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Home My WebLink About2007-P11689 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11689 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952_) 249-4600 Date Issued: 11/16/2007 SITE ADDRESS: 3230 Bohns Pt La Unit# Wayzata,MN 55391 P�� 08-117-23-44-0007 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minar Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Tear off and roof house and garage FEE SUMMARY: Pernut Fee: $ 139.25 Valuation: $ 7,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 142.75 APPLICANT: Sela Roofing&Remodeling,Inc. OWNER: Warren&Lee Webber 4100 Excesior Blvd. 3230 Bohns Pt La 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 COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / � :.-- �� ,,` -�.; ` �� T��APPI,ICA Pt:RMIT� SIGNATURE 1 SULD BY SIGNATURE Copies: 1-File(Signalures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing(If Septic, 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:3?� n�r Po�r�- �n ZIP: 5 Will this be a P ade of Homes,Remodelers Showcase Home or other Display Home? ❑ YeS �NO lf yes, a specral event permit is r�egui��ed ivith Police Deparrn�ent and Ciry Cor�ncil approva/ 60 days prior to the erenl. Shrdt/e b�rs se�•rice la�ill be required vnless applicant demonsh•ales sr��cient on-site parking is avai/able. Non-permitled evenls iril/not be al/oi��ed. NAME OF OWNER: �t�� PHONE: (home) �_II" I S l�'L��1��V f U�� (work) MAILING ADDRESS: ITY: YO� ZIP: CONTRACTOR: PHONE: ' � `;i�E t��-;� CONTACT PERSON: '`1VIOBILE/PAGER: MAILING ADDRESS: �:,: CITY: ZIP: STATE LICENSE: # , :::, • - �XPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �� PROPOSED WORK(describe in detai�: � � �"� V�, STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �0�� 1 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: �V TE: I ( 3t Sec.13.04 RIGHTS OF SUgJE("�'S OF DAT.4 Subd. 1. 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 reyuired to be given individual An individual asked to supply private orconfidential data conceming himselfshall be informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the reyuested 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 authorizsd by state or federal law to receive the data.This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer. I'he commissioner of revenue mav place the notice reauired under this subdivision in the individual income tar or oropertv taa refund instructions instead 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 s�ibject of stored private or publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned of the content and meaning of that data. Atter an individual has been shown the private data and informed of its meaning the data need not be disclosed to him for six months thereatter unless a dispute or action pursuantto this section is pending or additional data on the individual has been collected or created. "I'he responsible authority shall provide copies of the private or public data upon request by die indi��idual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies The responsible authoriry shall comply immediately,if possible,with am�request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possihle. 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 public or private data concerning himselC To exercise this right,an individual shall notify in writing the responsible authority describing thc nature of the disagreement. The responsible authority shall within 30 days eithec (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 thal 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 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��ith M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform��ou that your request for a permit or license from the City of Orono or any ot�its departments may require you to furnish certain private or contidential information. You are notified that: l. I'he information you furnish will be used to determine y�our qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require lhat the City den��the permit or license. 3. The information may be shared with other IocaL state or federal agencics 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 becomc public. �. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your iull name is required to process this application or permit. '-i�f !'a (!��`' � ��f�i��.; � First �tiddle Last ;S�:)�1 L-'ll�:_ �T l_OUIS P;. . Address �p#��p105�.; a115•'1 ZZ-1 City State Zip Phone I understand my rights as stated a ove. ��`''"' �� Signature � Reset Form 32 `� �D �/ TIME �/ �� CIT OF ORONO CALLED IN � �'O� INSPECTION N,�jT IC� SCHEDULED � PERMIT NO. !�/� (P� COMPLETED ADDRESS �� OI�I�'�`��`� OWNER CONTR. G� /��//2^� TELEPHONE NO. � � C � `� � DESCRIPTION � �'V�� r '�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 J � PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU. YES_NO , � COMMENTS: �^ � Uf 1/� � W a � 0 O��OY � � � � o � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK F�PROCEED r SSUE CERTIFICATE OF OCCUPANCY 0 ❑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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 Owner/Contractor on site- Inspector. �A ��' � White Copyllnspector's File Canary CopylSite Notice 31Z�CL �SC7"� ✓ CITY OF ORONO CALLED IN '�/�T� D� �ME� INSPECTION N�TI�� SCHEDULED � � �7 �-'� PERMIT NO. COMPLETED ADDRESS �J�D �Ohrl-5 �DIrJ� d�.C�') � OWNER UJa�� iCJ�C1('1 CONTR. TELEPHONENO. �5�— �"7��`"S � DESCRIPTION ' / ✓��-/ — �U� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � TREE REMOVAL � ❑ WALL BD. Z ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � f-��'Y��v�.r G��l I rYte�7` laa�-t � s � , � � � � � ��l ' �` �� i►� � P,�n � . o s �Q S ; W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �QSZ� Z49-460� OwnerlContrac o site: Inspector. White Copyllnspector's File Canary CopylSite Notice