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Home My WebLink About2007-P10670 - re-side �^ PERMIT CITY OF ORONO 275`0 Kelley Parkway- PO Box 66 Permit Number: P10670 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 1/8/2007 SITE ADDRESS: 2280 Shadowood Dr Unit# Long Lake,MN 55356 P�� 27-118-23-32-0015 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 643.75 Valuation: $ 50,000.00 State Surcharge Fee: $ 25.00 TOTAL FEE: $ 668.75 APPLICANT: C Clay and Co. LLC OWNER: Sharon Coleman 4937 Newton Ave. S 2280 Shadowood Dr Minneapolis,MN 55419 Long Lake MN 55356 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. _ `� ` ��, /� �.��k�� - PPL[CANT SIG A RE � ]S ED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 .1 Total Fee: $ ,�k�''i�� 7� DateReceived: �-,�-�% �7 Entered By: Permit#: y''j G'�� U CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infoj�matioii) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci�•cle one) OWNER OR CONTRACTOK JOB SITE ADDRESS: �2 O 6 S��A�b�� ZIP: S Will this be a Pa�•ade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��i 0 If yes, a specia!eveizt permit is re�uir•ed�vith Police Depurtnrent mtd Cily Cozrncil npprova! 60 days prior to Ihe event. Shnttle bus service will be reguired iu�less applicant dernonsU•ales su�cient on-site parking is avnilnble. Noi�-pervnittecl events will not be allotived. NAl`✓€E OF��.�'N�P: S��•�� (.,b L'�� PHD1�7E: (home) work) MAILING ADDRESS:Z-�g� S'��1Do�� CITY: 6- � ZIP: L�c�2. cor�Tr�cTo�: G . �.LAti1 � �D PxoN�:�O l2 -q2o T o�`�� CONTACT PERSON: G�A ZT- MOBILE/PAGER:(nl Z-?S;0 -33(0� MAILING ADDRESS: � CITY: ��yJ,iy�Q.A��IP: STATE LICENSE: # 'z O S� 3 o EXPIRATION DATE: '� � ARCHITECT/ENGINEER: PHONE: NiAILING ADDRESS: CI�'Y: �IP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessorv Structure Move Home Remodel/Aftecation (ie: Siding, Windows) —�— Any earth movement may require MCWD review and permits ! PROPOSED WORK(rlescr•ihe i�z detain:��y+�e. S'?UGCfl ,�'NS°�1''1,71.L ��1�' �nl �)rl G- � ''r�� S'Y'ORIES: � SQ.FEET OF EAC�-I FLOOR: 1�10. OF BEDROOlVIS: GARAGE STALLS: ATTACHED DETAC�IED ESTIMATED CONSTRUCTION VALUATION(excluding land): � SC�� tr9�A • � I hereby apply for a buildin�permit and I acknowledge that the infon�ation above is complete and acc�u�ate; that the work will be in confocmance with the ordinances and codes of the City and with the State Buildintr Code;that I understand this is not a permit ancl�vork is not to start without a pennit;and that the worl:will be in accordance �vith the approved plan. � A��IC��o�S��'i�f1��: �f��: l !� rb� �� h . Sec.13.04 R[GHTS 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 private or confidential data concerning himselfshall be informed of: (a)the purpose and intended use of die 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 identity of other persons or entities authorized by state or federal law to receive the data.This requirement shal I 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 may olace the notice reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the 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 ofthe content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this sectioii is pending or additional data on the individual has been col lected or created. The responsible authority shall provide copies of the 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 authoriry shal I 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,ifimmediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform tlie 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 publ ic or private data concerning himsel£ To exercise this right,an individual shall notif'y in writing the responsible authority describing the nature of the disagreement.The responsible authority 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 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 determination of the responsible authority may be appealetl pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY AI3VISORY In accordance with M.S.13.Q4,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 Nliddlc Last GRa1� � LLA� Address ��(�s � ��u�`�"a�—�1L�Pc - f .�.�V �S�It q �Ii..7so-33 b�l City State Zip Phone I understand my rights as stated above. Sig Reset Form 32