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Home My WebLink About2005-P08699 - re-roof I . „ CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Pos699 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: siioi2oos SITE ADDRESS: 280 Hollander Rd Wayzata,MI�T 55391 PID: 25-118-23-43-0012 DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 451.85 Valuation• $ 30,800.00 State Surcharge Fee: $ 15.90 TOTAL FEE: $ 467.75 APPLICANT: Westurn Cedar Supply,�nc. OWNER: Byron&Jill Payne DBA:Westurn Roofmg Siding 280 Hollander Rd 9700 13th Avenue N. Wayzata,MN 55391 Plymouth,MN 55441 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. � � ? � APPLICANT PERMITEE NATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Avnlicant 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 : . � Total Fee: $ Date Received: - Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION A11 information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONT JOB SITE ADDRESS: �� 7t��iq�/I,��' /1�f'i ZIl': S.S.� �1� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes ❑NO If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non pennitted events will not be allowed. NAME OF OWNER: �� /�J9,Y/✓� PHONE: (home) �13•� ��,�-D y�qlJ' (work) MA.ILINGADDRESS: .$�.9m� CITY: ��Po�vo ZIP: S3y CONTRACTOR: li✓�S/r.�� PHONE: 7G3-.s�l-d.3�� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: �17 ov �.��'1�3l/�iJ CITY: ZIP: ��j�� STATE LICENSE: # /�'c �o�s�',� b EXPIRATION ATE: 3/�O� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home RemodeUAlteration PROPOSED WORK(describe in detai�: �dl�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� O� 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 pemut and work is not to start without permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: �4/O J 31 • � - Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information 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 of the requested data wi[hin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive che 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 officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or proverty tax refund instructions instead of on those forms. Subd.3.Access to data by individual. 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 confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall 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 thereaRer 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 subjec[of the data. The responsible authority may require the requesting person to pay the actual costs oFinaking,certifying,and compiling the copies. The responsible authority shall comply immediately,ifpossible,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 complia�ce is not possible.If he cannot comply with che request within that time,he shali so infortn the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4.Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic or private data concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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 determination of the responsible authoriry 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 subj ects of data",we would like to inform you that your request for a pemut or license from the City of Orono or any of its deparhnents may require you to fumish certain private or confidential information. You are notified that: 1. The information you fumish will be used to determine your qualification for the perrnit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The informarion may be shared with other local, state or federal agencies to the extent necessary to process the pernrit 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. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated bove. gnature 32 � � ��w� ✓ �,QATf,O TIME CITY OF ORONO CALLED IN ��7 INSPECTION N IC SCHEDULED �`'d-d � _,.� PERMIT NO. COMPLETED l�'?�� 3-v a % ��i� ADDRESS ��D � OWNER CONTR. TELEPHONE NO. l�� Z Z Z� O SO�� DESCRIPTION �—e��- v � � 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 � 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 J 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/REMOVA� � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j o j . �� -r u.1�Q� I vr�� 0 � W � Q � z W � W � � a W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED '-' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector.� � LY1,�� White Copyllnspector's File Canary CopylSite Notice