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Home My WebLink About2007-P11067 - reroof PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11067 Crystal B«y, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/31/2007 SITE ADDRESS: 2264 Shadywood Rd Unit# Wayzata,MN 55391 PID: 17-117-23-43-0124 DESCRIPTION: Construction Type VN Proposed Use: Residential Census Code O/S-Building 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: $ 9�•25 valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 99.25 APPLICANT: Joe Rodriguez OWNER: Evelyn Trutnau Trustee P.O.Box 2052 2264 Shadywood Rd Prescott,WI 54021 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. �. ) � r � � �- �`�1��' � � - � �C�r�� APPLICANT PERM[TEE SIGNA U E ISSUED BY GNATURE �� Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 , Total Fee: $ DateReceived: Entered By: Permit#: -� j 16Lp7 CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�it all irtfor�ncrtion) ------------------------------------------------------------------------------------------------------------------------ . -- ---_.. THE APPLICANT IS: (circle one) OWNER 0�2 CONTRACTOR � __ JOB SITE ADDRESS: •:� c�� v-1 � � . .�{� �, � ��t;(� ��y,�� (� ZIP: , � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS � No If yes, a special event pei-mit is r�eqziired lvith Police Department and City Coarncil appr•ovcrl 60 days p��ior to the event. Shuttle bz�s service will be regziir-ed zrnless applicant demonstrates sz ff cient on-site parking is available. Non-perniitted events will not be al[owed. NAME OF OWNER: ��'� � 'I PHONE: (home) (:� `� ' ` � �-''� z i-t C?�J (work) `�c,S�;..,r MAILING ADDRESS: CITY: ZIP: s� � CONTRACTOR: � � �- r ,, l , ,. , , .; , PHONE:�-� `;��`� �,� I CONTACT PERSON: � a �. MOBILEfPAGER:' -� i� � !�; `�l� MAILING ADDRESS: � � ` � �-� i CITY:�� ('• � �'� �E ZIP: ��-I� � STATE LICENSE: # ' � l. , EXPIRATION DATE: ARCHITECT/ENGINF,ER: PHONE: NIAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure �� Move Home Remodel/Alteration (ie: Siding, Windows) ;' �E � ^, ;,, � Any earth movement,may require.:,MCWD review and per '�s ! PROPOSED WORK(d sa�ibe in detcri�: '� ` � � ' � � �� `� r- -- ;,, ��'� F, i� , . � , � � 4 � � ., - �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding landj: � L! �,� f.� �� . ��' �,� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work�vill be in conformance�vitl�the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and�vork is not to start without a permit;and that the work�vill be in accordance�vith the approved plan. ,�, ,-, 1 ,'--�, � ' �1 ,-_ APPLICAIVT'S SIGNATURE� �1 � � DATE: � � � ��' �t . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data The rights of individual on whom the dlta is stored or to be stored shall be as set forth in this section. Subd.2. [nformation required to be given individual. An individual asked to supply private orconfidential data conceming himselfshall be infonned of: (a)the purpose and intended use of the requested data�vithin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required ro supply the requested data,(c)any known consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy investigative data,pursuant to section 13.82,subdivision�,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or propercv tax refund instructions instead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and whether it is classitied as public,private or contidential. 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 that data. After an individual has been sho�vn the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or addi[ional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriN shal I comply immediately,if possible,with any request made pursuant to this subdivision,or�vithin tive days oti the date ofthe request,excluding Saturdays,Sundays and legal holidays,ifimmediate compliance is not possible. If he cannot comply with the request �vithin that time,he shall so intbrm the individual,and may have an additional five days�vithin which to comply wi[h the request,etcluding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or comp(ete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shal I notify in writing the responsible authoriry describing the nature of die disagreement. The responsible authority shall within 30 days eithec (a)correct the data tound to be inaccurate or incomple[e and attempt to notify past recipients of inaccurate or incomplete data,includin�recipients named by the individual;or(b)nofify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included witli the disclosed data. The determination of the responsible authority may be appealed pursuant to[he provisions of the administra[ive 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 perniit 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 will be used to detennine 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 shared 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 ��liddle Last Address �'' _� �.1 ,�� .__ ,�� v ,� �� City State Zip Phonc f understand mv rights . d above. ! �' ,__._____ � � C�'� ' ' -� � Sienaturc Reset Form 32 � �� u:r�.� ✓ DATE TIME CITY OF ORONO n �n-( CALLED IN (D"'Jr' ` � INSPECTION NOTICE?' I��"� SCHEDULED (D'(p-Ol l:� Plt� PERMIT NO. Drdl'►►�"�Y101+� COMPLETED ADDRESS ZZ(D�' �5��V��t:X9� - WaV ZA� OWNER CONTR. (S TELEPHONE NO. �5� "' ��Z�Q -' �� gb � DESCRIPTION �� ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � LE1UJl`„lS � 1 a � ��l � I 1� 0 � W � Q � 2 W � W � � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORFiECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IIJSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca��for the next i spection 2a hours in acivance. (g52) 249-4600 OwnerlContr o s Inspector. White Copyllnspector's File Canary CopylSite Notice