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Home My WebLink About2002-P05618 - re-roof � ` PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Pos6is Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9�i��2oo2 SITE ADDRESS: 3525 Lyric Ave WAYZATA,MN 55391 PID: 17-117-23-43-0102 DESCRIPTION: UBc occupancy R3 Proposed Use: Residenrial Pernut 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: $ 9�•25 Valuation: $ 3,975.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: W F.Smith Construction OWNER: TAMMY RAE LILJENQUIST 5975 Lynwood Blvd 3525 LYRIC AVE Mound,MN 55364 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. �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Re4uired), 1-Avplicant, 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1 Total Fee: $ Date Received: Q-/7�.�OOa Entered By: Q��YK� Permit#: �0510��_ CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------------------------------------------------------------------- TAE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �S �� S ��,//�� L ZIP: NAME OF OWNER(�� + ( � v, S PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: �� CONTRACTOR: V V, �• �i �%a7v5 . PHONE: cl��'�701� /� CONTACT PERSON: '[3�p MOBILE/PAGER: c,i d- -8 6'? -3 �I 7 MAILING ADDRESS: 5�7 S- Ly/uweo� I�L�m CITY: /vl o�.....r> ZIP: SS�`� STATE LICENSE: # ��a c� ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain:�,q,.� �-� �1- �-S1� N F (,,� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ 3 i�� I hereby apply for a building permit and I aclrnowledge 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 accord e with the approved plan. APPLICANT'S SIGNATURE. DATE: 1 � ( � �� a NOTE! Parade of Homes events require separate permit approval by Police Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. Y � Sec.13.04 RIGATS OF SCTB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be sto�ed shall be as set forth in this secdon. Subd.2. Information req�rired to be givm iadividual. An individuai asked to supply private or con6dendal data concerning himseff shall be informed of: (a)the purpose and intended use of the requesred data wi[hin the collecting 3tate agency,political subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply the requesud data;(c)any imown consequence arising from his supplying or refusing to suppty priva[e or confidendal data;and(d)the idendty of o[her persoas or enaaes authorized by state or federnl law to roceive the data. This requirement shall not apply when an individual is asked to supply invesrigadve dara,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav alace che nodce required under this subdivision in the individual income tax or oroaem tax refund instnicdons instead of on those forms. Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and wherhec it is classified as public,priva[e or confidential. Upon his further request,an individual who is the subject of stored private or pubiic data on individuals shall be shown the data wi[hout any charge to him and;if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for siz months therea8er unless a dispute or action pursuant to dvs secrion is pending or addidonal data on the individual has been collecud or creaud. The responsibie authoriry shall provide copies of the private or public data upon requesc by the individual subject of the dara. The responsible authoriry may require the requesdng person to pay the actuai costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,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 sh�U so inform the individual,and may have an addidoaal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. M individual may contest the accuncy or completeness of pubiic or private data concerning himself. To exercise[his right,an individual shall nodfy in wricing the responsibte authoriry describing che nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurau or incomplete and attempt to nodfy past recipienu of inaccurate or incompiete data, including recipiencs named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data ia dispute shall be disclosed only if the individual's stacemenc of disagreement is included with the disclosed data. The de[erminadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act reladng to contesud 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 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 infonnation may be shared with other local, state or federal agencies to the eztent 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. w Patt,r�� ►�l_�- First Middle 1.ast ��''1 —7� �—�'1�1��p ��/Y� — Addross `n^. , ��_ / ��—�.7� Y �YM� �� Ciry State Zip Phone I und rstand my rights stated a e. Signamre CITY OF ORONO ' DATE TIME CALLEDIN INSPECTION NOTICEn � �i`�� SCHEDULED PERMIT NO. �� COMPLETED /D S/ -t�. ADDRESS � ��Z� L-N � ►�fi OWNER CONTR.��'�"��`�� TELEPHONE NO. � DESCRIPTION 1�Pi �'r�CJ � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS NAL 14 SEWER HOOK-UP 06 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 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: � W � � � O >. � O � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContr�r site: Inspector. White Copyllnspector's Fiie Canary CopylSite Notice / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED 4-/7 _[��'�J PERMIT NO. OS � COMPLETED ADDRESS �:�J� PC��/Y C/��E OWNER CONTR. �.CJ• /- S�YI/� TELEPHONE NO. .�5�:� �7.� �r`.� � � DESCRIPTION �-�� /� � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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/CONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOflE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe nex inspection 24 hours in advance. (952� 249-460� OwnerlContrac n i : Inspector. White Copyll�spector's Fil Canary CopylSite Notice