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Home My WebLink About2006-P10494 - re-side PERMIT C,�iTY OF ORONO ', 2750 Kelley Parkway- PO Box 66 Permit Number: p1o494 'Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/24/2006 SITE ADDRESS: 800 Brown Rd N Unit# Long Lake,MN 55356 P�� 34-118-23-11-0007 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 223•25 valuation: $ 12,500.00 State Surcharge Fee: $ 6.25 TOTAL FEE: $ 229.50 APPLICANT: Incline Enterprises Inc OWNER: Meg&Jon Pendleton 26175 Birch Bluff Rd 800 Brown Rd N Shorewood,MN 55331 Long Lake,MN 55356 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. �'.�C APPLICANT PERMITEE SIGNATURE �jvi ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 PERMIT C�iTY OF ORONO ' Permit Number: t,2750 Kelley Parkway- PO Box 66 P10494 �Crystal Bay, Minnesota 55323 �,,(}� Permit Type: Minor Alterations (952) 249-4600 Y� Date Issued: 10/24/2006 SITE ADDRESS: 800 Brown Rd Unit# Wayzata,MN 55391 P�� 03-117-23-43-0005 � DESCRIPTION: Proposed Use: Residential Census Code O/S -Building Permit Class: Building � Permit Type: Minor Alterations �� Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: `.. Separate permits required: NOTICES/REMARKS: r FEE SUMMARY: Perr�it Fee: $ 223•25 valuation: $ 12,500.00 / i"� State Surcharge Fee: $ 6.25 TOTAL FEE: $ 229.50 APPLICANT: Incline Enterprises Inc OWNER: Jon&Meg Pendleton _ 26175 Birch Bluff Rd 800 Brown Rd S Shorewood,MN 55331 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 CO E REQUI EMENTS. r � J - � / � � � � �� APPLI T PER EE SIGNA URE SUED BY SIGNATURE Copies: 1-Fil e(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �' � � " U G� ` Total Fee: $ -'�� S � DateReceived: G �! Entered By: Permit#: �,✓��/�j�/ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (�ilease pri�zt all iyzfor�natiori) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (cii�cle one) OWNER OR TRACTOR JOB SITC AllDRESS: �� ZIP: Will this be a rade of Homes, Remodelers Showcase Home or orher Display Home? ❑ yCs ��TO If yes, a special event perrnit is re�uirec!tivith Police Depar7nrent arzd Ci1}%Council npprova/ 60 days pria•to tl�e ei-ef�t. Shiittle bz�s service wi/!be i•eqzrired u.ivrless app[icant demonstrates sarfficient az-site par/cisag is available. Non-permitted events lvil!not be allotived. NAME OI'OWN�R: ,�U1j,-� ��l�--� PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: �—�C��L� ��7�.r��s'� PHONE: ��-.��-yv�� CONTACT PERSON: �OBILE/P�GER: MAILING ADDRESS: o2F)�?; �,�.�, ,��,��,� CITYS�C�{�,r�zt� ZIP: �v-��'�� STATE LICENSE: # �rS> ��}��J EXPIRATION DATE: G�? ARCHITECT/ENGINEER: PHON�: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure _ Move Home Remodel/Alteration (ie: Siding, Windows) _ Any earth movement may requ�re MCWD review and permits ! �T.aQ'pOS�T��(fl�scr�ibe dta detsa�l;: ,�-� _ .S�L� �1�'��4 STORIES: SQ.FE�T OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACIiC�J ESTIIVIATEI)CONSTRUCTION VALUATION(excluding land): � �� I hereby apply for a building permit and I ackno�a�ledge that the information above is complete and accurate; that the work�ill be in confonnance with the ord'nances nd codes of the City and�vith the State Building Code;that I understand this is not a permit and w •k is� t o start �ithout a permit;ai�d that the work will be in accordance with the approved plan. AI'PLICANT'S SIGNATURF,: DATE: � C� "�`�� 31 �� Sec.13.0a RIGEITS OF SUBJECTS OF DATA ' Subd. 1. Type of data. The rights of individual on�a�hom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infonnation required to be given individual. An individual asked to supply private or contidential data concerning himselfshall be intbrmed of: (a)the purpose and intended use of the requested data wi[hin the collecting state agency,political subdivision,or state�vide system;(b) whether he may refuse or is legally required to supply tl1e requested data;(c)any kno�vn consequence arising from his supplying or refusing to suppl}' 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 investigative data,pursuant to section 13.32,subdivision 5,to a la�v enforcement officer. The commissioner of revenue mav olace the notice rec�uired under this subdivision in the individual income tax or oronertv tas refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored daca on individuals,and whether it is classitied as public,private or contidential, Upon his furcher request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed ofthe content and meaning of that data. After an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer wiless a dispute or action pursuant to this section is pending or additional dafa on the individual has been colfected 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[he requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply intmediately,if possible,�vith any request made pursuant to this subdivision,or within tive days oP the date ofthe request,escluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request �aidiin that time,he sltall so in1'orm the individual,and may have an additional five days��ithin 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 die accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shal I notity in wTiting the responsible a�rthority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notih�past recipients of inaccurate or incomplete data,including recipien[s named by the individuai,or(b)notity the individual thlt he Uelieves the data to be correct. Data in dispute shall be disclosed only if the individual's stalement of disagreement is included with d�e disclosed data. The detennination 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. I 3.04,Subd.2,"Rights of subjects of data",we wou(d like to infonn 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 furnis!1 will be used to detennine your qualificati�n for the rermit or license requested. 2. You may refi�se ta supp;y data,but rzfusal may rcqaire that tl�e City deny the perr�it or licerse. 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. �. 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 a plication or�t� �1 `��;� F�rsc M�dd�� /' asc � � � � � :��tss — �� , �� / �5 5/ Cih� Statc "Lip Phonc [ understand mv right as st�te ove. Signaturc Reset Form ��