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Home My WebLink About2004-P07383 - re-roof " PERMIT CITY OF ORONO 2750 I�elley`Parkway - PO Box 66 Permit Number: Po�3s3 Crysta� Bay, Minnesota 55323 Pet'mit Type: Minor Alterations (952) 249-4600 Date Issued: 4ii2�2oo4 SITE ADDRESS: 2470 Dunwoody Ave Wayzata,MN 55391 PID: 2o-i i�-23-2i-000s DESCRIPTION: Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: � Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernzitFee: $ 139.25 Valuation: $ 6,600.00 State Surcharge Fee: $ 3.80 TOTAL FEE: $ 143.05 APPLICANT: Rainbow Roofing OWNER: Maria Lueck ($q51 L�h sf• 2470 Dunwoody Ave New Prague,MN 56071 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRIC'I'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. r ` � �o`` �%�)'}'t-o�--� APPLICANT PERMITEE SIGNATURG [SSUED BY SIGNATURE Copies: 1-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ Date Received: F�ntered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan revie��• will be started. (please pri�:t all information) ----------------------------------------------------------------------------------------- --' ------------------------------ THE APPLICANT IS: (circle one) O�'NER OR CONTRACTOR JOB SITE ADDRESS: ��I� J �� r��'�`�J� �'�:�-- �� +��J ZIP: S�� I � Will this be a P r de of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and Ciry Council approva160 days prior to the event. Non permitted events will not be allowed. � � NAMEOFOWNER: �I�'� 11�A[`K��,�� PHOti�E: (home) 5a y7� � ��L� (work) MAILING ADDRESS: �� c�� - CITY: �� I'\� ZIP: � 3� CONTRACTOR: C��?, c�\`�� `�r�G' PHO\E: � � � �� !/JJS� CONTACT PERSON: � � `5�.�� MOBILE/PAGER: MAILING ADDRESS: �`3�� S� CITY:�� `�`,.� ZIP: 5�� STATE LICENSE: # o�603 � ARCHITECT/ENGINEER: PHO\E: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration Land Alteration r� PROPOSED `VORK(describe in detain: �Z�o�;.� �C_��,��,,r�c, C �� 1 , r��,T��>\� C1�:� � , STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �rYo �� 6� 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 � ot to start w•ithout a pernut; and that the«�ork w-i11 be in accordance with the approved plan. ,�'� APPLICANT'S SIGNATURE: � D:�TE: �� J � Sec.13A4 RIGHTS OF SUBJECTS OF DATA � Subd.1. Type ot 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 required to be given individual. An individual asked to snpply private or confidendal data concerning himsdf shall be informed of: (a)the purpose and intended use of the requested data within the collectin�state agency,political subdivision,or statewide s}-stem;(b) whether he may refuse or is legally required to supply the requested data;(c)any knoN n rnnsequence arising from his supplying or refusi�to supply private or confidential data;and(d)the identity of other persons or entities authorized b�siate or federal law to recei�e the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 1?.32,subdivision 5,to a law enlorcement officer. The commissioner of revenue mav alace the notice reauired under this subdi�ision in the individual inrnme tax or orooem-taz refund instructions mstead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authorin,an individual shall be i�formed whether 6e is the subject of stored data on individuals,and whether it is classi£ed as public,private or rnnfidential. L�pon his further request,an individualµho is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall 6e informed of the wntent and meaning o[that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him!or six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or emted. The responsible authority shall provide copies of the private or public data upon request by t6e indi�idual subject oCthe data. The responsible aotbority may require the requesting person to pay the actual costs of making,certitying,and compilin_the copies. The responsible authority shall comply immediately,i[possible,with any requat made pursuant to this subdivision,or within fi�e days of the date o[the request,excluding Saturdays,Sunda}�s and legal holidays,if immediate compliu�ce is not possible. If he cannot comply with the reqnest within that time,he shall so inform the individual,and may have an additional tive da�s within�hich to comply with the request,excluding Saturda�s,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual ma�rnntest the accuracy or completeness of public or prn�ate data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagrerment. The responsible authority shall within 30 days either: (a)correct the data found to be inattvrate or incomplete and attempt to notif} past redpients of inaccurate or incomplete data,including recipients named by the individual;or(b)notifp the indi��idual that he belie�es the data to be correrL Data in dispute shall be disclosed only if the individual's statement of disagreement is included whh the disclosed data. The determination o(the responsible authority may be appealed pursuant to t6e pro�isions of the administrative procedure aet relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",��•e w�ould like to inform you that your request for a permit or license from the City of Orono or any of its departments ma�•require you to furnish certain pri��ate or confidential information. You are notified that: 1. The 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 that the City deny the permit or license. 3. The information may be shared with other local,state or federal agencies to the estent necessary�to process the permit or license. 4. If your requested permit or license requires Council acrion to approve, some information ma�- become public. ' 5. You have certain rights under M.S. 13.04(available upon request)to review pri�•ate data on yourself. 6. Your full name is required to process this application or permit. First btiddle Last Address C�ty State Zip Phone I understand my rights as stated above. . Signature ATE TIME � CITY OF ORONO ALLED IN "'� � INSPECTION NOTICE SCHEDULED — �B� /D.'4'a PERMIT N0. p07.38.3 COMPLETED ADDRESS a OWNER CONTR. TELEPHONENO. �v�Z 97� �DS3 � DESCRIPTION ��'�%/�( ✓ �� 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED PFiOJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (952� 249-46�� Owner/ConU�et�r o 'te: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice � r✓/ /! DATE TIME CITY OF ORONO CALLED IN 7�/�� INSPECTION NQ�ICE SCHEDULED - Z-D //; 3� PERMITNO. ��'3�� COMPIETED ADDRESS Z O d� OWNER CONTR. �. TELEPHONE N0. lO�� %7C� .3053 � DESCRIPTION l �GLL O� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL Z04 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/CONTRACTORTOMEETYOU:_YES_NO � COMMENTS: W �� a � � 0 �. � 0 � W � Q � z W � W � j � Id�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.CALI INSPECTOFI ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContract n i : Inspector. � - White Copy/lnspector's File Canary CopylSite Notice