE ADDRESS: 1105 Brown Rd S WAYZATA,MN 55391 P I D: 10-117-23-24-0004 DESCRIPTION: UBC Occupancy R3 Proposed Use: tcesidentiai Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 69.25 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 70.25 APPLICANT: Self OWNER: JERRY L CHRISTENSON MN 1105 BROWN RD S 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. > / � / � � � , .y,✓►-1' � • �1t, i.�.L.�'L=c�.��+-�'� t G ,�� ''.�. C;'�. �/ �Z'ZL.�- APPLICANT PERMITEE SI NATURE ISS D BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 . ,. Total Fee: $ 7�,�<_� �� S� Date Received: C'�U i�-� -� / Entered By: _ �� Pernut#: /'�� -I 5 �' � CITY OF ORONO - BUILDING PERMIT APPLICATIOl`d 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: 1 f �1 .S SS �1�� ZIP: ��J�I ,. NAME OF OWNER � - r l � SUY1 PHONE: (home) g5,� � y7�'��o� (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: S P_(-� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �pt�-� , �''(Yr� ,p ({,'� �� STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: z-- GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �,OL�� — 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 i accordance with the approved plan. APPLICANT'S SIGNATURE: � - J '� .P�n�L-�-��ATE: �� z_ �� NOTE! Parade o�'Homes events re uire separate pernzit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. ; � _ Sea13A4 RIGATS OF S[JB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom che data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. P+n individual asked to supply privare or confidenrial data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecang'state agency,polilical subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply che requested data;(c)any Irnown consequence arising from his supplying or refusing to supply priva[e or confidenaai data;and(d)the idendty of ocher persons or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrieauve daci, pursuan�to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund inscruccions instezd of on those forms. Subd. 3. Access to data by individual. Upon reques�to a responsibte authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, priva[e or confidendal. Upon his further request, an individual who is[he subject of stored private or public data on individuals shall be shown the data wichout 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 dispute or action pursuant to this section is oending or addioonal data on[he individual has been collected or creaced. The responsible au[horiry shall provide copies of the private or pubiic data upon request by the individual subject of che data. The responsible authority may require[he requesting person to pay the actual cosu of making, certifying, and compiling the copies. The responsible authoriry 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 wi[h the request within that time,he shall so inform the individual,and may have an additional 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 individua!may contest the accuracy or completeness of public or private data concerning himself. To exercise this ri¢ht,an individual shall notify in writing the responsible authoriry describing rhe nature of the disagreement. 'fhe responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomple[e and attempt to norify past recipienu of inaccurate or incomplete data, including recipiencs 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[he disclosed data. The de[erminarion of the rzsponsible authoriry may be appealed pursuant to the provisions of the administracive 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 pernut or license from the Ciry 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 pemut 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 pernut 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 yourself. 6. Your full name is required to process this application or permit. First �tiddie Last Address Ciry State Zip Phone I und rstand my rights as st�bove. /L ��✓�- Signature \l�� DATE TIME CITY OF ORONO / CALLED IN INSPECTION NOTICE 1/ scHE�u�Eo �J �� PERMIT NO. ��1S�'� COMPLETED « ADDRESS�� t�� I�� -S OWNER � •��'�_��.c'p.� CONTR. �t.ti.� TELEPHONE N0. -�Sc� " c��C� " �L�� . �GL'/'r/JJ � � DESCRIPTION — � 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � 2 W � W � � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next i ection 24 hours in advance. (952� 249-4600 OwnerlConUac r Inspecto . White Copyllnspector's File Canary Copy/Site Notice