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Home My WebLink About2007-P11562 - re-roof PERMIT CITY OF ORONO 275(; Ke�`ey Parkway- PO Box 66 Permit Number: p11562 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/i l/2007 SITE ADDRESS: 142 Chevy Chase Dr Unit# Wayzata,MN 55391 P�� 36-118-23-41-0044 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: Petmit Fee: $ 181.25 Valuation: $ 9,400.00 State Surcharge Fee: $ 4.70 TOTAL FEE: $ 185.95 APPLICANT: Suburban Home Improvement OWNER: James&Chiemi Hanneman 32 Maple Ln 142 Chevy Chase Drive Little Canada,MN 55117 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. , �`�-'�- P G�'�j C-G�1 1�� PPLI T PE I EE S]GNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 � � • Total 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 print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �� y ��j�se �� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �NO If yes, a special event per�mit is required with Police Department and City Counci]approval 60 days prior to the event. Shutt/e bus service will be reguired unless applicant demonstrates su�cient on-site parking is avai[able. Non permitted events will not be allowed. f NAME OF OWNER: �J �v, �-,G vtne,rn q r� PHONE: (home) �S�`�`�S- 33 zO (work) MAILING ADDRESS: �� - G�evy �'�r sP p� CITY: �� ZIP: w�� z��q CONTRACTOR: S�bJ((zi,-� I-Ic�+.e .�-�•lk�v�e�re� �-- PHONE: �S 1�.3� s 767 CONTACT PERSON: ��v�r� 7_e L�rP, S MOBILE/PAGER: MAILING ADDRESS: �Z��,p jc �xnP CITY: �� e Cclua�c ZIP: S--S/�7 STATE LICENSE: # �U�-6�7 �3� EXPIRATION DATE: 68 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) � Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: �c'�(" C^��-� i��;(�v� � STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��p'��'o I hereby apply for a building permit and I acknow]edge 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 pe mit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �� DATE: ��`�� 31 � Sec.13.04 RIGHTS OF SLIBJECTS OF DATA • , Subd. L 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. Information required to be given individual. An individual asked to supply private orconfidential dataconceming himselfshall be informed o£ (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally 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 authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav�lace the notice reouired under this subdivision in the individual income tax o�roaerty tax refund instructions mstead 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 whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without 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 pending or additional data on the individual has been collected or created. The responsible auUiority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. If he cannot comply with 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 Sawrdays, 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 data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the 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)notify the individual that he bel ieves the data to be correct. Data in dispute shall be disclosed only if the individua]'s statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions ofthe 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 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 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 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 yourself. 6. Your full name is required to process this application or permit. �ev�►-� J�� 1, 7e��S First Middle Last _��- ;'�Q. l e �Qn e Address ��t�-I� ��.�{�� -�-� 3b� �� C�iJ' State Zip Phonc I underst nd my rights as stated above. Signature Re�set�Forn� � 32 �1`�� \ � �� ATE TIME V F ORONO CALLED IN � � SIO��I INSPECTION NO E j,� SCHEDULED I D 01 � PERMIT N0. � � ( �`s'� COMPLETED ADDRESS 2- �� ° OWNER CO TR. � TELEPHONE NO. � �� C7� , — l'� � DESCRIPTION � �� l V�Y��. l � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W � � J O � � O � W � Q � Z W i � W � j d '�,. � W� ❑WORKSATISFACTORY:PROCEED �'Wi�JECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 'wner/Contractor on sit�: �tor. ��` 1 " 'Vhite Copy/lnspector's File Canary CopylSite Notice � i i I v / DATE TIME V 1 Y� i �F��%� CITY OF OROI�r� CALLED IN !D �'��'-D � / INSPECTION N TICE SCHEDULED �D -��-7 PERMIT NO. COMPLETED ADDRESS } OWNER . ONTR.1�Q:�-dI=�YI�� • �• TELEPHONE NO. C�i�J I � � � —S �� DESCRIPTION � �.h �-�c�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W �ORKSATISFACTORY:PROCEED C� PROJECT COMPLETE � CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �-� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � � � � White Copy/lnspector's File Canary CopylSite Notice