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Home My WebLink About2003-P06985 - re-roof ' �' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06985 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: iii6i2oo3 SITE ADDRESS: 3090 North Shore Dr WAYZATA,MN 55391 PI D: 09-117-23-32-0006 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 748.75 Valuation: $ 65,000.00 State Surcharge Fee: $ 33.00 TOTAL FEE: $ 781.75 APPLICANT: Sela Roofing&Remodeling,Inc. OWNER: DANIEL J MCGLYNN 4100 Excesior Blvd. 3090 NORTH SHORE DR St.Louis Park,MN 55146 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ,� � �/ `� .J / �-'� i,�%�- �`�./'►-�� APPLICANT PE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . �. Total Fee: $ �� Date Received: � Entered By: t�,/vi� Permit#: ��jy `�.�� CITY OF ORONO - BUILDING PERMIT APPLICATIO` All information must be submitted in full before plan re�-iew will be started. (please print all information) ------------------------------------------------------------------- -----------_------------- -------------- �--- THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRESS: ��9° �ar� S�J6 �f ZIP: SS39 I � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required titi•ith Police Deparnnent and City Council approval 60 da}s prior to the eve�rt. Non permitted events will not be allowed. NAME OF OWNER: � e 'U ��'\� � n n PHONE: (home) �5t- '��+�-b36H (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: 5 �o- r��n � �Qv�^��+ e�,n PHONE: ��11- �jL�"�j��C CONTACT PERSON: MO ILE/PAGER: MAILING ADDRESS: �11�� C�Q�s�nr 1 �vd CITY: S� . 1.��;,s �.,f<71p; 5 Sy I 6 STATE LICENSE: #\oS� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGIS��iTION # _,_\ �'__ -� TYPE OF WORK: New Accessory Structure Addition 1�ove RemodeVAlteration Land Alteration PROPOSED WORK(describe in detai�: _ � C�c�..r -�� Q ,-� < �, ��;.� ��-,/C� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (e�cluding land): S C 5�� o I hereby apply for a building pernut and I aclrnowledge that the information abo�-e 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: I\ � � ��. �' i Sec.13.04 RIGHTS OF SUBJECTS OF DATA 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 section. Subd.2. Information required to be given individual. An individual asked to supply pri�-au or confidential data concerning himself shall be intormed oL• (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence irising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy investigative data,pursuant to section 13.82,subdi�ision 5,to a law enforcement o[ficer. The commissioner of revenue mav olace the notice reauired under this subdicision in the individual income tax or oroaertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. lipon request to a responsible authority,an indi�idaal shall be in[ormed whether he is the subject of stored data on individuals,and whether it is ciassified as public,private or confidential. tipon his fnrther request,an individual who is the subject of stored private or public data on individuals shall be shown the data without an}�charge to him and,if he desires,shall be informed of the content and meaning o[that data. After an individual has been shown the private data and informed of its meaaing,the data need not be disclosed to him for six months therea[ter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsibie authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,i[possible,with any request made pursuant to this subdivision,or within five days ofthe 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 shall so inform the individual,and may have an additional five da}s within which to comph�with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An indi�idual may contest the aceuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authorit}�describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found ro be inaccurate or ineomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individuzl that 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 disdosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY�DVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we��-ould like to inform you that y�our 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 qualificarion for the permit or license requested. 2. You may refuse to supply data,but refusal ma}•require that the Cit}•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 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��ourself. 6. Your full name is required to process this application or permit. First Middle Last Address C�tY State Zip Phone I erstand my rights as stated above. � C �. Signature DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED ' PERMIT NO. �r COMPLETED ADDRESS •SVI�I� f c OWNER �9O CONTR. � TELEPHONE NO. � DESCRIPTION __ �l��f� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMINCa 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS O03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 0.5 FlWAL 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 FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � � O � W � Q � W � W � � d W� WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe n t inspection 24 hours in advance. (g52) 249-4600 Owner/Contra r ite: Inspector. White Copyllnspecto s File Canary CopylSite Notice