HomeMy WebLinkAbout2002-P05514 - siding ITY C�F R N PERMIT
C O O O Permit Number:
2750 Ke��cy'Parkway - PO Box 66 P05514
Cryst�i Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: siisi2oo2
SITE ADDR�SS: 2314 Shadywood Rd
Wayzata,MN 55391
PID: 17-117-23-44-0073
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Siding
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 23.50
Valuation: $ 500.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 24.50
APPLICANT: Owner/Self OWNER: Steven&Karen Morkrid
M� 2314 Shadywood Rd
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.
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APPLI NT PERMITEE SIG TURE ISSU BY SIGNATURE ��
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Copies: 1-File(SiQnitures Required), 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ Date Received:
Enter�lt By: Permit#:
.
CITY OF ORONO - BUII..DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) /OWNEI� OR CONTRACTOR
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JOB SITE ADDRESS: � 3 � �l � /���� G�1odD r�z�: �s��' /
NAME �F OWNER: C� � ��Ci� //l ' , �/, PIiONE: (home) `��2 y�� 12 ��--
MAILING ADDRESS:�-3 �`� �1��i D '�' (W�{) � t 2 9 / � ?> C„�
��/°� crrY: a o .�.�a z�: s-s3
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CIT'Y: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move RemodeUAlteration� Land Alteration
PROPOSED WORK(describe in detain: �-e �S �q�,C �l� ��l p��c.J �;a��Q p.,P
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
0
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��Q �OC' 9
I hereby apply for a building permit and I aclrnowledge 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 not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: � �`� p�
NOTE! Parade of Flomes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
♦-.
Sec.13.04 RIGHTS OF SCTB.TECTS OF DaTA •
Subd. 1. Type of data. �he rights of individual on whom the data is stored or ro be stored s6all be as set fosh in this secaon.
Subd.2. Information req�red to be given individual. M individual uked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of rhe csquested dara wi[h'in the collecdng State agency,poliacal subdivision,or statewide rystem;
(b)whether he may refuse ot is legally required to supply the requested data;(c)any Imown coasequence arising from his supplying or refvsing to supply
privau or confidendal data;and(d)the idenury of other persoas or endaes authorized by state or federal law to receive the data. This requiremeat shall
not apply when an individual is asked to supply invesdgadve data,punuanc ro secaon 13.82,subdivision 5, to a law enforcement o�cer.
The commissioner of te�•enue mav place the nodce rewired under this subdivision in the individual income taz or oropem ta�c refund
instrucdons instead of on rhose forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whe[her it is ctass�ed as public,priva[e or confidendal. Upon his further request,an individual who is the subject
of swred peirdte or public data on individuals shall be shown dse data without any charge to him and;if he desires,shall be infocmed of the content
and meaning of that dara. Afur an individual hu been shown the private data and informed of irs meaning,the data need not be disclosed ro him for
six months thereaRer unless a dispuu or acaon pursuanc to[his section is pending or addidonal data on the individual has been copected or created.
The responsible authoriry shall provide copies of the private or public data upon cequest by the iadividual subject of the data. The responsible authoriry
may requiro the requesting person to pay the acaal coscs of making,cerdfying,and compiling the copies. -
The responsible aurhoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the roquest,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc compty with the request
within that tune,he shall so inform the iadividual,and may have an addiuonal 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 public or private
data concerning himsNf. To exereise chis right,an individual shall nodfy in writiag the responsible authoriry describing the nature of the disagreement
The responsible aurhority shall within 30 days ei[her: (a)correct the data faund to be inaccunte or incomplete aad aaempt w nodfy past recipienu of
inaccurate or incomplete data,including recipients named by the individual;or(b)norify the individual that he believes the data to be correct Data
in dispute shall be disclosed only if the individual's stacement of disagnement is included with rhe disclosed data.
The deurminadon of the responsible auehority may be appealed pursuanc to the provisions of the administradve procedure act relaaag to
contesud 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 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 shazed 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.
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I underst d my rights as stated above.
Sig ce _
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CITY OF ORONO CALLED IN
INSPECTION N ICE �j�Lj SCHEDULED ���
�ERMIT NO. � 1 COM�LETED
ADDRESS 6��I �-� cS�Y�C-�-�1 ���U���
OWNER ��"Q�1l`Q=M � CONTR. �
TELEPHONE NO. � ' I � �I ��J ` �I � �
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� DESCRIPTION �i� ` r C}�C
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV� RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04�ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FI L 14 SEWER HOOK-UP O6 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CEFiTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-460�
OwnerlContracto i -
Inspector.
White Copyllnspector's Fil Canary CopylSlte Notice