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Home My WebLink About2006-P09883 - minor alterations PERMIT CITY OF ORONO permit ►vumber: 2'r�v0 Kelley Parkway- PO Box 66 P09883 Cqrstal Bay, Minnesota 55323 Permit Type: Minor Alterarions (952) 249-4600 Date Issued: 5/19/2006 SITE ADDRESS: 3548 Ivy Pl unit# Wayzata,MN 55391 P�D: 20-117-23-42-0017 DESCRIPTION: Proposed Use: Residenrial Census Code O/S-Building Pernut Class: Building Pernrit Type: Minor Alterations Pernvt Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 139.25 valuation: $ 7,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 142.75 APPLICANT: W.F. Smith Construction OWNER: Mr. &Mrs.Charles Pyle 6585 So. Saunders Lake Dr. 3548 Ivy Place Minnetrista,MN 55364 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. �, `` �`l'�✓�l!' —� APPLICANT PERMITEE S GNA ISSUED BY SIGNA Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r l � � Date Received: Total Fee: $ ��{�, �S Entered By: Permit#: r CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infor�nation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O ONTRACT JOB SITE ADDRESS: J��`�' � �V�( �C�l�G� ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �.NO If yes, a specia!eveni perntit is regztired with Police Department and City Council approval 60 days prior to the event. Shuttle bus se��vice wil!be reqa�ired unless applicant demonstrates su�cierrt on-site parking is available. Non-permitted events tivill not be allowed. NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: s�4-rn r� CITY: ZIP: CONTRACTOR:�1��. SC�'��- �.�1��5� PHONE:�(S� "�{7a--C S S'�' CONTACT PERSON:�v� MOBILE/PAGER: MAILINGADDRESS:(c68S So, SFI�.r�.Oc/ts �d�Or CITY:17'l�i�r�c�^ls�, ZIP: 5s3c L� STATE LICENSE: # EXPII2ATION DATE: 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 p rmits! PROPOSED WORK(describe in detcrin: �"g-�n_o�� d' r2.�– S1dY v�Gt��_ STORIES: ( SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7� o v O ' �- - �- I hereby apply for a building permit a'nd I acknowledge that the information above is comptete�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 understandthis is not a permit and work is not to start withouf a permit;and that'the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: =�. DATE: cJ— I �j 'O 6 31 � r Sec.13.04 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 forth in this section. Subd.2. [nformation required to be given individual.An individual asked to supply private or confidential data conceming himseifshall be informed of: (a)U�e purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to suppiy private or conYidential data;and(d)the identiry 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 la�v enforcement officer. The commissioner of revenue may�lace the notice reauired under this subdivision in the individual income tax or orooertv tax refund in�tructions instead of on those forms. Subd.3. Access to data by individual. Upon requestto 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 public 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 and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispu�e 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 authoriry shal I 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 compl iance is not possible. If 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 the accuracy or completeness of public or private data conceming himsel£To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement The responsible authority shall 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 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 provisio�s of the administrative procedure act relatin�to contested cases. DATA PRIVACY ADVISORY In accordance w�th 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: 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 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. First ��" `�l 1,.�j� Middle Last I, ��'� ��' �7i.►�` /7` Address (0�8� � �/�i1-f/N��r �--I� �.J/'. 1� � �/ o City � � �/�.� '�-�"�,r 1�--iy State �'ly�/ Zip S!'3G L� Phone !fal— ��}, ,�� I understand my rights s stated bove. � Signatu Reset Form �2 n�� DATE TIME � 'V (:ITY OF ORONO CALLED IN �j-1C-(�(�° INSPECTION NOTI SCHEDULED �S—/��"�� i � PERMIT NO. d � � COMPLETED ADDRESS �� y� .�i/�/ ��IL OWNER CONTR./�•� SfZ�I f TELEPHONE NO. %�Ul'� - �S �� /� s� Lv-5 �J� � DESCRIPTION �-l?L�_/� O��- �'� �G �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS 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 � 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 C � � O >. � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Con or 'te: Inspector. White Copyllnspector's File Canary Copy/Site Notice