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Home My WebLink About2000-P02344 - re-roof � '' PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P02344 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (612) 249-4600 Date Issued: 4it��oo SITE ADDRESS: 519 Ferndale Rd N WAYZATA,MN 55391 PID: 36-118-23-14-0008 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: $ 251.25 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 258.75 APPLICANT: THOMAS MICHELETTI OWNER: JULIE A JORGENSEN ET AL 519 FERNDALE RD N 519 FERNDALE RD N WAYZATA, MN 55391 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � t' n � G� a � vr� A PLl ANT RMITEE I NATURE ISSUED BY SIGNATURE Copies: City, Applicant,Assessor, Finance Page 1 # •1 Total Fee: $ ��"8. 75 Date Received: '��•�/c� Entered By: �/, Permit#: �p ,?��,F� CITY OF ORONO - B�iTII.,DP1G PERiVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) T'I3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS. �l�� 1��' �� _ z�: 5 S�1 � � /f2�i?'1f}.S �. �'lr�te% �E �t� �-•� _ NAII� OF OWNE�: . �.�. /�_ )�zs�-t-c�- r�o�: �nome� S�-4�� -1�80 (work) �u__ �iaa.�TG aDDxF,ss: 5%� �.�tia��_ ��'/U crrY: } , .� � z�: S� C0��1'I'R�CTOR: ( ��''�� PHO�tE: CONT'ACT PERSON: MOBILE/PAGER: . NIAILING ADDRESS: CITY: ZIP: � . STATE LICENSE: # � ARCHITECT/ENGPIi EER: , � C�!� �'1 S��/�- PHONE: �1AILI�'G ADDRESS: r�-�-� � CITY: ZIP: N��,�: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: /�c/�u-c �'�-r,� S��<-<'- �'�`��`"�`L�'�� '� ��; .1 STORIES: � SQ.FEET OF EACH FLOOR: �� ' � ��'� ��''��-- NO. OF BEDR001�IS: `-� GARAGE STALLS: ATT. � -z- DET. ESTII-i IATED CONSTRUCTION VALUATION (excluding lan�: $�Li /� �� I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and accurate; �hat the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this u not a permit and work is not to start without a permit; and that the work will be ' accordance wi the approved plan. � !� ,� � /��C,��2� ` DATE: � � f� ��v� APrLIC ANT'S SIGNA ��G''� � � � 1�'OTE! P�rade o Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. � � , Sec.13.0-t RIGHTS OF SLBJECTS OF D?.T?, Subd. 1. Tvpe of data. The righcs oi iadividual on whom[he data is stored or ro be scortd shall be as set fonh in�his section. Subd.'_'. Iaformatian reqirired to he�ven individual. �.n iadividual asked to supply private or confideadal daca concerniag himself shall be informed of: (a)che purpose and inrr.aded use of�he requesrcd dam within the collecang'stare agency, poliacal subdivisioo,or saccwide rystem: �1�)whecher he may rfuse or is legally cequirod co supply�he requesud daca;(c)any lrnown coasequeace arising from his supplyi,.g or refusing to suppty privace or conr.dendal dan;and(d)the idenricy of ocher persoas or enddes auchocized by sca[�or federal law to rec�ive the dara. Ihis requiremenc shall not appiy when an individual is asked to supply inti•esrieadve dac�, pursuanc[o secrion 13.82,subdivision 5, �o a law enforceca�nc o�cer. The commissioner of re�enu r-iav pla-� the noce� rauired under chis subdi�ision in the individual income tax or prooem taz refur.d instrucdons ins:ead of on chose forms. Subd. 3. ?�ecess to data br-individuaI. lipon request to a responsibte auehoriry,an individual shall be informed whe�her he is che subjecc of s[Dr_d data on individuals,and whecher it is classified as public, privace or confidenaal. L;pon his further request,an individual who is the subjecc of stor:d privace or public data on indi�•iduals shall be shown[he daea wichouc any char3e co him and,�if he desires, shall be informed of the concer.c az:d meaning oi�hat dara. After an individual hbs been shown[he privare dara and informed oi iu meaaing,che data need noc be disclosed to him for siz monchs cheraiter unless a dispute or acaon pursuanc to chis secdon is pending oc addirioaal daea on�he individual has been collected or crea�ed. The responsible auchoriry shall provide copies of d1t privace or public data upon cequesc by the individual