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Home My WebLink About2002-P05582 - re-roof PERMIT CiTY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P05582 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9i6�2oo2 SITE ADDRESS: 3444 Livingston Ave Wayzata,MN 55391 PID: 17-117-23-43-0019 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: Permit Fee: $ 167.25 Valuation: $ 8,695.00 State Surcharge Fee: $ 4.85 TOTAL FEE: $ 172.10 APPLICANT: Randy's Residential Roofing OWNER: Tom&Patti Kleffman 3740 Cottage Grove Drive 3444 Livingston Ave Woodbury,MN 55129 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 STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. v— / / � � ��' V �.'�,"� . ,,i PLICA ERMITEESIGNATURE ISSU�DBYSIGNATURE Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 ' �Total Fee: $ Date Received: Entered By: Permit#: 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: ZIP: NAME OF OWNER: - c PHONE: (home) �- /-?�� (work) MAII.ING ADDRESS: CITY: ZIP: � CONTRACTOR: � ' PHONE: ��/y �/�,�-D30� CONTACT PERSON: OBILE/PAGER: ----- MAII.ING ADDRESS: a cr/� -�'rITY: ZIP:S� STATE LICENSE: # a fl/b l�93 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROP SED WORK(describe in detain: , STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ d�� 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 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: � _ �-� �D �— 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. r Sec.13.04 RIGHTS OF S[JBdECTS OF DATA Subd. 1. Type of data. The rights of individual on whom rhe data is stored or to be stored shall be as set focth 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 puipose and intended use of the requesred data within the collecting�tate agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenriry of other per�ons or enriries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,punuant to secdon 13.82,subdivision 5,to a law enforcement officer. The commissioner of re�enue mav place the nodce required under this subdivision in the individual income tax or provertv taz refund instrucdons inscead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individua(shali be informed whether he is the subject of stored data on individuals,and whecher it is classified as public,private or confidential. Upon his f»rther 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 d'uclosed to him for six months thereafter unless a dispute or acdon pursuant to this secrion is pending or addidonal 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 authority may require the requesdng person to pay the acrual costs of making,certifying,and compiling the copies. The responsible authority 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 within that time,he shal(so inform the individual,and may have an addidonal five days within wluch 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 compleceness of public or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing che nature of the disagreement. The responsible authority shail within 30 days either: (a)correct[he data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incompiete data, including recipients named by che individual;or(b)notify the individual that he believes the data to be correct. Dara in dispute shall be disclosed oniy if the individual's statement of disagreement is included with the disclosed data. The decerminadon of the responsible authority may be appealed pursuant to the provisions of the administradve 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 permit 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 fumish will be used to determine your qualification for the permit 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 eztent necessary to process the permit 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. Fi�� Middle Last Address � Ciry State Zip Phone I understand my rights as stated above. Signaturo DATE TI E A CITY OF ORONO CALLED IN INSPECTION NOTICE scHE�u�E� � � PERMIT N0. I�C� �5�, COMPLETED � ADDRESS ��y y L�1 V � Y�S�O Y1 �\,� �w i OWNER CONTR. �� TELEPHONE N0. a - � ` ' � DESCRIPTION '�ue-�h ��/�f� ' � 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �� f�p c� W a � J .—� O � � � O � W �� -T �� -�� Q � � � �� T! �t.!�.S' z W � W � � d W �W SATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN p CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlCon ctor on sit : ti Inspector. Wh' opyllnspector's File Canary Co te N ce ` / �� DATE TIME V '�_ CITY OF ORONO CALLED IN INSPECTION NOT,�E SCHEDULED � _� PERMIT NO. r"L' S�5��- COMPLETED ADDRESS -��`f � � �i �' Y� OWNER CONTR. �-�'t t` �� TELEPHONE NO. �� C�L%-� �� . � DESCRIPTION �Dn F � � Oi 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 17 SITE INSPECTION �OS PJNAL) 14 SEWER HOOK-UP O6 PFiOGRESS 0��0-S�TE 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 FINA� 36 FOUNDATIOWREMOVAL � OWNEHICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � a ` � � O � � O � W � Q � Z W � W � � O W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETUFN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952� 249-46�0 OwnerlContrac on it : Inspector. White Copylinspector's File Canary CopylSite Notice