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HomeMy WebLinkAbout2000-P02301 - addn/remodel/repair � PERMIT ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po23ot Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (612) 249-4600 Date Issued: ai6ioo SITE ADDRESS: 1910 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-23-24-0020 DESCRIPTION: � Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation• $ 3,645.00 State Surchazge Fee: $ 1.85 TOTAL FEE: $ 99.10 APPLICANT: CADE MOORE CARPENTRY OWNER: J R MCMANUS&M E TULLY 9097 W. STARING LANE 1910 SHADYWOOD RD EDEN PRAIRIE,MN 55391 WAYZATA MN 55391 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CI1Y OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. � � L P ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 �, � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII..DING PERIVIIT 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 CONTRACTO� JOB SITE ADDRESS: �� I O �j���+��- � ' Z�: ��3� � Ur�� NAl�TE OF OWNER: �m ti� � �.n •{1u PHONE: (home) y71-"7�75 (work) 3 y Z - (,�5 y � l�IAII..I�i 1G ADDRESS: 1�11 v >�a �-cU d- � CITY: �r-�,�a ZIP:__�1 C0�1'I'RACTOR: '�� t'11 m-o�►2� ��`r:v"�'�_PHONE: (d I Z - �3�- �v�19'� CON'TACT PERSON: ('� N��-e- MOBILE/PAGER: (01 Z- q�?�y - �R�� . NIAII�ING ADDRESS: �t� 7 c� 5-f-���� L n-_CTTY: `��..n ; �r i�ZIP: ���3�� 7 . STATE LICENSE: # �-I�-I �� ARCHITECT/ENGINEER: N / � PHO'vE: l�L4II�ING ADDRESS: CITY: ZIP: N��,�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSE WORK(describe in detain: a�- ��5�� w'�� d�ul s �r�av`� �,+�-f- J ► , � C '' �;;�c�1 b�� c i 'W-�I( 4� '�� ' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDR001�IS: GARAGE STALLS: ATT. DET. ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ '3�,n `�1 7 � � _ I 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 Building Code; that I understand this is not a pemut and work is not to start without a permit; and that the work will be in accordance with the approved plan. ' .. �� APPLICANT'S SIGNATURE: �, � � � �_ DATE: �-C�' � NOTE! P�rade of 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. t� 1 Sec.13.0�i RIGHTS OF SL'BJECTS OF D�T.�+r Subd. 1. Type of data. 'Ihe righ[s oi individual on whom the data is stored or to be scored shall be as sec forrh in this secdon. Subd.'_'. Information reqirired to be�vea iadividval. An individual uked ro supply private or confidendal dara concerning himself s5a11 be informed of: (a)the purpose and intraded use of[he rcquesud dara wi[hin the collecting"srara agency, polidcal subdivision,or satewide syr�.m: �b)whecher he may refuse or is legatly required ro supply che requesced dan;(c)any lrnown consrqueace arising from his supplying or refusing to a:eoly privace or conndendal data;and(d)the idenacy of o�er persons or enrides au[horized by sta�e or fed�ral law co re:eive[he da�a. 'Ihis requiremenc s5a11 not apply when an individual is asked to supply ia�esrieadve dam, pursuanc[o secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enu mav pla-�the nodc� reauired under this subdivision in [he individua! income rax or �rooem raz re:ur.d insrrucdons inscead of on rhose forms. Subd. 3. access to data bc iadividuaI. lipon request to a responsible aurhoriry,an individual shall be informed whether he is[he s1:b;ecc of scor-d dara on individuals,and whe:her it is classified as public, privace or confidenaal. lipon his furcher request, an individual who is the si:bjecc of stor_d privace or public data on individuals shall be shown�he dara wichout any charge to him and, if he desires, shall be iruormed of rhe concenc and meaning of rhat data. After an individual h�c been shown che privace data and informed of its meaniag, �he data need no�be disclosed co hi�for six mon�hs�hereafcer unless a dispute or acdon pursuanc co [his secrion is pending or addidooal dara on the individual has been collecud or c:eac�d. The responsible auchoriry shall provide copies of�hz privace or pubiic data upon requesc by the individual subjecc of rhe dara. The responsible aucLoriry may require che requesring person ro pay the acaial costs of makin¢. cerrifying,and compiling the copies. The responsible au[horiry shall comply immediately, if possible, wich any request made pursuant co this subdivision,or wichin