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Home My WebLink About2005-P08854 - re-roof � PERMIT CITY OF ORONO 2750 K�Iley Parkway- PO Box 66 Permit Number: p08854 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/17/2005 SITE ADDRESS: 2024 Shadywood Road Unit# Wayzata,MN 55391 PID: 17-117-23-31-0011 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: Permit Fee: $ g3•25 valuation: $ 2,500.00 State Surcharge Fee: $ 1.25 TOTAL FEE: $ 84.50 APPLICANT: Sun Contractors and Home Improvement OWNER: Pamela Willette 6130 Hillsdale Dr 2024 Shadywood Rd Minnetrista,MN 55364 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.t.�.C C C--�Y3--� C-[ ,� `'7i�/l A IC PERMITEE SIGNATURE ISSUED 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. (please pri�zt all inforsnatian) THE APPLICANT IS: (circle one) OWNER OR ONTRA.CTOR JOB SITE ADDRESS: �fZ �� ZIP: . Will this be a P e of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes NO If yes,a special event permit is required witli Police Departmeni and City Council approval 60 days prio�•to the event. Shzrttle bzrs servfce will be required z�nless a�plicant demazstrates sufficient on-site parl�ing is available. Non perniittsd events will not be allowed. NAME OF OWNER: __l s��i?/� �J( PHONE: (home) 1( / (work) MAILING ADDRESS: � (� v�� CITY: �''� ZIP: CONTRACTOR: �vl ✓.7E PHONE: �Z3�-�� CONTACT PERSON: v� � MOBILE/PAGER: ol 4 S'� MAILING ADDRESS: l� / r z CITY: �` 1 �. IP: � STATE LICENSE: # `"'� ��GG "� EXPIRATION DATE: .� vlo �aa9q 33.� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CI3'Y: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Stru�ture Move Home RemodeUAlteration �� PROPOSED WORK(describe in detai�: ��-� O� /'C�� STO1tYES: � SQ.FEET OF EACIi FLOOI�: NO. OF�EDROOVIS: GAR.AGE STA�.,LS: ATTAC]EIED DETACHED � � ESTIMATED CONSTRUCTION VALiJATION(excluding land): $ p2�QQ � 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 BuildinQ Code;that I understand this is no ermit and work is tart without a pemut;and that the work will be in accordance with the approv d plan. � APPLICA��1T'S SIGNATURE: DATE: ��7 0 � 31 .. Sec.13,04 RIGHTS OF SUB,TECfS 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 sec[ion. 5ubd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himself shall be informed af: (a)the pu�pose 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 consaquence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons ot entities authorized by state or federal law co receive the data.This requiremcnt shall not apply when an individual is asked to supply investigative data,pursuanc to section]3.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mav pllce the notice ree�ujred under this subdivision in the individual income taY or nronertv tax_refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed tivhetherhe 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 ihe content and meaning of that data. After an individua]has bcen shown the private data and informed of its meaning,tite data need not be disciosed to him for si� months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created.The responsible authoriry shail provide copies of the private or pu6(ic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actval cosCt of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate cort�pliance 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 widtin which to complywith the request,excluding Saturdays, Sundays and legal holidays. Subd.4.Procedure when da[a is not accutate 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 tesponsible authority describing the nature of the disagreement.The responsible authoriry shall within 30 days either: (a)con•ect the data found to be inaccurate or incomplete and attemp[to notify past recipients of inaccurate or incomplete data,including recipients rtamed by the individual;or(b)notify the individual!hat he believes the data to be correct.Data in dispute shall be disclosed only if the individ�al's statement of disagreemenc is included with the disclosed daca. The determination of the responsible authority may be appealed pursuxnt to the provisions of the administrative procedure act rela!ing to contested cases. DATA PRIVACY ADVISORY In accordance�vith 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 fumish will be used to determine your qualification for the pemZit or licens� 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 pernlit or license. 4. If,your requested pennit or license requires Council action to approve, some infomzation 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 C�h, State Zip Phone I u derstand my rights as stated above. Signature 3? ✓ % ^D�T��.. TIME CITY OF ORONO CALLED IN �'�� 1 INSPECTION NOTICE r�/ SCHEDULED �� ZS � PERMIT NO. �� `�� COMPLETED ADDRESS ��" � U ��"� �� OWNER CONTR. 6�,rJi� C��YI�: TELEPHONE NO. �� f �� - ��/3� `� �'/!(1 � DESCRIPTION ,�� l� 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 INSPECTION 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � . Q � Z W � W � � d W ORK SATISFACTORY:PROCEED LI PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for th ext inspection 24 hours in advance. (952� 249-46�� Owner/Con n site: Inspector. White Copy/lnspector's ile Canary CopylSite Notice DAT TIME " CITY OF ORONO C LED iN � INSPECTION N � r� SCHEDULED ' � PERMIT NO. 7� COMPLBTED ` ADDRESS a0a OWNER C NTR.q,�C�'t-G��-1�• TELEPHONE N0. %SZ ZyZ 0�� DESCRIPTION � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTtON Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J O >. � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-46�� OwnertContr i e: Inspector. � White Copyllnspector's File Canary CopylSiie Notice