HomeMy WebLinkAbout2000-P02617 - windows . '� PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po26i�
Crystal Bay, Minnesota 55323 Pe�mit Type: lvtinor Alterations
(612) 249-4600 Date Issued: �isioo
SITE ADDRESS: 2032 Shadywood Rd
WAYZATA,MN 55391
P I D: 17-117-23-31-0012
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building ,
Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ 14,221.54
State Surcharge Fee: $ 7.15
TOTAL FEE: $ 258.40
APPLICANT: K-designers OWNER: JAMES M BURGESS
'11261 Sunrise Park Drive 2032 SHADYWOOD RD
Rancho Cordova,CA 95742 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WTTH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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p L ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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� Total Fee: $ y. �� Date�ccive�: 7—�U�
Eater�d By: Permiz#c (�i'7
CI'�� �F OR0�1O - ���Il�t�P'3��1i�� �.YCA'�'IOI�T
All information must be snbmitted in full be�ore plan review will be started.
(please print all informarion) .
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��PPLICAN'�IS; (circle one) OWNER OR CONTRACTOR
��B �I�7E A�DI)'dtIESS: r��3�1, Sln�.t�" w.x��4 �� ?�': 3"�3`�/
NANd[� OF O�VN�It: ��....�.� .,�y� �01TE: (hame) ��/-03�
(work)
1l�A�LIle1G t�DatESS: 5'�.� � A�by��� L"7CTY: Z�:
CON'f'�ACTOR: (L-�.�„ �,_� P�ONE: �L-�fY- 3�Q�
CON'.�ACT Px.IZSOPt: `�n� _�,�<<<Z 1l�E;�H��+'lPA�iiD[�:
M�iII.XNG A�D�SS: ��� :�• �_�� �.T!'Y: �',,,�.��,«c —G1Y: a �
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STATE LYC�NS�: # �
A�tC�cT/]ENGnvEER: �/.,�— p�oid'E: .
lvl'Al9.�dldCs�ADDRESS: CTd''S'• �'�
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NA1V�: �gtEGgSTRATION#
'1'�E ��dVpRK; l��w Additioa Accessory Saucmre
Move Remodel/Alteration ,� Lan�d Altera.tiwn
PROFOS]ED'WOIt�(describe in detai�: �.. 7 � !f.�L ,��1.,��n.�*' c�.�.✓�E�rs
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STOR]�S: �1_ � ��.�+:FT�FFACgF�.(ZOR: ,�//�- .
NO. OF BEDROOMS: N� GARAG� STAI,LS: ATT. DET.
L9'1'�1v�A'x'�LL CONSTItUCaH01�]VALUA7l'ION(�ctutlfug lancn: $ i z/���- '� _
I herebY app1Y�Qz a buildi�permit and I aclrnow'Ledge that the information abave is comple�e and
aceurate; rhat the work will be i.a.conforniance with the ordfinances and codes of rhe Cicy and wirh
the State Building Code; �hat I uucierstand this is not a pennit and work is not to stazt withwt a
pernnic; and rhat the work will.be ia aceordancr. witb r.he approved plan.
��Yc��s s��N,��: ���: ��r/�
,N���r ,�events require separate permit dpprnval by Police De�arl�iient and
� Cfty Councr.l 60 days,prior to the ever� 1Von petnutted events w�ll not be allowed.
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sec.13.o4 RIGl3Ts OF SIJRJECTs oF DATa
�uhd. L '(ype o[dara. 7he rigQu o1°indiyiduaJ on whom�he dara ls ssored or co be smred shaLl be as sec forsb m rhis seeeioa.
Subd.3. ]aformadan req�rea to be�i•ea iadlvIduaL .ln indlvidua]askod m supply priva�or conSdand�l d1n eoaeerning himself shall
be intoemcd of (a)dit puepoSt aed iettttd�uSt oF d1e ttqucsaed dad wi�in��ollecat►g 4GtLe a8enay,peiieical subdivision.or srarewide sysxm;
(b)wheihe��he m:�y t`Fu.ae ar is Ierally tCqutred eo Supply dte requested da11:(c)any'atown consequence arising f�am hit supp!ying oe�lltsing ro iVPP�Y
private or confidenoal dao;and(d)rhe idencicy of o�het pnrsons or enapes aud:esis�by sta�e or fadeesl Iaw to r_cGsve me d.ia. This r�qwremenr sos�l
nor apply when an individval is asl'ed m svpply tnvtsdgadve eae,pur:vant ro sccuoa 13.53,subdirision S, co a Isw eafo�seme�ot�'uer.
�a commieaioner oE ro�enus mav otaee th�r+r+ei�r.er.miirr_d under di�s sc�,bdidiaion in tht individaa! ncomt ax or osno¢�titz rcft�nd
ies�rucirons insre*,.d oF on rhnsc forms.
