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Home My WebLink About2001-P04387 - re-roof PERMIT � � � � � C�T OF ORONO Permit Number: 275� Kelley Parkway - PO Box 66 P04387 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: a�24i2ooi SITE ADDRESS: 3438 Lyric Ave Wayzata,IvIl�I 55391 PID: 17-117-23-43-0077 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential 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: $ 54.00 Valuation: $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 54.75 APPLICANT: J• Benson Construction OWNER: Lois Hudlow 7020 Walker Street 3438 Lyric Ave St.Louis Park,MN 55426 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. ,u��i. ��-- " � ;�L-t--�{ ��'��'1 C-C�,� �`%� APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Reaurred). I-Apolicant, 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 �Cotal Fee: $ Date Received: ��tered By: Permit#: . 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 JOB SITE ADDRESS: 7�3� �,y/`��C ��-- ZIP: 'j�3`I� � NAME OF OWNER: �i 5 �-lk��v�;J PHONE: (home) �,5�'`��l� 7�7S (work) ��rf� MAILING ADDRESS: ,3`{� L' L�r�c ' <<� CITY: Gc.°� zs;� ZIP:S S35'� CONTRACTOR: ` i�Se�� 1�� r'�.c:�`�- PHONE: � I�S�-��"�� CONTACT PERSON: ! �� f— MOBILE/PAGER: ',�-�f�-3oS% MAILING ADDRESS: �,�D c�;k, ,�4,,,� Sf- CITY: 5�i:.�:i;s��I� ZIP: S 5 �� STATE LICENSE: # �6�— 7 D ARCHITECT/ENGINEER: PHOiVE: MAILI_�TG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�C _ Land Alteration PROPOSED WORK(describe in detai�: �� 'dc�-� STORIES: � SQ. FEET OF EACH FLOOR: U 5�' NO. OF BEDROOMS: 1 GARAGE STALLS: ATT. C% DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (�'� �' � 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. � � � � APPLICAi�TT'S SIGNATURE: � DATE: I �`{�� NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non pernzitted events will not be allowed. . � Sec.13.04 RIGHTS OF SUBJECTS OF D.aT,� ,. Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be scored shall be as set forth in this secdon. Subd.2. Informatioo reqirired to be given individual. An individual asked to supply privace or confidendal data concerning himself shall be informed of: (a)the purpose and inrended use of the requested dara wi[hin the collecting'state agency, political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any known coasequence arising from his supplying or refusing to supply priva�e or confidential data;and(d)the identity of o�her persons or enrides auchorized by state or federal law to receive the dara. This requiremeot shall not apply when an individual is asked to supply invesdeaave dara, pursuant to secrion 13.82, subdivision S, to a law enforcement officer. The commissioner of re�•enue mav place the noace r�auired under this subdivision in the individual income tax or propertv tax refund instructions instead of on thnse forms. Subd. 3. Access to data by individual. Upon request to a responsibfe authority,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 subjecc of stored private or public data on individuals shall be shown[i�e data wi[hout any charge to hun and, if he desires, shall be informed of the content and meaning of[hat data. Afrer an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six months[hereafter unless a dispute or acrion pursuant to this secrion is oending or addidonal data on the individual has been collected or created. The responsibie authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of makine, certifying, and compiling the copies. The responsible authoriry shall comply immediate(y, 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 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 himself. To exercise[his rieht,an individual shail norify in wricing the responsible authority dzscribing[he narure of the disagreement. The responsible authoriry shalt within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he be(ieves the dara to be correc[. Data in dispute shall be disclosed only if the individual's sta[emen[of disagreement is included with [he disclosed data. The de[ermination of the responsible au[horiry may bz appealed pursuant to the provisions of the administrarive procedure act relaring to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Riahts 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: i. 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 City deny the pemut or license. 3. The information may be shared with ocher local, state or federal agencies to the extent necessary to process the pernut 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 fuli name is required to process this application or permit. ,,� �yz'v1�� r��`1'Y'c�.C�lC:� �"� First �tiddle Last �j��f� I��✓ �-�' A�� l��i� S �Srk 5�y �l5�_y,� -�%-�,'1 �'7 j� �. � City State Zip Phone I understand y rights as tated above �� s�_ Signature � DATE TIME CITY OF ORONO CALIED IN INSPECTION NOTICE ��CHEDULED � PERMIT N0. COMPLETED ,/ --�� ADDRESS `� �'` r/ C � �- OWNER CONTR. e L� TELEPHONE NO. �'f� a` `��(� — ,_,��7 �- � DESCRIPTION �� l� 01 FOOTING 11 MECHANI AL RI CAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC NAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� �VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConUa tor on site: Inspector. � White Copyllnspector's File Canary CopylSite NoUce v�""— DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED _.� PERMIT N0. �� COMPLETED — �� ADDRESS �� 8 Cc�i^i � �j;� OWNER LUl s -{-�c�� CONTR. , I ��CIYI C("/�P . TELEPHONENO� `Y 7� ` 7J� ��,,., ow�•^ ) � DESCRIPTION I- �`rt� d� ��dd F" � 01 FOOTING 11 MECHANICAL Rl 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 OS FINAL 14 SEWER HOOK-UP O6 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��1�-5-fi�.�c;fi!b n CC,I�CX ''.� ._'�j-�-- cQ u�.� W � � J O >. � O � W � Q ti Z W � W � J d ��,,..!!y�,'' W� �ORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP OiiDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra�tqr on sit • Inspector. �� White Copy/lnspector's File Canary Copy/Site Notice