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HomeMy WebLinkAbout2006-P10637 (re-side/re-roof) ., PERMIT `�ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10637 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 12/18/2006 SITE ADDRESS: 2431 Carman St Unit# Wayzata,MN 55391 PID: 20-117-23-12-0012 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Minor Alterations Permit Sub-type(s): Building-Re-Side Permit Type: Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: repair stair case,repair section of siding, repair flat roof,replace window FEE SUMMARY: PerniitFee: $ 111.25 valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: Owner/Self OWNER: Danielle Serna MN 2443 Carman Street 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. i i i l � _,-�'" . :� �-' ��������. ,� � � APPLICAN ITEE SIGNATURE ISSUED BY S(GNATURE Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I r 1 Total Fee: � Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all infof�mation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �`�f � � C C�vti��1�1 S�= ziP: �^�3� I Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? ❑ Z'eS �O If yes, a special eve�2t per•mit is r�eqarired ti�vith Police Departnre�at a�vd City Coarncil npproval 60 dc�ys prior to Ihe event. Sh�uttle bz�s service tivi/1 be reqaEir•ed zrnless applicant den�onsU•ates sir�cient on-site parkir�g is available. Non-pei•n��ittecl eve��ts will iaot be allotived. 1`�AIVIE�F OV��i`1ER: ��C��L�� � �Elr(/�CL P�I'aN�: (home)�5 Z `-1�7� G`f�� (work)�i 2 (��I�—D�-/J G MAILINGADDRESS: Z`��J2 �Lpr/��� CITY: ,�Q%1p ZIP: �-s 3� / coNTr�.cTo�: S� � -�'- rxoNE: �l SZ �`�C o�S-� CONTACT PERSON: MOBILE/PAGER: jL,l 2 �I �1 C> >� MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # �XPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CI�'Y: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessocv Stcucture Move Home Remodel/Alteration (ie: Siding, Windows) � Any earth movemen�ay require MCWD revi�elw and ermi�s ! P POSED WORK(descr•ifie i�z cletai : x �irit` � i �4 � f' ���I ��, � �� I c �- � c�o ��ic�u� �C�✓ ,► �� w��d�u). STORI�S: �_ SQ.FEET OF EACH FLOOR: �)�QI� `�'(�O LC:C�Z-� ) ,� d U NO. OF BEDROOMS: Z GARAGE STALLS: ATTAC ED � I)ETACH�D ESTIMATED CONSTRUCTION VALUATION(excludeng land): $ t� C�� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work��ill be in confonnance�vith the ordinances and codes of t le City and with the State Building Code;tllat I understand tl�is is not a permit a �ork is not to start with t a permit;and that tl�e work�vill be in accordance �vith the approved plan. APl'i�ICarv'I'°s SIGi�'AT�IJRE: /l 1�A'�E: lZ �/�- Gl� 3l M � Sec13.04 R[GHTS OF SUBJGCTS OF DATA Subd. l. Type of data. The rights of individual on���hom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be intormed of: (a)the purpose and infended use of the requested data���ithin the collecting state agency,political subdivision,or statewide system;(b) ��hedier he may refuse or is legally required to supply the requested data;(c)any known consequence arisine from his supplying or refusin�to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision�,to a Ia�a enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or property[ax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible aud�ority,an individual shall be infonned���hether he is tlie subject of stored data on individuals,and�vhether it is classitied as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shal I be shown the data without any charge to him and,if he desires,shali be informed of the content and meaning of that d�ta. After an individual has been shown the private daca and informed of its meaning,the data need not be disdosed to him for siz mond�s thereafter unless a dispute or action pursuant to this section is pending or additional daca on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible auN�ority may require the requesting person to pay the actual costs of making,certitying,and compiling the copies. The responsible authority shal I compfy inunediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,escluding Saturdays,Sw�days and legal holidays,if immediate compliance is not possiUle. Ifhe cannot comply with the request �a-ithin that time,he shali so inform the individual,and may have an additional tive days within which ro comply�vith the request,excluding Saturdays, Sunilays and legal holidays. S ubd.4. Procedure when 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�a�ritin�the responsible authoriry describing the nature ofthe disagreement, The responsible authority shall within 30 days either (1)correct the data fow�d to be inaccurate or incomplete and attempt to notify pas[recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notiry the individual that he believes che data to be correct. Daca in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act rclating to 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 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 shared 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 inforn�ation may become public. �. You have certain ribhts under NI.S. Li.04(available upon request)to review private data on youiselP. 6. Your full name is required to process this application or permit. . --� 11 ;Ct�11O•/� �_�� U � Cv�''�C\ � First Nliddlc Last 2�� � �'CT— tM c� Address � �dv� c� c� � 53� 1 �I l�ioy�6 Cih� State Zip Phone I underst�n�3 m � rights as stated ab e. l�t/ Signaturc Reset Form 3? �I� DAT/ /_ TIME " CITY OF ORONO CALLED IN ��( �av INSPECTION N TIC/E,� SCHEDULED Is�/9-Oh ; �. PERMIT NO. UCl/ COMPLETED ADDRESS � � � � �- OWNER ����Q� CONTR. D�✓l�Q,f TELEPHONE N0. `��o��P���..5 C1' � DESCRIPTION �l'�-%�I S�Ci�lJ� l� 01 FOOTING 11 MECH ICAL 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 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o GDN , �G�.�.S . �. � 0 � W � Q � z w � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ,'= ISSUE CERTIFICATE OF OCCUPANCY �u 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. U pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContracto�bn site: Inspector. ��1 White Copyllnspector's File Canary CopylSite Notice � '� DATE TIME �� CITY OF ORONO CALLED IN ` G'V7 INSPECTION NO ICE y SCHEDULED - �'" � ���'�f'�L PERMIT N0. LS J COMPLETED ADDRESS ��y 3� ��C�C/n�-C'-vt J r. OWN ER /�l,c��.'� St' /,� ��_ CONTR. (�'.c.�,�t�r TELEPHONE NO. �`I`S-� �7/ G't`S�(�� � DESCRIPTION�. �/ < < ''�' ��� � `��� S��C<i r"��;�=� � �0 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING Q�CO2�'/Fj�AMING�� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O��SINSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q-�0 I 14 SEWER HOOK-UP 06 PROGRESS � DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-46�� OwnerlCont ite: Inspector. � White Copyllnspector's Fi Canary CopylSite Notice