HomeMy WebLinkAbout2000-P02604 - re-roof . PERMIT
�i TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Po26o4
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(612) 249-4600 Date Issued: 6�2sioo
SITE ADDRESS: 3505 Lyric Ave
WAYZATA,MN 55391
P ID: 17-117-23-43-0100
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
TF A R(1FF/R FR(1(lF
FEE SUMMARY: PermitFee: $ 111.25 Valuation: $ 4,200.00
State Surcharge Fee: $ 2.10
TOTAL FEE: $ 113.35
APPLICANT: W F. SMITH CONST pWNER: RUBY L LINDBLAD
5975 LYNWOOD BLVD 3505 LYRIC AVE
MOUND,MN 55364 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
I T ISSUED BY SIGNATURE �
Copies:City,Applicant,Assessor,Finance Page 1
s
r
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII.,DIVG PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print a11 information)
T'HE APPLICANT IS: (circle one) OWNER �CONTR.ACTOR �`, �
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aos srrE annxEss: 3 S�d �" �-�� , L -z�: ..
NAME OF OWNER• v� � � �r 1�'D�� � � PH0�1E: (home)
� (work)
�iaa.livG aDnxEss:�� �G �" G�/�,�G crrY: z�:
, . M � '7� �-a��`�I PxorrE: u��- �6�"3 �
C0�ITRACTOR: vv S
C01�1TACT PERSON: u D MOBILE/PAGER �o� � 3 7 � .
Mt�II,,ING ADDRESS: S� �S' L�N�v��r� Bl.�'CITY: IM6�-v ZIP: S S �C �� ..
STATE LICENSE: # �3 � �
ARCHTTECT/ENGINEER: PA���
1���AII.ING ADDRESS: CITY: ZIP:
N�V�: REGISTRATION#
1'YPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�1 �L ��� `f �-� S'� • �' /�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROONiS: GARAGE STALLS: ATT. DET.
�
ESTlI�i IATED CO�iSTRUCTION VALUATIOv (excluding lancn: $
� � v �
I hereby apply for a building permit and I acknowled�e that the information above is complete and
accurate; chat 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 e in accor c with the approved plan.
APPLICANr'S SIGNATURE: DATE: �^ Z � — a�-'
� NOT'E! Parade of Homes events require separate permit approval by Police Department and
� Cily Council 60 days prior to the eveni. Non permitted events will not be atlowed.
Sec.13.0�i RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type o[data. Ihe righcs oi icdividua!on wham che dara is r•or:d or oo be staced shail be as sec forth ia chis secrion.
Subd.2. Info�mation reqirired ta be�.m iadividnal. An individual uYed to suFpiy private or confidendal daa conceraing himseif shall
be iaformed aF. (a)che purpose and iaL.nded use of che requesred data within the collecdng Yar..ageary,polidcal subdivisian,or statewide rystm;
�b)whe�er he may rthue ar is LegafIy tequitrd to supply ehe requested data:(c)any icown cansequeace arisiag from his supplyiag or refusing to supply
privarr ar conr.dendal dara:and(d)che ideadry of acher persoas or enades auchariz�by sra[_or federsl law ta ce_eive�he dars. This requuemea�stiall
noc apply when an individua!is asked to supply iar•arigadve dam,pursuanc co secdon 13.82.subdivision 5,eo a law enfocze�eac officer.
The commissioner of rc�enu- r-iav ola--che noac- rauiczd under chis subdivision in the individua! income tax or oraDem mz cefur.d
instcucdons ins.ead of on chose forms.
Subd.3. Access to data b�individual. Upon request ro a�ssponsible auehoriry,aa individual shall be informed whether he is[he subjecc
of scoced dara on indi�iduals,and whe:het it is ctass�ed as public,private or con::deadal- GFon his furcher tequest,an individual who is the subjecc
of stor.d privace or public dae�on individuals shall be shown che dara withaut any cau3e �n him and:if he desues,shall be uuormed of che concenc
ar.d meuring of chat data. Aher an individua!his bern shown che private dac3 and iaformed of its meaning,�he dara need not be disclosed to him for
su mondu dsecssher unless a dispuce oc acdon pursuanc w this secrion is pending or addidoa�l daci on the individual has beea collecced or creared.
The responsibia auehoriry shall provide copies of cht privace or public data upon ceGuest by c�e iadividual subject of che daa. Tne responsible auehoriry
may require che requesring person ro pay che acnial coscs of making,certifying.u:d campiling the copies.
The responsible auchoriry shall comply icnn:ediately,if passible,wich a:v;eques��de pucsuant co chis subdivision,or wi[hin five days of
the daG.of rhe r.quesc,eacluding Satucdays,Sundays and legal holidays,if immed'u�complianc�is noc passible. If he canaoc comply wich die reques�
within�hac dme,he shall so inform�he individuai,md may have an addidoaal five days wi[hia which to comply wit:�the request,exdudii:g Sacurdays.
Sundays and legsl holidays.
Subd.4. Procedura when data is not accurate or complete. An individual may cantest che accuracy or compleceness of public or pri�ate '
daa coaceming himself. To exercise chis righc,an individu3l shail nodfy in wridng rh:cesparsble auchoriry describing ette aacu:e of the disagreemaac. ..
The responsible auchoricy skull wichin 30 days eid:er. (a)correct[he dara found co te inaca:rae ar incomplece and aaempc co nodfy past tecipienc�of
inaccursce or iacomplece dac, inciuding recipieaa named by che individual:or(b)corify tl:e iadividual chat he believes rhe dac�to be cortecc Dac�
in d'upuce shali be disc:osed only if the individual's sacement of d'uagreement is i^:luded wi�h�he disclosed daca.
The decerminadon of ehe rosponsibte aurhoriry may be appealed pursu�:.c to che provisions of tha adminisuarive pcocedure act reladng to
concesced cases.
DAT� PRIVACY �D`'ISORY
In accordance wich M.S. 13.04,Subd.2, "Righu of subjecu oi data", w•e would like to inform you that your reQuest
for a permit or license from che City of Orono or any of its depz�ments may require you to furnish certain private or
confidential information.
You aze notified that: .
1. The informacion you furnish will be used to determine your qualification for the permit or license requested.
? You may refuse to supply data, buc refusal may require that the Ciry deny the permit or license.
;, The informacion may be shared with ocher local, scat�or federal agencies to the extenc necessary to process
ihe permit or license.
:�, If your requested permit or license requires Council action to approve, some information may become
public.
�. You have cercain riQhcs under M.S. 13.04 (available upoa requesc) to review private data on yourself.
6, Your full name is required to process this applicaron or permic.
Finc �tiddle Lasc
Addc:ss �
��ry Smc� Zip Phane
I understaad my ri;hts scac d above.
�
Signamre
DATE TIME
CITY OF ORONO CALLED IN :`�/�X�
INSPECTION NOTICE SCHEDULED �4 �d /�D � u-o
PERMIT NO. 4��0`� COMPLETED f '�� 1V�4'�
ADDRESS `� �
OWNER CONTR.
TELEPHONE NO. �`���- �'S�i
� DESCRIPTION /�'���n�
l� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
� MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d ORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
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� � CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. f- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR f' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contr ctor on site:
Inspector. �.�( �� ���
White Copyllnspector's File Canary CopylSite Notice