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Home My WebLink About2005-P09028 - re-roof � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09028 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 8/2/2005 SITE ADDRESS: 310 Hollander Rd Unit# Wayzata,MN 55391 P�� 25-118-23-43-0010 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: $ 181.25 valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Huber Construction OWNER: James&Joyce Sidman 403 E Central 101 310 Hollander Rd P.O.Box 403 Wayzata MN 55391 St. Micheal,MN 55376 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. J� � � �-� � :��.-��-� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , Total I'ee: $ �0�� Date Received: �-��-U 5 �ntered By: �'VL Permit#: �t?!�C>:.�-Q' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (plense print all informntion) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle oi7e) OWNER OR CONTRACTOR JOB SITE ADDRESS: �1p ��L�NDt R � � ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Dis�lay Home? ❑ Yes �No If yes, a specia!el�enl,per�T�it is reguirect tivith Police Departme��t and Ci.ty Council approval 60 dnys pria•to the eve»t. Shzrdtle bus sei�vice ivil!be reqi�ired z�nless npplicant demonstr�ates strfficient on-site pnrki�ag is available. 1Voi�-pet�mitted events ivill nol be ullotived. NAME OF OWNER: Jr�.r, ��(JM�N PHONE: (home)��Z- �l'7�Z��b (work) MAILING ADllR�SS: 3�O ��o�,�,pwfl�,R CITY: 6�`' �ZIP: CONTRACT012: H�Bqti CoN 5 T PHONE: 7(03•2116-oS�o�-( CONTACT PERSON: n+ C. Ln c.� MOBILE/PAGER: �' MAILINGADDRESS: �o �x 6�03 CITY: �T Mu,kA�,t Z1P: S" �7 STATE LICENSE: #2b�0'�-lc?1? EXPIRATION DATE: 3-3 ► - p te ARCHITECT/ENGINEER: PHONE: MAILING ADDI2�SS: CITY: ZIP: NAME: REGISTRATION: # TYP� OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration � PROPOSED WOI2K(�lescribe ifz detain:�,�, t�o h ��'012IES: 5Q.F��'I'O�'EAC��'LOOR: NO. OF 13EDROOMS: (;ARAGE STALLS: AT'I'ACH�I) D�TAC�-I�;ll �STIIVIATED CONSTI2LJC"T10Iei VAI,U�i'�IOI�t(excluding land): $ �D�(,')O 1 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 Bui(ding Code;that I �inderstand this is not a permit and worl:is not to start�vithout a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE� Z, 1�ci�(� DATF,: �g �2-o,� >> � . . . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. 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.Infonnation required to be given individual.An individual asked to supply private orconfidential dataconceming himself shall be informed of: (a)the purpose and irrtended 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 refusing to supply 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 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may_place the notice required under this subdivision in the individual income tax or prop�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 confidential. Upon his further request,an individual who is the subject of stored private or publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data a�id infonned of its meaning,the data�eed 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 authority shall provide copies of the private or public data upon request by the individual subject of the 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,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request within that time,he shall so inform the individual,and may have an additional 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 ihe accuracy or completeness of public or private data concerning himsel£To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible authority shall within 30 days either. (a)correcl the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incompletc data,including recipients named by the 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 determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PWVACY 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 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: l. The infonnation 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 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. �h�►tt�- 2o3t�' )�.a C,� First Middle Last P� �ok �lo� Address �r Iv�zc�t+a�� rw►� S�'3�'r� 7�?�2��-os�,ys City State Zip Phone I understand my rights as stateci above. ,� n � Signature �2 L� � ��\�� DATE TIME � CITY OF ORONO CALLED IN ' INSPECTION N CE SCHEDULED � /!�'UOA� PERMIT N0. COMPLETED ��_o� ADDRESS �� /C7 f�d ��.er' �� OWNER CONTR. �-/r/�G�" TELEPHONE O. ��3 "��L� "dYO�1 �-S��/�.�.Q rv rn //'� �'�3 � DESCRIPTION ��r' O �� — �' �Z � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 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 MEEf YOU:_YES_NO � COMMENTS: � W a o � Y�;�� `r" - �V� 1��7 r��'�e�.�,�T-- � I�;�CPSSA��I � �'C�, T�tt �� es' �� 1��Ac'e Q U i4 1 I Q y S � �N,2 � z W � W � 1 �ry V � �(GVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W I��ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Cat1 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on si, - Inspector. �.it/ ,� �(� � � White Copyllnspector's File Canary CopylSite Notice °�''r ��/� A� TIME ✓ CITY OF ORONO CALLED IN r INSPECTION N ICE SCHEDULED � � PERMIT NO. DoZ COMPLETED '��~ �w T .� ADDRESS �l� �c /�.. OWNER ' CONTR. 1�� C�� TELEPHONE NO. �� 0 �� DESCRIPTION �� lL 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED f OJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. l-� r /)I�� _S White Copyllnspector's File Canary CopylSite Notice