SabC. 3. P c::s:!o dsta br�ndtridual. UQon reouest W a eespoosibte ausao�iry,aa indiv[dual shall be infortQed wherher he is ehr subJecc
oC SmRG datl OR{i101Ylduals.u+nl whe�er is is cl:xsiCed aa pablie,peivs�e ee confid�n�nl. Llpon his[uesher saquese„2n indfividual wEo is d►e subjece•
of scorcd privare or puhl'sc data on individusls shall be sCowa�he daa wi�hour ury ahat8e to bim and;If he desises,shall be iafocmed of�he conxnt
and mea�wig of rhac dan. ANer an i�dividual hu bcrn st+own che priv�tt dxc+and infarmed of ics meami4g,lb�da�oeed aot be diselosed oo bim!or
s;x moNhs therea�Oec u�less a disguae or ac�ion punvan�co �hit secaon is pendi�g or addi000al dara on t4e tndividual bas beea eollecxd or crea�ed.
'1'be responsibie 3uthoriry sdull ptOVide enp�et o!Ute pciva�e oipa6lic tJaw u�,on mqrr.se by rlio individual subjeee of ehr dan. Tlu res}+ne�il�l�eurheriry
may require che reqaesdn�person r�pay rhe acmal cesss of making,eorcfyi�g.and comptlin��a copies.
The c�ponsible aurhodry st�all compty immediacely,ii possfhte,wi�h aay cequast made pursuan�w mis suhdivision.or wid�in five days of
ihr.rlarc of d►e reGtieSf..exClUdifIS Saiu�d�'s.Sundays and legal holidays,if immediate cvmpl'►anee Is�c poasible. If he caacoCcomply wld�t!u reQuesc
within�hec dme,6e shall so inPoem she iadividvai,�d may have an addidaaal nve aays wurtln wn[�h ro cwapty w�u,�he cequess,wwlud;nF Sa�.day�.
S��days and le,qat holidays.
� Subd,4. Peocadure..hP�dan is not acet�te or complett. An indi�idusl may eonus�dto sc�ru.y ur comple¢aess of publie or pti�•�tc
dan conc�mir.6 himsalf. To�xereise rhis eghc,an individusl sh�ll notity in wddn,c�h,e,tspnatib[c�nd�oriry deseribia��hc oawrc o�cha auagrcemene.
'11�c rcsponsible au�ho�ry shall wiU�in 30 days eirher. (a)ao�xccc�he da�a found�o De inAceune�or v�eample�e and aaemp�w noafy pos�reeipier�s of
i,saccvra�o or incomplea dala.including reeiplencs named by We individual:oc(b)noaty�he inds.idnai cnac he'believes�e d��a co be cucsocc. Dan
m OtS�uce snstl be d'u�lwed only it'�e lndividu:J's e�emene of disa�rr.en�en�is iaeluded with�G d'1SCIoSed dard.
. 'I'�e d�rerminadon ot�e responsibtc suthudry msy be appealad pursuu�c�o du pmviseons of che ada+iniscanva proccda�act rclaoag w
CopreSt�d casrs.
�ATA I'IZYYACY ADVISO1tY �
In accordance with M.S. I3.04, Subd.2, "Y�i.gh�s of subjects of da[a".vut wov.id like to inform you that your request
fot a pettnlc or il�c�e fcom tb� Ciry of Ozono or aay of ics depar.rment� may require you to fucnfsh certain pr�v8te ar
confdential information.
Yvu are noci�cd rhat:
1, Thz infermation you furnish will be used to decermina your qualificat�an for the pttmit oc licens�requested.
2, You may re�fvse: ro sttpply daca, bUt C�fiusfll mly rco,uitC ihaC chE Ciry deny tbe permsc or license.
3, The informadoR may be shated with acher local, state or federal ageacies to the eAte�ut necessary �o process
� tht pennit or licease.
a, I�yOl.lT �CQt1ES[Cd peinlli ai licensa rCqulieS Co11�1Ci� aCtiO�. l� ��I'OVC, some i.aformarion may become
public.
g, You have cenain cighcs under M.S. 13.04 (available upoa request) co review privau data oA youi5elf.
6, Your full r�me is reqr�ireci co process dtis application or pernozt.
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I nndersc�nd my rfghrs as stated above.
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Signotascs
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> STATE O�MINNESOTA >
. ��� ' DEPARTMENT OF CQMMERCE
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CQRPORATION
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT SCHEDULED
PERMIT NO. � �( COMPLETED �U Z�lS
ADDRESS �32 S`�� �Bod�
OWNER CONTR.
TELEPHONE NO.
�
� DESCRIPTION �/ � � � Ooa�s
l� 01 FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 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
� 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:
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W� �1NORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W L❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN
INSPECTOR WILL RETURN �' GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector.��,7.�17
White Copyllnspector's File Canary CopylSite Notice