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Home My WebLink About2001-P04189 - re-roof ' ' � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po4is9 Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations (952) 249-4600 Date Issued: s�ia�2ooi SITE ADDRESS: 3655 Lyric Ave WAYZATA,MN 55391 P I D: 17-117-23-34-0042 DESCRIPTION: UBC occupancy R3 Proposed Use: Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation• $ 4,395.00 State Surcharge Fee: $ 2.2U TOTAL FEE: $ 113.45 APPLICANT: Williams Partners LLC OWNER: H&L FELKER 5501 Bass Lake Rd. 3655 LYRIC AVE Crystal,MN 55428 WAYZATA MN 55391 THE UNDERSIGNID HEREBY REQUFSTS 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 BUII..DING CODE REQUIREMENTS. (//�� ISS D BY S GNATURE Copies: 1-File(Signitures Required),1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 . . , Total Fee: $ Date Received: Entered By: Pernut#: 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 CONTRACTOR JOB SITE ADDRESS: � 7�5� L ` l�� IP: a ��v� � ,'eas z Ct S � NAME OF OWNER: a,S C��/ l PHONE: (home) �>� � �, � G�� (work) MAILING ADDRESS: ��S� L V/`�� CITY: �/`ativ ZIP: � , corrrRacTOR: C��r l��o �, � ��c�� t��- PxorrE: ?C� - �3.�—�� CONTACTPERSON: ,��c.�vY MOBILE/PAGER: �'/? r�� Q�� MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # a G? 7�7 � 5 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�: %-e�`- �� OU /C _ 1'1�o�i S r Gl a/-�G �. STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L� 3 �1 5 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 pernut 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 Department and City Council 60 days prior to the event. Non permitted events will not be allowed. • • } Sec.13.04 RIGHTS OF SUBJECTS OF D�T,1 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 required 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 requested dara within the collecang'state agency, po(itical subdivision,or statewide system; (b)whether he may refuse or is legalty required ro supply the requested data:(c)any Imown consequence arising from his supplying or refusing to suppiy private or confidendal data;and(d)the idenrity of o[her persons or enddes authorized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply investieadve dara, pursuant[o secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav plac� the notice reauired under this subdivision in the individual income tax or propem taz refund instructions ins[ead of on those forms. Subd. 3. Access to data by individual. Upon reques[to a responsibte authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is classified as public, private or confidenaal. Upon his further request, an individual who is che subject of stored private or public data on individuats shall be shown rhe dara wichout any charge to hirn and, if he desires, shall be informed of�e content and meaning of chat data. After an individual has been shown�he privace data and informed of i�s meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secaon is oending or addidonal data on the individual has been collected or created. The responsible au[horiry 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 ro pay the actual cos�s of makine, certifying, and compiling the copies. The responsible auchoriry shall comply immediately, if possib(e, wich any request made pursuant to[his subdivision,or within five days oi the date of the request,excluding Saturdays,Sundays and leeal 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 addiaonal five days within wluch to comply wi[h 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 pri�•ate data conceming himself. To exercise this rieht,an individual shall noafy in writing the responsible authority describing[he na[ure of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)no[ify the individual that he believes the data to be correct. Data in dispu[e shall be disclosed only if the individual's statement of disagreement is included with[he disctosed data. Tlie de[ermination of the responsibte authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "RiQhts of subjects of data", we would like to inform you that your reauest 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 refusai 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 pernut or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. ��, - �,.,� 1�C�t�- �'1�i t��✓ ��.�1/ First Middle Last �- 3.� ff ,�� ,� ,� ,., t /t/ _ Address r1 � i✓ Ciry State Zip Phone I understand my rights as stated above. Signature � �� TIME CITY OF ORONO CA ED IN INSPECTION NOTI L.� SCHEDULED � " PERMIT N0. / � COMPLETED � �� ADDRESS_ ��(�J C.�: ��-t,�-E OWNER CONTR. I�i �/Cl lYCS� C.dyi-�� TELEPHONE N0. �(� �j �-�J �� (�i � DESCRIPTION r�--�� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT =� 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. �/ �C �5 � � oZ � � � ,Q�. W � t.✓s c�� -e�-��, � Q � z W � W � j d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEiE W/�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspecto 4��,�� Lf��-�' White Copyllnspector's File Canary Copy/Site Notice