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Home My WebLink About2000-P02720 - re-roof ` " PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po2�2o Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (612) 249-4600 Date Issued: �i24i2oo SITE ADDRESS: 270o Ethel Ave WAYZATA,MN 55391 P ID: 20-117-23-24-0013 DESCRIPTION: Proposed Use: Buildin Census Code 434 Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 99.25 APPLICANT: 1'EAR ROUND ROOFING INC OWNER: JULIA S JENSEN 1507 PULASKI ROAD 2700 ETHEL AVE BUFFALO, MN 55313 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. '1 ��1��l� �v�'��/l �' l�Lti� A PLICANT PERMI'I'CE SIGNA URE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 4 1.� Total Fee: $ Date Received: Entered By: Pernut#: CITY OF ORONO - BUILDING PERNIIT 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: �� p v ��d�C� G � e . ZIP: NAME OF OWNER: ,�(;j i e � � �s�r-'l� PHONE: (home) (work) MAILING ADDRESS: � �6 D �� ITY: ��;�,vu c� ZIP: CONTRACTOR: ,�� ' � �i�.�,�� PHONE: � � � � " - ��'�? CONTACT PERSON: '^ � G MO E/PAGER `?i - �� 07 MAILING ADDRESS: /Sv ; /�, �u S �:� ,�v+ CITY: is� � � ZIP: � 3 � STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��c�v — � � b� tf ` � �`/r�o vC STORIES: SQ. FEET OF EACH�'I.00R: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIivIATED CONSTRUCTION VALUATION (excluding land): $ �C�C� - �, 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 accordance with the approved plan. APPLICANT'S SIGNATURE: � � !�� -�. DATE: � � �U %/��, � NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � � Sec.13.04 RIGHTS OF SLJBJECTS OF DaTA Subd. 1. Type of data. The rights of individual on whom[he data is stored or co be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. r1n individual asked to supply privace or co�denaal dara concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecong"state agency, politicai subdivision,or sratewide system; (b)whether he may refuse or is legally required ro supply che requested data;(c)any known consequence arising fmm his supplying or refusing ro supply private or conridenaal data;and(d)the identity of other persons or enaries authorized by state or federal law to receive the data. This requirement shall not apply when an individua( is asked to supply investi¢adve dara, pursuant ro secdon 13.82, subdivision 5, ro a law enforcement officer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individuai income tax or propectv tax refund instructions instead of on those forms. Subd. 3. Access to data by indi��dual. Upon request to a responsible au[horiry,an individual shall be informed whether he is the subject of s[ored data on individuals,and wherher it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown[he data without any charge to him and, if he desires, shall be infornted of the content and meaning of that data. After an individual has been shown the privace data and informed of its meaning,the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acrion pursuant[o this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry sha(1 provide copies of the priva[e or public data upon request by che individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making, cerrifying; and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,exduding 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 addiaonal five days within which to comply with the request,excluding Sarurdays, 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 himself. To exercise[his right,an individual shall nodfy in writing che responsible au[horiry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes rhe data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. Tlie decermina[ion of the rzsponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relaring to contested cases. DAT� 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 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 fuil name is required to process this application or permit. First �tiddle Last Address Cin, State Zip Phone I understand my righ�tj stated above. ; �/ �,� �i �--� � � '.�,,�� - Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED ��r-:%;�� '�l PERMIT NO. ��- � COMPLETED � �l •w ADDRESS , CYS ��Ti' l� 1T��- OWNER CONTR. � TELEPHONE NO. �� 607 !�/Y� � DESCRIPTION LC�z�:Yi�.� ��t�Ca l� O1 11 MECHANICAL RI 18 EX V/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C MENTS: �� / i � - J "!/� G�- O a O � r r ( W � — � � Q ti Z W � W � j d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W �/�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� vgEFORECOVERING PERMANENT Ll CORRECT UNSAFE CONDITION WITHIN HOURS. : pHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED Cl STOP ORDER POSTED.CALL INSPECTOR C 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlCon tor on site: Inspectorl/�� White Copyllnspector's File Canary CopylSite Notice