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Home My WebLink About2002-P05603 - re-roof � PERMIT C l l-�'� O F O RO N O permit Number: 2750 Kelle y Parkwa y - PO Box 66 P05603 Crystal Bay, Minnesota 55323 Permit Type: M�noralterac�ons (95�) 249-4600 Date Issued: 9illi2oo2 SITE ADDRESS: 525 Ferndale Rd N Wayzata,MN 55391 P I D: 3 6-118-23-14-0005 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 167.25 Valuation: $ 8,600.00 State Surcharge Fee: $ 4.80 TOTAL FEE: $ 172.05 APPLICANT: Home Depot Installed Products OWNER: James&Margaret Ogland 207 Kelsey Lane 525 Ferndale Rd N Tampa, FL 33569 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �—_ � —' ' �'� , , ._:.... __� � _.._ �� ..-(e C',Y�� APPL]CANT PERMITEE SIGNATURE IS�IED BY SIGNATURE /,�/1"�/ Copies: 1-File(Sienitures Repuired), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 'Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATIOleT 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: _`:?�� ( ��'�i:�!�Z� �� ZIP: �� .j �' � 1�J/I-��r�- ,��,J NAME OF OWNER: �•��-'"S ��- Z�r�� PHONE: (home�S�L� `�� - �- Z i c� (work) MAILINGADDRESS: �.�� /I� ,��(� CITY: ZIP: .;��.s� �f b�. CONTRACTOR: f��:MC ;��,�r�� 9si�i«.� ;?��,�«�;� PHONE: C�/z - �� 3�-� CONTACT PERSON: „2��« �v��v,.; /,✓�.y,� MOBILE/PAGER: �Sz `'' - 67�f �. `�,`,�r CITY. MAILING ADDRESS: �1�-= i,t�s� ,,u _�,:,�� ,��"�pr-� ZIP:_�� STATE LICENSE: # i�� -�Z L i�'3�/}' �-r::2��.r 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�: "��-�- -�,=� �� .�-_:�� /��t�.> �,� �',,��,� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'G c '% I hereby apply for a building pernut 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: ��( /// r'G �__ NOTE! Parade Qf Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SLJBJECTS OF D�TA Subd. 1. Type of data. The righrs of individual on whom che data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of other persons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invescigaave data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by indi��dual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her it is classified as public, private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che data wirhout any charge to hun and,�if he desires, shall be informed of the content and meaning of�hat data. After an individuai has been shown the private data and informed of its meaning,the data need not be disclosed to hun for six months thereafrer unless a dispute or action pursuant to this secdon is oending or addidonal data on the individual has been coltected 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 authority may require the requesting person to pay the actual coscs of making, cerrifying,and compiling the copies. The responsiblz aurhoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Samrdays,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 wi[hin 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 this right,an individual shall norify in wriang the responsible authoriry describing�he nature of the disagreement. The responsibte authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy the individual that he believes the data to be correct. Data ut dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The de[erminarion of the responsible authoriry may be appealed pursuant to the provisions of the administndve 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 pernut or license from the City of Orono or any of its departments may require you to furnish cenain private or confidential information. You are notified that: 1. The information you furnish will be used to detemiine your qualification for the pemut 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 ex[ent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. 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. First Middle Last Address Ciry State Zip Phone I understand my rights as stated above. ,�_._ ----- `_, __ --- g�-- �- Q;p�na �[�----�—___ .. _ ._.._.___.-- DATE TiME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED _��-•�?(J j0'C?O PERMIT NO. 05lL�J� COMPLETED ADDRESS S�J �P/Y�CI �z- � � �'J OWNER CONTR. �1(�� -�v� TELEPHONE NO.�I��J�.3�G� .�!c� - �I5� �/-�/..�53 � DESCRIPTION �GC�I c�� i� < <?/�� 01 FOOTING i t 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 OS FINAL 14 SEWER HOOK-UP O6 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � O W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next in pection 24 hours in advance. (952� 249-46�� OwnerlContracto 0 Inspector. White Copyllnspector's File Canary Copy/Site Notice �� / � / r��rr� DATE TIME CITY OF ORONO CALIED IN INSPECTION N CE SCHEDULED �I'-� �7�v_ PERMIT N0. COMPLETED ADDRESS .`c�� OWNER CONTR. � D� ��fXl� TELEPHONE NO. �S^� �S�� ,��5�� '� ,,r. ,_� � _ �� CP�� `rp 33 7la �•'�� DESCRIPTION ♦ . � 01 FOOTING ) 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 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 OS FINA 14 SEWER HOOK-UP 06 PROGRESS � EMO-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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j ��' IV/ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 OwnerlCont�a t �on si : Inspector. _ White Copy/lnspector's Fil Canary Copy/Site Notice