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Home My WebLink About2007-P10955 - re-roof PERMIT CIT1F' OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P1o955 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Minor Alterations Date Issued: 5/3/2007 � SITE ADDRESS: 3205 Crystal Bay Rd Unit# Wayzata,MN 553)1 PID: 17-117-23-41-0011 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: Tear off and Install Modified Bitumen sheet roofing FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,750.00 State Surcharge Fee: $ 2.40 TOTAL FEE: $ ll3.65 APPLICANT: Huepenbecker Construction OWNER: Richard Anderson 205 W. 3 1/2 St. 3205 Crystal Bay Rd Waconia, MN 55387 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. A P NT ER [T E SIGNATURE UED BY SIGNATURE Copies: ]-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: � Date Received: 1 Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print aU informatioii) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRESS: ��J� J � ZIP: v��3I� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If�-es, a specia/event permit is required lvith Police Department and City Council approvn! 60 davs pr•ior to the event. Shutlle bus service ivil!be r•equired a�nless applicant de»2onsb•ates szr�cient on-site parking is avnzlabfe. Non-pern�itted everrds wi!/not be allotived. NAME OF OWN�R: L�� F��2Q��/' PHONE: (home�Cl� ��V ��s� (work) MAILING ADDRESS: �5 �;��y/Q� CITY: Q ZIP: ��( CONTRACTOR: u Cl�If/ �- �'� �l�- PHONE: �9S �d—��1� CONTACT PERSON: �� c � MOBILE/PAGER: �. �� :� MAILING ADDRESS: �a �. CITY: �l�ok�q , ZIP: .�"'�� STATE LICENSE: # �OD — a�S`o EXPIRATION DATE:_ _ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CIT • . NAME: RE • TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows� � I��1�� Any earth movement may require MCWD review and permi,�ts ! PROPOSED WORK(describe ijt rletain: �d� � %/� ��".a/j o��j��e� J�`�l�f�j�vb� ��li°�'�i //Ud�,�fG STORIES: SQ.FEET OF EACH FLOOR: �QD NO. OF BEDROOMS: GARAGE STALLS: ATTACHEll DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��✓f0 � I hereby apply for a building permit and I acknowledge that the information above is complete and accurate.; tllat the�i�ork��ill be in conformance «�itll the ordinances and codes of the City and with the State Bui(ding Code; that[ understand this is not a peri�lit and work is not to start without a pennit;and that the��ork will be in accordance �vith tlle approved plat�. ` APPLICANT'S SIGNATUR : DATE: � . ;� / Sec.13.0a RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. The rights of individuai on�vhom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private or contidential dntaconceming himselfshalf 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 Ihe requested data;(c)any known consequence arising from his supplying or refusing to supply pri��ate or confidential data;and(d)the identity ofother persons or entities authorized by state or federal Iaw to receive the data. This requirement shall not apply�vhen an individual is asked ro suppiy investigative data,pursuant to section 13.82,subdivision 5,to a la��enforcement officer. The commissioner of revenue makplace the notice rec�ired w�der this subdivision in the individual income tax or orooertv tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal(be informed whethcr he is the subjec[of stored dataon individuals,and whether it is classitied as public,private or contidential. Upon his further request,an individual�vho is the subject of stored private or puUlic data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned of the content and meanina of that data. After an individual has been shown the private data and infonned of ics meaning,the data need not be disclosed to him for six months thereafter w�less 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 by 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 possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply�vith the request within d�at time,he shall so inform the individuai,and may have an additional tive days within which to comply with the request,ezcluding 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 conceming himself. To e�ercise this right,an individual shall notity in writing the responsible authority describing the nature ofthe disagreemenc The responsiblc authority shall�vithin 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt[o notify past recipients of inaccurate or incomplete data,induding 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 sta[ement of disagreement is included with the disciosed data. The determination of the responsible authority may be appealed pursuan[to the provisions of the adininistrative 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 pem�it 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 detern�ine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may rec�uire that the City deny the permit or license. 3. The infornlation may be shared with other (ocal, state or federal agencies to the extent necessary to process the pernlit or license. 4. If your requested permit or license requires Council action to approve, some information may become pubiic. . . 5. You have certain rights under IvI.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. First �'[iddlc Last , Address Cih State 7ip Phone 1 understan right s �t above. Si= aCurc Reset Form �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO IC�j SCHEDULED _1�Z —�� PERMIT NO. ��/s`� COMPLETED ADDRESS � OWNER CONTR. C� � Co�,� TELEPHONE NO. �� -- g �� DESCRIPTION _�� D� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 v 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � G�t��v` 0 � � 0 � W � Q � z W � W � j d W WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (J52� 24J-4600 Owner/Contr ite: Inspector. � White Copyllnspector's 'le Canary CopylSite Notice