five days oi the da�e of the request,excluding Sacurdays,Sundays and(egal holidays,if immediace compiiance is noc possible. If he cannoc comply wi�h the r.quesc wi[hin�hac time,he shall so inform[he individual,and may have an addidonal five days wi�hin which co comply wi�h the request,excluding Samtr'ays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�•a�e - data conceming himself. To exereise chis rieht,an individual shall nodfy in wriring che respoasible au[horiry describing che nanire oi the disagree�eac. . The responsib(e authoriry shall within�0 days eid:er: (a)correct�he data found[o be inaccura[e or incomplete and aaempc to nod:y past recip:e^s of inaccurace or incomplete daca, inctuding recipiena named by [he individual;or(b)nodfy che individual thac he believes[he dara to be correcc. Dara in dispuce shall be disc!osed only if che individual's statement of disagreement is included wich che disclosed dara. The deserminadon of thz rosponsible au�horiry may be appealed punuanc to the provisions of che adminisaarive procedure act relac:g ro contested cases. DAT� PRNACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Riohts of subjects of data", we would like to inform you tha[your reeuesc for a pemut or license from the Ciry of Orono or any of its departments may require you to fumish cenain privat� or confiden[ial information. You are notified thar. 1. The information you furnish will be used to de[ermine your qualification for the perm.it or license requested. 2. You may refuse to supply da[a, buc refusal may require that the Ciry deny the permit or license. 3, The information may be shared with ocher local, sta[e or federal agencies to the extent necessary to process the permit or license. d. If your requested permit or license requires Council action co approve, some information may become public. 5, You have certain ri�hts under NS.S. 13.04 (availabie upon request) to review private data on yourseli. (. Your full name is required to process this applica[ion or perm.it. (" �� �--- 7 � � � �l ���'1 , ;y��— Firs[ �tiddle Lasc ��D�f � L�.� �'724--r'� )I�I�� � D�1- - Address ��_ �r�..4 i l�� � �'��1 � �S � ��7 ��Z �.3 y- �9 a Ciry 5ta[e ZiQ Phone I understand my ri�hts as stated above. . �J/L� ��� �� �� l Signa[ure —c-- DATE TIME CITY OF ORONO CALLED IN `�i /� INSPECTION NOTICE SCHEDULED �l/i/�/��j6 �. 3C7 PERMIT NO. p�.Z.3U/ COMPLETED �l( �f��� 3� �(J ADDRESS ��/� �-��Gc�z� :/T �� OWNER CONTR.�c���e� TELEPHONE NO. 93�--���o � DESCRIPTION .��2�;��� l� G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOF TO MEET YOU:_YES_NO Z � COM ENTS: � � � . �r � G� . w� '� o ����'�e �la [-� a � o � ` - � w � z �Z C� C c� � � C `-�,��,L- 2 W � W � � d �WORKSATISFACTORY:PROCEED �- PROJECTCOMPLETE W , � ORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W O ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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. 249-4600 OwnerlContractor on site: Inspector.�//�l �^�t�-vi ( White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �/ -��a � PERMIT NO. .�U�3o1 COMPLETED - � ADDRESS_Iql[� ��'1«.��/v-JOU� Q� OWNER CONTR. � �dOY-�- �'�y�- TELEPHONE NO. �� �y ��Ct �v � DESCRIPTION '`��-���� t� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERIC TRACTOR TO MEET YOU:_YES_NO � MM � a � � 4. , J O '�2> l/ � f`t, !�� � � -�C�-�'S � - Q - � z W � W � j d W��ORK SATISFACTORY:PROCEED C PROJECT COMPLETE W�C�CORRECT WORK 8 PROCEED `- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. f: PHOTO TAKEN INSPECTOR WILL RETURN C7 STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED i i INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.��/�� ��/1 � White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N TI E SCHEDULED �� �'� o PERMIT NO. � �� ��' COMPLETED ^��� �" �d ADDRESS I� ��l ''� �.C�U�C� OWNER CONTR. Gi. � �Y C���� TELEPHONE NO. ��� —��� � � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL �04 WA�LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ��5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �Qi! 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW �VORKSATISFACTORY:PROCEED ', PROJECTCOMPLETE W�C� CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector Jl/.�Q.�� �Cc White Copyllnspector's File Canary CopylSite Notice