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Home My WebLink About2006-P10116 (re-side) , - PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10116 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/19/2006 SITE ADDRESS: 2414 Carman St Unit# Wayzata,MN 55391 P�� 20-117-23-12-0057 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: Siding&Windows FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Bensons Construction OWNER: Micheal&Gail Pudil 412 W.main St. 2414 Carman Street Waconia,MN 55387 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS PECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C1TY OF ORONO ORDI NCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � Vj � �� . x/ APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Pa�e 1 � - PERMIT �CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10116 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/19/2006 SITE ADDRESS: 2414 Carman St Unit# Wayzata,MN 55391 PID: 20-117-23-12-0057 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side Windows D ETAI LS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Bensons Construction OWNER: Micheal&Gail Pudil 412 W.main St. 2414 Carman Street 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. � � � ` � � z � � �'�7�-��•-_--� A I P E SIGNATURE ISSUED BY SIGNATURE Copies: I-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, ]-Assessing,(IfSeptic, 1-Septic) Page 1 M � Total Fee: $ � �i. � S Date Received: 7 � ; �° Entered By: h�,12 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: (ci��cle one) OWNER OR CONTRACTOR '� JOB SITE ADDRESS: o�`( I y (�,{��,,MA 1� 1 5-;- ZIP: �S 3� I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No Ifyes, a specia/event perrrrit is r•equired with Police Departme�7t ar�d Ciry Coa�ncil app��oval 60 days prior to the event. Shirttle bi�s service�vill be re9iiired a�nless applicant demonstrates sirfficient on-srte parkir�g is available. Non-pernritted events lvill not be allowed. NAME OF OWNER: �I I�k� �t'�,�] ,� PHONE: (home) (work) MAILING ADDRESS: o?`� �� C A�i(Y�fl�.l s'-� CITY:O�n��_ZIP: 55 3 f CONTRACTOR:� I S PHONE:�Sa-`f�2"�`/Co v'1� CONTACT PERSON: I MOBILE/PAGER:��a-a�� - 3 7� � MAILING ADDRESS: � , `, CITY:� Q�a��i;�ZIP: Ss 3�, � STATE LICENSE: #�� p�[��`�� EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: P��;,�rl��;ID�.E��: ��: ��P: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOS D WORK(desa�ihe i�r detain:�p(,{�� ;��;� G � (,�',ti��,��S ��- c�.A STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED flp ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /o�,�� . 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 pennit;and that the work will be in accordance �vith the approved plan. APPLICANT'S SIGNATURE: � . � TE: 7 �4 �� 31 � Scc.13.0a RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set foRh in this section. Subd.2. Information required to be given individuaL An individual asked to supply private or contidential data concerning himselfshall be informed of. (a)[he purpose and intended use oFthe requested data within the collecting state agency,political subdivision,or statewide system;(b) �vhether he may refuse or is legally required to supply the requested data;(c)any known 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 tiederal 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�,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tae or property tae refimd insvuctions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and whether it is classitied as public,private or confiden[ial. 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 him and,if he desires,shall be infonned ofthe content and meaning of dlat 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 audiority shall provide copies of die private or public data upon request by the individual subject of the daca. The responsible authority may require d�e 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 tive days of the date ofthe request,excluding Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which[o comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is nof accurate or complefe. An individual may con�est the accuracy or completeness of public or private data concerning himseff. To exercise this right,an individual shall notify in writing the responsible authority describing the nature oY the disagreement.The responsible authority shail 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 bel ieves 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 detennination ofthe responsible authority may be appealed pursuant to the provisions oFthe 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 infom�you that your request for a perniit 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 tliat: 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 refusai 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. C��1�� -- ��5�,�� First �liddle Lxst `� �c� �c�,-�- 1 �`�A � �S-� Address �� ; A vrn� �53�� y��- y� ��z City, Statc Zip Phonc I understand my rights as st�ted�bov '� � Signature Reset Form 32 • Minnesota Commerce Page 1 of 1 Commerce Home � North Star Home � Commerce Site Ma� IUIINNESOTA Wednesday,July 19,201 l�c►hsr�ecrrr or + ` �. �hCGM tv��tC� E_�t north�ta� Energy Info Center� ___ _ News Releases � Advanced Search � Search Topics� '��i All NorthStar� ��Gommerce Site Only � Contact Us ( ` _ Consumer Industry Applications, Unclaimed Heating Weights& Minnesota Info and Info and Registration, Property Assistance Measures Relay Petrofund Services Services Certification License Detail Here are the details for the license you are currently looking for: Licensee Name: BENSON GAYLYN F (DBA: BENSONS CONSTRUCTION ) Licensee Address: 412 WEST MAIN ST City State Zip: WACONIA, MN 553870000 License Number: 20400596 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: Dec 3, 2003 License Expiration/Renewal Date: Mar 31, 2007 Qualifying Person: GAYLYN BENSON Number of hours of continuing education required to renew license: 7.0 Enforcement Action: Yes.This individual or company has at one time had formal administrative action taken against one or more Commerce-issued license. For further information please contact Commerce Investigation Unit at 651-296-2488 or 1-800-657- 3602 (phone hours 8:00 AM to 4:30 PM CST). �`�l!�':I'�!!'L�'�'��:l.��'I'a Copyright 2000 North Star, Minnesota State Government Online State Of Minnesota �About Us � Get Acrobat North Star is led by the Office of Enterprise Technology Reader� This site best viewed with 1 Q24X768 or greater and with Netscape 4.7 or Internet Explorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC NUM=20400596&LIC ... 7/19/2006