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Home My WebLink About2001-P04258 - re-roof ! , � CITY F PERMIT O O RO N O permit Number: 2750 Kelley Parkway- PO Box 66 Poa2ss Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: si29i2ooi SITE ADDRESS: 3452 Livingston Ave WAYZATA,MN 55391 P I D: 17-117-2 3-43-0018 DESCRIPTION: UBC Occupancy 1t3 Proposed Use: �cesicientiai Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 3,989.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 99.25 APPLICANT: Flagship Roofmg Company OWNER: �LLIAM R MAXWELL II&WIFE 3496 Shoreline Drive 3452 LIVINGSTON AVE Wayzata,MN 55391 WAYZATA MN 55391 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE'TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS. ��-� C�%�f�� a�� SSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports,1-Assessing,1-Finance Page 1 � Total Fee: $ Date Received�: �^a_ --U 1 Entered By: ✓LL_- Permit#: /� o� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------- -------------------------------- THE APPLICANT IS: (circle one) OWNER OR ONTRACT JOB SITE ADDRESS: . 3`FS Z L-�� r--S S�C„�s �� ZIP: 5`S�`� ' NAME OF OWNER: �N• �� c a,�. �a�wc L( PHONE: (home) �11 '77Z 3 (work) MAILING ADDRESS: ��SZ L� v i►.,S S1.6,-� �CITY: �ur, � ZIP: �^�� CONTRACTOR: �!c o�SG1�p ��rS PHONE: �S Z - �'7 ("�Q�� CONTACT PERSON: � MOBILE/PAGER: MAILING ADDRESS: q (��l,�o.r l (�� CITY: � _ZIP: 5�3�( STATE LICENSE: # 2 a�g317� 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 detain: -t�a� - � G�C �P-�Gv� STORIES: `2— SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� �-, ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7� `I8 7_ v� 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 pernut 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: ��`� �- NOTE! Parade of Homes events require sepa e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. t Sec.13.04 RIGH'TS OF SUBJECTS OF DaTA . Subd. 1. Type of data. The rights of individual on whom rhe data is s[ored or to be stored shali be as set forrh in this secdon. Subd.2. Information req�rired to be givea individual. Art individual azked ro supply private or confideadal data concerniag himself shall be informed of: (a)the purpose aad inrended use of the requesred data wirhin tt�e collecang Ytate agency,polidcai subdivision,or statewide sysum; (b)whether he may refuse oY is legatly required to supply the requesud data;(c)any known coatequence arising from his suppiying or refusing to supply priva�e or confidential data;and(d)the idenriry of o[her persons or enrides aurhorized by sta[e or federal iaw to receive the dara. This requirement s6a11 not apply when an individual is asked to supply invesrigadve dara,pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the noace rauired under rhis subdivision in the individual income rax or nropertv taz refund instructions inscead of on chose forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is classified as public,priva�e or confidential. Upon his further requesc,an individual who is[he subjecc of stored private or public data on individuals shall be shown the dara wi[hout any charg�to him and;if he desires, shall be informed of the content and meaning of chat data. Aher an individual has been shown che private dara and informed of ics meaning,the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acdon pursuan[to chis secrion is pending or additional data on the individual has been collected or created. The rosponsibie 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 actua!costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,wich any request made pursuant to this subdivision,or within five days of the date of ihe request,excluding Saturdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that dme,he shali so inform 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 compiete. An individual may contest the accuracy or completeness of public or pri�•ate data concerning himself. To exercise chis right,an individual shall nodfy in wridng the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correc�the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccunte or incomplete data, including recipients named by[he individual;or(b)notify the individual that he believes the data to be corcect. Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to contested cases. DATA PRIVACY �DVISORY In accordance with M.S. 13.04, Subd.2, "Righu of subjecu 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 furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to suppiy data, but refusal may require that the Ciry deny the permit or license. 3. The information may be shared with ocher 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. 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. ��S ��,�� ,,,�^ First Middle Last �4�� Si��t'r �c � Aa�K�s5 l.�-�N-rz-..�-�- tM�-f .S`�`�� q�Z-`�?1'� 'f� City Start Zip Phone I understand y rights as stated above. Signamre � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �j SCHEDULED PERMIT NO. ��-�6 COMPLETED � �� ADDRESS `Is�"�-i✓l�5 S�� OWNER y CONTR. ��G-�7 S I1..�� itf� TELEPHONE NO. `� � 3�f� � DESCRIPTION_ � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PFOGRESS � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W C � J O >. � O ti W � Q � 2 W � W � � �}�NORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlCon or on site: Inspector. White CopyllnspectoPs File Canary CopylSite Notice