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Home My WebLink About2003-P06247 - re-side/re-roof � PERMIT C ITY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P06247 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4i3oi2oo3 SITE ADDRESS: 800 Brown Rd S Wayzata,MN 55391 PID: 03-117-23-43-0005 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUIIAMARY: Permit Fee: $ 209.25 Valuation: $ 11,400.00 State Surcharge Fee: $ 6.20 TOTAL FEE: $ 215.45 � YN�` APPL�CANT: Northland Siding Insulation Inc. Lisle&Sheila Miller ' ��AL�� OWNER: , 18461 Cedar Dr.NW 800 Brown Rd S � Cedar,MN 55011 Wayzata,MN SS�391 � 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. „ !. ;�"':. � ��u: �� ,�� ;��_. C ��--- APPLICANT PERMITEE IGNATURE ISSUED BY SIGNATURE Cooies: 1-File(Si¢nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 Total Fee: $ .2/S . y� Date Received: - � U-(�� Entered By: ��- Permit#: � y' CITY OF ORONO - BUILDING PERMIT APPLICATIOl`+T 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 �,� .-_ � y �, JOB SITE ADDRESS: ' /<'? ,��-', j�j'c��c�/1 �/ ZIP: `> > � � NAME OF OWNER: � ��ic� (,�r c/��2�� . PHONE: (home) ��z" ��'�� (work) MAILING ADDRESS: �D�� S0- �r��L>,� %(� CITY: l'/'�'it�� ZIP: �3 3 5'/ CONTRACTOR: .�"Y�IrItIQl4[� S��y �1�s�,�4r;o:t ��. PHONE• 76� ��/� i�� CONTACT PERSON:�J,S,V K�,�'ti v T v� MOBILE/PAGER: ��/d - �c/•- y y 7�0 MAILING ADDRESS: /��/ (�N��o�r Ur �✓� �� CITY: Cr=c�d.� ZIP: S S�'// STATE LICENSE: # �f/�� ARCHITECT/ENGINEER: PHO�TE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration � �� /� P�OPOSED WORK(describe in detai�: � ��,�' %��'-��` �� cf£��/ -� .`/�%S C'Ic l�' .�ii�e CcxC//S L✓f"�� ,G>G S `f .��v�%� i_ �Y� c i�_T STORIES: 5Q. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ // ��' I hereby apply for a building pernut 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'S SIGNATURE,�,,,' 'z ' ��"�o DATE: �� 1 y'_ v� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF D�TA Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidenaal data conceming himself shall be informed of: (a)the purpose and intended use of the requested dara within the colleccing"state agency, polidcal subdivision,or statewide system; (b)whether he may refuse ot is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenoal data;and(d)the idenriry of other persons or endaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesrigarive dara,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax oc propertv tax refund instructions 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 confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to hun and, if he desires, shall be informed of the con[ent and meaning of that data. Afrzr an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for six months thereafre�unless a dispute or acrion pursuant to this secdon is pending or addidonal data on the individual has been coilected or created. The responsible auchoriry shail provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making, certifying,and compiling the copies. The responsible auchoriry 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 compliance is no[possible. If he cannot compiy with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, Sundays and legai 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 nodfy in writing the responsible authoriry describing�he nature of the disagreemeot. The responsible authoriry shall within 30 days ei[her: (a)correct the data found to be inaccunte or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by tbe 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. The de[ermination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act rela[ing 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 pernut or license from the City of Orono or any of its departments may require you to fumish 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 pernut 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 Last Address Ciry State Zip Phone I understand my rights as stated above. � / � ,�/�� :�i1�lu l� /L—2—'�'L�G Signature > CO �/ DAT TIME � � � - ..� CITY OF ORONO CALLED IN INSPECTION C SCHEDULED 1G'�,3 D PERMIT N0. � COMPLETED ADDRESS [�C�D �r�.l�'1 �c S OWNER CONTR��rr r��G� c77--�� TELEPHONE N0. ��a `" 7��-' 9��U � DESCRIPTION �d� � ��'n-� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� Z �WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS INAL 14 SEWER HOOK-UP 06 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � J O � � O � W � Q � Z W � w � � a W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPOfiARY V BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (g52) 249-46�� OwnerlCont c it - Inspector. White Copyllnspector's Fi Canary Copy/Site Notice DATE TIME �./ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED " '�� ''� PERMIT NO. /�Cjlo��-f 7 COMPLETED �_3 J .'�''� � � a ADDRESS / i�-�n �c��' � OWNER CONTR. ��l��.� S'��. TELEPHONE NO. �` � '� �U / �Y 7�l� � DESCRIPTION 7`� c; i� f� C� ��- � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 05 FINAL 14 SEWER HOOK-UP 06 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES� � COMMENTS: W _ (�►=c�s(� GCf-t� a J ` G� � N�� l�"�-w O � O � W � Q � Z W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContract on ' . Inspector. White Copyllnspector's File Canary Copy/Site Notice