HomeMy WebLinkAbout2000-P02358 - windows 1 �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po23sg
Crystal Bay, Minnesota 55323 P@1'CTllt Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 4i2o�oo
SITE ADDRESS: 2117 Shadywood Rd
WAYZATA,MN 55391
P I D: 17-117-23-31-0044
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Buildings Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 99.25
APPLICANT: RENEWAL BY ANDERSON OWNER: R& R DODSON
350 73RD AVE NE 2117 SHADYWOOD RD
FRIDLEY,MN 55432 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 BUll,DING CODE REQUIREMENTS.
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AP ICAN E EE I NATURE ISSLTED BY SIGNATi_JRE (J�`Q
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Copies: City,Applicant,Assessor,Finance Page 1
��kTY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522
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T�1 Fee: s n�xe��i�«s:
Fntered By: Pennit�Y:
CITY OF OROlriO - BUILDING PERMIT APPLICATION
AI�informatl�must be submitted In t'utl before plan review will be etarted.
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THE K�'PI:ICANT IS: (ctrcle one) O'�VNFR OR ONTRACTOR
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JO� SI1'E,�IDDREss: o?I I�- s�u �.��� zIP: � � '�.
•. NAME OF OWN�R�g��ln�- �.beC cc�'�rr�_ o � PFiONE: (home)Cat •U� �I• D�a�O
(work)
�ti.n�rG�Dx�ss: all`�- 5 • �����I.CrrY: r5�,sstL� zrP: �
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CONTRACT4R: RE�EWAL BY ANDERSEN ,�; �
. COIVTACTPERSON: 350-73RD AdE. NE R; - - --- '
� rRIDLEY, MN 55432 Z��
. • r''IA��G��•_,' (612) 502-4777 • :
�b"rAT� LICENSS: N LICENSE #20130983
. ARCHITECT/ENGIIYEER: P�IONE:
A��LING ADbRFSS: C�!'Y: ZIP: . .
NAME: REGISTRATIUN#
TYP� OF WORK: New Add'uion Aooessory Savcdu�
Move Remodel/Alteratlan Land Alteration�
PROFOS�I?WORK(deser�be in detai�:�q�P���"�j� �� �SQu�'�
�1l� 0 c ����y� �9.J�C�S'Il YY.a OLLZQ_�� •
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ST�1�tIES: SQ.FLBT OF EACH FLOO�t:
1�T�. OF BEl?ROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED C4NSTRUCTION VALUATION(excludit�g lan�: $ ��Qd(�' _
I hQreby app�ly for a bu.ilding permit and I acknowiedgc tbat tt�informaaon above is comptete end
accurate; that the work will bo in conformac�ce with the ord�nces and �of the City and with
, ' the State Building Code; that I u�idereta�d this is not a permit and work is not ta start wlthout a
pern�it; a�d that tbe work will be in accotdance with the spproved pian.
APPI.ICANT'S SIGNATURE: DA1Es ,�, • Q
1NOTE! P � niHQ�r,�events nqafne aepamts pen�rtt gpproval by Pollca Deparrir�ent ond
GYIy Counell 60 d�ya prlor to tha event. Non�ar,n�tted�ve� w�U no�be ol'Yowed.
Rer.nivad Timo Cnn 7A 1 �A7Aluf Arin� Tir�n Cnn 91 1 � A7D1(
TY OF ORONO � 6124730510 09/24/96 14:00 [�1 :03/03 NC�:�522 �
Sec.13.04 RIGIfiTS OF SUBJ�C'fS OF DAT•�
Suhd. 1. Type o�dat,. TRe dpdts of individud on Whom the data i9 smred oe ro be srorc�i sh�ll be as set fonh in this�ecdan.
Subd.1. WoRaatloe riqsdr�d to be�Ir�n iodiofduzl. M Individurl esked to supply privere or oon�ideeriv daa cancsmUfg himaelf thall
be�nfo�oft (i)rhe purpose�nd intendet!use of the Tequesral dan within the cotleednQ 9n�e agency,poUdcal aubdlvision,or snte�vide rystem:
(b)wfiether b�may re�use oT is legdly tequired co supply 1he roquesud dou;(c)rny knoa+n eonuquenc:e arising fmm his supplyln�or�efUaing ro supply
privsu or coaAdencfa!da�a;and(d)�ha idonnh of od�e�person�or endoes aurhorized by su�e or feder�l 1�►w tn r�eeive�he da►a. Th[�requireme��shull
not apply when an lndividuet is nsked�o fupply U+�esrig�dve daa, pursu4n�co cecdon l3,B2, sut+division S.to�laW enforcement o(P[aer.
