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Home My WebLink About2003-P07053 - windows �`� PERMIT CfiTY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P07053 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: i2�i�2oo3 � SITE ADDRESS: 3745 Shoreline Dr Wayzata,MN 55391 PID: 2o-i i�-23-2i-oo2s DESCRIPTION: Proposed Use: Industrial Census Code O/S-General Permit Class: Building Pemut Type: Minor Alterations Permit Sub-type(s): W�dows DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 542.75 Valuation• $ 40,000.00 State Surcharge Fee: $ 20.50 TOTAL FEE: $ 563.25 APPLICANT: JMN Builders OWNER' Good Shepherd Lutheran Church 6550 Woodedge Road � 3745 Shoreline Dr Mound,MN 55364 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. �� -�' �� Gu..�` APP ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required). 1-At�ulicant 1-Monthlv Reports, 1-AssessinQ, 1-Finance 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 CONTRACTOR JOB SITE ADDRESS• � �4 � 5��--zi��E �� v��" ZIP• S S � �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and City Coa�ncil approval 60 days prior to the event. Non permitted events will not be allowed. � � ��_ NAME OF OWNER:��_� ��"�"��`� �`"��"-��` PHONE: (home) MAILING ADDRESS: � �� >/�`=•� __ ��'� (work) �S Z _ �`�/�_ 5'9 3� ,�E-� �ti�r I �� CITY: J�� ,�- ZIP: � .S .� > CONTRACTOR: �I N�I � D� t� r �' .L�<' PHONE: ��,2^ '�?Z —S/�O CONTACT PERSON: E� � MOBILE/PAGER: (05 / - �i C�� -��`2 S- MAILING ADDRESS: �?S�D Gl?0��' ��ITY: ��vv�� ZIP: �� STATE LICENSE: #_�/3�p ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Mo��e RemodeVAlteration� Land Alteration 'fD�ooes ._ PROPOSED WORK(describe in detai�: GtJf�,1� �u>s ��y� ��,��r�1'� � �'�.��cai.> >/� �' 7�� ' 7'�i�s�'�.� a u 'r �=.�-� �oo�' ,�t .�Ld7��I c�r:� -� Ra�pe�m;-� � be STORIES: l SQ. FEET OF EACH FLOOR: �,�� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ' ESTIPIATED CONSTRUCTION VALUATION (excluding land): $ ,��;oc�o � I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the work �ti�ill be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with the approved plan. �7 ✓. � ... - APPLICANT'S SIGNATURE: i'� �'y"`� DATE: � \ � , , �E--�/. Fi/�'<�1 /J _!� � ,y_3"�'`�i2 �:�,� ��_��-=�� vi�i f-. .�/-z.c�' C'.r{ .-. _ ` Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. T6e rights of individual on whom t6e data is stored or to 6e stored shall be as set forth in this section. Subd.2. Information required to be given iedivldual. Aa individual asked to supply private or rnntidential data concerning himself s6a11 be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivisioo,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from 61s supplying or retusing to supply private or contidential data;and(d)the identity ot other persons or entities suthorized by state or federal law to receive t6e data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdlvislon 5,to a law enforcement oft7cer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or urouertv taa refund instructlons instead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he ls the subjeM of stored data on individuals,and whether it is classiRed as pubtic,prlvate or confidential. Upon hIs furt6er request,an individual who is the subject of stored private or publlc data oo individuals shall be s6own the data without any charge to hlm and,if he desires,s6a11 be informed of t6e antent and meaning of that data. After an iadividual has been shown the private data and informed of its meaning,t6e data oeed not be disclosed to him for six months thereafter unless a dispute or actton pursuant to this section is pending or addltional data on t6e individual6as been collected or created. The responsible authority shall provide coples of the private or public data upon request by the indlvidual subject of the data. The responsible authorlty may require the requesting person to pay t6e actual costs of making,certifying,and compiling the rnpies. T6e responsible authority shall comply Immediately,if possible,with any request made pursuant to t6is subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,If immediate rnmpl(ance ls not possible.If he nnnot comply with the request within that time,he shall so intorm the indlvidual,and may have an addltlonal tive days within which to comply with the request,ezcluding Saturdays,Sundays and legal6olidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this rlght,an individual shall notify in writing the responsible sut6ority describing the nature of the dlsagreement The responsible aut6ority shall wit6in 30 days elther: (a)rnrrect the data found to be inaccurate or Incomplete and attempt to notify past reclpients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that 6e believes the data to be rnrrect. Data In dispute shall be disclosed only if the lndivldual's statement ot dlsagreement Is included with the dlsclosed data. T6e determinatlon of the responsible authority may be appealed pursuant to the provisioos 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 egtent 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. Flrst Mlddle Last Address City State Zip P6one I understand my righ s as stated above. . ` �� 9�� i� � Slgoature � ✓. DATE TIME CITY OF ORONO CALLED ` '� / INSPECTION I�Q�ICE SCHEDU' '�f.�+-' �� _�� PERMIT N0. ��"7C1J� � coMP�� ADDRESS '�7Y J ��,"`� j1� ,�"�;, ,� OWNER CONTR. �/ JZ-'. "`�,, �1�C.(�/S, TELEPHONE N0.__ 7`�� 7� _`�/ 7C� �� , � ; � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z �4`� • 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLU � � 36 FOUNDATION/REMOVAL � OW ERICONTRACTOR T MEET YOU:�YES_NO � COMMENTS: � � "v f� � J O >. � O � W � Q � 2 W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQU�RED.CALLTO ARFiANGE ACCESS. Call forthe nex inspection 24 hours in advance. (J52� 249-46�� OwnedContracto n it : Inspector. White Copyllnspector's File Canary CopylSite Notice