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Home My WebLink About2005-P09438 - chimney PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9438 Crystal Bay, �linnesota 55323 Permit Type: Minor Alterations (952) 24�-4600 Date Issued: 11/23/2005 SITE ADDRESS: 116 Chevy Chase Dr Unit# Wayzata,MN 55391 P�� 36-118-23-41-0036 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Chimney DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Rebuild chimney with new brick FEE SUMMARY: Permit Fee: $ g3•25 vatuation: $ 2,800.00 State Surcharge Fee: $ 1.40 TOTAL FEE: $ $4.65 APPLICANT: Sela Roofing&Remodeling, Inc. OWNER: Stuart Francis 4100 Excesior Blvd. 116 Chevy Chase Dr St. Louis Park,MN 55146 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL(ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , �' � , . ( F!-Vti_ _�,�— '._ � ',,., ,_ �, , , � f _ s APPLICANT PERMITEE SIGNATURE ISSU$D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(1f Septic, 1-Septic) Page 1 : . � �ilY_ � � Total Fee: $ �� S 1`�ti�� Date Received: //-a/DJ� Entered By: Permit#: ��3 ' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------�- -�--- ----- ---------------------- ----- 'I'HE APPLICANT IS: (circ[e o�ie) OWNER O O�C NTRACTOR , � , -- JOB SITE ADDRESS: , ' ',` ''� � ZIP: Wilt this be a Parrade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,_m No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: / / /' � ,/ I �`�� f�%�')L� � PHONE: (home)��- ��'� � —T--�--�- (work) MAILING ADDRESS: �L�.r1!I�- CITY: ZIP: �t�LA ROC)�'ING & REMODELIiVG. ��?� / �� / CONTRACTOR: PHONE: C� ��u��'�—t .(�' CONTACT PERSON: � ° ST. LOUIS PARK, MN 554��►'IOBILE/PAGER: 2 � s MAILING ADDRESS: �D�Q00105o CITY: ZIP: STATE LICENSE: # '�i�U'� i��INU c� i�EMUUE��iVG. ;� .+ ARCHITECT/ENGINEER: _ *��X�� v��HONE: MAILING ADDRESS: ST. (�1115 PARK. MN �i�: ZIP: NAME: oD#000105o REGISTRATION # TYPE OF WORK: New Accessory Structure Addition �Tove RemodeUAtteration Land Alteration ,,,,. PROPOSED WORK(describe in detai�: � �� , �1? � (,�,�' �' , . , STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION excludin land : $ � g ) —� �� '. / I hereby apply for a building permit and I aclrnowledge 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 DATE: < < Sec.13A4 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of da[a. The iights of individual on�vhom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infotmation required to be given individuaL An individual asked to suyply pnva[e or confidentiul data conceming hi�uself shall be informed of: (a)dte puipose and intended use of dte requested da[a within the collecting state agency,political subdivision,or statewide system;(b) whe�her he may refuse or is legally required to supply�he requested da[a;(c)any knowu consequence arising from his supplying or refusing to supply private or cor,fidential data;and(d)the identity of other persons or entities attthorized by state or federal law to receive the data.This requirement shall not apply wllen an individual is asked[o supply investigative data,pursuant ro section 13.32,subdivision 5,to a law enforcement officer. The commissiotter of revenue ma�place the notice required under this subdivision in the individual income tax or pro�er[v tax refiind inse�uctians instead of on those fomis. Subd.3. :�ccess to data by individual. Upon request to a respoiuible authority,an individual shall be inFornied whether he is the subject of stored data on individuals,and«�hether it is dassif;ed as public,priva[e or confidential. Upon his fi�rther request,an individual who is the subject of stored privatc or public data on individuals shall be shown the data�vithout any charge co him and,if he desires,sltall be infomted of ttte content and meaning of that data. After an individual has been sho«�n the private data and int'ormed of its meaning,the data need not be disclosed to him for sis months thereafter unless a dispute or action ptu�suant to this section is pending or additional data on the individuul has been collecred or created. The responsible audtority shall provide copies of the private or public data upon request by dte individual subject of the data. The responsible authoricy may require dte requestin�person to pay die ac:ual costs of mukin¢,certifying,and compiling che copies. The responsible authority shall comply immediately,if possible,with any request made pursutint to dlis st�bdivision,or wichin five days of the date of the requcst,e�cludin�Saturdays,Sundays and legal holidays,if immediate compliance is not possible. lf he cannot comply with the request within that time.he shall so infonn the individual,and may have an additional five days wi[hitt which co comply tvith dte request,escluding Sahirdays, Sundays and legat holidays. Subd.4. Procedure when data is not accurate or complete. f\n individual m:�y contzst the�ccuracy or completeness of public or private data concerning himselE To exercise diis right,;�n individual shall no[it��in writing the resoonsible uuthoiity describing the nahu�e of the disagreentent.Thc responsible authoriry shall within 30 days ei[her: (a)conect the data fotu�d to be inlccurate or incomplete and attempt[o notify past recipients of inacc�uate or incomplete data,including recipients named by the individual;or(b)notify the individual that he beliet�es the data to be coirect. Data in disoute shall be disclosed onlv if[he individual's sfutement of disagreement is included widi tlie disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the adminisU<uive pirocedure act relating to contested cases. DATA PRIVACY�DVISOR�' In accordance�s�ith M.S. 13.04,Subd.2,"Rights of subjects of data",�ve would like to inform you tliat your request for a pern�it or license from the City of Orono or any of its departments may require you to furnish certain piivate or confidential information. 1'ou are notified tl�at: l. The information you fiunish �vill be used to detennine your qualification for the permit or license requested. 2. You may refiise to supply data,btit refiisal may require tliat the City deny the pe�7l�it or license. 3. The infoi7nation may be shared with other local, state or federal a�encies to the estent necessary to process the perniit or liceuse. 4. If your requested pennit or license requires Couucil action to lpprove, some inforniation may beconle public. �. You have certain ri�hts uuiler M.S. 13.04(a�ailable upon request} to revie�v private dnta on yow�self. �. YOLII'fLlII tlSlllZ l�required to process tilis application or pem�it. �'!I'Sk !1'll�(��l' 3�5� :'�d(1P�S5 C19iC �in �t1011C � �anrYi�e-St;an� r4av r7�a�tS •�c�.lY�fe ahpti�. — � � —��C� Si;nahu�c �� , / DATE TIM� / CITY OF ORONO CALLED IN ��G' V INSPECTION NO ICE SCHEDULED J��6-��4'� PERMIT NO. ) 3 , COMPLETED ADDRESS �l�f �,tS��l��_��.:��k�� _. OWNER CONTR. �� TELEPHONE NO. `�S �� g�S� ��' � � DESCRIPTION ( '/l l-�'G k-�h,�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WA BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM AL 36 FOUNDATION/REMOVAL � OWNE CONTRACTOR MEET YOU:�ES_NO —�_ � COMM . � W a � � O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED '-' ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITfON WITHIN HOURS. �, pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�� OwnerlCon o s te: Inspector. White Copyllnspector's File Canary CopylSite Notice