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Home My WebLink About2001-P03773 - deck � - � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P03773 Crystal Bay, Minnesota 55323 Permit Type: aaaitio�emoaevRepair (952) 249-4600 Date Issued: siai2ooi SITE ADDRESS: 1640 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-23-21-0013 DESCRIPTION: Proposed Use: Icesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURe_p_a� Permit Sub-type(s): Deck DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 47.90 Valuation: $ 1,250.00 State Surcharge Fee: $ 0.65 TOTAL FEE: $ 48.55 APPLICANT: Tom's Custom Window OWNER: DORIS E FINN 11153 Hillsboro Ave.N. 1640 SHADYWOOD RD Champlin,MN 55316 WAYZATA MN 55391 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE'TI�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`�� • � :�� ih� �f��,�r.�_ ISSUED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 � , . , Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. ' ' (please print all information) � �'�. �i n�''� ----------------------------- ---------------------------- -- ---------- -------------------------------------------- THE APPLICANT IS: (circle one) WNER OR CONTRACTOR JOB SITE ADDRESS: / 4� 7 � ZIP: �S � ! � c � NAME OF OWNER: D�-�e_ �� PHONE: (home) �5� — �7i/��3 (work) MAILING ADDRESS: CITY: �!/` ZIP: _ q CONTRACTOR: ��"^'S �V ST Or�1 W t NOoc,� PHONE: ��3 �76 �91 � CONTACT PERSON: To m w Rti r-�2 MOBILE/PAGER: � d 9 a 9 9 3 / MAII.ING ADDRESS: I 11 j 3 ►-� 1 $0�201�w�c.n3 CITY: �H1Z�P��N ZIP: J3! STATE LICENSE: # ��l('��a.�c`3 � ARCHITECT/ENGINEER: PHONE: MAILING ADDRFSS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(descr�be in detai�: �� l�C p��-� ��`�'d� �� .. �Y�\ �1 hj �'o STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �o11�C�. � a 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: W DATE: � NOTE! Parade Qf Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 . - _. � Sec.13.04 RIGIITS 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. S�bd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and inte�ed use of the requested data within the collecting state agency,polidcal 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 refi�sing to supply private or confidential data;and(d)the idendry 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 mav olace the notice rewired under this subdivision in the individual income tax or nrooertv tax refund instrucrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsibie 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 confidendal. Upon his further request,an individual who is the subject of stored private or public data on u�dividuals 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. 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 ac6on pursuant to this section is pending or addirional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsib(e 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 immediate compliance is not possible. If he cannot comply with the request within that dme,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 co�eming himself. To e�cercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or i�omplete 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 i�ividual's statement of disagreement is included with the disclosed 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 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 Gity 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 shazed with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested pemut 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. �I-E O n"11�� f�1�1C�'2 First Middle Last ) � 1 ��J �—i 1 �.,.5�c�t0 i4-�� ivC� Address �1-��nn s�4.,(ru �� .� � �J / � C��y State Zip Phone I understand my rights as stated above. - � .� � Signature 6 � OATE TIME CITY OF ORONO CALLED IN INSPECTION NO C SCHEDULED �" � �� v-O . PERMIT NO. �� COMPLETED "D"�`,1 �-�V� ADDRESS � �- C�-�G�<�� a i'�--� , "�-� �-u,,U OWNER CONTR. /�i)Y�S uSfG'h �fJ. TELEPHONE NO. �� `c� �"�`�L C� � �� J � DESCRIPTION t'�'*!- (.-�-�� d�� ' l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 03 INSULATION 24/25 WOOD BURNER/FIAEPLACE 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W a � "< ; • O �i,. "i i' ti;•� C(�.y .-L�',,� � � ' r '� f , � � � � � W � Q � 2 W � W � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContra tor on site: Inspector. �-"� ��'�� White Copyllnspector's File Canary Copy/Site N�'