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Home My WebLink About2006-P10299 - windows PERMIT CI�'Y OF ORONO ' Permit Number: ��50 Kelley Parkway- PO Box 66 P10299 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 9/12/2006 SITE ADDRESS: 3580 North Shore Dr Unit# Wayzata,MN 55391 P�� 08-117-23-34-0020 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Metro Home Pros Inc. OWNER: Wade Davis 2139 Highland Pl 3580 North Shore Dr Columbia Heights,MN 55421-2022 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� �� ,f' �� 1 APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE ./ Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) Page 1 . s a ,-, /� Total Fee: $ ,�-.�?. �� Date Received: Entered By: � Permit#: � O�, CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all informati�o�z) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (cii•cle one) OWNER O CONTRACTOR JOB SITE ADDRESS: l �� N�� 5��-r �`'�• ZIP: 5�3 cl I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS � No If yes, a special event permit is reqz�ii•ed lvith Police Depn�•ti�lent arid Cit}�Council appr�ova( 60 days prior to tl�e ever�t. Shuttle bars service will be reqarired tu�less applicar�t demonstrates sa�ffrcie��t on-site parkii�g is available. Nor�-pernaitted events wr/I not be allowed. NAME OF OWNER: W �� J�S PHONE: (home) (work) I Z-7`�� Z 40C� MAILING ADDRESS: 3�� is. � �#U�C �� CITY: ��^�0 ZIP: ss 3 � CONTRACTOR: �'1�1/l v �-L� M� P�.�S,��=C• PHONE: ��3 - 7u`f -�Z Z 1 CONTACT PERSON: �J C/�} o K r�S MOBILE/PAGER: �6 3 ��j�- (y Z Z/ MAILINGADDRESS: l�8� �•'�v�.��n1�C /�� CITY: ptiv �✓}Gtc= ZIP: �S3o `� STATE LICENSE: # Z b�S I�� EXPIRATION DATE: 3 - 3 i - o�7 ARCHITECT/ENGINEER: �}� ��«' � f��T�'�C PH�Q NE: �� ' �Z� — 2`��O MAILING ADDRESS: 5�7�`� b(.1��Vl � �JY � CITY: I�I�'�1 ZIP: 5� l� NAME: SCb� J�t�S� 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 i�z�letain: �il��.4�L - r1� �L W��- l'��c�•2,..!� ��,��,� �2.�1 t t,5 STORIES: Z SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: .��" GARAGE STALLS: ATTACH�D Z DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): � jG� Oc%O. �� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City and with the State Building Code;that I �mderstand this is not a permit and��ork is not to start�vithout a permit;and tl�at the work�vill be in accordance with the approved plan. APPLICANT'S SIGNATURE: ��/J `— — DATE: � 0 ��' ��..--- 1^/1� C'.. �c `�-� c S�.�-e � ��ri3'f 5 �?�,c.��a.r s �� c � � t J�5 7- �c.��- v�•�c�l� f- /�i..r/c,(�� ,�vn-Cs � �-.�, q -� -{�(o 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 foRh in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of: (a)the purpose and intended use of die requested data wi[hin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply[he requested data;(c)any known consequence azising from his supplying or refusing to supply private or confidential 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 law enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infortned 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 mea��ing of that data. After an individual has been shown the private data and infonned of its meaning,the data need 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 authoriry 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 ofthe request,ercluding Saturdays,Sundays and legal holidays,if immediate compliance 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 publ ic or private data concerning himselE To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The responsible suthority 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 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 perniit 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 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. J o��T�► �11 (� {-f��.�� s First hiiddle Last I $6�5� �/�c�JlJJen�c.t� �� . Addr ss �j��o � �� ✓v��J ��3c�� 3-�uy- 6 zz � City State Zip Phone I understand my rights as stated above. Signat c Reset Form 32