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Home My WebLink About2006-P09766 - minor alterations PERMIT 'CITY OF ORONO Permit Number: :;750 Keliey Parkway - PO Box 66 P09766 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4/19/2006 SITE ADDRESS: 2180 Prospect Ave Unit# Crystal Bay,MN 55323 PID: 10-117-23-31-0019 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building 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: $ 4,200.00 State Surcharge Fee: $ 2.10 TOTAL FEE: $ 113.35 APPLICANT: Incline Enterprises Inc OWNER: Donald&Katherine Becker 26175 Birch Bluff Rd 2180 Prospect Ave Shorewood,MN 55331 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK W STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �. �l` ��1��7 ''�-/ APPLICANT PERMITEE S[GNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . , Total Fee: $ ( ��j, � � DateReceived: �� (k C��, Entered By: /�1,t` Permit#: n(��,�� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infor�natioiz) ------------------------------------------------------------------------------------------------------------------------ __ _ _..... THE APPLICANT IS: (circle one) OWNER O CONTRACTOR � JOB SITE ADDRESS: ,�>�'� ��,�� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � NO !f yes, a special event per•mit is reqarired lvith Police Department and City Coa�ncil appr•ova! 60 days prior•to the event. Shuttle bus service will be requi�•ed unless applicant demonstrates sufficient on-site parlring is available. Non-perinitted events will not be allowed. NAME OF OWNER: �,/U'C� �`-�—� PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR �1—�G�� r�'�.i �'�3 7--� ��`` �- PHONE: _�J�o �7/"�CI�� CONTACT PERSON: _ MOBILE/PAGER: � � S ��`y 7� MAILING ADDRESS: �I�S z'�,�� ,� � CITY: 5�c��y�,� ZIP: ��33 J STATE LICENSE: # ��I c+��`y� 3 J EXPIRATION DATE: �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WOIZK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may req�ire MCWD eview and permits ! PROPOSED WORK(describe in detain: ✓�'-(�� 5�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(exciuding land): � 7,�LU I hereby apply for a building permit and I acknowledge that the infor�nation above is complete and acctirate; that the work will be in confonnance with the ordina ces and codes of the City and with the State Building Code;that I tinderstand this is not a permit an wor s not start without a permit;and tl�at the work will be in accordance with the approved plan APPLICANT'S SIGNATURE: DATE: l�� — 31 R r Scc.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. 7'he 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 private or confidential data conceming himselfshall be informed of: (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 arising from his supplying or refusing to supply private or confidential data;and(d)the identiry 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 supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue m�y olace the notice required under this subdivision in the individual income tax or orooertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an i�dividual shall be informed whether he is d�e subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fuRher request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. ARer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereatter 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 tl�e private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority sha11 comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. Ifhe 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 this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible suthority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual tliat 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure ac[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 yourself. 6. Your full name is required to process this application or permit. First Middle � Last ��,'��.o` � Addr % I �l _ C � �� ^� „ I � oz L ,� "°_..�v ' � C�ty State Zip Phone I understand my rights as stated abo e. Signature Reset Form �2 �r�� DATE TIME � `" CITY OF ORONO CALLED IN `f"� 1� INSPECTION N TICE SCHEDULED '__`_� �O PERMIT NO. `� r COMPLETED ADDRESS ��Sl � �f o�>iX'C'l �"�-• OWNER CONTR.�C I ��/lp ��1 T_ TELEPHONE NO. _ � � � �c� I �1�-f 7�] � DESCRIPTION `�e- �'-'� � I�� 2/� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �. v c��t � G�v d. - �. � o �2�� 0 � QF.' �� ,��o �o � L..�.�,..,..��r , �e z �� :�e �3�i t� ��-�- W � W � � � d W� �NORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal{for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. �� J �ri/.�� White Copyllnspector's File Canary Copy/Site Notice � TIME �/ � CITY OF ORONO CALLED IN ��/ INSPECTION N I E /�,/�, SCHEDULED " - �� PERMIT NO. � ��"�`� COMPLETED ADDRESS ��0 ��i�� ' OWNER CONTR. ' I�� TELEPHONE NO. ��2 � � �`� 7� � DESCRIPTION �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q ti Z W � W � � d W WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED !, W _. ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-4600 OwnerlContra n i : Inspector. White Copyllnspector's File Canary Copy/Site Notice