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Home My WebLink About2002-P05502 - re-roof � �. PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Posso2 Crystal Bay, Minnesota 55323 Permit Type: Minoralterat�ons (952) 249-4600 Date Issued: g�i4�2oo2 SITE ADDRESS: 2740 Fox St WAYZATA,MN 55391 PID: 04-117-23-42-0005 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 125.25 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 128.75 APPLICANT: W.F. Smith Construction OWNER: O E DRESSEI.ETAL 5975 Lynwood Blvd 2740 FOX ST Mound,MN 55364 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � . � � , �� . f�l � /1 C;_t�� l. ��%��_ [ .1�� APPLICANT PERMITEE SIGNATURE i ISSUED BY SIGNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 • � Total Fee: $ /r�`(Y•� 7S� Date Received: �-(�"��'C-�-- Entered By: �_ Permit#: /��5�> > CITY OF ORONO - BUILDING PERNIIT 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: �-- � �� C ��" ZIP: NAME OF OWNER:�•��, �fL�-S��.. PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: � � � �� c 3 CONTRACTOR: \1U��.C�`�� '� � PHONE: S��- - �j� CONTACT PERSON: v MOBILE/PAGER: ��_ _C,�� -,� �I � MAILING ADDRESS: S � �7 � !� � TY: -4 �,� ZIP: ss � � � 1 S `> �/,n.�a�'�� STATE LICENSE: # S 3 v ' 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�: ��'� :} '= � --� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ l-`�� 'J `-� '� 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 in�ccord�nce i the�pproved plan. ; APPLICANT'S SIGNATURE: �� - DATE: \� ` � � � Z_ NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � � Sec.13.04 RIGH'TS OF SLIBJECTS OF D�TA Subd. I. Type of data. The righcs of individual on whom the 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 confidenrial data concerning hicnself shall be informed of: (a)the purpose and intended use of the requested data within the collecang"state ageacy,political subdivision,or statewide system; (b)whethe�he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the idenriry of ocher persons or enriaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesrigaave dara,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav pface the nodce required under this subdivision in the individual income tax or property tax refund instructions inscead of on those forms. Subd. 3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whether 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 informed of the content and meaning of that data. Afrer 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 acrion pursuant to [his secdon is pending or addidonal 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 dara. The responsible authority may require the requesting person to pay the actual costs of making,cemfying, 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,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wichin that time,he shail so inform the individual,and may have an addidonal five days within which to comply wirh the request,excluding Saturdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in wriang the responsible authority 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 recipients of inaccurate or incomplete data, induding recipients named by the individual; or(b)noUfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The de�ermination of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act reladng 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 certain private or confidential information. You are notified [hat: 1, The information you furnish will be used to determine 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 extent necessary to process the permit 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. \,, �„�,�r,� , '�,-� `� \� Vu First Middle Last ��t -1 .� � �,,w�,-�� G� C-�'Y? Address �y 1�'� J S .� ` L� L{7 �`�'E�J� ��1 _ C�ty 1 r V � State Zip Phone. J I und rstand my ri hts �s stated above. � � Signature V DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE , SCHEDULED -l5 __�`7`=� PERMIT N0.__.��d� COMPLETED ADDRESS�'��t U �X �� OWNER CONTR. L!�•F. ��'Il� TELEPHONE N0. � DESCRIPTION ___ �� —/�.� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � /�� 1'_�� 1 G�l �C L/ � o _-�7"�-� � � 0 � — � � Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pNOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 Owne ractor on site: � � Inspector. hite Copylinspector's File Canary Copy/Site Notice