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Home My WebLink About2006-P09956 - re-roof �-� PERMIT ��Y'Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09956 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/7/2006 SITE ADDRESS: 2106 Shadywood Rd Unit# Wayzata,MN 55391 PID: 17-117-23-42-0017 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: Pernut Fee: $ 181.25 valuation: $ 9,500.00 State Surcharge Fee: $ 4J5 TOTAL FEE: $ 186.00 APPLICANT: W.F. Smith Construction OWNER: William Sime Jr. 6585 So. Saunders Lake Dr. 653 Bimini Avenue Minnetrista,MN 55364 Marco Island FL 34145 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. I ��'��-✓l_ � APPLICANT PERM[TEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 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 print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (cir�cle o�Te) OWNER O CONTRACTOR JOB SITE ADDRESS: Z� �U S�Y�� ZIP: Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �0 If yes, a speclal event permit is i�equrred�vith Police Depar•tnze�zt and City Coarncil approva! 60 days prior to the event. Shuttle bus service will be required t�nless applicant det�aonstrates sa fficient on-site parkir7g is available. Non pernaittecl events ti�vill not be alloweci. NAME OF OWNER: � % ��- J� m � PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR:�� I S�� I"�� CC�/�-S 7� . PHONE:�I S��-�l 7�- -6 S.3� CONTACT PERSON: {�'v� MOBILE/PAGER: (o�,�-Sb 7- 3 t 1 � MAILING ADDRES5:6S3s'" S, SN�,�,,��`,;2s �!��'� CITY:��.ti��.�s�-,� ZIP: ��/ STATE LICENSE: # S �c3�i EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) .G� Any earth movement may requir��,-MCWD review and permits ! PROPOSED WORK(descf�ibe in detai�: ��-� 5�f`�' Q ��;, �1'��—�-�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �U O ` � [hereby apply for a building pennit 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�vitll the State Building Code;that I understand this is not a permit and work's not to start without a permit;and that the work will be in accordance with the approved pl . APPLICANT'S SIGNATURE: � DATE: ��--7" 0 � 3I .: � 4 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or ro be stored shall be as set forth in this section. Subd.2. tnformation required to be given individual. An individual asked to supply private or confidential dataconceming himselfshall 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 confidential data;and(d)the identity of o[her persons or entities authorized by state or federal law to receive the data. This requirement shal I 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 may_place the notice re uired under this subdivision in the individual income tas or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authorit��,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or contldentiaL Upon his further request,an individual who is die 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 sho�vn the private data and informed of its meaning,[he 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 authoriry shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuantto this subdivision,or within tive days of the da[e ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate 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 whidi to comply with the reques[,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 conceming himself. To exercise this right,an individual shall notity in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days eidier. (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)notity the individual Hiat he believes the data to be correct Data in disp�a!e sha!i be disclesed only if die individual's sratement of disa�reement 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 extent necessary to process the pern�it or license. �1. If your ree�uested 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 pennit. First Nliddle Last ��r'��v' �- �� -1�� .4ddress Cj �Cr � �o �/�vNl��-r ��S l�f � /"�l�� i�r1� �, �f� , ��/1.� �Ss'�� / / City State Zip Phone �js'-�- - �>�- --C�s'�� I understand my rig s as state above. � Signa rc Reset Form 33 DATE TIME " CITY OF ORONO CALLED IN INSPECTION N IC SCHEDULED �'� : PERMIT N0. ��S� COMPLETED ADDRESS a�� S��-- r OWNER CONTR. �� S�Lu�C� TELEPHONE NO. ��2' �� 7 ��/ 7 � DESCRIPTION / L-� vT� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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 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 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL O ARRANGE ACCESS. Cal1 for the next in ion 24 hours in advance. (g52) 249-4600 OwnerlContr si : Inspector. White Copyllnspector's File Canary CopylSite Notice