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Home My WebLink About2006-P09955 - re-roof PERMIT CIT�ry OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po9955 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/7/2006 SITE ADDRESS: 3580 Frederick St Unit# Wayzata,MN 55391 PID: 20-117-23-12-0019 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 111.25 valuation: $ 4,930.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: Berwald Roofing OWNER: Lavay Newton 2440 N.Charles St. 3580 Frederick St N. St.Paul,MN 55109 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. �,�� / % .�'� +,- " � � �==� `-� ` ,�''�i°C�_� , �. � � APPLICANT�RMIT SIGNATURE _�� ` } � � ° ISSUED BY SIGNATURE - Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . y Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (plecise pYint crll information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci��cle one) OWNER OR CONTRACTO - _......._._.__....� JOB SITE ADDRESS: �-�` <��C� .:�ir�sL�u� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS � No If yes, a special eve�zt per•niit is required ivit/7 Police Department and City Cozmcil approval 60 days prror�to the event. Shuttle bars ser•vice tivill be requir•ed unless applicant denaonstrates sa ffieient on-site par•Icing is available. Non-permitted eve��ts wrll not be allolvec! NAME OF OWNER: ��2��c� i��*� PHONE: (home)�S,� �`5�7/- 7YE%7 (work} MAILING ADDRESS: 3 5 Y� ��'-�� CITY: ��°' ZIP: CONTRACTOR: ,��,�c ,� _.._ PHONE: Cs S / � � 7 7Y l CONTACTPERSON: .�=�� "LVIOBIL AGER: ��,-/� 5��'�(� MAILING ADDRESS: � r�G;' ,�, ��y �,�-. CITY: � .��?i,� ZIP: -io STATE LICENSE: # „�`�r�ls�c� �'� EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessorv Structure Move Home Remodel/Alteration (ie: Siding, Windows) l� Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in dettrin: �`2 v,G¢ �_-2�� STORIES: _� SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GA.RAGE STALLS: ATTAC�IED DETACHED , �,��r ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � q:3�',. � i I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the ��rork 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: ��2� � DATE: �`� �—C� G 31 J Sec.13.0�J RIGHTS OF SUBJECTS OF DAT:1 Subd. 1. Type of data. The rights of individual on whom the data is srored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of. (a)the purpose and intended use ofthe requested data within the collecting sta[e agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arisin�from his supplyin�or refusing to supply pnvate or confidential data;and(d)the identity ofother persons or entities authorized by state or federai law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer. The commissioner of revenue may_place the notice required under this subdivision in the individual income tax or propertv tax refund instruc[ions instead of on those fonns. Subd.3. Access to data by ittdividual. 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 contidential. Upon his fuRher request,an individual who is the subject of stored private or public data on individuals shall be shown d�e data without any charge to him and,if he desires,shali be informed of the content and meaning of that data. After 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 action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person ro pay the actual costs of making,certifying,and compiling Ihe copies. l'he responsible aud�ority shal I comply immediately,if possible,�vith any request made pursuant to this subdivision,or wi[hin tive days of the date ofthe request,escluding Saturdays,Sundays aitd legal holidays,if immediate compliance is not possible. If he cannot comply�vith the request �vithin that time,he shall so inform the individual,and may have an additional tive days within which to comply with the reques[,excluding Saturdays, 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 priva[e data concerning himself. To excrcise this right,an individua(shall notify in writing the responsible authoriry describing the nature oY the disaereement. The responsible authoriry shall�vithin 30 days either (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,induding recipients named by the individual;or(b)notity the individual that he believes the data to be correct Data in disp�!t?sLal!be disclnsed only if tl�e individual's sfatement of disagreement is induded w'ith the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 pern�it 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 detennine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the pennit or(icense. 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 rec�uested 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. 6. Your full name is required to process this application or permit. First Nliddle Last :lddress Cih� State Zip Phone I understand my rights as stated above. ��%�' ��..�5<%�"'`t-f Sign��ture Reset Form �=' �`� /D�AT�/J TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED ` " J °�%C�1 •'C'� PERMIT N0. �'�C��/`/S S� COMPLETED ADDRESS �� %� f:��?'��'C�'��i �G � OWNER CONTR. �'+`�--%��-��CC� TELEPHONE N0. �� •��'� �lp �S � DESCRIPTION �-�G�-�� G`'�� - ��= �C��J-� � 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 Z04 WALL BD. 12 WATER HOOK-UP 1� SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 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 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � 2 w � w � � d W� WORKSATISFACTORY:PROCEED Il PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED r! ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CA�L INSPECTOR '-� CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContra site: Inspector. White Copyllnspector's File Canary CopylSite Notice