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Home My WebLink About2002-P05366 - Re-roof �'ITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Pos366 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions (952) 249-4600 Date Issued: �iii2oo2 SITE ADDRESS: 2199 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-43-0134 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Perxnit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 83.25 Valuation• $ 2,100.00 State Surcharge Fee: $ 1.55 TOTAL FEE: $ 84.80 APPLICANT: Owner/Self OWNER: Collin Reese MN 2199 Shadywood Rd 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. C�:�w � C��/� APPLICANT PERMITEE SIGNATURE IS Y SIGNATURE Conies: 1-File(SiQnitures Required). 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 ♦ : �Total Fee: $ Date Received: Entered By: 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 CTO . _ JOB SITE ADDRESS: �-�� Q� ZIP: '�J cJ3� 1 g, NAME OF OWNER: �� PHONE: (home)Q�'j�Z^�{7�^ g 2- � ( (work) l�-- ^ 1- O MAII.ING ADDRESS:�.T°� ��^ CITY: ZIP: 5 ( CONTRACTOR: �.P�, PHONE: CONTACT PERSON: MOBILE/PAGER: MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROP06 SFiD WORK(describe in detai�: — ��.�-u� STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BED OOMS: GARAGE STALLS: ATT. DET. 6 d ESTIlVIATED CONSTRUCTION VALUATION (excluding land): � �� 0 — 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: .Q�(-e� DATE: �-- � � �2 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. 5 . r ' � t Sec.13.04 RIGHTS OF SIJBdECTS OF DATA Subd. 1. Type of data. The rights of ic�ividual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,poliacal subdivision,or statewide system;(b)whether he may refuse or is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or iefusing to supply private or confidential data;and(d)the idendry of other persons or enaties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revernie mav nlace the notice reauired under this subdivision in the individual income taz or orocertv hax refund insavctions 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,a�whether it is classified as public,private or confidendal. Upon his further request,an inclividual 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 that data. After an individual has been shown the private dare and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or ac6on pursuant to this secdon is pecding or additional data on the i�ividual t�as been collected or created. The responsible authoriry shall provide copies of the private or public darn upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to flus subdivision,or within five days of the dau 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,a�may have an additional five days within which to comply with the request, excluding Saturdays,�Sundays and legal holidays. Stibd.4. Prceedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing tha•nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or i�omplete and attempt to�tify past recipients of inaccurate or incomplete data,including recipienu named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the i�ividual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administra6ve 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 pemut or license from the Gity of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 shazed with other local, state or federat 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 Middle Last Address Ciry State Zip Phone I understand my ri ts as stated above. Signam 6 . DATE TIM CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED rD-��• oa oP� PERMIT NO. �O COMPLETED ADDRESS Ztgg �I�AdJt�/wood �.a-� OWNER �� -5-� CONTR. ow�rv� TELEPHONE NO. �7�'��g 6/t Gec.�. 4/Z-�!°� -Z98o � DESCRIPTION��2��of r'rnrA�c.. � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 0� INAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAiNT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINA� 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 ti Z W � W � � d W� ORKSATISFACTOflY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�0 OwnedContrac on si e: Inspector. White Copy/inspector's File Canary Copy/Site Notice