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Home My WebLink About2002-P05474 - re-roof � . PERMIT � CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05474 Crystal Bay, Minnesota 55323 Permit Type: Minor Alteranons (952) 249-4600 Date Issued: gi6i2oo2 SITE ADDRESS: 3465 Lyric Ave WAYZATA,MN 55391 PI D: 17-117-23-43-0086 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residenrial Pemut Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 293.25 Valuation• $ 18,000.00 State Surcharge Fee: $ 9.50 TOTAL FEE: $ 302.75 APPLICANT: Top Gun Inc. OWNER: G A&K D HANSBERGER 13325 Commerce B1vd.Suite 2 3465 LYRIC AVE Rogers,MN 55374 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TQ MAKE THE REAL IMPROVEMENT'S SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. x�� APPLICANT PERMITEE SIGNATU ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Repuired), 1-At�ulicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 w . Total Fee: $ %' C%�� Date Received: �'-(,�-C� Entered By: �� Permit#: � y'�O �`"y�� CITY OF ORONO - BUII..DING PERMIT APPLICATIOI� 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'�� L�Y, � ��`� ZIP: � 5 3`� 1 NAME �F OWNER: C��r./ �u�s ��x r PHONE: (home) yS a - `��l - v�7�� (work)�'7(�3 - �38 - �`�Hc� MAII.,ING ADDRESS: 3`�5 L•�r�� i�� CITY: N.��,_�� ZIP: 5 S.3� 1 CONTRACTOR: (o� �l u n T v.c , PHONE:C`��3� � `�� S�S�5 C01�1'I'ACTPERSON: �arr�., j<�'�e� MOBILE/PAGER: (o/�. - 3Gy - ��i� MAILINGADDRESS: 5�S �o�+�.�-�� 731��1 St.�-{� � CITY: �-��-s ZIP: S53`7'� STATE LICENSE: # � �� 5 °3° 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�: �,-�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ / ��° �' � L 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 pemut and work is not to start without a permit; and that the work will be in accordance with the approved plan. t / APPLICANT'S SIGNATURE:'Z�'� � ,��_ DATE: ��/ G� /�� r � NOTE! Parade of 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. Sec.13.04 RIGHTS OF S[JBJECTS OF D�TA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenual data conceining himself shall be informed of: (a)the purpose and intended use of the requestcd data within the collecang'state agency,polidcal subdivision,or statewide rysum; (b)whecher he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply priva[e or confidenaal data;and(d)the idenary of ocher persons or enriaes authorized by state or federal law to receive the data. T6is requirement shali not apply when an individual is asked to supply invesdgadve dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the noace reouired under this subdivision in the individual income tax or propem taz refund instcuctions inscead of on those forms. Subd.3. Access to data by indi�ldual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed as public, private or confidendal. Upon his further request,an individual who is the subject of stored pri�ate or public dara on individuals shall be shown the data without any charge to him and,�if he desires,shall be informed of the contenc and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or acdon pursuanc to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry may require the requesdng person to pay the acmal costs of making,certifying, and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or withia five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compiiance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excludiag Saturdays, 5undays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or private data concerning himself. To exercise this righc,an individual shall nodfy in writing the responsible authority describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual tha[he believes the data to be correct. Data in dispute shal(be disclosed only if the individual's statement of disagreement is included with[he disclosed data. The decerminarion of the responsible au[horiry may be appealed pursuant to the provisions of the administrarive 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 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 priva[e 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 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 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. Fint Middle Last Address . Ciry State Zip Phone I understand my rights as stated above. � c�-� :``,� ;`-.�-' / Signamre � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � PERMIT NO. ��D�"�� COMPLETED ADDRESS 3yC�5 ��,�,c �iC � OWNER CONTR. �/� �"/n r� C ' TELEPHONE NO. �Ca? � �1 �� `-�,�2S�I � DESCRIPTION �-e-Ct� G��l �� ` I ? � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � G � � � ' d J � ` O � TI �S 0 k W c _.��- " � - � z W � W � � d W� ❑W SATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call f the next inspection 24 hours in advance. (952� 249-46�� Owner/ConUact o ite: Inspector. ite pyllnspector's File Canary Copy/Site Notice