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Home My WebLink About2000-P02059 - re-side � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po2os9 Crystal Bay, Minnesota 55323 Pel'CTllt Type: Addition/Remodel/Repair (612) 249-4600 Date Issued: 2i23�oo SITE ADDRESS: 2032 Shadywood Rd WAYZATA,MN 55391 PID: i�-11�-23-3�-00�2 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Building Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 293.25 Valuation: $ 17,996.00 State Surcharge Fee: $ 9.00 TOTAL FEE: $ 302.25 APPLICANT: K-designers OWNER: JAMES M BURGESS ll261 Sunrise Park Drive 2032 SHADYWOOD RD Rancho Cardova, CA 95742 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC�'IED AND A,�'iREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF NIINNESOTA BUILDING CODE REQUIREMENTS. �� ,, , ,� f APPL CANT PER URE I Y SIGN E Copies: City,Applicant,Assessor,Finance Page 1 � � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII.,DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) _—_--------------------------------------- - ------ - ------------ THE APPLICANT IS: (circle one) OWNER OR CO T OR JOB SITE ADDRESS: 6 �� Z�: �� NAME OF OWNER: �� C`� ��S � PHONE: (home)�1�G�7I'�3.5� (work) MAILING ADDRESS: Q�:�D _ CI1'Y: ZIP: , CONTRACTOR: PHONE: ��,CLi� CONTACTPERSON: �c_c,�`r _ r,L�'6x��B��AGER: MAILING ADDRESS: '�'�l� �i 13 CITY: ZIP:�%��7 STATE LICENSE: # ARCHI CT/ENGINE : PHONE: 1�iAII.IN S: CITY: ZIP: N REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration�, Land Alteration PROPOSED WORK(describe in detain: _��,� .trt 1.�2 r��,�Q- STORIES: t � SQ.FEET OF EACH FLOOR: � _ NO. OF BEDROOI�IS: ? GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION (excluding land): $_ �9 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 accord e wi the approved plan. APPLICANT'S SIGNATLTRE: DATE: �' NOTE! Parade.Qf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � � Sec.13.0�i RIGHTS OF SLJB.TECTS OF DATa Subd. 1. Type of data. The righcs of iadividual on whom rhe data is stored or co be scored shall be as set for�h in this section. Subd.2. Information reqirired to be givm individual. .1n individual asked to supply private or confidenaai dara concerning himself shall be informed of: (a)the putpose and inunded use of[he requesud dara within the cotiecring�tate agency,political subdivision,or sratewide rystem; (b)wherher he may refuse oY is legaily required to supply the requested data:(c)any lrnown wnsequence arisiag from his supplying or refusing to supply priva[e or conndendal data;and(d)che idenriry of orher persons or enrides auchorized by srare or federal law to receive the daca. This requirement shall not apply when an individual is asked[o supply in�'esrigadve data,pursuanc to secrion 13.82,subdivision 5,to a law enforcement officer. The commissioner of re�enue mav ola- the nodce rewired under this subdivision in the individuat income tax or vropertv taz refund instrucaons instead of on those forms. Subd.3. Access to data by individuaI. Upon request to a responsibte authoriry,an individual shall be informed whether he is the subject of scored data on individuais,and whe[her it is class�ed as public, private or confidendal. lipon his fur[her request,aa individual who is rhe subject of stared private or public data on individuals shall be shown ehe dara wichout any charge to him and,�if he desires,shall be informed of the contenc and meaning of fiat dara. After an individual h�s been shown che private dara and informed of its meaning,the dara need not be disclosed to him for siz monrhs thereafter unless a dispute or acaon pursuant to this secaon is pending or addidonal data on the individual has been collected or created. The responsibie au[horiry shall provide copies of cha private or public data upon request by the individual subject of ehe dara. The responsible auchoriry may require che requesring person to pay the acaial costs of making,certifying,and compiling the copies. The responsible aurhoriry shali comply immediately,if possible,wi[h any requesc made pursuant to this subdivision,or within five days of the dace of the requesc,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requesc within chac 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 when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise chis right,an individual shall nodfy in writing the respoasible authoriry describing the namre of the disagreement. The responsib(e authority shall within 30 days eick:er: (a)correct the data found to be inaccurdce or incomplete and atcempt to nodfy past recipients of inaccurace or incomplete data, including recipiencc named by the individual;or(b)notify the individual that he believes rhe dara co be correcc. Data in dispu[e shall be disclosed only if the individual's statemenc of disagreement is included wich the d'uciosed dara. The decerminadon of the responsible au�horiry may be appealed punuanc to the provisions of the adminisaarive 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 fumish 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 Ciry deny the per�ut or license. 3. The information may be shared with other local, state or federal a�encies 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. �. 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 proc ss this application or permit. � Fint Lfiddle Lasc 3�ld � l� aaaress �lN�1Jfi'L. -�s �� l�"�� Ciry Sm� Z�P Phone I unde '�h as stated above. Signantre