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Home My WebLink About2007-P10728 - windows r �� PERMIT ' CITY OF ORONO Permit Number: 27.50 Kelley Parkway- PO Box 66 P1o728 � Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952)`249-4600 Date Issued: 1/29/2007 SITE ADDRESS: 2296 Shadywood Rd Unit# Wayzata,MN 55391 PID: 17-117-23-43-0002 DESCRIPTION: Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Scparate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 153.25 vatuation: $ 8,000.00 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 157.25 APPLICANT: Owner/Self OWNER: David Mack-Bohnhoff&Victoria McConnell MN 2296 Shadywood Rd Wayzata, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERM[SSION 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. -� ;%. � -- � � ��..'v��_. C��,�. � ��L��L APPLICANT PERM EE SIGNATURE { SUED BY SIGNATURG Copies: 1-File(Sigriatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(]f Septic, 1-Septic) Page 1 . , � . : Total Fee: $ • Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION --------___ __�,. _ All information must be submitted in full before plan review will be started. (please prinf a in ormation -�--��-� ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR . JOB SITE ADDRESS: ��,(o ��°'�Q�GI�� ZIP: E�� ( Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is re9uired with Police Department and City Council app�•oval 60 days pr�ior to the event. Shxrttle ba�s service tivill be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allotived. NAME OF OWNER: V(�bI�Z-�—Y`� �M(��N N��—� PHONE: (home)R�'�$O�fl� a. g_�a�' (� MAILING ADDRESS: a�2-� �L��-�E�� CITY: ��/� ZIP: � CONTRACTOR: S�� PHONE: �la^L{$�a�J3 CONTACT PERSON: SC-LC= MOBILE/PAGER: � MAILING ADDRESS: o�',lo ��El�9Q�.� CITY:'�/�`�Z�-i��IP: � STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: If��— PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) � Any earth movement may require MCWD review and permits! PROPOSED WORK(descrihe in dettcin:7Z�C-A�W UJ fa�cAS (1�1 f-1QZ�� B� l� � i�t�e �'-�� "��i� �� 1bJ0 t� w i��'FC..�� ,, �v��2-�i � �i�- STORIES: t S�OF EACH FLOOR: �-8� � NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): � �, � I hereby apply for a building permit and I acknowledge tl�at the infor�nation 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 1 understand this is not a permit and work is not to start without a permit;and that the work wi(l be in accordance with the approved plan. � APPLICANT'S SIGNATURE: �� T TE: '�o�`'?(O� 31 � . . � � Scc.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual 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 orconfidential data concerning himselfshali be informed of (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply ' private or confidential data;and(d)the identity 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 supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue m�y_olace tlie notice required under this subdivision in the individual income tax or orooertv tax refund � � �n�rructions 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 whether it is classitied as public,private or confidential. 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 diat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for sir months thereafter unless a dispute or action pursuant to this sectioii is pending or additional 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 of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,a��d compiling the copies. 1'he responsible authoriry shal I comply immediately,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 not possible.[fhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saairdays, Sundays and legal holidays. Subd.4.Arocedure when data is not accurate or complete. An individual may concest the accuracy or completeness of public or private data conceming himsel£ To exercise this right,an individual shal I notify in writing the responsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients 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 individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 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 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 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. � �'lC��-i/� �CJ�, l�e�ol�tl�? �- First Middle Last 4��UD �,�1'd'/'TE.) T W � Address C' wPrY2:A��-- kN� �53� 1 6 fa�-�g(�-��f3 City State Zip Phonc I understa d my rights as stated above. • Signature Reset Form ��