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Home My WebLink About2002-P05168 - re-roof • � PERMIT �iTY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Posi6g Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249-4600 Date Issued: siioi2oo2 SITE ADDRESS: 2032 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-31-0012 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: �� Separate pernuts required: ; �� NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 97.25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: Owner/Self OWNER: 7ames Burgess MN 2032 Shadywood Rd Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE 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. ( � , _`,� ./,� ,� � �� ` �Z APPLICANTPERMITEESI' URE ISSUEDBYSIGNATGRE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 � . . , Total Fee: $ Date Received: Entez�ed By: Permit#: CITY OF ORONO - BUII.,DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------- ---s-----------------------------=--------------- THE APPLICANI' IS: (circle one) OWNER R CONTRACTOR �_ JOB SITE ADDRESS: ��j�( ��fjv�/(,�lL?J/� /C/� ZIPc .5,�j,3�j � NAME OF OWNER: �i4>Y1 t 5 �u'RG�s S PHONE: (home) ��a -�/7/- U�53 (work) MAILING ADDRESS: �0.3� S�lAO V Gc�aa� �i� CITY: �/�D�lU ZIP: ��39� CONTRACTOR: ��D(,/G SCffitlA�L L. PHONE: CONTACT PERSON: S�iYt� MOBILE/PAGER: MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA11�IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: /�04�/NG STORIES: �_ SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ �, vvo , �v 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 plan. APPLICANT'S SIGNATURE: DATE: ,�-1 U - o � NOTE! �arade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. . . i Sec.13.04 RIGHTS OF S[JBJECTS OF DAT?► Subd. 1. Type of data. The righrs of individual on whom[he data is stored or to be stored shall be as set fo�th in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to suppiy private or confidendal data concerning himself shall be informed of: (a)the purpose and iatended use of the iequesud data within the collecting state agency,polidcal subdivision,or sratewide rysum; (b)whe[her he may refuse oY is tegally required to supply the requested data;(c)any Irnowu consequence arising from his supplying or refusing to suppiy private or confidendal data;and(d)the identiry of o[her penoas or enaaes authorized by state or federnl law to receive the data. 'Ihis requirement shall not apply when an individual is asked to supply investigarive data,pursuant to secaon 13.82,subdivision 5,w a law enfoccement o�cer. The commissioner of revenue mav place the noace rewircd under this subdivision in the individual income tax or propertv tax refund instrucdons instead of on those forms. Subd.3. Access to data by individuaI. Upon requesc to a responsibie 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 confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown rhe data wirhout any charge w him and;if he desires,shall be informed of the content and meaning of rhat dara. After an individua!has been shown[he private data and informed of its meaaing,the data need not be disclased to him for six mon[hs thereafter unless a dispute or acdon pursuanc to[his secdon is pending or addiaonal data on the individual has been collected or crea[ed. The responsible au[horiry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may�equiro the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made punvant to this subdivision,or within five days of the date of the request,exctuding Samrdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addirional five days withia which to compty 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 compteteness of pubiic or private data concerning himself. To exercise rhis right,an individual shall nodfy in writing the responsibte aurhoriry describing�he nacure of die disagreement. The responsibie auehoriry shalt within 30 days either: (a)correct the data found to be inaccurate or incomplete and atumpt to nodfy past recipients of inaccurate or incomplete data, including recipientc 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 stacemenc of disagreement is included with the disciosed data. The determinadon of the responsible authority may be appealed punuant to the provisions of the admuusaarive 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 detemune 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 shued with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certai.n 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. J��uc- 5 �- ,du�eG�S- S Fint Middle Last 0?03� S��4n��wa u f� �/� naa�s5 0 O�tl v /Lt�/ �5�� }��2 -�7i D��,3 Ciry State Zip Phone I understand my rights as stated above. / " �- �gnatu �� !V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT E Q' SCHEDULED `��s�'��`1 �.� PERMIT N0. � 5`�U COMPLETED ADDRESS �0 3 a, jd�c�-��-cj�c.-`�'C f� ,Qoi� OWNER �� J�U-'�C'�� CONTR. L`�L.t.'�'lQ�, TELEPHONE NO. �f�_c�� l — G .3 �'>�� DESCRIPTION �� C� � � Oi FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFiE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 a J ' � \ --r- /I�?"!(J O �. � � � �, 1 T� O - � v � _ � � W Q �--' . �`�.� � z W � W � � d W� nRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 Owner trac n site- Inspector. 4- hite Copyllnspector's File nary Copy/Site Notice