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Home My WebLink About2000-P03393 - re-roof PERMIT CITY C�� ORONO 2750 l�elley Parkway - PO Box 66 Permit Number: Po3393 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (612) 249-4600 Date Issued: 12i13i2o SITE ADDRESS: 2172 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-23-42-0010 DESCRIPTION: Proposed Use: Census Code 434 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: $ 139.25 Valuation: $ 6,155.00 State Surcharge Fee: $ 3.10 TOTAL FEE: $ 142.35 APPLICANT: �'ELCH RooFirr�irrc OWNER: TIMOTxv T wELCH 3869 36 St SE 2172 SHADYWOOD RD DELANO,MN 55328 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK[N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. \_ '� ,� V//( �-1�/ � i; �;.,!S ��i'�L.�.�1 v' APPLICANT PERMITEE SI NATURE I ED BY SIGNATURE Copies: City,Applicant, Assessor,Finance Page 1 G � �� %� Total Fwe: $ Date Received: � L#ntered By: Pernut#: i�-/> -��' CITY OF ORONO - BUILDING 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 CONTRACTOR JOB SITE ADDRESS: .�I 7� S !-��:t c�t� v��;� �� r2��°�� ZIP: S�-S 3�i� NAlVIE OF OWNER: 1N� !',�v�::i� �J��c�-� PHONE: (home) /�r�� yTi - 7S�/ (work) MAILING ADDRESS: �,1 ?:� .S hav�y u;�� 12c,�c�c:1� CITY: C� ��,v�c; ZIP:��3� CONTRACTOR: l��-l��", 2��,�'� �vl� PHONE: �,,�1� 7��'s C ONTACT PERSON: r,�a w�s w'�lC� MOBILE/PAGER ("�i�) 3 i�3 �l 3 k`j MAILING ADDRESS: °�3 Y 3 a�� St -u T CITY: C 1�-�,.,��,� Z�: sS�� STATE LICENSE: # dc � �3.��1 r�;� ��( ARCHITECT/ENGINEER: PHONE: MAILIl`G ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: 'Ta�-�('-� �,�n��, ��. ��,1 i�� s��ld � re-�a�� o�- �� , �Z�,;:z;�� i�.c\ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (� i S� 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: _�c�,-..,u L �J��-�' DATE: i�-l3�-�'� NOTE! Parade of 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. 4 Sec.13.04 RIGHTS OF SUB.IECTS OF DATA Subd. 1. Tvpe of data. The righrs of individual on whom che data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. r1n individual asked to supply private or confidendal data concerning hicnself shall be informed of: (a)the purpose and iatended use of the requested data wi[hin the collecting'state agency, polidcal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply privace or confidenrial data;and(d)the idenciry of other perso�s or enddes au[horized by state or federal(aw to receive the data. This requirement shall not apply when an individual is asked to supply invesdearive dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nonce reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Uport request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her i[is classiFied as public, private or confidenaal. Upon his further request,an individual who is the subjec[ of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content and meaning of that data. After an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six monrhs thereafter unless a dispute or acrion pursuan[to this sec[ion is pending or addiaonal 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 che data. The responsible authoriry may require the requesting person to pay the actual costs of makine, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the da[e of the request,excluding Saturdays,Sundays and lecal holidays,if immediate compliance is no[possible. If he cannot comply with the request within that time,he shall so inform che 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 pri��ate data concerning himself. To exercise this right,an individual shal!notify in wriring the responsible authoriry describing[he nature of the disagreement. The responsibie authoriry shall within 30 days either: (a)correct the data found to be inaccurate oc incomplete and attemp[to norify past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual tha[he believes rhe data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. The de[ermination of the responsible authoriry may be appealed pursuant to the provisions of the administndve procedure act retating 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 wiil 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 pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pernu[ or license requires Council action to approve, some information may become public. �. You have certain rights under M.S. 13.04 (available upon request) [o review private data on yourself. (, Your full name is required to process this application or permit. First Middle Last Address Ciry State Zip Phone I understand my rights as stated above. ) C� ✓�S CJ��'c��'� �� Signature i DAZ� �/ TIM _�dO CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED �/ PERMIT NO. 3�� COMPLETED �� ADDRESS S�� ' . C-V'�,0,� /��J' OWNER CONTR. -�- l�"�- w/�i TELEPHONE NO. ?� '� � � �C�' �� --�'�'�f �� DESCRIPTION �-� tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GR DINGA /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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: 0. _'�f1� v �/J� /l��C.�/ I--= f/I 5�-��n�(, A- ,— /�D��/1'�'�,j � � O � � O � W � Q � Z W � W � � d /�ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL REfURN i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspe tion 24 hours in advance. 249-460� OwnerlContrac r ite• Inspector. White Copyllnspector's File Canary CopylSite Notice