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Home My WebLink About2001-P04606 - re-roof CITY OF ORONO PERMIT 2750 k�elley Parkway - PO Box 66 Permit Number: Poa6o6 Crystal Bay, Minnesota 55323 Pe►-mit Type: MinorAtterations (952) 249-4600 Date Issued: t 1�9i2ooi SITE ADDRESS: 2636 Lydiard Ave Excelsior,MN 55331 PID: 2�-i��-23-22-oot2 DESCRIPTION: UBC Occupancy R3 Proposed Use: 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: $ g3•25 Valuation: $ 2>500.00 State Surcharge Fee: $ 1.25 TOTAL FEE: $ 84.50 APPLICANT: Owner/Self OWNER: Telford Thompson I�'IN 2636 Lydiard Ave Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEI�NTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � G� '-.----�i '�'Z- � � " �%`� APPL[CANT PER ITEE SI ATURE [S EDBYSIGNATURE Copies: 1-File(Si2nitures Reauired), 1-Apnlicant, 1-Month(v Reports, 1-Assessin�, 1-Finance Page 1 Total Fee: $ Date Received: ; Entere� By: Permit#: ` ' � . ` �l, CITY OF ORONO - BUILDING PERMIT APPLICATIOl`�T � All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER. R CONTRACTOR JOB SITE ADDRESS: ��.3�, �yp��iep �E� ZIP: JrS�'3 / NAME OF OWNER: IELr�o.e,o � �Ps o� PHONE: (home)��2-4�7/-9%7.Z (work) ��.�- �7P'�-.3658 MAILING ADDRESS: ��3( �y�,.¢ie� „ ITY: �X��5�a2 ZIP: .53.3 CONTRACTOR: �l fi� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: iV�� PHONE: MAILING ADDRESS: � CITY: ZIP: NANIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ,�E - if do,c , ��r}� OfF �- �s�✓STi¢LL IL��GJ G�?I� Tirnf,'E�L�N� . /✓��rJ (fNOF�P[.,¢u�6,�T �- �/-i�S��n/G STORIES: � SQ. FEET OF EACH FLOOR: �� NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ �, ,�C>O P ° � 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 SIGNAT'URE: � DATE: //- �- O / `�C`I. NOTE! Parade of Flomes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF S[fBJECTS OF D�►TA , Subd. i. Type of data. The rights of individual on whom the data is stored or to be stoced s6all be as set forth in this secrion. Subd.2. Information req�rired to be given individual. An iadividual asked to supply private or confidenrial data conceraing himself shall be informed of: (a)the purpose and intended use of the cequcs�ed data wichin�e collecring�tate agency,poliacal subdivision,or statewide rysum; (b)whecher he may refuse oY is legaily required co supply the mquesud data;(c)any known consequence arising from his supplying or refusing to supply private or confidenaai data;and(d)the idendry of other pe�sons or enades au[horized by state or federal law m receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to secrion 13.82,subdivision 5, to a law enfocsement officer. The commissioner of revenue mav alace che nodce reauircd under this subdivision in the individual income tax or prooertv taz refund instructians inscead of on chose forms. Subd.3. Access to data by iadtviduai. Upon requesc to a responsible authoriry,an individual shall be informed whether he u the subject of stored data on individuals,and whether it is classified as pubtic,privace or confidential. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown[he data wirhout any charge to him and;if he desires,shall be informed of the content and meaning of chat data. Afur an individual has been shown the privau data and informed of iu meaniag,the data need not be disclosed ro him for six months thereafter unless a dispute o�acdon pursuanc to this secrion is pending or addidonal data on the individual has been collected or created. The respoasible authoriry shall provide copies of the private or public dara upon mquest by the individual subject of the data. The respoasible authority may require the requesang person to pay the actual costs of making,certifying,and compiling the copies. The responsible au[horiry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saardays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc wirhin that time,he shall so inform the individual,and may have an addiriooal five days within which to compiy wich the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. An individual may conusc the accuracy or completeness of public or private data concerning himsetf. To exercise rhis right,an individual shall nodfy in writing the responsible authoriry describiag che nature of the disagreement. The asponsible authoriry shall within 30 days either: (a)correcc the daca found to be inaccurau or incomplete and aaempt W nodfy past recipienss of inaccurdte or incomplete data, including recipients named by che individual;or(b)noafy the individual tha[he believes the data to be correcc. Data in dispute shall be disclosed only if the individual's statemenc of disagnement is inciuded with the disclosed data. The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of the administrarive procedure act retating 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 Ciry of Orono or any of its departments may require you to fumish 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 supply data, but refusal may require that the Ciry 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 permit or license requires Council action to approve, some information may become public. 5. You have certain ri.,,¢hts 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. T�a,�Q �„�G `7�o,�osa,� First Middle Last ,��3� L Uo��-,ea .�vE Addcess �J��/ 7��_7'��—��-C. �XC�1Sro� /��. City Stam Zip Phone I understand my righu as stated above. - � Signamrc N DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT �, �v � SCHEDULED —�v ��—,�.� PERMIT NO. COMPLETED �G ADDRESS�� G� ��/ �"`� G OWNER�?r1��'f�s�`✓I CONTR. ti !�-� �(.�—�✓' TELEPHONE NO. (� S�l '�4 �� a2�'- �� i � DESCRIPTION � l� l.� �l� I'��U� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 06 PROGRESS � 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS:� ► �-��`�-s I�y Fi"o�" �°r � W a � J O � � O � W � Q � 2 W � W � � ��WORK SATISFACTORY:PROCEED °�JPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector.��C�L .�l y� � White Copylinspector's File Canary Copy/Site Notice