'jh,,��missivnei�i�e.enuc mav alace �he nory'ce r� i d under this subdi�isiQ in individusl income rax or aroosm�ma,��+nd
�i1E�l�S���L�Slacead u�on t�to�,�jQr i .
SuDd, 3. A�cets to dpta by ind[vidwl. Upon rcques�to p �espansible suthoriry,�n iedi�iduat shail be informed wherher 6e le ihe subjecs
ot�wrsd dau on indlviduals,and whe�or it is clzssifted a9 publu,privace or conPlden[ial, Upon his ft�rtl►er oeques[,an individual who i�rhe subjtet
of twrod pri�ue or publlc dp�a nn indlviduals sFull be ehown the dara withou�any char�e w him and;iF he de:lres,sha11 be infomted of the wn�en[
�nd mtrening of dut dua. After�n individua!hu been shown ihe printa dnw and iafomkd of ita mesning.the dara aead noc bs diaelosed to him for
d:ewnfis thereafur unlet� a dispu�e or acrian pursuan�m�his seerion;s pendin�or addirionsl daoa on�t►e individual h�s been eollecred qr created.
71�a rsepuneible�uthpriry chall pro�ide copies�f rhe privare or public dara upon requesc Sy�he individual subjecc of die dara, Tht reapnnsible aatho�iry
rt�ay requite et►e reqUealin�person ro p'y a+e aemel cosu ef mak(ng,certifyinQ.and eompiliag d,e copi�s.
The xspansible su�horiry shall eomply immediacely, if posaible,wi�h anr request made pursuant m rhis subdivision,or wi�hln fi�e days of
�he date oF che requesc.excludinQ Sacurdays.Sundays rnd leg�l holldaya,if immedla�e compliance is not po9sible. INhe canno�comply with�he roques�
wlrhln tha[dme,ho ahall eo inform eha individual,and may ha�e an addlrional five days wld�in which ro comply wi�h the requesc,excluding Saa�rdays.
Sundtya And le�wl holld�ye.
Subd.4, Roeedure wh'te dnta is net ocewata or complete. An individual m�y conmst the aecuracy or complaeno�of public or priv�ce
d�a concernrn�bimselt. To exercise ehis right.on individuel shal)noaly in wridnQ�he rosponsible wrhudry�escribl��d�a nentro o(the dtsagreemen�.
The rexpon�lble ruthoriry sltell wid�in 30 days eirher: (t)cortecc rhe dam found�v he inaccutate or incomplue And etcempt to nodfy piut recipfenes oE
iaaecunte or incarpplete dpn, Includin¢recipienu named by rhe individual;or(b)noafy the individual ths�he belleves the darn co be oo�rec�. Data
ip dF�pum aAall be disclosod only if tha individusl's sra�emenc of disa0reemenc is included with�ho di9closed dara.
'i'Me detemunntion of�he rrsponsible.u�lioriry m�y bo appealed pursuani eu the pm�isionc o/rhe adminisuarive proeerlure ect roladng w
aon�ested caees. ,
� pATA PRYVACY ADVISORY_
!n aecordanee with M.S. 13.04,Subd.2, "Righcs of suliJects of data", we would like co inform you thac your requesc
for a parmic or license from the City of Orono or any of its depaltments may requira you to furnish certain privato or
confidential information.
You are natified thar.
1. The information you furnish will be used ta decermino your qualificacion for�he permic orlicense requested.
2. You may refvse to supply d:ua, bu� refusal may require that [he City deny the permit or license.
3. The information may be shaced wich o�her local, srate or fedetal agencies to the excent neceasnry [o process
thc p�rmit or license.
� 4. . If youT requested permit or license requires Council action to approve, some infarmat[on may becomc
' public.
S. You have cenaln righcs under M.S. 13,04 (available upon roquesc) to review private data oa yourself.
6, Yuur full name is required to process tbis appljcaiion or pemnic.
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' I•underatand my s as s[aced nbove.
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D,.,.. . .._ .1 m�. n n� . �nn�r n_ � i in� � .. . . .......
DATE TIME
CITY OF ORONO CALLED IN -��'{�0;
INSPECTION NOT E SCHEDULED C.� �_/�or�-�� � '. c�d
PERMIT NO. �O oZ ��� COMPLETED J '�i-`'v � ,� ��J
ADDRESS
OWNER CONTR. '
TELEPHONE NO. C`i>�.z - .�C�— /-�-'��? 7
� DESCRIPTION `--t.c;�Zc.'/tc..���i.r^Q.��''��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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05 FINAL ' 14 SEWER HOOK-UP O6 PROGRESS
� -SITE 27 SEPTIC MA�NT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 MBING FINAL 36 FOUNDATION/REMOVAL
� OWR qICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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d ,�MIORK SATISFACTORY:PROCEED ROJECT COMPLETE
� �CVCORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.���/1?
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