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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) ------------------------------------------------------------------------------------------------------------------------ -- --.,,�--- 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 - � . 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� First Middle Last C[(� �� �� S L-�A�� .4ddress �l�z��� d7,� �;s-rr�� ��2 � �'�� -- �s-s � � Citv Statc Zip Phone i underst y rights as stated above. /�- —�... . Sign urc � 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 � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W WORKSAT{SFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 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. White Copyllnspector's File Canary CopylSite Notice