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Home My WebLink About2001-P04157 - re-roof ' � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po41s� Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: s�6�2oot SITE ADDRESS: 2216 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-2 3-42-0004 DESCRIPTION: USC Occupancy R3 Proposed Use: Kesidentiai 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: $ 139.25 Valuation: $ 6,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 142.50 APPLICANT: Martin D Construction OWNER: S A KEEFE&W R KEEFE 2270 Langdon Lane 2216 SHADYWOOD RD Mound, MN 55364 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:v�-� ,_., /J'�',iC�t-- �?�i�"K.—J APP A PE MITEESIGNATURE IS UEDBYSIGNATURE Copies: 1-File(Signitures Required),1-Applicant, 1-Monthly Reports,1-Assessing, 1-Finance Page 1 � . �. y� Total Fee: $ Date Received: �'- �� Entered By: Pernut#: /�0 ��( ('7 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: (circle one) OWNER � CONTRACTOR JOB SITE ADDRESS: . ��j G� G� ZIP: NAME OF OWNER: (•�-�r�rU ry1 t� .54�� (� �ee-�-��PHONE: (home) � - (work) MAILING ADDRESS: jCt �Y1� CITY: ZIP: CONTRACTOR: %rv N Cc '�1�PHONE� Z O �� .3 l�� CONTACT PERSON: ti r•• ct �'�YOBILE/PAGER: i�IAILING ADDRESS: i✓ CITY: � ZIP: ��;�� STATE LICENSE: #�/jQ� ARCHITECT/EI�'GINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � ' ' ' � T � ,v STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDR�OMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /��,��j�. � 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 SIGNATL� � DATE: �'�D `�/ NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � � . � . �.. Sec.13.04 RIGIiTS OF S[lB,TECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom[he dara is stored or co be stored shall be as set forth in this section. Subd.2. tnformation req�rired to be given individual. An individual asked ro supply private or confidendal data concerniag himself shall be informed of: (a)the purpose and iarended use of che iequesud data wi[hin the coUecting state agency,political subdivision,or statewide sysum; (b)whether he may refuse oY is legally mquired to supply che requested data;(c)any Irnown consequence arising from his supplying or refusing to supply privace or confidentiai data;and(d)[he idenriry of ocher penons or enrides authorized by stace or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve dara,punuant to section 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income rax or aropertv taz refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or confidential. Upon his furtber request,an individual who is the subjecc of stored private or public data on individuals shail be shown ehe data wichout 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 ehe private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuanc to rhis secdon is pending or addidonal data on[he individual 6as been collected or created. The responsible au[horiry shall provide copies of the private or public daca upon requesc by the individual subject of rhe data. The responsible authority may require the roquesring person to pay the acaal cosu of making,certifying,and compiling the copies. The responsible authority shail comply immediacely, 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 noc possib(e. If he cannot comply with the requesc 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 conrest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in wridng the responsible authoriry describing�he nature of the disagreement. The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplece and atumpt to norify past recipienrs of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act reladng to contesred 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 permit or license requested. 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. 3. The information may be shazed wi[h other local, state or federal agencies to the extent necessary to process the pertnit 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 ytiddle Last Address Ciry State Zip Phone I understand my rights as stated above. Signaare � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI �-7 SCHEDULED � � PERMIT NO. � > � COMPLETED ' D'�7 , d ADDRESS d� � � � � ��1<�j�:-�' • OWNER CONTR. 1� - N�OI/1�� TELEPHONE NO. �O�C�� D 3l ��i� � DESCRIPTION (��(�'� �"�-� �� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d. W� �!�/VORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W (❑�CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION�SSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContract�n site: Inspector. _¢�� White Copyllnspector's File Canary CopylSite Notice