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Home My WebLink About2007-P10835 - re-roof PERMIT CITY OF ORONO 2750 K;:II�y Parkway- PO Box 66 Permit Number: P10835 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 3/20/2007 SITE ADDRESS: 1800 Shadywood Rd Unit# Wayzata,MN 55391 P I D: 17-117-2 3-21-0026 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernZitFee: $ 125.25 valuation: $ 5,500.00 State Surcharge Fee: $ 2.75 TOTAL FEE: $ 128.00 APPLICANT: 7 Zack,Inc. OWNER: Douglas Seabolt 5249 Ogren Ave NE 1800 Shadywood Rd St Micheal,MN 55376 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. L � _ �L��t. C'`�"�}'`?�E- !� � � /APPLICA ER EE SIGNATURE ISSUED BY SIGNATURE J Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l t ' . 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. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (cipcle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: (�� S'�2LZ�l�GvooD /�D. ZIP: �S'��p2�/ Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and Ciry Council approva! 60 days prior to the event. Shuttle bars service will be regz�ired unless applicant demonstrates su�cient on-site parking is available. Non permitted events wil!not be allowed. NAME OF OWNER: �puG �2r�IlJDI� PHONE: (home) �f.a?�f7/-0�� (work) MAILING ADDRESS: ��po ,/'��c�,,r�a�,� ,�,t� CITY: �y�D�i�� ZIP: � CONTRACTOR:�� PHONE: 7�,�-��7-��,/�� CONTACT PERSON: �e vyr� Z��i/,s-cc<<,c� MOBILE/PAGER:��,��,��'-- </D,s/ MAILINGADDRESS:3�? O e. v CITY: c�'lL�c{�as l� ZIP: `�1�?6 STATE LICENSE: # �c7v�q'� �c� EXPIRATION DATE: ��-3/-C� � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(clescribe in detai�: ,`t��b o� ,r22ct` �v uJC STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �S`�O �� 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 pla APPLICANT'SSIGNATURE: DATE: J'/?�' D� 31 . , � Scc.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 sliall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private orconfidential dataconcerning himseffshall be informed 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 confidcntial data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.This requirement shall not apply when an individuai is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue makplace the notice required under this subdivision in the individual income tax or gropertv tax refund inccr��cions instead of on those forms. Subd.3. Access to data by individual.Upon request to a responsible 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 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 thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible suthority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of tlte date ofthe request,excluding Saturdays,Sundays and legal holidays,ifimmediate 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 five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. S ubd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himsel£ 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 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 City 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 shared with other local, state or federal agencies to the e�ctent 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 full name is required to process this application or permit. ( i�2-�"-� � /� ��r l/1/�C� �-- First Middle Last b� ��l �C1�'-e�� / Addross �..�� 4�� c .r,r� I r•��l/ J`�.�7Ca 7�.�-��-y�/,l/` Ciry State Zip Phone I understand rights as stated above. �2 Signatur Reset Form 32 '� � � �� DATE � TIME � CITY OF ORONO � cAKL�D IN 3I �C � INSPECTION NOTI Q��j SCHEDULED _,:� PERMIT N0. v��" -" COMPLETED ---�=7� ADDRESS � n OWNER CONT . ��-L �� TELEPHONE N0. �-v- `�`� � `� �� `� �' - Q-2,- f�-C:Y� � r � DESCRIPTION �LQJ ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTfON Q 05 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 FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a o �� 1� P S: �� dNly �vP � T� �� ,��rP �� rt�,.q s�P � S� ��S f o��` la�c� W � Q z )?� �7 t�l�E' i?o f" �.�- _� 5�� -f�r�� _ W � W � j GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ ORRECT WORK&PROCEED L; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pH0T0 TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on s' e: Inspector. I White Copyllnspector's File Canary CopylSite Notice �� OAT� TIME / CITY OF ORONO CALLED IN `� INSPECTION NOTIC SCHEDULED s�.07 PERMIT NO. � COMP�ETED ADDRESS I SDO S�GtJ��G� � OWNER CONTR. �J ��' C. I!1 C _ TELEPHONENO. 7�3 T l7 ��'��- � DESCRIPTION ��--� �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � s� � r � � O �. � O � W � Q � Z W � w � j a � WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED -: ISSUE CERTIFICATE OF OCCUPANCY 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.CALLINSPECTOR ❑ INSPECTfON RE�UIRED.CALLTO ARRANGE ACCESS. Call for the nex 'nspection 24 hours in advance. �952� 249-46QQ OwnerlContr ta�e o n �t • Inspector. White Copyllnspector's File Canary CopylSite Notice