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Home My WebLink About2003-P06948 - re-roof PERMIT �CIiY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po6948 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: io�2g�2oo3 SITE ADDRESS: 3020 North Shore Dr WAYZATA,MN 55391 PID: 09-117-23-32-0003 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,500.00 State Surcharge Fee: $ 2.75 TOTAL FEE: $ 114.00 APPLICANT: Robert Imker Construction OWNER: 7 R&K C SWENSON 3258 Marchall Road 3020 NORTH SHORE DR Shakopee,MN 55379 WAYZATA MN 55391 THE iJI�1DERSIGNED 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 f ' V" � �� '/� v � � \C/ �� ?dc Y'i ��'=� � APPL[CR'NT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Revorts, 1-Assessing, 1-Finance Page 1 ' Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O ONTRACTOR JOB SITE ADDRESS: � �� /�/• S/`�''� � ZIP: S�� 3� � Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and Cin' Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: � �`C /� .S'��✓Sd� PHO\'E: (home) `/7/' �%3 (work) MAILING ADDRESS: �w �� 5�.. � CITY: � ZIP: ��'S 3 � ! CONTRACTOR: a 6e�-t .L� �� '�.Sfi PHOVE: G�l- 7�/-��..3y� CONTACT PERSON: �,� MOBILE/PAGER: , MAILING ADDRESS: 3.�� 'S'c h�!l CITY: SL/�� ZIP: .$ S3 7 STATE LICENSE: # G SyR L ARCHITECT/ENGINEER: PHO��: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition �� Move RemodeVAlterat�on � Land Alteration , PROPOS �4RK(descri in detai�: �F/r'� � /�� C��^-� a�� X � • STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��d� I hereby apply for a building permit 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 n to start without a pe 't;and that the work will be in accordance with the approved plan. , , APPLICANT'S SIGNATURE: � DATE: /4 �� o� Sec.13.04 RIGI�ITS OF SUBJECTS OF DATA � Subd.1. Type of data The rights of lndividual on whom t6e dats is stored or to be stored s6a11 be as set forth in this seMioo. Subd.2. Information required to be given Individual. An individual asked to supply private or rnofidential data coocerning himself shall be informed of: (a)the purpose and iotended use oi the requested data within the collecting state agency,political subdivision,or statewide system;(b) whet6er he may refuse or is legally required to supply the requested data;(c)any known consequence arising Gom 6is supplying or retusing to supply private or confidential data;aad(d)the identity of other persons or entities authorized by state or federsl law to receive t6e data. This requirement shall not apply when an individual is asked to supply Investigative data,pursuant to secdon 13.82,subdivis(on 5,to a law enforcement otticer. The rnmmissioner of revenue mav ulace the notice reauired under this subdivision in the individual Income tax or orooertv tax refund instructions instesd of on those forms. Subd.3. Access to data by indlvidual. Upon r�quest to a responsible authority,an individual shall be ioformed whether 6e is the subjeM of stored data on individuals,and whether it is classltied ss public,private or confidential. Upon his turt6er request,an individual who is the su6ject of stored private or public data on individuals shall be shown the data without any charge to 6im and,lf he desires,shall be Informed of the content and meaning ot that data. After an individual has been shown t6e prlvate data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless s dispute or action pursuant to this section is pending or additional data on the individusl has been colleMed or created. The responsible authority shall provide rnples of the private or publIc data upon request by the individual subject of the data. The responsible authorlty may require the requestlng person to pay the sctual rnsts of making,certifytng,and rnmpiling the coptes. The responsible aut6ority shall comply immediately,if possible,with any request made pursuant to this subdivision,or wIthin tive days of the date of t6e request,excluding Saturdays,Sundays and legal holidays,li immediate compllance is oot possible.It 6e cannot comply with the request within that time,he shall so iniorm the individual,and may 6ave an addidonal fve days within whic6 to comply with the request,excluding Saturdays,Sundays and legal holldays. Subd.4. Procedure when dsta is not accurate or rnmplete. An individual msy contest the accuracy or completeness of public or private data concerning himselL To exercise thls right,an individual shall notiiy in writing t6e responsible authority describing the nature of the disagreemen�T6e responsible authority shall within 30 days either: (a)rnrrect the data found to be inaccurate or incomplete and attempt to notify past recipients oi inaccurete or inrnmplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Dsta in dispute shall be dlsclosed only if the individual's statement of dlsagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to t6e 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 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 qualitication 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 egtent 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 City State Zip Phone I understand my rights as stated above. - Signature / DAT TIME CITY OF ORONO CALLED IN �� INSPECTION NOTI scHe�u�E� ��_Q..� PERMIT N0. � � COMPLETED ADDRESS f " � y OWNER CONTR. � — t �' - TELEPHONE NO. L �� " �� —�� DESCRIPTION � � w�I��J��t � � � ��OOTING 1 MECHANICAL RI 1 CAV/GRADING/FILLING Q RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O03 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 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � DK �� 0 � � 0 � W � Q � Z W � W � � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th 'next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlCon t r n site: Inspector. White Copy/lnspect r's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN /6 '�3 I "�3 INSPECTION NpTICE SCHEDULED 1� ' 3 ,�aTc�pm PERMIT NO. y 9�.18 COMPLETED ADDRESS �v a'd %C.�`v�, -�- OWNER CONTR. �'�`��+r�k� �tx�t TELEPHONE NO. ��a� 7S� ' � � � DESCRIPTION � � .�- � 01 FOOTING 11 MECHANICAL RI 18 EXC 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 � 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 a � � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑GORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CAIL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContrac� �te: Inspector. White Copyllnspector's File Canary CopylSfte Notice