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Home My WebLink About2001-P04138 - re-roof � � - PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po413g Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations (952) 249-4600 Date Issued: v3ti2ooi SITE ADDRESS: 3630 Livingston Ave WAYZATA,MN 55391 P I D: 17-117-23-34-0027 DESCRIPTION: UBC Occupancy R3 Proposed Use: tcesidentiai , ��j G��'� Buildin Census Code 4� (.`-'� Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 2,400.00 State Surcharge Fee: $ 1.20 TOTAL FEE: $ 84.45 APPLICANT: Rainbow Roofing OWNER: ERNEST G DEBELLA RR 1 Box 139 3630 LIVINGSTON AVE New Prague, MN 56071 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. � . �� - � �..�1�� ,. C��z�� APPLI ANT PERMITEE I NATURE ISSUED BY SIGNATURE � Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � , Total Fee: $ �� Date Received: �' � � l� Entered By: Q--�� Permit#: ��y/ � CITY OF ORONO - BUILDING PERNIIT 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 CONTRACTOR (� � r JOB SITE ADDRESS: . �j�c, �`� �� °�1� ��'�`- ZIP: � �� NAME OF OWNER: �.c{��--�, ��k�� PHONE: (home) ��J� � � � �� ,��- (work) MAILING ADDRESS: �� ''��J��'i �� CITY: �C� O(';� ZIP•• -�j� CONTRACTOR: �P .�� `�' PHONE: � i�-`�� 3 CONTACT PERSON: �p MOBILE/PAGER: MAILING ADDRESS: ��.1 0 \� CITY: �v� � �'��,;;,3- ZIP: �(�,;�'� .. STATE LICENSE: # '�.0'� �o��d 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 detai : �sL CJv-� � �� J��. r� 1 � ( � �-� �( <�� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ,� . ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� -:� "� I hereby apply far 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 acc ance with the approved plan. � � APPLICAI�TT'S SIGNATURE: � DATE: � � J`�' �'j J'� NOTE! Parade Qf 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. � . 3 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom[he data is stored or to be stored shall be as set forth in this secrion. Subd.?. Informatioa reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting"state agency,polidcal subdivisiou,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply priva[e or co�dential data;and(d)che identity of ocher persons or enrides auchorized by state or federal(aw to receive the data. This requiremeat shall not apply when an individual is asked to supply investieadve dan, pursuant to secdon 13.82, subdivision�, to a law enfoccement officer. The commissioner of re�•enue mav place the nodce reauired under this subdivision in the individual income tax or propem tax refund instruccions inscead of on chose forms. . Subd. 3. Access to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her it is classified as public, private or confidenrial. Upon his further request, an individual who is the subject of stored private or pubtic data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown the privace data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuan[to this secdon is pending or addiaonal data on[he individual has been collected or created. The responsible au[horiry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authoriry may require the requesting person to pay [he acrua!costs of making, cemfying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision, or wi[hin five days of the date of the request,excluding Sacurdays,Sundays and leeal holidays,if immediate compliance is not possible. If he cannot comp(y 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,exc!uding Sarurdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. An individual may conrest the accuracy or completeness of public or private data eonceming himself. To exercise chis ri¢ht,an individual shall nodfy in writing the responsible authori[y describing[he nature of the disagceement. The responsibte authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to norify pas[recipients of inaccurate or incomplete data, including recipiencs 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. T}ie de[ermination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to contesred cases. DAT� PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rishts of subjects of data", we would like to inform you that your reauest 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 pemut 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 pemut or license. 4. If your requested permi[ 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. (, Your full name is required to process this application or permit. � � U� T�' � �� First �.� � Middle Last ��-,'�� I �0� � s _.� Addres 1 r;� J I� �'�C�) ,�-J� f��,� �.�r�;,� �1` � : �,--t.;-� Ciry State Zip Phone � I understand my ri�hts as state / �ove. Signature � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�E SCHEDULED _- � � -� PERMIT NO. � �� 3.� COMPLETED '� a'�3d ADDRESS �� OWNER CONTR. G�%r�.11�'� TELEPHO E NO. � % � � 3 O S� P � DESCRIPTION --� '_i(�"� � 01 FOOTING 11 MECHA AL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a C� j � O � � � r O �5 (.� � W - �- Q � _cd� � � � �� W �� W �O � � j �. O �" W� ❑WORK SATISFACTORY:PROCEED /t �"— l.' W ❑CORRECT WORK 8 PROCEED C � �CORRECT WORK,CALL FOR REINSPECTION ��S� � � BEFORE COVERING A ❑C O R R E C T U N S A F E C O N D I TI ON WITHIN HOURS. 1 � 11 G�� INSPECTOR W{LL RETURN �U � ❑STOP ORDER POSTED.CALL�NSPECTOR Q ( ❑ INSPECTION REQUIRED.CALLTOARRANGEACCESS. ��(O � Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector��,�P..�� White Copy/lnspector's Ffle Canary Copy/Site Notice