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Home My WebLink About2003-P06265 - re-roof � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po626s Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: s�s�2oo3 SITE ADDRESS: 1740 Shadywood Rd WAYZATA,MN 55391 PID: i�-ii�-23-2i-oo2o DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterarions Pemut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 9�•25 Valuation• $ 3,975.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: Gulden Roofmg OWNER: T B&M L SWANSON 3820 Patriot Lane 1740 SHADYWOOD RD Lelcington,MN 55014 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. � �� APPLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE ^,onies: 1-File(SiQnitures Required), 1-Anplicant 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 � '. Total Fee: $ Date Received: Entered By: Pernut#: CITY OF O�QNO - BUILDING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: j��{O �� (� d ZIP: NAME OF OWNER: �,-,N-► �G�n�� PHONE: (home)�S�`�7� O�I�� (work) MAILING ADDRES5: A��C� CITY: ZIP: CONTRACTOR: ��I,� � 7 �l�D,'� PHONE: 7�0�-� 3J�( � CONTACT PERSON:�t,L,� MOBILE/PAGER: __ MAILING ADDRESS: 38 ��i�� C�:��1 ti � ZIP: STATE LICENSE: # Zo(�� 1 S ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: rJAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: r ��, �(� � STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3�� J I hereby apply for a building pernut 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 SIGNA � DATE: � S�� __ NOTE! Parade of Homes even require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will nat be allowed. y{ . Sec.13.04 RIGATS OF S[TBJECTS 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 secdon. Subd.2. Informatioa req�rired to be given individual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and inrended use of the requesud data wi[hin the collecting State agency,poliucal subdivision,or statewide sysum; (b)whether he may refuse oY is legally required to supply the requested data:(c)any lmown consequence arising fmm his supplying or refusing to supply priva[e or confidential data;and(d)the idendry of other persoas or enriaes auchorized by state or federal law to receive the data. 'fhis requirement shall not apply when an individual is asked to supply invesrigadve data,pursuant to secrion 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav place the nodce reauired under this subdivision in the individua! income taz or nropertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whether he is the subject of stored data on individuais,and whe[her it is class�ed as public,private or co�dendal. Upon his further request,aa individual who is the subject of stored private or public data on individuals shall be shown che dara without any charge W 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 iu meaaing,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to [his secdon is pending or addidonal data on the individual has been collected or croated. The responsibie authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requesdng person to pay the actual cosu of making,certifying,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,exciuding Saturdays,Sundays and legal holidays,if immediate 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 concerning himself. To exercise this right,an individuai shall notify in wricing the responsible authoriry describing che 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 nodfy past recipienu of inaccurate or incomplete data, including recipients named by che individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shail be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The determinadon of the responsible au[hority may be appealed pursuant to the provisions of the administradve procedure act relating to conusted 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 ue notified that: 1. The information you furnish will be used to detemune 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 eztent necessary to process the pernvt 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 Address Ciry State Zip Phone I understand my rights as stated above. (v . Signa G��l/�� DATE � TIME CITY OF ORONO CALLED IN INSPECTION NOTIC�O ��SCHEUULED _l� -� PERMIT NO. � COMPLEfED ADDRESS � Q � OWNER CONTR.�'"7� 2��'• TELEPHONE N0. �� 3 � �g �' ? I g l � DESCRIPTION � �� / � �`'�` � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 0.3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z U4 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 COMPUUNT 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a j O a � O � W � Q � 2 W W � � d � WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the nex 'nspection 24 hours in advance. (952) 249-4600 Owner/Contr on i : Inspector. WhNe CopyAnspectors File Canary CopylSfte Notfce