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Home My WebLink About2001-P04681 - re-roof PERMIT CITY OF ORONO Permit Number: 2750 Kelle�Parkway- PO Box 66 P04681 Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249�600 Date Issued: 12�3�2ooi SITE ADDRESS: 3554 Lyric Ave Wayzata,MN 55391 PID: 17-117-23-43-0055 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Sepazate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,558.00 State Surcharge Fee: $ 2.80 TOTAL FEE: $ 128.05 APPLICANT: Obrien Roofing Construction OWNER: Dawn Stilnovich 4143 Minnehaha Ave S. 3554 Lyric Ave Minneapolis,MN 55406 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. C E TEE SI NATURE IS DBYSIGNATURE Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII.DING PERNIIT APPLICATION All information must be su6mitted in full before plan review will be started. (please print all inforniation) ---------------------------------------------------------------------- ---- -�----------- -------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACT JOB SITE ADDRESS: . 1(, /�l�- ZIP: � "�J�J� � NAME OF OWNER: I��WY1 �'1 � 1 h01�1�GY1 PHONE: (home) 52' ��• 7Z�z (W 'k) MAILING ADDRESS: ;� �u�j G �'� CITY: ZIP:� , CONTRACTOR: �j Yl� �00 t � CdY�S��hUI'J PHONE: ��Z. ��d 3 r CONTACT PERSON: - MOBILE/PAGER: MAILING ADDRESS: Q CITY: ��5 ZIP: STATE LICENSE: # f� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration P POSED WORK(describe in detain: l� -' �CL `. �'h2� S �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ "�J�� 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. APPLICANT'S SIGNATURE: DATE: NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � Sec.13.04 RIGHTS OF SLTB,TECTS OF DATA � Subd. 1. Type of data. The righrs of individual on Rhom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaal data conceming himself shall be informed of: (a)the purpose and intended use of the requesred data wirhin the collecting�tate agency,polidcal subdivision,or statewide sysum; (b)whe[her he may refuse or is legaliy required to suppiy[he reques�ed data;(c)any known consequence arising from his suppiying or refusing to supply private or confidential data;and(d)the idendry of other persoas or:nddes authorized by state or federal law to receive the data. This requirement s6a11 not apply when an individual is asked to supply investigadve da3.pursuan�to section 13.82,subdivision 5, to a(aw enforcement o�cer. The commissioner of revenue mav place the noace r-^uired under this subdivision in the individual income tax or propertv taz refund inst�uctions instead of on those forms. Subd. 3. Access to data by individual. Upon request:o a respoasible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public.private or confidential. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown ci�e data wirhout any charge to him and,-if he desires, shall be informed of the content and meaning of chat data. After an individual has been shown th�privau dara and informed of its meaning,the data need not be disclosed to him for siz months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal data on the individual has been collected or creaced. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authority may require rhe requesring person to pay the accual coscs of maicaa,certifying, and compiling the copies. The responsible authority shali comply immediately,u possible, wi[h any request made pursuant to this subdivision,or within five days of the date of the roquest,excluding Samrdays,Sundays and legal hoiidays,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 addidonal 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 conceming himself. To exercise this right,an individual shail aodfy in wridng the responsible authority describing[he nature of the disagreement. The responsible authority shall within 30 days eicher: (a)corre:t�e data found to be inaccurate or incomplece and attempt to noafy past recipients of inaccurate or incomplete data, including recipients named by[he individual; or(b)notify the individual thac he believes the data to be correct. Data in dispute shall be disclosed only if the individuai's statemenc of duagreement is included with the disclosed data. The decerminaaon of the responsibie authoriry may te appealed pursuant to the provisions of the adaunistradve procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Riahu of subjecu of data", we would like to inform you that your request for a pemut or license from the City of Orono or �y 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 reiusal may require that the City deny the permit or license. 3. The information may be shared with ocher 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. �Q/r � � � ^� / V/ l�- _ Fitst Vliddle Last Address City Stace Zip Phone I understand my rights as stated above. F f.r . � DATE TIME ClTY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED ,� PERMIT NO. `� � COMPLETED 'v� Z-�� ADDRESS ^' s �C � OWNER CONTR. '� TELEPHONE NO. � DESCRIPTION ,�--P�-✓�U�� y 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADiNG/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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/REMOVAI � OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: � � � j � " C�r� o � ��' � � 0 � W � Q � 2 W � W � � d � ORK SATISFACTORY:PROCEED ,��OJECT COMPLETE �CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY .OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector.��Al - White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO E SCHEDULED /.� �� PERMIT N0.�� COMPLETED � � � =Ov ADDRESS�� .�-i/U-�-.- �/`�� OWNER CONTR. � �� -� � TELEPHONE N0. � �� v�- � d 3 �-� � DESCRIPTION G�l�'-F�K..- /� /� � Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANtCAL 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 05 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 H�RD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 �� c !/ '��"�� O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector.a��"Y �"(/�'`"�� White Copyllnspeclor's File Canary CopylSite Notfce