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Home My WebLink About2002-P05669 - re-roof PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05669 Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations (952) 249-46u`i,^ Date Issued: 9iz6�2oo2 SITE ADDRESS: 3325 Crystal Bay Rd WAYZATA,MN 55391 PID: 17-117-23-41-0018 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,350.00 State Surcharge Fee: $ 2.70 TOTAL FEE: $ 113.95 APPLICANT: Sela Roofing&Remodeling, Inc. QWNER: D M STANTON&B L STANTON 4100 Excesior Blvd. 3325 CRYSTAL BAY RD 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. � r APPLI� T ER ITEE SIGNATURE SSUED BY SIGNATURE �� Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: . CITY OF ORONO - BUILDING PERNIIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR NTRACTO JOB SITE ADDRESS: 3�� Cr�st-C, � �,,,,�j ZIP: NAME OF OWNER: ��1V1\� ��l��C 1� PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: ';ELA ROOFING&REMODELING,INC. CONTRACTOR: 4i oo EXCELSIOR BLVD. PHONE: /�/`� �� k�5 r�(R CONTACT PERSON: ST.LOUIS PARK,MN 55 MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N�; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � c�(�, a�-� �� '�c>c�� /'1 �� , r c STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� 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 be in accor 'th the approved plan. APPLICANT'S SIGNATURE: �--1 DATE: � -�� `C��— NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGH'TS OF SUB.TECTS 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 secdo:.. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and intended use of the�quesred data within the collecting"state agency,polidcal subdivisioo,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidentiai data;and(d)the idenriry of o[her persons or endries authorized by state or fedecal!aw to receive the data. This requirement shall not apply when an individual is asked to supply invesrieadve data, pursuanc to section 13.82, suhdivision 5, to a law enforcement officer. The commissioner of re�•enue mav place the notice 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 auchoriry,an individual shall be informed whether he is the subject of scored data on individuals, and whe[her it is classified as public, priva[e or confidendal. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown[he data wichout any charge to him and,'if he desires, shall be informed of the content and meaning of that data. Aftzr 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 secaon is pending or additional data on the individual 6as 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 authoriry may r:quire the requesting person to pay the actual coscs of making, cer[ifying, and compiling the copies. The responsible authoriry shall comply immediately, if possib(e, 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 addirional five days within which to comply with the request,excluding Saturdays, Sundays and legal hotidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private dara conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing�he nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incompiete data, including recipients named by [he individual; or(b)notify the individual that he believes the data to be correc[. Data in dispute shali be disclosed only if the individual's statement of disagreement is induded with the disclosed data. The determination of the rzsponsible authoriry may be appealed pursuant to the provisions of the administradve 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 pemu[ 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 pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. �..-Q �� L l First Middle Last � ��Address <----� C�ty Stare Zip Phone I understand my rights as stated ab�ue. - .,� -� �, ' __� �----) ; - ' .J _...�• ._.. r___;. � —�--� � — Signature ' '— DATE TIME " CITY OF ORONO CALLED IN � -.�S '�3 INSPECTION OTICE C SCHEDULED � �7-V� __1� PERMIT N0. COMPLETED ADDRESS .��o�� ' �/:5�z--(� ,�jCc.�f �� OWNER CONTR.��C�.— TELEPHONE N0. l�� c�� `� 7�- � DESCRIPTION � �� - � 01 FOOTING 11 HANICAL 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�5 FI� 14 SEWER HOOK-UP 06 PROGRESS � 07�E O-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 FOUNDATIOWREMOVAL , � OWNER/CONTRACTOR TO MEET YOU:_YE NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL FiETURN ❑STOP ORDER POSTED.CAL�INSPECTOR �CITATION ISSUED ❑ INSPECTION FiE�UIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952) 249-4600 OwnerlCont t r o it Inspector. White Copyllnspector's File Canary CopylSite Notice