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Home My WebLink About2004-P07116 - windows � � PERMIT CITY. OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�116 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2i9i2oo4 SITE ADDRESS: 1475 Shoreline Dr Wayzata,MN 55391 PID: ii-ii�-23-23-0002 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): W�ndows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: w*___.�i�t_�_____ __� wr'__.n��.___ .'.:... ........�..:,.:.....'.:,.. .�.... :b:, FEE SUMMARY: Permit Fee: $ 542.75 Valuation: $ 40,000.00 State Surcharge Fee: $ 20.50 TOTAL FEE: $ 563.25 APPLICANT: Benchmark Contracting OWNER: Douglass&Ellen Schmitt 2331 Driftwood Ln 1475 Shoreline Dr Mound,MN 55364 Wayzata MN 55391 Tf�LJNDERSIGNID HIIZEBY REQLTESTS PIItMISSION 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 REQUIRF.MF,NTS. I � �+ � _ 1 _ � /�) � � �i� � r ; t( �' � jls' ;( �f,� f' ` r,17��'C.�� 'i i'�/�lL , , . . , �� -----� - APPLICANT YERMITEE, IGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQ�iitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . * Total Fee: $ ��2� Date Received: ��9 � �-3 Entered By: y Permit#: �90 7//(o �' CITY OF ORONO - BUII..DING PERMIT APPLICATION �`_�" �� " All information must be submitted in full before lan review will be started. P (please print all information) ----------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: Jy�� blj�'I � G� � � ��G ./�t e `', ZIP: �S'3 y� NAME OF OWNER: " �U�� - PHONE: (home)q,5�� •� --.-J�/�� (work)��,�—�,�O —c��' MAILI�i 1G ADDRESS: ��7S��pi��s��e C��' CITY: 0%��a ZIP:�,�� CONTRACTOR: -�? �a _�� l� '1.��!/z ' PHONE:�i� �'� _-�'-� ,9.-. CONTACT PERSON: `' �� MOB /PAGER:lo`�.—c/7 g --��p� MAILI�i 1G ADDRES :,�, �/��i:��v� .� CITY:,�pGLy��' ZIP:��'f STATE LICENSE: #7�/ G��'7a ARCHITECT/ENGINEER: �� P�IONE: MAILI`'G ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration Land Alteration PROPOSED WORK(describe in detain: ��C�.9 G�v�� el,U �i/�i`lG/ �� STORIES: � Q.FEET OF EACH FLOOR: ��'Q� �o�� NO. OF BEDROOMS: � GARAGE STALLS: ATT: �2 DET. ESTIl�IATED CONSTRUCTION VALU�iTION (excluding land): $ �� D� 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 work is not to start without a permit; and that the work will be in accord with the approved plan. APPLICANT'S SIGNATURE: y� DATE: /�'j9'" �-� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 f � � . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or co 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 concerning himself shall be informed of: (a)the purpose and inte�ed use of the requested data within[he collecring state agency,polirical svbdivision,or statewide system;(b)whether he may refuse or is legally required ro supply the requested data;(c)aay lrnown consequence arising from his supplying or refusing ro supply private or confidential data;and(d)the identiry of other persons er endties auihorized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to suppiy invesrigaave data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice reauired under this subdivision in the individual income tax or orocertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsir::authorin�,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,priva::or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara uithout am•charge 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 acdon pursuant to this xction is pe�ing or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the privace e-public dara upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the actual co�of maldng,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with a� request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal hotidays,if i�mediate 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, ezcluding Saturdays,Su�ays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An in,:ividual may contest the accuracy or completeness of public or private data conceming himself. To exercise tftis right,an individual shall notif��in writing[he responsible authority describing the t�ature of the disagreement. The responsible suthoriry shall within 30 days either. (a)correct th:data fou�ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,ic�cluding recipients named by tht iadividual:or(b)notify the individual that he believes the data to be correct. Data in dispuu shall be disclosed only if the individual's statemera of disaQreement is included with the disclosed data. The determination of the responsible authority may be appealed pursu�.-t to the pro��isions of the administrative procedure act relating to contested cases. DATA PRIVACY AD�TSORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjec�s of data", we would like to inform you that your request for a permit or license from the �ity of Orono or any of its depar�ments may require you to furnish certain private or confidential information. You are notified that: 1. The information you fiimish will be used to determine }�our 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, scate 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. ��l ,��e...� �o � h First Middle Last a�, �j ��'�� ,1 �, Address ,��c�r�� i� .��3!�/ 9��7�-£�7;� Ciry Sta� Zip Phone I understand my rights as stated above. S mre 6