HomeMy WebLinkAbout2003-P06619 - re-side � . _ PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P06619
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: siai2oo3
SITE ADDRESS: 1491 Shoreline Dr
Wayzata,MN 55391
P I D: 11-117-23-23-0008
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,248.15 Valuation: $ 323,276.00
State Surcharge Fee: $ 165.50
TOTAL FEE: $ 2,413.65
APPLICANT: Gregg Zimmerman Construction OWNER: Janet&Richard Kiernan
3101 84th. Lane NE 1491 Shoreline Dr
Blaine,MN 55449 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESI'S 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O C TRACTO
JOB SI1'E ADDRESS: j�� � S���tie. �, ��"��ZIP: �S— 3� �
NAME OF OWNER: o C�v�� ;c� ,.-�-e v- PHONE: (home)
(work)
MAILING ADDRESS: � �(C 1 S�c�e�� �-. CI1'Y: ��Y(.�� ZIP: �i I
CONTRACTOR: �.� < ' �r�,Qr � PHONE:7�3=��'3--���3
CONTACT PERSON: CY\�vw� 120��u-� MOBILE/PAGER:
MAILING ADDRESS: �1�1 B�(�'i� C►v. ti.�• CITY: jZ 1 a re ZIP:�
STATE LICENSE: # �G-�e3 ���1`i
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
�
PROPOSED WORK(describe in detai�:�c�o m o;s+���ev��� ►�or -e,��R-- _
IZ`.P 1Nl�� G��'e S-�� 1.�51�Q(�1'L�S,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �a�, ��� . �
I hereby apply for a building permit and I acknowledge that the infor�nation 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 ith the approved plan.
APPLICANT'S SIGNATURE: _ DATE:���—�3
..
NOTE:� Parade of Homes even require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be alloweii.
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Sec.13.04 RIGHTS OF S[JB.TECTS 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 forth in this secdon.
Subd.2. Information reqirired to 6e given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting gtate agency,poliflcal subdivision,or statewide sysum;
(b)whether he may refuse o'r is legally required to supply the requesud data;(c)any known consequence arising from tus supplying or refusing to supply
private or confidential data;and(d)the idenriry of other per5ons or enrides aurhorized by state or federel law w receive the data. This requirement shall
not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the noace re4uired under this subdivision in the individual income tax or propertv taz refund
instrucdons instead of on those 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 whether it is class�ed as public,private or confidenaal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown�he data without any charge to him and;if he desires,shall be informed of the content
and meaning of chat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed ro him for
six months thereafter unless a dispuu or acdon pursuant to this section is pending or addidonat data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesring person to pay the actual cosrs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possibte,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Satucdays,Sundays and legal ho(idays,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 addidonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal hotidays.
Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing�he nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incompiete and attempt to nodfy past recipienu 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 stacement of disagreement is included with the disclosed data.
The determinadon of the responsible authority may be appealed pursuant to che provisions of the adminisnaave procedure act relating w
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 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 fumish 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.
gi�� Middle Last
Address
C�h, State Zip Phone
I understand rights as sta d above.
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ignatu
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�Q,j, D TE � TIME
CITY OF ORONO CALLED IN �
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INSPECTION NOTIC � SCHEDULED _�,(�
PERMIT NO. ���� COMPLETED
ADDRESS l � � ( TS��,(��L I � Y�L- ���
OWNER CONTR. '�✓'LQCy 7�i��:tVY) �
TELEPHONE NO. _ ��� � �"a� "�� �G% �� �
� DESCRIPTION _ ��C� `�1a,�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORHECT WORK,CALL FOR REINSPECTION TEMPOFiARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WtLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContra ite:
Inspector.
White Copyllnspector's 'le Canary Copy/Site Notice