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Home My WebLink About2003-P06414 - windows � � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06414 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6i11�2o03 SITE ADDRESS: 3415 Crystal Bay Rd Wayzata,MN 55391 PID: 17-117-23-43-0118 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Pernut Sub-type(s): Windows DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 8325 Valuation: $ 2,700.00 State Surcharge Fee: $ 1.85 TOTAL FEE: $ 85.10 APPLICANT: �'ausry&Karen Elshazly OWNER: Z'ausry&Karen Elshazly 3415 Crystal Bay Rd 3415 Crystal Bay Rd `'" •�'` 1 Wayzata,MN 55391 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� aY-�"4 � � � � . ( �� i � ' C-�: ' � /LL'� �-' 1 l � ..._...-_1 � A LICANT PERMITE SIGNATURE ISSUED BY SIGNATURE J Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � , , Total Fee: $ Date Received: Entered By: Permit#: �CITY OF ORONO - BUII�DING PERIVIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) -----------------------------------------------------�- --------------------------------------------------- THE APPLICANT IS: (circle one� OWNER R CONTRACTOR �. JOB SITE ADDRESS: � �� r--� ^� � ZIP: ��_ NAME OF OWNER: �' � C � l—" PHONE: (home)��Z �� -�j � � (work)� °�� - ) 3�� - yZ Zl� MAII.ING ADDRESS: ��-�,-�,'�F CITY: �'!`;-�,�l i� ZIP: �_�� CON1'RACTOR �------- - PHONE: CONTACT PERSON: � _� • � � MOBILE/PAGER: �Z � � S�'�� 3 NiAILI�'G ADDRESS: CITY: C`��Tc% _ZIP: STATE LICENSE: # _,,.,�_' ARCHIT'ECT/ENGINEER: �------ PHONE: -�-- n�iA.ILII�TG ADDRESS: --�-�-- CITY: -- ZIP: ----, NAME: ------__--� REGISTRATION# TYPE OF WORK: New ddition Accessory Structure Move emod /Alteration Land Alteration �--�'��c ,�q 2�c c�5�.,*� ��.��a,�S PROPOSED WORK(describe in detaa�: �� c �� STORIES: SQ. FEET OF EACH FLOOR: `� �— NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (exclud.ing land): $ .� � ��^ f crt%' 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'S SIGNATURE:,-' N^ -- � DATE: �: - I (_ o � NOTE! Parade of Homes even equire eparate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � � Y Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Informatioo reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecdng'state agency,political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply[he requested data;(c)any lmown consequence arising from his supp(ying or refusing to supply private or confidential data;and(d)the idenury of other persons or enriaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve dara,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the nocice reauired under this subdivision in the individual income tax or proper[v tax refund instructions insread of on those forms. Subd. 3. Access to data by individual. Upon reques�to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored priva[e or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be informed of the content and meaning of that data. Aftzr 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 pursuan[to this secrion is pending or addi[ional 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 authoriry may require the requesting person ro pay the actual costs of making,certifying,and compiling the copies. The responsible auchority shall compiy immediately, if possib(e, with any request made pursuant to this subdivision,or within five days of the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an addirional 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 pri��ate data concerning himself. To exercise[his right,an individual shall notify in wri[ing the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes the data[o be correct. Data in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng 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 reques[ for a permit 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 pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3, The information may be shared with other local, s[ate 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. �- / - z � y ��r i t� t— __-�- ' (.=l S �"1�� rst _ �Middle � Last 1 r-- ` �,,. Addres � % � �� ;�� '1��' �� "z ) `f� �I -- ��; I Z___ C�Ty State Zip Phone I understand my rights as stated above. �� _ � � Vy^ ' . Sig ' e DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. 4 COMPLEfED ��-L-s`�� ADDRESS_ ��(/� C �y S7Y-�t— ��-�I �O� OWNER CONTR. TELEPHONE NO. � DESCRIPTION W � �1/'JC��J rl.�� ti.r��--ch.� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED �0'�ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O iNSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContract on s' : � Inspector. — .---- Whiie Copyllnspector's Ffle Canary CopylSite Notice ✓ DAT TIME CITY OF ORONO CALLED IN l�' INSPECTION N I SCHEDULED //-(o—Q3 �:30 PERMIT N0. � ` COMPLETED ADDRESS_ 3 T�S �C�-�f � OWNER� �-S�aZ(,c./ CONTR. TELEPHONE NO. �-4�tdi►ti- !��'Z (v07 �o SCCoL Pn' �.,•�� DESCRIPTION 1�e�-�[��1 Gv�S � ��Z��Lo+I ��TING 11 MECHANICALRI 18 EXCAV/GRADING/FILLING Q 02 MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 COMPIAINT � 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 � OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � S<t,e.. �Q.S' G�d-uc�C �� — 0 a � 0 � W Q 'd1�L�.'- � „ �y ^�j� �' c, � Z W � W � j d � 0 RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContracto�si�e� Inspector �U White Copyll�spector's File Canary Copy/Site Notice