subjecc of�he dara. Tne responsible au[horicy may cequire d:e requesring person to pay [he acaial coses of mafcing.cernfying,and compiling che copies. The responsible au[horiry shall comply immediately, if possible, wich any request mad�pursuanc co chis subdivision,or within five days oi the dac:of che rquesc,e�cluding Sanirdays,Sundays and legal holidays,if immediace compliance is no�possible. If he canno�comply wich rhe reques� wichin chac dme,he shall so inform che individual,and may have an addidonal five days wichin which to compty wi�'��he request,excluding Sacurdays, Sundays and legsl holidays. Subd.4. Procedure when data is not accurate or complete. An individual may concest che accuracy or compleceness of pubiic or pri�•ate ' dara concerning himself. To exercise chis righc,an individual shall nodfy in wriung�he respoastble auchoriry describing�he nacu:e of the disagreemenc. . The responsible auchoriry shall wichin�0 days eici:er: (a)corrccc[he data found[o be inac:urd[�or incomple�e and attempt to nodfy past recipients of inaccurace or incomplece dara, inciuding recipien�named by the individual; or(b)nodfy [l:e individual tha�he believes the da�a to be correct. Daea in dispuce shall be disc:osed only if che individual's stacement of disagreemenc is ir.cluded wich[he disclosed dara. The de�erminaaon of the responsible au�horiry may be appealed pursuanc to che provisions of[h� administr3rive procedure act relaaag [o contes�ed cases. DAT� PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Riahts of subjeccs of data", we would like to inform you that your requesc for a perm.it or license from the City of Orono or any of its departments may require you to fumish certain private or confidencial information. You are notified that: 1, The information you furnisn will be used to determine your qualification for the permit or license requested. ?. You may refuse to supply data, buc refusal may require that the Ciry deny the permi� or license. ;, The information may be shared with o[her local, stace or federal a�encies to the extenc necessary to process the permit or license. :�. If your requested permic or license requires Council action to approve, some information may become public. �. You have cenain ri�hts under N1.S. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process chis applicacion or permit. —'��' ".�I�Zf� � /��"" �t�a z �.�� Fint � r � � /n�� " �'VC�!.� Add �.—�C` J�� 1� _ E�� { 1 � Ciry Snce Zip Phonz I underst y ri�hts as st 6ed a ve. � . � � � �� Signantre DAT�E/ IME CITY OF ORONO CALLED IN �✓�o/�� .� 3 c INSPECTION N ICE �7 SCHEDULED � �N-3� PERMIT NO. O ..7 � COMPLETED ADDRESS �� y �--�� ^ � !�' v' OWNER � CONTR. TELEPHONE NO. � Z �� DESCRIPTION ��'Ol= ly� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �, l� �'�`' �".��`-' Sl i�-� � w a � J O � � O � W � Q � Z W � W � j W� G�WORKSATISFACTORY:PROCEED ��OJECTCOMPLETE W [l CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O L i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT f 1 CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN t� STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C� INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor si Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TI E CITY OF ORONO CALLED IN �� — °� � Z> INSPECTION N�TICE SCHEDULED `Z �--�� /I-3 c� PERMIT NO. ��3 4� COMPLETED ADDRESS�G/ "��Z�^~��e, f'1 �� OWNER �� CONTR. TELEPHONE NO. � �� C� � DESCRIPTION �� J/�`°7 Lu 01 FOOTING 11 ME ANICAL RI 18 EXCAV/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 INAL 14 SEWER HOOK-UP 06 PROGRESS � - ITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � � O a � O � W � Q � Z W � W � j d [:]WORK SATISFACTORY:PROCEED �/y�y�OJECT COMPLETE � Li CORRECT WORK&PROCEED (� ISSUE CERTIFICATE OF OCCUPANCY W Q Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' GTATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on ' e: Inspector. �� , White Copyllnspector's File Canary CopylSite Notice