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Home My WebLink About2002-P05732 - re-roof Y PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 Pos�32 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: loii4i2oo2 SITE ADDRESS: 2205 Bayview Pl WAYZATA,MN 55391 PI D: 17-117-23-44-0025 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential 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: $ 9�.25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: CLEMENT F BIRCH JR AND OWNER: CLEMENT F BIRCH JR ET AL BARBARA J SIPPRELL-BIRCH 2205 BAYVIEW PL 2205 BAYVIEW PL WAYZATA MN 55391 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , ` �1 , � � __� �'��j`... _ , ; � � ��,r��_ A PLICAN ERMITEE IGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 , ' �_ �-Zo o Z Total Fee: $ o �� Date Received: � � Entered By: Permit#: l�C� 5 73 Z CITY OF ORONO - BUILDING PERNIIT APPLICATIOI� All information must be submitted in full before plan review will be started. ��,��1 � �,��1� (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) �OWNE� OR CONTRACTOR JOB SITE ADDRESS: °�.��J ��i�l�� P�e.� ZIP: �1.�3Cj I � $��5 i Pp/��- B��C�4 NAME OF OWNER: ��1 1�,��t� � PHONE: (home)�2-�-�I- g�S'� (work) �S�- 4��- Si�2% MAILING ADDRESS: `�2vS��J�Fu,�� CITY: ��:�r�p ZIP: f,s j ► CONTRACTOR: SE L.� PHONE: qS Z 4�I-g{v Sf CONTACT PERSON: S�� c*2�' �� MOBILE/PAGER: ►J/q MAII,ING ADDRESS: � Rw,c��E� CITY: ZIP: STATE LICENSE: # N ARCHITECT/ENGINEER: p��,l� PHOI�'E: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: �- ��;- �� '`��S ��lS� � C�A,�flC-� - - STORIES: Z SQ. FEET OF EACH FLOOR: �Sr't;c, �a.a(?;c�r• NO. OF BEDROOMS: ,3 GARAGE STALLS: ATT. DE�. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��C> 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 b i acco nc ith the approved plan. � - APPLICANT'S SIGNATURE: �� DATE: �� i,`�' o�i NOTE! Parade of Homes events require s parate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � , . Sec.13.04 RIGHTS OF S[JBJECTS OF D�TA Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecang'state agency, polirical subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any k�own consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of o[her persons or enrides authorized by state or federal law to receive the data. This requirement shall not appiy when an individual is asked to suppiy invesrigadve dara, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propercv tax refund instructions instead of on those forms. Subd. 3. Access to data by individuai. Upon requesc 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 pubtic, private or confidendal. Upon his further request, an individual who is the subject of stored private or pubiic data on individuals shall be shown the data wirhout any charge to hun and,�if he desires, shall be informed of the content and meaning of rhat data. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hun for six months thereafrer unless a dispute or acrion pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesang person to pay the acrual costs of making, cerafying, and compiling the copies. The responsibte 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 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 Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubtic or pri�•ate data conceming himself. To exercise this righ[,an individual shall noafy in wridng the responsible authoriry describing�he narure of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccunte or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients 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 statement of disagreement is included with the disclosed data. The de[erminanon of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act reladng 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 pemut or license from the City of Orono or any of its departments may require you to fumish 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 shazed with other local, state or federal agencies to the extent necessary to process the pemrit 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. Ci..�'�� C=�- �i P�'N �?�� First Middle Last 22oS B�l'�� P�1+�� - Address ( �'�2I�� P_orJ� �� J 3-rt � G15�z - ��i -�S�I ��ry State Zip Phone � I under�t 'my rights ated above. ` ' ----�--.— Signature . / � DATE TIM CITY OF ORONO � ED IN � INSPECTION NOTIC SCHEDULED f �' � PERMIT N0. >� � � COMPLETED ADDRESS ��% � � ` OWNER / � CONTR. ,�� TELEPHONE N0. C� ��'' �� DESCRIPTION � �• /�CK�-- � Ot 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 fINAL 14 SEWER HOOK-UP O6 PROGFESS � 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 � 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next i�spection 24 hours in advance. �952� Z49-4600 OwnerlContrac � t�: Inspector. � White Copyllnspector's File Canary Copy/Site Notice TE TIM� CITY OF ORONO CALLED IN `�� 8�•�3 INSPECTION . �7 scHeou�Eo �- I�>.'�= �<` PERMIT NO. 1`-�`'�' COMPLETED ADDRESS �2-�� "f�'r� ��°`�� OWNER CONTR. C�- �x =e� TELEPHONE N0. 4�� -�'�`�� DESCRIPTION ��L�� C��_ti�.C�> - ��-5—�--�� 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENT : � ( 1 IM�( � 0 S � � >. � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED � INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cali for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedCon�ae�or site: Inspector. White Copyllnspector's le Canary CopylSite Notfce