HomeMy WebLinkAbout2007-P10920 - re-side PERMIT
CITY (�F��RONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1092o
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterarions
(952) 249-4600 Date Issued: 4/24/2007
SITE ADDRESS: 1790 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-21-0025
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:
Vinyl Siding-Tyveck over existing siding
FEE SUMMARY: Permit Fee: $ 293.25 Valuation: $ 18,000.00
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 302.25
APPLICANT: Bloomington Siding,Inc. OWNER: Troy Ehlers
4657 Morris Lane 1790 Shadywood Rd
Bloomington,MN 55437 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.
. -_ C
PLICANT PERMITEE SIGNATURE I D BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. �
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started. 1
(please print al1 information)
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THE APPLICANT IS: (circle one) OWNER�R�ONTRACTOR
JOB SITE ADDRESS: �7�2� S����5'�/�� /�� ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a special event permit is rega�ired with Police Department and Ciry Council approval
60 days pr•ior to the event. Sha�ttle bus ser•vice will be required unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: � �-���'/� -r PHONE: (home) �S�-` �7�" b�C�
(work)
MAILING ADDRESS: ���0 cS���j� � CITY: ZIP:
CONTRACTOR: �Il-��-Z� -����tiG � c _ PHONE: " s2-��� �.S'-��
CONTACT PERSON: �c �c< MOBILE/PAGER: .��-� S�o ls�y
MAILING ADDRESS: �.4�.� CITY: ZIP: .��Y3 7
STATE LICENSE: # ��L� EXPIRATION DATE: �3� 3�"O d''
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Acce ory Structure
Move Home RemodeUAlteration (' : ' in Windows)
Any earth movement may require MCWD revie and permits!
P POSED WORK(describe in detain: (//��L ��o�G-.. �Yv�' cK �/�
�k �S��c/� S�i�� r—
STORIES: � SQ.FEET OF EACH FLOOR: < o �O�
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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 Build�ng
Code;that I understand this is not a permit and w k is not to start without a permit;and that the work will be
in accordance with the approved plan.
f' �
APPLICANT'S SIGNATURE: � DATE: �-�3 ��J'�J
31 -
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Sec.13.04 RIGHTS 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 orconfidential dataconceming himselfshall be
infonned 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 die data.This requirement shall
iiot appiy 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 mayplace tlie notice required under this subdivision in the individual income tax or�{�er�y tax refund
ins�ructions instead of on those_forms.
Subd.3. Access to data by individual. Upon requestto a responsible authority,an individual shall be informed whether he is the subject of
srored data on individuals,and whether it is classified as public,private or confidential. Upon his further 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. 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 thereatter unless a dispute or action pursuant to this seccion is pending or additional data on the individual has been collected 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 authority shal!comply immediately,if possible,with any request made pursuant to this subdivision,or withi�five days of
the date ofthe request,excluding Saturdays,Sundays a�id legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional tive days within which to comply widi 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 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 wifh the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act retating 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 Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
l. 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 fiill name is required to process this application or permit.
��c E��,�� �� ��cc�T�
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i underst y rights as stated above.
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Reset Form 32
(,�" DATE TIME V
" CITY OF ORONO CALLED IN �e —/ —v 7
INSPECTION NOTICE SCHEDULED �_ �
PERMIT NO. I�I �°� � b COMPLETED
ADDRESS � 7 �l(3 �Z � 12r.�
OWNER �� �C-�S CONTR. Q]xd�`1��,�,�t,�i-� �C1.GaC�e..:.�
TELEPHONE NO. �Sr� — �� � ��� �
� DESCRIPTION �� �� �S t C�i
� 01 FOOTING 11 MECHANICA I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q NAL 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W WORKSAT{SFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance. (J52� 249-46��
Owner/Contractor 'te
Inspector.
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