The URL can be used to link to this page

Home My WebLink About2002-P05344 - reroof CITY�OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Pos3aa Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6i2ai2oo2 SITE ADDRESS: 2314 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-23-44-0073 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 23.50 Valuation: $ 300.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 24.50 APPLICANT: self OWNER: S R&K MORKRID MN 2314 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. --._. D�m.a-,v� APPLICANT PERMITE SIGNA RE ISS BY SIGNATURE Couies: 1-File(Si�nitures Required), 1-Atmlicant 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1 �� • Total Fee: $ Date Received: Entez�ed By: Pernut#: CITY OF ORONO - BUII.,DING PERIVIIT APPLICATIOl� 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: .;�3/�/ ��y��fOa,� �c�� ZIp: 5 �3 `3 I NAME OF OWNER �� `�-�--�� o/�'�iQ�� PHONE• (home)�� y7/ j��'S� D (work)� r� `�/C„ 7r(;a C MAILING ADDRESS:�3�U Sh��G�'jGJ�P �af CITY:G ��,�� ZIP: �� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NANIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �� /� ��r /� �q ►�� nQ� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ :� �o' �` I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conforniance with the ordinances and codes of the Ciry 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. APPLICAl�'T'S SIGNATURE: t DATE: �, « NOTE! Parade o�Homes events require separate permit approval by Police Department and Cily Council 60 days prior to the event. Non permitted events will not be allowed. .J Sec.13.04 RIGFiTS OF SLJB.TECTS OF D�TA Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to suppiy private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecring'state agency,polidcal subdivision,or statewide system; (b)whecher he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supp(ying or refusing to supply private or confidential data;and(d)the idendry of other persons or enades authorized by state or federal law to receive the data. This requiremenc shall not apply when an individual is asked to suppiy invesdgadve dara,punuant to secdon 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 tax or property tax refund instructions insczad of on those forms. Subd. 3. Access to data by individuaI. Upon reques�to a responsible authority,an individual shall be informed whether he is the subject of scored dara on individuals, and whe[her it is classified as public,private or confidendal. Upon his further request,an individual who is the subjecc of stored private or public dara 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�hat data. Aher an individuai has been shown the privace data and informed of its meaning, the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acdon pursuanc to this secdon is oending or addidonal data on the individual has been coilected or creaced. The responsible authoriry shall provide copies of the 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, cerrifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,ezcluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi�hin 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 u not accurate or complete. An individual may contest the accuncy or completeness of public or private data concerning himself. To exercise this right,an individual shall noafy in wriang the responsible authoriry describing che nature of the disagreement. The responsible authoriry shalt within 30 days either. (a)correcc the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccunte or incomplete data, including recipients named by[he individual;;or(b)nodfy 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 disciosed data. The determinarion of the respcnsible authoriry may be appealed pursuant to the provisions of the adminiscrarive procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Ri�hts of subjects of data", we would like to inform you that your reauest 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 detemune 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. � S �f 2�.�� 'l•��E�' �'r° �� Fint �fiddle � Last �-3 i�� _S%jA0��',�'c� �'d Address � �-c �o ��-� �sJ ��l y7� /,�S� . C��, State Z�p Phone I understand my rights as stated above. Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED � �s� PERMIT NO. UJ COMPLETED ADDRESS O(� � ' OU� OWNER �or,kr�cx CONTR. TELEPHONE NO.�JrZ L�7�� f o�2�� DESCRIPTION � � O'1ti V�-1� " �'Q�f h 4c/L � 01 FOOTING 11 MECHANICAL RI 18 CAY/G ADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 a o ��,��..�� 0 � W � Q _ � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46Q� OwnerlCo n site: Inspector. i W ' ylinspector's File Cana opy/Site Notice