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Home My WebLink About2001-P04303 - re-roof R - � PERMIT C I TY O F O RO N O permit Number: 2750 Keiley Parkway- PO Box 66 P04303 Crystal Bay, Minnesota 55323 Permit Type: ivt�or Atterations (952) 249-4600 Date Issued: 9�si2oot SITE ADDRESS: 2195 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-2 3-43-013 5 DESCRIPTION: UBC occupancy R3 Proposed Use: itesidentiai Permit Class: Building Census Code O/S-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: $ 111.25 Valuation• $ 4,472.98 State Surcharge Fee: $ 2.25 TOTAL FEE: $ 113.50 APPLICANT: Pena Rene Remodeling OWNER: JOHN H ANDERSON 732 Westwind Ave. 2195 SHADYWOOD RD Shakopee,MN 55379 WAYZATA MN 55391 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS. ��,�� ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports,1-Assessing,1-Finance Page 1 . � Total Fee: $ l �3�.� Date Received: —,�--(� Entered By: ,��,�C� Permit#: 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: 2��r � �I� ��/�.1?�O U ZIP: �S��I NAME OF OWNER: � (a L �;Z- �Y�Ul�ys�'�Y� PHONE: (home) �C �Z - y� I - � Z � � (work) MAILING ADDRESS: ZI °� 5 �(��,v��t�crrY:�1�a�v�v� z�: �-s�� c �1 CONTRACTOR: �-Q� Y�Q _i�YL�N�bC�Q� PHONE: ��2-1 �l�i - �i Zrl`�" CONTACT PERSON: � MOBILE/PAGER: MAILING ADDRESS: �7 �2 �i,2�� l�.c� V�St.CITY:�� d-1��-.ZIP: STATE LICENSE: # -7��j �'� ARCHITECT/ENGINEER: V�,� � PHONE: MAILING ADDRESS: CTTY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe in detain: �.e,_ �(�j��' STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��{�c�a o �7� 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 ' accordance with the approved plan. APPLICANT'S SIGNATURE: Q DATE:� � 2e�b � 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. r . Sec.13.04 RIGATS OF SCJB,TECTS OF D?�Ta • Subd. 1. Type of data. The righcc of individual on whom the data is s[ored or to be stoced shall be as set forth in this secdon. Subd.2. Informatiou reqirired to be givea individual. An individual asked to supply private or confidendal data concerning himself shatl be informed of: (a)the purpose and intended use of the tequested dara wi[hin the collecting 3tate agency,political subdivision,or statewide sysum; (b)whether he may refuse ot is legally required to supply the requested data;(c)any irnown consequence arising from his supplying or refusing to supply privace or confidendal dara;and(d)the idendry of other persons or enddes auchorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuan[to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of re�enue mav place the nodce required under this subdivision in the individuat income rax or aropertv tax refund instnictions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is classified as public, private or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown[he dara wichout any charge to him and,�if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown[he private data and informed of its meaning,the data need not be disclosed w h'vn for siz months thereafter unless a dispute or action pursuanc to this secdon is pending or addidonal data on the individual has been coilected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry may require the requesdng person to pay the acaal costs of making,certifying,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 Samrdays,Sundays and legal holidays,if immediace 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 legai holidays. Subd.4. Procedure when data is not accurate or complete. An individuat may conust the accuracy or completeness of pubiic or private data concerning himself. To exercise this right,an individual shall nodfy in wricing the responsible authoriry describing che nature of ihe disagreement. The cesponsible authoriry shalt within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of inaccumte or incomplete data, including recipient�named by the individual;or(b)norify the individual that he believes ihe data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible authority may be appealed pursuant to the provisions of the administracive procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rig.hts 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 City deny the permit or license. 3. The information may be shased with other local, state or federal agencies 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. 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 � �i c . - Last � �?'� 2. �`� l�J��nQf �w� V�! Address �� \p 1 2" l�`( " 1 �� n,,,ak.o ��. City State Zip Phone erstand rights as stated above. � Signamre f DATE TIME CITY OF ORONO � CAILED IN INSPECTION TIC� SCHEDULED PERMIT NO. � � COMPLETED ��5`�"2- A'�— ADDRESS Z l ct S ��r�-t wfl�✓J OWN ER CONTR. TELEPHONE NO. � DESCRIPTION ��`�'{'�'� �� l� �FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 03 INSULATIGN 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 = 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 C � —�l � r �� r-rr�-r.s �� -(c -� �o�rt 0 a � 0 � W � Q � z W � W � � d W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE i W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnedContracto n i • Inspector White Copyllnspector's File Canary CopylSite Notice