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Home My WebLink About2003-P06467 - gazebo � . PERMIT CITY OF ORONO permit Number: 2750 Kelley Parkway- PO Box 66 P06467 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 6/25/2003 SITE ADDRESS: 2615 Shadywood Rd EXCELSIOR,MN 55331 PI D: 21-117-23-23-0054 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code 329 Pemut Type: Accessory Structures Pernut Sub-type(s): Gazebo DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PemutFee: $ 83.25 Valuation• $ 3,000.00 State Surcharge Fee: $ 2.00 TOTAL F'EE: $ 85.25 APPLICANT: THOMAS P&NANCY A HUBER OWNER: THOMAS P&NANCY A HUBER 2615 SHADYWOOD RD 2615 SHADYWOOD RD EXCELSIOR MN 55331 EXCELSIOR MN 55331 T'HE 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 NIINNESOTA BUILDING CODE REQUIREMII�ITS. � �. � APPLIC PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Avnlicant,1-Monthlv Revorts, 1-Assessing, 1-Finance Page 1 t � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------ THE AppI,ICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: a 1 �J S�'�}-'k� o fl �rQ• ZIP: � �� ( NAME OF OWNER:�b''(Yl�� V�� 2 PHONE: (home)G S� J�-t�1 �`�I U�1 (work) MAII.ING ADDRESS:c�l.a 1 .`� 5�1�+��l.L ou� �c� CI1'Y: r`��I,nv� c� ZIP:_��'� 1 CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESSi CITY: ZIP: STATE LICENSE: # � ARCHTTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME. gEGISTRATION# TYPE OF WORK• New Addition Accessory Structure Move � RemodellAlteration Land Alteration PROPOSED WORK(describe in detain: �v92 ,� � - . � �, � '� STORIES: _I_ .SQ•FEET OF EACH FLOOR: I�� ' S NO. OF BEDROOMS: � GARAGE STALLS: ATT. DE TED CONSTRUCTION VALUATION (excluding land): $ 3C�UG � ESTIMA 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 pennit and work is not to start without a permit; and that the work will be ' ordance wi e approved plan. � ATURE• Lr � DATE• <P/�� APPLICANT S SIGN • NOTE! Parad of Homes events require separate ermit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � � �a- �� .' � Sec.13.04 RIGI3TS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is swred or to be stored shall be as set forth in this section. Subd.2. Information req�ared to be given individual. An individual asked to supply private or confidential dara concerning himself shall be informed of: (a)the purpose and intended use of the iequested data within the collecting 3tate agency,po6dcal subdivision,or stauwide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmowa consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenary of other persons or enrities authorized by state or federnl law to receive the data. This requirement shatl not apply when an individual is asked to supply invesdgadve dara,pursuant to secaon 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav nlace the noace rewired under this subdivision in the individual income tax or�roDertv taz refuad instiucdons instead of on those forms. Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed as public,priva[e or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be s6own the data wirhout any charge to him and;if he desires,shall be infoimed of the content and meaning of[hat data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed w him for six months thereafur unless a dispuu or action pursuant to this secuon is pending or additioaal data on the individual has been collecud or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry may require the requesting person to pay the actual coscs of making,ce�tifying,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,exc(uding 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,and may have an addidonal five days within which to comply with the request,excluding Saaudays, Sundays and legal holidays. Subd.4. Procedure whea data�C not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise chis right,an individual shall nodfy in writing the responsble authoriry describing che naturo of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found m be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incompiete data,including recipients named by the individual;or(b)notify the individual t6at he believes the data to be correct. Data in dispute shall be disclosed oaly if the individuai's statement of disagreement is included with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provuions of the administrarive procedure act relating to contesud 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 aze notified that: 1. The inforcnation 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 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 Middle I-ast Address City State Zip Phone I und s d my rights ta d ve. � V� � Signature ✓ DATE TIME CITY OF ORONO CALLED IN �'v�s-d3 INSPECTION N CE SCHEDULED !�-��o'�3 o7'�M PERMIT NO. �O COMPLETED ADDRESS !✓UO OWNER CONTR. ��`� TELEPHONE NO. ��7�� O�—TO �'YI � DESCRIPTION �rlc-Z��6 � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 INAL 14 SEWER HOOK-UP O6 PROGRESS � 7 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 v 10 PLUMBING FINAL � � 36 FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES 1LN0 y COMMENTS: � W a j \ O � O � � O � W � Q � 2 W � W � j d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContr site: Inspector. White CopyMspector' File Canary CopylSNe Notice