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Home My WebLink About2005-P09301 (Remodel) PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P093o1 Crys-�al Bay, Minnesota 55323 Permit Type: Minor Alterations (952)249-4600 Date Issued: 10/14/2005 SITE ADDRESS: 1290 Arbor St Unit# Wayzata,MN 55391 P�� 10-117-23-31-0028 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Pennit Class: Building Permit Type: Minor Alterations Perrnit Sub-type(s): Building Undefined DETAILS: Approved per resolurion#: Separate permits required: �0�.�c c a 9J�"tz�YY� � ��— NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.25 valuation: $ 7,295.00 State Surcharge Fee: $ 3.65 TOTAL FEE: $ 156.90 APPLICANT: Innovative Stucco OWNER: Dean&Sherri Strewlow-Lundblad 8245 W.Beatrice Drive 1290 Arbor St Clear Lake,MN 55391 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. � � G��2 G'��'J i�••-(�✓ APP PERMITEE SIGNATURE ISSLTE�BY SIGNATCTRE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Sepric, 1-Septic) Page 1 . � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in fult before plan review will be started. (please priHt all inforination) THE APPLICANT IS: (circle one) OWNE R CONTRACTOR JOB SITE ADDRESS: f 2�'� rl r��(� � ZIP: �� I Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Ye3 �No !f yes,a specdad event perrrzit is regzrfred�vith Police Departtr�ent and City Council approval 60 days prior to the event. Shiattle bi�s service will be required unless applicant demonstrates suff cient on-site parking is available. Non per•�nitted events will not be allowed. NAME OF OWNER:��j��. PHONE: (home) � �Z�� (work) � � MAILING ADDRESS: /��(' �� 't: CITY: : � CONTRACTOR: EL"��1�� PHONE: ��—��—� CONTACT PERSON: ' MOBILE/PAGER: MAId�ING ADDRESS:�j�/ ��j-�� ; CITY:��[��Q ZIP: �53�� STATE LICENSE: # EXPIRATION DATE: ARC�IITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration � PROPOSED W RK(describe in detain: c��.c�� n� `j�� aC J � � S�'ORIES: � ��.�E'T OF EACH 1+I.00lt: 1�10. tJF BEI9ROOMS: 3 GARAGE S'�'AI..I,S: A7'TAC�IEI) DETACHEI)� E�.,.s��....r,a,-�nAT�..•,,gT�•TT�,N VALiJA�'ION(excluding lanci): $ �� ! J , O� � I hE �C ( �A nd I acknowledge that the information above is complete and accurate; tha � � with the ordinances and codes of the City and with the State Building Co �.,�� ^� �rmit and work is not to start without a permit;and that the work will be in; �� n _ '�\Y Al DATE: /�-/�'�� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA ` Subd.1. Type oti 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.Information required to be given individual.An individual asked to supply private orconfidential dataconceming himself shall be informed of: (a)the purpose and intended use of the requested data widiin the collecting state agency,pol itical subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing W 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 imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice reguired under this subdivision in the individual income ta�c or procerty tax refund instructions instead of on those forms. Sul�.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 shall be shown the data wid�out any charge to him and,if he desires,shall be infortned ofthe 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. The responsible authority shall provide copies of the private or public data upon request by the i�dividual 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 imme�iate complia�ce 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 of public or private data conceming himself.To exercise this right,an individual shall notiTy in wridng the responsible authority describing the nature of the disagreement.'Il�e 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,i�luding 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 i�luded with the disclosed data. The 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 subj ects 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 reyuire you to furnish certain private or confidential information. You are notified that: 1. The information you fumish 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 reyuested 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-�.dbf� First Middle Last lZ� �r'b� �fi^�� Address l�c�n�, I� ��f ��Z-��2.�z City State Zip Phone Y understand my rights as stated above. � Signa 32 1 " DATE TIME " �� CITY OF ORONO CALLED IN � INSPECTION N C SCHEDULED ��l - �%3� �I rERMIT NO. � COMPLETED ADDRESS �a��.�-r'bd� �' OWNER CONTR. �lot/ct�v� St�eco TELEPHONE NO. �`�o� `t I � �0 C�'7 � DESCRIPTION �7"�, trC Lo ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSUIJ�TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC IIVSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a j 0 a � 0 � W � Q � z W � W � � O W WORKSATISFACTORY:PRO�EED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCGUPANGY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTIOIV REQUIRED.CALLTOARRANGE ACCESS. , Call forthe next ir�spection 24 hours irt advance. (952) 249-46�� Owner/CanV . n sit : Inspector. �' White CopyMspector's File ` Canary CopylSite Notice `