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HomeMy WebLinkAbout2003-P06563 - re-roof � . _, PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P06563 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: �i2ii2oo3 SITE ADDRESS: 2180 North Shore Dr WAYZATA,MN 55391 P I D: 10-117-23-31-0098 DESCRIPTION: Proposed Use: Institurional-Schools Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterarions Pernrit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 Valuation• $ 9,900.00 State Surcharge Fee: $ 5.45 TOTAL FEE: $ 186.70 APPUCANT: Hackbarth Enterprises Corp. OWNER: MARTIN&ANDREA SCHNEIDER 304 4th. St.N. 2180 NORTH SHORE DR P.O.Box 303 WAYZATA MN 55391 Waverly,MN 55390 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �- �. ERMITEE SI ISSUED BY SI NATURE Conies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1 ' � �Total Fee: $ Date Received: � ��--U� Entered By: Permit#: CITY OF ORONO - BIJII�DING PERMIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all inforncation) -------------------------------------------------------------------------- — ------------------------- THE APPLICANT IS: (circle one) OWNER OR ONTRACTO JOB SITE ADDRESS: � � �� �" J �D�� . ZIP: R: ! /j� �/���� PHONE: (home) NAME OF OWNE .. ol l Q /�o✓� �h (work) 95'iz-- `f 7S � _� MAILING ADDRESS: g ���rCITY:� �f ZIP:__`�� CONI'RACTOR: // �G �`�'Y PHONE: 6�oZ--7�1� ���9 CONTACT PERSON: �' OBILE/PAGER: �—�D � � � MAILING ADDRESS: � '3�3 CITY: GcJ 4ti�� ZIP:�� STATE LICENSE: # � ARCHITECT/ENGINEER: ��� PH4NE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move � Remodel/Alteration Land Alteration PROPOSED WORK(describe in det ' : � �`� f�od� � STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 99 c�� o� ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ . — I hereby apply for a building pernut and I aclmowledge 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 ap roved pl . APPLICANT'S SIGNA ATE: �V� /� �� NOTE! pnrnilP Q f Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. • - . Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information req�rired to be given iadividual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting statc agency,political subdivision,or statewide sysum; (b)whe[her he may refuse oY is legally required co supply the�equested data:(c)any Imown consequence arising from his supplying or refusing to supply privau or confidential data;and(d)the idendry of o[her persoas or endaes authorized by state or federal law to roceive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav nlace the nodce rewired under this subdivision in the individual income tax or nroaertv taz refund insttuctions inscead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is class�ed as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuais shall be shown t6e data wichout any charge to him and;if he desires,shall be info�med 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 w him for six months thereafter unless a dispute or action pursuant to this secdon is pending or addiuonal data on the individual has been collected or created. The responsibie authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the dara. The responsible authority may require the requesting person to pay the actuai cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if pouible,with any request made pursuant to this subdivision,or within five days of the date of the roquest,excluding Saturdays,Sundays and legal holidays,if immediau compliance is not possible. If he cannot comply with the roquest within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data ic not accurate or complete. An individual may contest the accuracy or completeness of pubiic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing che narure of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data,including recipients named by[he individual;or(b)notify the individual that he believes the data to be correcc. Data in dispute shall be disclosed only if the individuai's staument of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the adminisnadve procedure act reladng to contesud 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 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 shazed 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 Middle Last Address . C��, State Zip Phone I understand my rights as stated above. Signacure DAT TIME " E CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED �-2 Z �3 � PERMIT NO. COMPLET D ADDRESS a�d�/ �U/����� OWNER CONTR. �-,r�-c�C�J�-v�� TELEPHONE N0.__ LI�o� �O� �S�oZ�' � DESCRIPTION �_��� �� � 01 FOOTING 11 ME AL 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 0. j O � aC O � W � Q � 2 W � W � � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor s't : Inspector. White Copyllnspector's File Canary Copy/SHe Notice