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Home My WebLink About2002-P05788 - doors � PERMIT CITY OF ORONO Permit Number: 27�0 Kel�ey Parkway- PO Box 66 Pos�as Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: iii26i2oo2 SITE ADDRESS: 2024 Shadywood Road Wayzata,MI�155391 P I D: 17-117-23-31-0011 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Perxnit Sub-type(s): Doors DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 237.25 Valuation: $ 13,155.00 State Surcharge Fee: $ 7.10 ' TOTAL FEE: $ 244.35 APPLICANT: M�Rusco,Inc. OWNER: Pamela Willette 5558 Snetana Dr. 2024 Shadywood Rd Minnetonka,MN 55343 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 SSUED BY SIGNATURE Couies: 1-File(SiQnitures Recruired), 1-A�licant, 1-Monthlv Reuorts, 1-Assessing, 1-Finance Page 1 � � t � � � �� , Total Fee: ' $ ` � 3 C �� ✓Date Received: '� C � Fntered B jZ�� - . �' ,�,�,�( �G'�'��' 1'ermit#: i��/ 3�`/c.,.z_. � y' � . . ` � CTI'Y OF 4RO�T� - SUII.DING PERMIT APPLICATTON � - . All i.nfot�mation.must be submitted in full before plan revxew will be started. � � � � �. '(please print all informaiion) � ' '�HE APPLYCANI' IS: (circle one) OWNER O CONTRACTOR ro� sY� �nn�ss: cc�ooar �Ilo �:. 55vq1 NAME OF OWNER: � PHUNE: .{tiome) 5�• �7/•8f 91' � . . � (work) 9 • 8 ' ' Zip':� M.4,II�1NG ADnRES5: '� Sl� CI'�'Y: � CONTRA.CTOR: PI�OIVE:.. -gjJ' - 'Jr'9C0� CONTACT PERSON: 0 M�$ILE(PAGER: • g � � 1V1AII„Il�iG ADDRESS: 555 i t� CTI'Y: ZIP: 553�13 �'''��'�; LICENSE: # ,�� _tCHTTECT/ENGINEER: , . . , , f . . - . . ' . pFIONE: . � .. ..� _�1.4,II.Il�iG ADDRESS: C�� Z�' N�,�: REGISTRA�'ION# TYPE Ok'�VORK: N�w Addxtion Accessary Smlcture Nl,ove Remodel/Alteration Land Altaration �I��`" �.0 PROPOSED'�'VORK(describe in detain: d � D O ' . ST4RIES: SQ. FEET 4F EACH�'LOOYt: NO. OF BED�tOOMS: � � GARAGE STA.LLS: ATT. DET. ESTAI�A1'ED CONSTR�CTCTION VALUATION (excluding lat�d): $ �7 S� • �� I hereby apply for a buildina pexmit and I ackiwwledge that the in�ormation above is complete and accurate;that the worlc wxll be in coz�formance with the ordinances ax�d codes of the City and with the State Bux�din� Code; that I understand this is not a permit and work is not to stazt without a pezmit; and that the work will be in acc r ce wirh the approved plan. APPLTCAIVT'S SIGNATUR�: `t DATE: I� '�g `�� N�TE! Parade of_ rrze events reQu e separate permit approvaF by Police Deparhnent and City Cauncii 60 days privr to the event. Non permitted euents will nv�be atlawed. 5 Z0IZ0 3Jdd O�Sfl�l dlOS3NNIW bb56-5�6-Z56 85�LZ Z00Z/6Z/0i � � Total Fee: $ Date Received: �mered By: Permit#: CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information musf be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------- --------------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: (�OOG� D�i.O ZIP: �J�J3�)� NAME OF OWNER: `��, U�� PHONE: (home) So�' y`��'��97 (work) 95�• �9!o f�/0�7 MAILING ADDRESS: ' S(_,�Q� � CITY: ZIP: CONTRACTOR: PHONE: 9J' o . J`' 9�0� CONTACT PERSON: /,tl DD MOBILE/PAGER: • 9..�5� 9�y`� MAILING ADDRESS: S�5g �rn.t,�na_ ��t� CITY: ZIP: ,j 53y�3 STATE LICENSE: # �/']� ARCHI'I'ECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAi1�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure_ Move Remodel/Alteration Land Alteration A�j�CC %- PROPOSED WORK(describe in detain: j} � C�D �,t1�'b �_ ^ ��11(��c�S• STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTINIATED CONSTRUCTION VAJLZJriTIQN (exC1'.Z(IL'is�3ri(�1: ��LJ S � �� 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 Ciry 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 acc r ance with the approved plan. APPLICANT'S SIGNATURE: `� DATE: �D 'Z� "�L NOTE! Parade of Homes events requ e separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 �5� � �� l�� ' � � � 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 secaon. Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data concerning himself shall be informed of: (a)the purpose and intended use of the�equested data within the collecring state agency,polidcal subdivision,or statewide system;.(b)whether he may refuse or is legaUy required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidendal dara;and(d)the idendry of other persons or enaries authorized by state or federal law to receive the data. This requirement shall not apply 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 mav olace the notice reouired under this subdivision in the individual income tax or orooertv tax refund instrucrions instead of on chose fortns. Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be infornted 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 rhe subject of stored private or public data on individuals shall be shown the dan wirhout any charge to him and, if he desires, shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and infocmed of its meaning,the data need not be disclosed[o him for six months thereafter unless a dispute or action pursuant ro this secrion is pending or addirional data on the individual has been ccllected or creared. The responsible authoriry 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,cenifying,and compiling the copies. The responsible authoriry shall compty immediately, if possible,wich any request made pursuant to this subdivision,or within five days of the date of the request, excluding Saturdays,Sundays and legal holidays, if immediate compliance is noc 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�vhen 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 individual shall notify in writing the responsible authoriry describing the nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurare or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data,including recipients named by che individual;or(b)notiiy the individual that he believes the data [o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the respoasible authority may be appealed pursuant to the provisions of the administradve 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 pri�ate or confidential information. You are noiified 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 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. Y<ru have certain rights under M.S. 13.04(available upon request) to review private data on yourself. 5. Your full name is required to process this application or permit. ' u� - ��m�," �t ;I��i;uv�� Firs-�� Middle/� _ Las�-' y� � � ',IIX�� `�� L'� i �.. - �� • `��j�[/ .��,(��L�/ /��- ��7w�'`�' Address - � ��n�'��r��.. m� ��y� �1h�� Ciry State Zip Phone G j/Y`-G� !CFl.L� I understand my rights a�s stated above. '�.;� �� ' �� Signature � 6 � � , �. . ^. ,. !. __. _` � '�'� ��Y�� e� 'v'inr��o Dc�ariil�n�o� l..Qfi1C1�(C� �ICensinc Division -.:. ::� •-;��.�._ , � tG , ao��s�-��,s � _'i'Z``s:� [)�,_^2r:fllB�i�Oi I..00TI('il fC '�:. _. 1 c�,-.�IlOfi . J 1� _CO-OJ i�Oi�� . --� � �',).�.�.ri�----;�_ �J- il.�'cC8=:�i,.�,UI.��,U� `_-iT.cl�=.1.�(ess: lic�nsi�e.commerce�,s�a:e.mn.us � ,_„�rC�� `; 5,. Paul,i�1N��101-31c� 4V�5si:=address: comn�rce.sta�a.mn.us �,•......; .�..: i ...c..t��,�_;:, . � :�`...`:` ' , _ : .. �''� R�s�dentia!'.Remodel�er �icense '��: �eaa►tvame: MINNESOTA;RUSCO INC � ausiness structure: � osA: CORPORATION :� ..::,:... �,... :::: ..:. .::. ... . . .:::.� ....... :..... .. . .. :..: ::: �: . .:.:: .:.. >.....::,.>.:: .. ��::: �. ..:. ;:.,: ,.� :::, , . ... . . � Address: �:`:555.8�SMETNA.DR'' ' :' .. � "::':� : < ::,.. .;. ;:::.: �_,_::::..:. .�.:.: �::.�::MTKA; MN 55343 . - . . � .. . ,., . . . ;:. ° :: , , ::�:. . . : ....:., . .. License Identincation Number ' gC :2�73 " Qualifying Person...,N1EL HAZELWOOD �: .. . :: � : ;.. . : . , : :. , ' � ` Continuing Education: 7 HfS CE dUe by 3/31/2003 " �icense Expiration Date.>:�:;:::� 3/31/2003 , , . c .. � . • - - ��5,�� . ,