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Home My WebLink About2003-P06295 - re-side �I�Y OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po629s Crystal Bay, Minnesota 55323 Per'mit Type: Minor Alterations (952) 249-4600 Date Issued: s�i2�2oo3 SITE ADDRESS: 2166 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-42-0011 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 9�•25 Vatuation: $ 4,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: Dahl Construction OWNER: Scott&Deah Udell 300 West Pt Rd 2166 Shadywood Rd Tonka Bay,MN 55331 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. . . '� .� f �� C�� I � � ,�-- /� APP ANT E TEE SIGNATURE [ UED BY SIGNATURE Conies: 1-File(Si�nitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOl`+T All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: .-,��Q7 5t��j�`r�'Cc1/;01� �l� ZIP: ;>j �j NAME OF OWNER: �jL�I�^ l�(��(� , PHONE: (home) `��Z �7 l� l ZZ� (work) MAILING ADDRESS: Zl -�� St��f'l�`l�[.�� CITY: ZIP: CONTRACTOR: ��}/-K C'��/S� �-!/('�(l�� PHONE: � r 7 �7f; i�/��, CONTACT PERSON: �-fC'� _ MOBILE/PAGER: MAII.ING ADDRESS: �rr0 ��Ou:�le�� CITY: ZIP: � �z-�I STATE LICENSE: # �G 70 ��'Z8 7� ARCHITECT/ENGINEER: --� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration_L Land Alteration PROPOSED WORK(describe in detai�: �-,� /�l/�� L.a�� J I\l ��l s T l� C— � �� _�, STORIES: �_ SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� I�� _ 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: NOTE! Parade of Homes events requ' separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. t Sec.13.04 RIGHTS OF SUBJECTS OF D�TA 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 secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requesced data within the colleccing'state agency,poliucal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenriry of other persons or enaaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or property taz refund instructions instead of on those forms. Subd. 3. Access to data by indi�ldual. Upon request to a responsible 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 the data without any charge to him and,�if he desires,shall be informed of the content and meaning of chat data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonai data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual costs of making, cercifying, 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,excluding Saturdays,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 addidonal 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 pri�•ate data concerning himself. To exercise this rieht,an individual shall noafy in writing the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)nodfy the individual that he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinarion of the responsible au[horiry may be appealed pursuant to the provisions of[he administrarive procedure act reladng 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 pemut 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 ajencies 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 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 Ciry Sta[e Zip Phone � I understand my rij ts as stated above. � Signatu�e % ✓ CITY OF ORONO CALIED IN �f 3-d TIME INSPECTION NO ICE HEDULED C>-�-o� PERMIT NO. COMPLETED ADDRESS o OWNER CONTR. TELEPHONE NO. �� ,7a /��O CD � DESCRIPTION �S� CC a� ly 01 � 11 MECHANICAL RI 18 EXCAWGRADING/FIWNG � 02 FRAMI 13 MECHANICAL FINAL 19 LAFCESHORE/WETLANDS � OLATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLPJNT 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/CONTRACTORTOMEETYOU:_YES � y COMMENTS: � [ j O � � O � W � Q � 2 W � W � � � O W �WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor or��te: inspector. � White CopyMspector's Ffl Canary CopylSite Notice