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Home My WebLink About2006-P09748 - re-roof PERMIT C�T`�'''OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: p09748 Crystal Bay, Minnesota 55323 Permit Type: Minar Alterations (952) 249-4600 Date Issued: 4/13/2006 SITE ADDRESS: 1825 Fagerness Pt Rd Unit# Wayzata,MN 55391 PID: 17-117-23-23-0019 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 125.25 valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 128.25 APPLICANT: LS West LLC OWNER: Paul&Pamela Bozonie 6742 Featherstone Dr. 1825 Fagerness Pt Rd Savage,MN 55378 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . �� APPLICA Pf:RMITEE SIGNATURE ISSUED BY SIGNATURG Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 t � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all i�iformation) ------------------------------------------------------------------------------------------------------------------------ -- . THE APPLICANT IS: (circle one) OWNER OR CONTRACT � JOB SITE ADDRESS: � �2 5 Fz� �a--5� t"� - 2 � ZIP: 55`'��► � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO !f yes, a special even!permit is required with Police Departinent and City Council approra! 60 days pr�ior to the event. Shuttle bws service tivill be requir•ed a�nless applicant a'emonstrates sufficient on-site parking is available. Non-per�nitted events will not be allo�ved. NAME OF OWNER: Q2�- i t�. .�z��c= PHONE: (home}a 5 2. 2-� � 3�+�� (work)G S z Z S��2 0� MAILING ADDRESS: 14s2 5 F-a��;5�1'-�Z� CITY: +�r�n�; ZIP: 5��t� CONTRACTOR: L � �n1��}� �-�-c- PHONE: `�SZ y`�� `��`�`+� CONTACT PERSON: L��-v�d v-�� MOBILE/PAGER �'`Z "L�2 �-1�q�i MAILING ADDRESS: ��yz Gzzt��is-1Ur� Dr,'.,.�- CITY: �Z�z�y�- ZIP: -� 5_`�� T� STATELICENSE: # Z�S�Zx�� EXPIRATIONDATE: � - � i - o� ARCHITECT/ENGINEER: PHONE: 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 require MCWD review and permits ! PROPOSED WORK(describe in detai�: � Qa�- �k'� �, �c��-�r' S. ,�,1.� -�'-�,M. L, �,.�-� w;-�h ��,� - �h'r,�� , STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): � �� "�' � 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 ofthe City and with the State Building Code;that I Linderstand 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: � DATE: '-l'� � - �� 3l � 9 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. L Type of 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 or confidential data concerning himselfshall be infonned of: (a)the purpose and intended use of the requested data within the collecting state agency,political 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 refusine to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law ro receive the data, This requirement shal I not appiy when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer. The commissioner of revenue mav olace the notice required under this subdivision in d�e individual income tax or orooer[v 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 infonned whether he is the subject of stored data on individuals,and whether it is classified as public,private or contidential. 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 informed ofthe content and meaning of diat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for siz months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been col lected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe 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,e�duding Saturdays,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 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 concerning himself. To exercise this right,an individual shall notih�in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notity past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves die 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 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 subjects of data",we would like to inform you that your request for a pern�it or license from the City of Orono or any of its departments may require you to furnish certain private or confidential infonnation. You are notified that: 1. The information you furnish will be used to deteimine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the perrnit 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 pernlit. First ;1'liddlc Last Address Citv State Zip Phone I understand my rights as stated above. Signxture Reset Form �� ,l �/ �' /�/�, � t 1\� � ��d"' DATE TIME CITY OF ORONO �,1" � � CALLED IN W/ T INSPECTION NOTI�C)E �( SCHEDULED -�1A�,�_/ PERMIT NO. ��J 1 � �(> COMPLETED ` ADDRESS I �ZS �`Q-��l��f'�.SS P�` (�' OWNER CONTR. L� I ,� �57�(..�L�. TELEPHONENO. � � a " o�� - y�� DESCRIPTION �l i�1Q �� [�jn f � 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � `��-(.� /`�"z`�Z �i �/ � �. �.�G�h. �, , j � i O ��,i i -f L %Z�-t � � � O � � �" /\ ' �`-► .,'► `"`I�' ,T � �� M ��1 �--� � Q � � rR. �r� �=�� ,�. .�-� � � d W ❑WORKSATISFACTORY:PROCEED u PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �,L�� J White Copyllnspector's File Canary CopylSite Notice � f � �v � � 1�� -- DATE TI CITY OF ORONO CALLED IN � �/G�i� INSPECTION NOj�CF� (/ SCHEDULED la�/�G�Ct /•�.�U �1 PERMIT NO. F�� 7� COMPLETED ADDRESS /��'��`5 f c�-�.Qe'/'l.� S S� �T� I�� OWNER CONTR. L� S• LC�S�" LC.C. TELEPHONE NO. 11'�� "�� " ��I� �e ��--..F � DESCRIPTION ��'z�'t t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 7 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 PLUMBI 36 FOUNDATION/REMOVAL � OWNE NTRACT TO MEET YOU: YES_NO � COM S: � W a � J O �. � O � W � Q ti Z W � �u � � a W� K SATISFACTORY:PROCEED �4 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next a spection 24 hours in advance. (952� 24J-460O OwnerlCo n it : Inspector. White Copyllnspector's File Canary CopylSite Notice