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Home My WebLink About2001-P04188 - re-roof r . � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: PoaiBa Crystal Bay,.Minnesota 55323 Pe�mit Type: Minor Alterations (952) 249-4600 Date Issued: ailai2ool SITE ADDRESS: 3665 Lyric Ave WAYZATA,MN 55391 P I D: 17-117-23-34-0041 DESCRIPTION: UBC Occupancy �t3 Proposed Use: ttesidentiai 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: $ 2.20 TOTAL FEE: $ 113.45 APPLICANT: Williams Partners LLC OWNER: �FFREY G KOCH 5501 Bass Lake Rd. 3665 LYRIC AVE Crystal,MN 55428 WAYZATA MN 55391 THE UNDERSIGNID 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 BUII..DING CODE REQUIREMENTS. � �� c SSUED BY SIGNATURE Copies: 1-File(Signitures Required),1-Applicarrt,1-Mon�lyReports,1-Assessing, 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Pernut#: CITY OF ORONO - BUILDING PERMIT APPLICATION 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: � � � � L� � c �� ZIP: . l�G c � �r S—� NAME OF OWNER: C�l G�v� ��v a PHONE: (home) �7�`O � � C/' (work) MAILING ADDRESS: ,� C(r �j'� CITY: ZIP: CONTRACTOR: l�/J�I i an� S �G.! z�/1� �P •� PHONE: �( .� "' Sr�� - S�.0 C� CONTACT PERSON: c,�,�,.. �P MOBILE/PAGER: G�Z ��-��" �l 0 3 MAILING ADDRESS: �' S�� /� � s,S /K �� CITY:�s�c � ZIP: STATE LICENSE: # ,2,o�_ � 7 '7 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 detai�: `%'O l�^ �FF /� e p�G oJ°' T� � , . Sec.13.04 RIGHTS OF SUB.JECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom the data is stored or co be scored shall be as set forth in this secdon. Subd.2. Information req�red to be given individual. An individual asked to supply private or confidenaal data concerniag himself shall be informed of: (a)the purpose and intended use of the requested data wirhin the collecting'state agency,political subdivision,or stauwide system; (b)w6ether he may refuse o'r is legally requiced to supply the requesud data;(c)any lrnown consequence arising from his supplying or refusing to supply privau or confidendal data;and(d)the idenury of other persons o�enrides authorized by sta[e or federal law m receive the data. This requiremenc shall not appiy when an individual is asked to supply invesdgadve dara,pursuant to section 13.82,subdivision S, to a law enforcement o�cer. The commissioner of revenue mav place the nodce rewired under this subdivision in the individuai income tax or propertv tax refund instrucdons inscead of on those forms. Subd.3. Access to data by iadividual. 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 classified as public,private or confidenaal. Upon his further request,an individuat who is the subject of stored private or public data on individuals shall be shown the data wichout any charge to him and;if he desires,shaU be informed of the content and meaning of rhat data. After an individua!has been shown the private data and informed of ics meaaing,[he data need not be disclosed m him for six months thereafur unless a dispute or acdon pursuant to this secdon is pending or addidonal data on the individual has been collecud or created. The responsible authoriry shail provide copies of the private or public data upon request by the individual subjecc of the dara. The responsible authority may roquire the requesdng person to pay the accual cosu 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 Satutdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform che 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 pubiic or private data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoricy describing[he narure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and atumpt to nodfy past recipienu 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 shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to wntested 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 fumish 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 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 pertnit 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 (availabie upon request) to review private data on yourself. 6. Your full name is required to process this application or permic. -��L3; /�— te �.� e G� �' 'G�� Fint � ) / ��d�e Last 5 C r �e�_ � '2 Address C /'�/ � /� ��ry gm� Z�p Phone I understand my rights as stated above. r Si amre � TIME CITY OF ORONO CALLED IN �� INSPECTION T CE SCHEDULED � PERMIT N0. COMPLETED �'--�'�'-�/ /D •�� ADDRESS �� L � r� c �"��'-- OWNER CONT ' << � `a�'�S - �-�' TELEPHONEN0. CO � � � �� DESCRIPTION GLh � � 01 FOOTING 11 MECHANICAL RI 18 EXCA�I/GRADWG/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 O6 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/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ° -P�- �, l� S S Y�LI C�2 '' � � �/ 5 0 � ° ✓�(,�/S ��z�ii -E'�i �'►�1�2 W � Q � Z W � W � � a � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Con act r on site: Inspecto� �G�-��-- While Copyllnspector's File Canary CopylSite Notice f ' �.. - � AT �, TIME CITY OF ORONO CALLED IN � INSPECTION t� E SCHEDULED � ' ( �� PERMIT NO�-- ��-= COMPLETED CC�-�� Z� ADDRESS ' � ��' OWNER -`_��`��< ti?1 F;�_CONTR: TELEPHONENO. `t�`� �� C-�{- C FOOTING C PLUMBING RI ❑ FIRE PREV. � ❑ FRAMING G PLUMBWG FINAL ❑ FIRESUPRESSION SYS. � C INSULATION ❑ MECHANICALRI ❑ EXCAVIGRADINGIFILLING y �❑/WALL BD. ❑ MECHANICAL FINAL C LAKESHOREIWETLANDS � �FINAL ❑ FIREPLACENVOOD BURNER C TREE REMOVAL Q G DEMO—SITE G WATER HOOK-UP C KENNEL LICENSE � i:, DEMO—FINAL C METER SETITURN ON ❑SITE INSPECTION J C SEWER HOOK-UP ❑ PROGRESS lQU C SEPTIC MAINT. ❑ COMPLAINT r C SEPTIC INSTALL. ❑ FOLLOW-UP J � C SEPTIC FINAL O ❑SITE WELL � ❑WELLTESTPUMP � COMMENTS: ; -� Pn,� �►� P�.e� �.-�� o �-n � �.l� � W ��.�-t- �� p�. � Q zc.v._ � � ��e G.-� . W � W � � d W ORK SATISFACTORY:PROCEED C' PHOTO TAKEN � �;CORRECT WORK&PROCEED ❑ CITATION ISSUED Q C CORRECT WORK,CALL FOR REINSPECTION C ISSUE CERTIFICATE OF OCCUPANCY V BEFORE COVERING TEMPORARY �:� CORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT INSPECTOR WILL RETURN �, STOP ORDER POSTED.CALL INSPECTOR :: INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor o it • Inspector. White yllnspector's Ffle Canary Copy/Site Notice