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Home My WebLink About2002-P05377 - minor alterations • •- PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05377 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterarions (952) 249-4600 Date Issued: �isi2oo2 SITE ADDRESS: 3470 North Shore Dr WAYZATA,MN 55391 PI D: 08-117-23-43-0012 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residenrial Buildin Census Code O/S-Building Pernut Class: g Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 111.25 Valuation• $ 4,100.00 State Surcharge Fee: $ 2.55 TOTAL FEE: $ 113.80 APPLICANT: �Sht Way Roofmg Inc OWNER: HAROLD J BROUELLETTE 14050 23rd Ave N 3470 NORTH SHORE DR Plymouth,MN 55447 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. � �-�.Q,�= �-i/Y1 �--� APPLICANT PERMITEE SIGNATLIRE� ISSUED BY SIGNATURE / Conies: 1-File(Signitures Required), 1-Aunlicant 1-Monthlv Reports. 1-Assessin¢, 1-Finance Page 1 Jul 03 02 12: 03p Right-Way Roofing 763 551 1527 p. l . � � �;, �/� , /, �i ��Total Fee: $_ `1 � • �� Date Received:_ % c;�--� � " 3., (� Entexed By: Permit#: �� CITY OF ORONO - BUILDING PERMIT APPLICATIOIeT All information must be submitted in full before plan review will be started. (please print all information) ------------------------------ THE APPLICANT IS: (circle one) OWNER OR ONTRACTO JOB SITE ADDRESS: ��p Nof.�,� oJ'P ��, �fQ�no ZIP: SS�i� NAME OF OWNER: ��,�Q'��p�Q�� PHONE: (home) (work) MAILINGADDRESS: ��r"I� O��f'h(1�(1D1�Q CITY: � ZIP:�� `7t �, �,�,1. CONTRACTOR: PHONE: ��-��'�-�(o�� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: l�n,S�r2?�a� �}� I�� CITY: ZIP:�� STATE LICENSE: # �qg�} �N ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�C_ Land Alteration PROPOSED WORK(describe in detai�: �,�-��.�� ,�,��. �� c,� , ��I STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE 5TALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ L.� (� 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 pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �, ,�a�,/an D f1 DATE: NOTE! Parade Qf 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. . � Total Fee: $ Date Received: Entexed By: Permit#: CITY OF ORONO - BUII.,DING 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 OR�ONTRACTO JOB SITE ADDRESS: _�'�►O NOdk�r�� oJ'Q ��(, �fO�(1D ZIP: SS�i� NAME OF OWNER: �}�,�0�,� �p�pP�Q�e PHONE: (home) (work) MAILING ADDRESS: ��'"I� �,�:f'h(1�(1,D1'Q CI1'Y: ZIP:�� • �ll-J� CONTRACTOR: PHONE: '"��-SS''T-$(o�� CONTACT PERSON: MOBILE/PAGER: ^ � MAII.ING ADDRESS: t�-t�c��.?��4 �}� I`1� CITY: ZIP:�_ STATE LICENSE: # ?,qg� �M(y ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�C_ Land Alteration PROPOSED WORK(describe in detai�: ��('-��.�� (,o��r y1Q uSl t�n��l STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �(� 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: �, ,�d1M,Q/a�(1(1� 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 SLJBJECTS OF DaTA Subd. 1. Type of data. 'Ihe rights of individual on whom[he data is stored or to be stored shall be as set forth in this secaon. Subd.2. Informadon reqirired to be given individual. An individuai asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and iatended use of the requested data within the collecting State agency,poliucal subdivision,or stauwide system; (b)whether he may refuse oY is legaily required to supply the requested data;(c)any lmown consequence arising fmm his supplying or refusing to supply privace or confidential data;and(d)the idenrity of ocher persons or endaes aurhorized by state or fedecal law to receive the dara. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to section 13.82,subdivision 5,w a law enfoczement officer. The commissioner of re�enue mav place the noace rewired under this subdivision in the individual income raz or propertv taz refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request W a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is class�ed as public,privace or confidendal. Upon his further request,an individual 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, shall be informed of the content and meaning of[hat data. After an individuai has been shown the private data and informed of its meaning,the data need not be disclosed m him for six months thereafter unless a dispuu or acdon pursuant to this secdon is pending or additional data on the individual has been coilected or created. The responsible authority shall provide copies of the private or public data upon request by the iadividual subject of the data. The responsible aurhoriry may require the requesting person to pay the actual cosu of making,cerafying,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 immediau 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 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 chis right,an individual shall nodfy in writing the responsible authority describing che nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to noafy past recipients of inaccurate or incomplete data,including recipients named by the individual:or(b)notify the individual 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 disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminisnative procedure act relating to contested 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 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 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 yourseif. 6. Your full name is required to process this application or permit. r i n r�Q��4 �n f a,n 4,,,�0�� J^'�'-'-'-' Middle Last First 1� �u�o a�� A, r�,, — Addres��i'�' I ��'�5" l�T�l a.L�— `t C�� State Zip Phone I understand my rights as stated above. � �/L,f.� ' . .�0 � Signaare / � � DATE TIME CITY OF ORONO V CALLED IN �`�C INSPECTION NOTICE SCHEDULED 7-// /�� PERMIT N0.�6�3`�7 COMPLETED ADDRESS �3�(7 d /� d��.e-�.e �/?� OWNER ��-�/��-'� CONTR. �(•U4�, �+-�� TELEPHONE NO. ?�'� — SS 7 -�(�7� � DESCRIPTION !� �� ''� --�`-� L�G�ay. — fi.j��'c.��y� �t� W 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 F ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � 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 � � J O � � O � W � � Q � Z W � ti � j d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Ownerl c site: �� Insp r. a__. hite Copylinspector's File Canary CopylSite Notice tC,,�� DATE TIME CITY OF ORONO v CALLED IN INSPECTION NOTICE SCHEDULED 7 � PERMIT NO. �L�� COMPLETED ADDRESS ��L I� SIr1UP� �� OWNER CONTR. � � l�� TELEPHONE NO. �`�(�3 - 5�� " r. �"lL''�� DESCRIPTION �� i2� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATIGN 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 J 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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 � y�' - 0 a � 0 � w � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 Ownerl cto n site: Inspector. White Copyllnspector's ile Canary CopylSite Notice