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Home My WebLink About2007-P11634 - re-roof , PERMIT " �ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11634 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/30/2007 SITE ADDRESS: 1205 Shoreline Dr Unit# Wayzata,MN 55391 PID: 02-117-23-43-0015 DESCRIPTION: 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: $ 125.25 valuation: $ 5,700.00 State Surcharge Fee: $ 2.85 TOTAL FEE: $ 128.10 APPLICANT: Incline Enterprises Inc OWNER: Dean Patterson 26175 Birch Bluff Rd 1205 Shoreline Dr Shorewood,MN 55331 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGRE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESO A UILDING CODE REQUIREMENTS. APPLI T PERMITEE SIGNATURE S D BY SIGNAT[JRE U Copies: 1-File(Signatures Reguired), I-Applicant, 1-Monthly Reports, 1-Assessing,(If 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 print all information) ----------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR TRA R JOB SITE ADDRESS: I (' � �� Zip; Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes '� No If yes, a specia!event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service widl be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �(�� v� ��i,c.,�f�ec� PHONE: (home) (work) MAILING ADDRESS: �G-w�c, CITY: ZIP: CONTRACTOR: ��<<��.�, �v.�.c��c-�[.�� PHONE: �5—Z �7 c q O to.T� CONTACT PERSON: _ �n��, MOBILE/PAGER: GJ� �7 � �Iv-��, MAILINGADDRESS: _2.(,► �� (3,� � (�l� �OI� CITY: S�,o�o�� ZIP: .S`�331 STATE LICENSE: # 7 0��,�e 3 t EXPIRATION DATE: 3—3 i—a3 ARCHITECT/ENGINEER: 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(describe in detai�: �'-��;,,r— � �— rL,r po� �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �� 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 ork is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: I� — � � -- O� 31 . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individuai 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 or confidential data conceming himselfshall be informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide systein;(b) whether he may refuse or is legally 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 officer. 7'he commissioner of revenue may o�ace the notice required under this subdivision in the individual income tax or prooerty tax refund instructions mstead 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 classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shal l be shown the data without any chazge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown 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 additional data on the individual has been collected or created. 1'he responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authority may require the roquesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding 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 additional 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 contest the accuracy or completeness ofpublic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The responsible authoriry 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 bel ieves 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 authority may be appealed pursuant to the provisions of the adminisVative 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. First Middle Last Address C��Y State Zip Phone I understa y rights as stated above. Signa 32 �\� ✓ 1 \ DATE TIME `J CITY OF ORONO CALLED IN LO '�"O7 1�c�! INSPECTION NO ICE SCHEDULED 10-31•O7 L 1��0 PERMIT NO. � _ COMPLETED ADDRESS �2� �� ' OWNER CONTR. �G�.(�/IJC� �- TELEPHONE NO. I�JI ' ��3"�� DESCRIPTION ��-�-� `�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PlUM81NG FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next' spection 24 hours in advance. (952� 249-4600 OwnerlContra o s t Inspector. � White Copyllnspector's File Canary CopylSite Notice DAT TIME ✓ CITY OF ORONO CALLED IN � ` INSPECTION NO ICE 2�( SCHEDULED ' -� l�: � PERMIT NO. �J / COMPLETED ADDRESS �a-�S �J �/z� _ OWN ER CONTR. I/I��-�- TELEPHONE NO. CO Sl 3? 3 �D�S � DESCRIPTION �D� �l� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDAT�ON/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the nex mspection 24 hours in advance. (952� 249-4600 Owner/Contract�F ike: Inspector. V � i White Copyll�spector's Fil� Canary Copy/Site Notice