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Home My WebLink About2001-P03719 - re-roof * �, PERMIT CITY OF ONO 2750 Kelley Parkway - � 66 Permit Number: Po3�19 Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249-4600 Date Issued: 4iisi2ooi SITE ADDRESS: 1645 Shadywood Rd WAYZATA,MN 55391 P ID: 17-117-23-22-0013 DESCRIPTION: Proposed Use: ftesidentiai Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,250.00 State Surcharge Fee: $ 2.65 �� TOTAL FEE: $ 127.90 APPLICANT: Titus N. Winger Contracting Inc. QWNER: �LPH HARVEY ETAL 17715 12th Ave.N. 1645 SHADYWOOD RD 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 BUII,DING CODE REQUIREMENTS. ,r-- ' ." � �' �,'j.�u2%� ;�/yy� APPLI AN ITEE I NATURE ISSUEDBYSIGNATiJRE Copies: City,Applicant,Assessor, Finance Page 1 .r•. Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII..DING PERiVIIT APPLICATION All information must be submitted in full before plan review will be started. " (please print all inforntation) � THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � JOB SITE ADDRESS: � S k.� l✓ Z�� '�f�� NAME OF OWNER: PHONE: (home)��f'? •S!7T�$�72 (work) 1�iA1LING ADDRESS: G' S �' �Q CTTY: ai'rr,� ZIP: S'f391, � � PHOi�TE: /�.� ��f�S 3/7S CONTRACTOR: ' d I�/'� 9►+ CONI'ACT PERSON: �lZ(,1 ih..s� �' ILE/PAGER:f,%_��s 6',vy MAILING ADDRFSS:/9>l.,f ��4"� �(u- .JV CTTY: ZIP: S--'�'� STATE LICENSE: # 2 G 2 7osy�i ARCHITECT/ENGINEER: PHO\'E: MAILi�i TG ADDRESS: CITY: ZIP: Nt�ME: REGISTRATION# � TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �- Land Alteration PROPOSED WORK(describe in detai�:��-- �-/'�,' � � � s ' .0 r� ^ '' -r g' STORIES: ' SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS:� GARAGE STALLS: ATT:�R • DET. - - - = - ESTI�i IATED CO�'STRUCTION VALUATIO\ (excluding land): � �2 �Q. cv I hereby apply for a buildin�permit and I acknowled;e 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 Buildina 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 ihe approved plan. ICANT'S SIGNATURE:, DATE: �/ � �Gri APPL - NOTE! �rade of H'omes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � I ' 4 Sec.13.0.t RIGHTS OF SUBJECTS OF D:�T?, Subd. 1. Type of data. 'Ihe rights of individual on whom�e data is storc3 or to be stored shall be as set focth in this secaon. Subd.2. Information reqirired to be given individual. An isdi�idual ask�to supply privace or confidendal data concerning himself shaIl be informed of: (a)the purpose and iamnded use of the requesud dara wi�in the collecting 3tare agency,poliacal subdivisian,or seatewide rystem; (b)whecher he may refuse oY is legally requiczd to suppty ehe requesced daa:(c)any lmown consequence arising from his supplying or refusing to supply privace or conndendal data;and(d)the idenary of o�her persoas or enrides a�ehoriz:d by state or federal law to rceive the da[a..This requiremenc shaIl noc apply when an individual is asked to supp[y invesrigarive dara,purs�c to seccoa 13.82,subdivision 5,to a law enforcemenc o�cer. Tht commissioner of revenue mav place the noace reauired erd-r this subdivision in the individual income tax or oropertv tax refund inscnicdons instead of on chose forms. Subd.3. Access to data by indicidual. Upon request to a r_ransible a�choriry,an individual shall be informed whe�her he is the subject oF scomd data on individuals,and whecher it is ctassified as public,pdvac�or confidecrial. Upon his further request,an iadividual who is[he subject of scorcd private or public data on individuals shail be shown the dara wiu out any c'nsrge to him and;if he desires,sball be informed of the concent and meaning of chac dara. Afczr an individual has been shown the priva��an and iL;ormed of ics meaning,che data need not be d'uclosed to him for six moa:tu thereaiter unless a dispute or acrion pursuant to[his secdon is rending or addidonal data on the individual has been collecced or creaced. The responsible authoriry shall provide copies of the private or public da�e�on requ:s:by the individual subject of che daca. The responsible authoriry may requir��he requesring person to pay the acmai coscs of makin¢,ce.=:;ing,ar.d compiling the copies. The responsible auchoriry shall comply immediacely,if possible,wi�Y►any r_quest made punuant to this subdivision,or within five days of the dac�of the reques�,excluding Saturdays,Sundays and legal holidays,ii is.mediace compliance is not possible. If he canaot comply wich che requesc wichin�hac time,he shail so inform the individual,and may have an addi�ecal five days wi[hin which to comply wi�h the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure whea data is not accurate or complete. �n indiviZual may contest the accuracy or complereness of pubtic or pri�•ate daca cor.ccming himself. To exercise�his rieht,an individual shall nodfy ia wridng�s responsible authoriry describiag che nature of the disagreemeac. The resYonsible aurhoriry shall wichin 30 days either: (a)correct the daa icund to be inaccurate or incomplece and attemp�to nodfy past rccipiencs of inaccurace or incompiete data, including recipiants named by rhe individi:al:or(b)codCy che individual thac he believes the data to be correcG Data in dispuce shall be disclosed only if ehe individual's statemene of disagre=�enc is i.claded wieh the disdosed dara. The decerminarion of the rasponsible authoriry may be appea�:d pursuac�to the provisions of ehe adminisaarive proeedaro act relaang to contes:ed cases. . � • DATA PRTV:�CY AD�'ISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects ot data", we would like to inform you that your reauest for a peruut or license from the Ciry of Orono or any of i� depar:.�.ents may require you to furnish certain privace or confidential information. You are notified that: 1. The information you furnish will be used to de:ermine rour qualification for the permit or license requested. ?. You may refuse to supply daca, buc refusal aay require that the City deny the permit or license. 3, The information may be shared wi[h other loczl, state or federal agencies co the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some informa�ion may become . . public. �, You have cenain ri,Qhts under M.S. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process this aoplica[ion or permic. � Firsc �fiddle Lasc Address • Ciry State Zip Phone . I understand my ri;hts as scated above. Signacure ✓ DAT TIME CITY OF ORONO CALLED IN � � INSPECTION NOTI. ,� SCHEDULED - 'j � PERMIT NO. " COMPLETED ` � ADDRESS ��t�� I��N�(�0%J �� OWNER, LP,I� �� CONTR. �T(�� TELEPHONENO. �.l��o� "' �,��^ �'�O `f � DESCRIPTION � �Ot' C. ��r��G � L� 01 FOOTING � '11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � O 03 INSULATION 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 INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑CORRECT WORK 8�PROCEED i; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� `E `� � OwnerlContractor on site: `� - -----------`� Inspector. /`!�!C'�L2�� White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN �ATE �� IM�D INSPECTION NO CE SCHEDULED �f- �t� " _�,��,�•� PERMIT NO. D '�� / 9 COMPIETED � ADDRESS_ � ��5 �h�`I �� OWNER CONTR. �'f-f�S TELEPHONE NO. lvl„7 - (o�5- Io f�� DESCRIPTION f�`/i'1Q l' � "�DO� � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSUTATIGN 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 O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � � I/�,WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W 4 O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contra or on site: Inspector � White Copyflnspector's File Canary CopylSite Notice