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Home My WebLink About2004-P07792 - re-roof PERMIT CITY OF ORONO Permit Number: 2750 �elle�'Parkway- PO Box 66 P07792 Crystal Bay, Minnesota 55323 Permit Type: M�or a�teranon� (952) 249-4600 Date Issued: a�a�2ooa SITE ADDRESS: 3877 Shoreline Dr Wayzata,MN 55391 PI D: 20-117-23-22-0006 DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code O/S-Building Pemut Type: Minor Alterarions Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Sepazate perxnits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation• $ 5,400.00 State Surcharge Fee: $ 3.20 TOTAL FEE: $ 128.45 APPLICANT: Huepenbecker Construction OWNER' Mr.&Mrs.Gregory 1008 Bazberry Cir � 3877 Shoreline Dr Waconia,MN 55387 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. T ITEESIGNATURE I DBYSIGNATURE Couies: 1-File(SiQnitures Re4uired),1-Avnlicant,1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 "�' tal7Fee: $ 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 inforn:atioiz) THE APPLICANT IS: (circle one) OWNER OR C NTRACTOR JOB SITE ADDRESS: J�S�� t��G��.� �2. ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �o If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be czllowed. NAME OF OWNER: /0l�1 �9l�qpl�(j PHONE: home) �2 � 02 .� (work) �/a 7 — �v MAILING ADDRESS: CITY: �j�o��a ZIP: CONTRACTOR: �L°,(��l��PG�(°[r� C'01sS?�^, PHONE: � ��07� /Ol CONTACT PERSON: L a MOBILE/PAGER: �— �'o MAILING ADDRESS: ��2 � /,�'•� CITY: �m�,y ZIP: STATE LICENSE: # pp� — �7�p ARCHITECT/ENGIi�F��._____ �HO��:"�� MAILING ADDRESS: -- . ----- ZIP: NAME: .� REGISTRATION# �.� � TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration Land Alteration PROPOSED WORK(describe in detain: �o- �PQ� d�' Cly1��c��^o� �l�s� � ��rr�q� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��0p,a' I hereby apply for a building permit and I aclmowledge 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 pe 't;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNAT . DATE: �/y��_ / �• Sea13.04 RIGHTS OF SUBJECTS OF DATA � Subd.1. Type of data. The rights of indivldual on whom the data is stored or to be stored shali be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidentiai data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecttng state agency,politicai subdivision,or statewide system;(b) whether he may refuse or is legaily required to supply the requested data;(c)any known consequence arlsing from his supplying or retusing to supply private or confidential data;and(d)the Identity of other persons or entities suthorized by state or federal law to receive the data. This requirement shail not apply when an indlvidual is asked to supply investigative data,pursuant to section 13.82,subdtvisfon 5,to s law enforcement officer. The commissloner of revenue muv alace the notice reauired under this subdivision In the individual income tax or orouertv tax refund instructions instead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,an indtvidual 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 individuais shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Atter an tndividual has been shown the prlvate data and informed o[its meaning,the data need not be disclosed to h[m for six months thereafter unless a dtspute or action pursuant to this section is pending or additional data on the indtvidual has been rnllected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.The responsible authority may require the requesting person to pay the actual costs ot making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,wtth any request made pursuant to this subdivision,or withln five days of the date of thc request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ithe 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 rnntest the accuracy or completeness of pubUc or private data concerning himselL To exercise this right,an individual shall notity in writing the responsible authority describing the nature otthe disagreement. The responaible authority shali within 30 days either: (a)correct the data found to be Inaccurate or Incomplete and attempt to notity past reclpients ot (naccurate or incomplete data,including recipients named by the individual;or(b)notlfy the individusl that he believes the data to be correct. Data in dispute shall be dtsclosed only if the individual's statement of disagreement is included with the disclosed data. The determinatlon ot the responsible authority msy be appesled pursuant to the provisions ot the admintstrative 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 requfre 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 Lsst Address C�ty State Zip Phone I understa my rights as tated above. nature J � <� D TIME v CITY OF ORONO CALLED IN g�� INSPECTION N��C��g �CHEDULED � % PERMIT NO. COMPLETED ADDRESS �z? OWNER CONTR.I-�uTp,�be�r . TELEPHONE NO. � ��Z 23 2 9 S�Sa � DESCRIPTION /�� tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance. (952) 249-46�0 OwnerlContract e: Inspector. .. White Copyllnspector's File Canary CopylSite Notice