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Home My WebLink About2006-P09624 - re-roof � PERMIT CITY OF ORONO �• 2750 Kelley Parkway- PO Box 66 Permit Number: po9624 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2/28/2006 SITE ADDRESS: 3473 Livingston Ave Unit# Wayzata, MN 55391 PID: 17-117-23-43-0141 DESCRIPTION: Proposed Usc: 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: Permit Fee: $ 38•75 va�uation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 39.25 APPLICANT: Owner/Self OWNER: Steven King MN 3473 Livingston Ave 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. �,... ��y ; �ti-�---- ��'''� , APPL[CA PE SIGNATURE [SSUED BY SIGNATURE Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 ' �..-1 G'. � Total Fee: $ � �� Date Received: -� �� L' �- Entered By• ��,�� : Permit#: ._��;� `7/<- �- � / � � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all informatiora) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR JOB SITE ADDRESS: �`—�� —� v � n� � �=-.� r; ZIP: 5 5 � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �`NO Ifyes, a special event per-mit is reqarired tivith Police Depar-tnaent afad Ciry Coiincil approval 60 days pr•ia-to the event. Slzuttle bzrs service will be r�equir•ed arnless applicant demonstrates � sztff cient on-site parkiixg is availnble. Non peimitted events will r�ot be allowed. NAME OF OWNER: ��C�,c� � K t✓t�; PHONE: (home)��S a �i�y�{ 7L> - (work) �-n� MAILINGADDRESS: L�,;�nq5-�z�-� /-��-'�. CITY: c:��'�:'�u ZIP: � �3 'v CONTRACTOR: �,,�P�, ,�,�e r � S� i� � PHONE: �f�� f�.y 4�U CONTACT PERSON: c.,��,;-� k,�4 MOBILE/PAGER: MAILINGADDRESS:3�-{�� L�„,nyS'��-� �%� CITY: U":�.�v ZIP: aS3 � STATE LICENSE: # EXPIRATION DATE: � ARCHITECT/ENGINEER: /�� HONE: MAILING ADDRESS: CITY: ZIP: � NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Si mg�Windows) � �;�, �, PROPOSED WORK(describe in detai�: ��_,- �"�� ;��_ '�'�c� c:�� ,�t��1I n� ��; ��;� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �_ D�- CHED� � � ��_ ESTIMATED CONSTRUCTION VALUATION(excluding land): � O � - d�� r I hereby apply for a building pennit and I acknowledge that the information above is ec7rfiplete and accurate; that the work will be in conformance with the ordi ances and codes of the City and with the State Building Code;that I understand this is not a permit and w k is not to start without a permit;and that the work will be in accordance with the approved plan. , �� APPLICANT'S SIGNATtiRE: r '�' DATE: � � CS�� 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 for[h in this section. Subd.2. Informa[ion required to be given individuaf. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within 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 suppfy private or confidential data;and(d)the identity of other persons or entities authorized by state or federal 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,[o a law enforcement officer. The commissioner of revemie mayplace the notice required under this subdivision in the individual income tax or�ropertv tax refund instructions instead of on those fornu. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subjec[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 infonned 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuan[to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if itnmediate compliance is not possible. If he cannot comply with the request within that time,he shall 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 complete. An individual may contest the accuracy or completeness of public or private data concerning himsel£ To exercise[his right,an individual shall notify in wnting the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)corcect 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)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individtta]'s statement of disagreement is included with the disclosed data. The determination of the cesponsible 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 infornl you that your request for a perniit 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 deteimine 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 extent necessary to process the permit or license. 4. If your requested pern�it 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 pennit. �C v'-� v\ � )c„-��' � I�.� �� First Middle Last �—1� � �1 C.) i ✓l�'1 S�LJ �1 / �"�_ Address c�ti�� ,-,� uv1 ►� ��3 i 1 15,�. a�i �. �-f u �� C�ty State Zip Phone I understand my rights as sta d above. -.� Signature 32 n� ✓ ,/�� D TE TIME CI �%�JI'iV1Vl� CALLED IN � INSPECTION NOT�(CE SCHEDULED I PERMIT NO. �� COMPLETED ADDRESS J� ^7 3 �.- � / , S OWNER �� (�CONTR. ' TELEPHONE NO.�,;_ ` , � DESCRIPTION _ "�D�!— ��Q� � 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 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPlA1NT v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO v�, COMMENTS: � W a � 1, 1 oo�S � o - � �. � 0 � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on ite- Inspector._�,� � �� White Copyllnspector's File Canary CopylSlte Notice � � DATE TIME � � CITY OF ORONO CALLED IN �� INSPECTION NOTICE �/ SCHEDULED '�-` '�� -'��( PERMIT NO. C-�(�'`�J�G%r}7 COMPLETED ADDRESS A�� L- � � � :1°i J�/z•��l OWNER�� l � CONTR. (��Gu /t-� rr' TELEPHONE N0. `�S �7c� ��7C� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �-�OC� GZ�� .a � � O >. � O � W � Q � 2 W � W � � d W ❑W RKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE � � CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContract si . Inspector. White Copyllnspector's File Canary CopylSite Notice