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Home My WebLink About2004-P08050 - re-roof � CITY OF ORON PERMIT O Permit Number: 2750 Kelley Parkway- PO Box 66 Pogoso Crystal Bay, Minnesota 55323 Permit Type: Minor alterat�ons (952) 249-4600 Date Issued: io�si2oo4 SITE ADDRESS: 1280 Bracketts Pt Rd Wayzata,MN 55391 PID: ii-li�-23-32-ooi9 DESCRIPTION: 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: $ 573.05 Valuation: $ 43,000.00 State Surcharge Fee: $ 22.00 TOTAL FEE: $ 595.05 APPLICANT: Allstar Construction OWNER: James&Beverly Nyce 8401 73rd Ave N-Suite 80 1280 Bracketts Pt Rd Minneapolis,MN 55428 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. � � ---�= 2 � . C�i�� LIC PE MITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance 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 inforniatio�i) --------------------------------------------------------------------------------------��------------------------------ THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTO�I � _r- JOB SITE ADDRESS: LZ�C) �II-v�' K� �-� � �U ��-�- R�� ZIP: Will this be a Par�de of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 0 No If yes, a special everit permit is requif-ecl witli Police Depc��t�nent and City Council approval 60 clays prior to the everlt. Noiz per-mitted events will not be allowed. G �2 NAME OF OWNER: � ti,� '�t 1l r � PHONE: (home) 6G�-- �7�;t�/ � (work) MAILING ADDRESS: L'a-�G �'��,�C 1��5 �t� Q�d: CITY: (�;�Q {�p ZIP: co�v��c�ox: iA[�5�-� �- C U✓� S � PI'�ONE: 7�� Sy3 � ��'� � CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: 0 73 � f4(/t� /�l, CITY: � � ��(, ! ZIP: � STATE LICENSE: # '� � � � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration Land Alteration PROPOSED WORK(describe i�z detai�: ��U-p�� --�� UvSC' �� ('�� L'- � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �� (��'� I hereby apply for a building pern-ut 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 pertnit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � DATE: r�/��-� �f + _ . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc rights af individuai on rvhom the data is stored or to be stored shall be as set foMh in this section. Subd.2. Information required to be given individual. An individual asked to supph�private or confidential data concerning himsclf shall be intormed of: (a)the purpose and intended use of the requcsted data within the collecting state agency,political subdivision,or statewide system;(b) whether he maV refuse or is Icgally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or conCdential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement of(icer. The commissioner of revenue mav nlace the notice required under thic subdivision in the individual income ta�or propertv tax refund instructions instead ot 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 requcst,an individual who is the subject of stored private or public datu on individuals shall be sho�rn 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 intormed of its mcaning,the data need not be disclosed to him Tor 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 authority shall provide copies of the private or public data upon request b,y the individual 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 authority shall comply immediately,if possib(e,with any requcst made pursuant to this subdivision,or within five days o(the date of the request,excluding Saturdays,Sundays and legal holidays,iC immediate compliance is not possiblc. If he cannot comply with the requestwithin 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 Icgal holidays. Subd.4. Procedure when da[a is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercisc this right,an individual shall notify in writing the responsible authority describing thc nature oCthe disagrcement. Thc responsiblc authority shall within 30 days eithe�: (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 believes the data to be correct. Data in dispute shall bc disclosed only i(thc individual's statement of disagrecment is included rvith the disclosed data. Thc determination of thc responsible authority may bc appcaled pursuant to the provisions of the 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 a lication or permit. �� ; , � First Middle Last ��32� � l� � c��v� 1�r� 'l�4 Addmss �.�v,��v�-\ Uvv� �`� ''��' � i a- R bS-- e�� a- City State Zip Phonc I understand my rights as stated above. � igna� _y� � D TIME CITY OF ORONO �N �' � `/ INSPECTION NOTI E _ � SCHEDULED ' �� PERMIT NO. �'� COMPLET l C ADDRESS , �� .�[ LICx,:t 1 5 } OWNER CONTR. i� C r�,, � ' C ��. . TELEPHONE N0. C� - -� ->=>�3L� � DESCRIPTION �-�` �1 � - �� LL 01 FOOTING 11 MECHANICAL RI 18 V/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J 0 a � 0 � W � Q � Z w � W � � a � WORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED I i ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContrac o Inspecto __ White Copyllnspector's File Canary CopylSite Notice