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Home My WebLink About2006-P09833 - minor alterations PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09833 Crystai �ay, Minnesota 55323 Permit Type: (9� 2) 249-4600 Minor Alterations � Date Issued: 5/4/2006 SITE ADDRESS: 725 Sixth Ave N Unit# Wayzata,MN 55391 PID: 25-118-23-33-0004 DESCRIPTION: Proposed Use: Other Census Code O/S-Building Permit Class: Building Permit Type: Minar Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Tear off&Re-Roof House,Garage&Shed FEE SUMMARY: Pernut Fee: $ 265.25 valuation: $ 15,225.00 State Surcharge Fee: $ 7.65 TOTAL FEE: $ 272,90 APPLICANT: Midwest Roofing OWNER: Spring Hill Golf Club 313 Jefferson Hwy Champlin,MN 55316 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. 7 � � , /�% �, u � Q� ANT PERMITEE SIGNATURE ISSUE BY SIGNATURE li Copies: 1-File(Signatures Reguired), 1-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 O ONTRACTOR JOB SITE ADDRESS: -7 a 5 Cov t-�-�-i �� 6. ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � NO Ifyes, a special event permit is required with Police Department and City Council approva! 60 days prior to the event. Shuttle bus service wil!be reguired unless applicant demonstrates suff cient on-site par•king is available. Non permitted events widl not be allowed. NAME OF OWNER: Sp�;�-2 l-��'(t �o!-� C!�� PHONE: (h e) 4 76� �¢g�7� �' (work) MAILING ADDRESS: `7�5 c�,,,,,��,., (� G. CITY: o�`�r� ZIP: CONTRACTOR: /�-i.�w�s�- r�o�.'r�t PHONE: Z c 3• 4 2�-�64c CONTACT PERSON: MOBILE/PAGER: MAILINGADDRESS: 3%3 �sa.� 1�f�wy CITY: �� .�.�/ ZIP: �_ STATE LICENSE: # �-«>i o�� EXPIRATION DA E: 3� 3(-�7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding,Windows) r/ Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detain• 1� � � 4 G� rocr� � �. �� 5� � ? 5� 1 STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ✓DETACHED ,/ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 T�� 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 accordance with the approved plan. APPLICANT'SSIGNATURE: DATE: S' 4�� 31 . t Sec.13.04 RIGHTS OF SUBJECfS OF DATA Subd.l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. lnfortnation 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 of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any knowrt 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 fedetal 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 la�v enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or properky tax refund ��structions instead 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 publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shall lie informed of the content and meaning of ihat 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 pursua�u to this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 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 of the request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,a�1d may have an additional five days within which to comply wich 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 of public or private data conceming himself.To exercise this right,an individual shal I notify in writing the responsible authority describing the nature of the disagreement.The responsible authority 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 believes 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. 1'he determination of the responsible authority may be appealed pursuant to the provisions 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 e�ctent necessary to process the permit or license. 4. If your rec�uested 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 NIiddle Last Address C��y State Zip Phone I understand rights s stated above. ��. Signature Reset Form �2 �� ✓ CITY OF ORONO CALLED IN U�3��' `� TI�"� t�� INSPECTION NOT � SCHEDULED t�c�( (d� 3'� PERMIT NO. 33 COMPLETED ADDRES�K� rT`�� 5�� ,� � OWNER CONTR. D`'1[�t�/�S�- TELEPHONE NO. �� ` `�l7 �� DESCRIPTION —� '� � � 01 FOOTING 11 MECHANICAL RI 18 XCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � C�+/ /1 � �/Z �f O � ��E'.� � l .t1c'1'e�� 0 k Q - %� � U � �F''A !vFL � '� ,� ' Z � w � � �� l � C �f � � +��' S i� i1 S . �;l(' � � d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. �' /J � White Copyllnspector's File Canary CopylSite Notice