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HomeMy WebLinkAbout2004-P07706 - windows CITY F ORONO PERMIT � Permit Number: 2750 Kelley Park�;vay - PO Box 66 P07706 Crystal Ba�, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: �i14�2o04 SITE ADDRESS: 2829 Casco Point Rd Wayzata,MN 55391 PID: 2o-i 1�-23-32-000� DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: Block Brothers Inc. OWNER: Bruce&Mary Peterson 1935 W.Wayzata Blvd. 2829 Casco Point Rd Long Lake,MN 55356 Wayzata MN 55391 THE UN RSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AG ES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNES TA BUILDING CODE REQUIREMENTS. , � > - � - �_ �,,� ����, c�,_ >� ,�� � APPL ANTPERMITE SIGNATURE SUEDBYSIGNATURE Covies: 1-File(SiQnitures Required), 1-Applicant, i-Monthlv Reports, 1-AssessinQ, 1-Finance Page 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 i�iforr�zation) ------------------------------------------------------------------------------------ --�,-------------------------------- THE APPLICANT IS: (circle one) OWNER OR ONTRACTORI' JOB SITE ADDRESS: a�� � C��C;� T`���-�c'�' �u.n--i1 ZIP: 5�-3 ,S� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes (� No If yes, a specic�l event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: i'�/� C � Tc-��"z 5 v t.j PHONE: (home) S ��' �7/- ��S%� � (work) MAILING ADDRESS: � oZ � �i9-s c o �"v,.�c:CITY: O•2�-.!c7 ZIP: 55 3.�S d�--l� CONTRACTOR: �Lc�c-i� �.22�'�fc�s .��I e: PHONE: S s �-- `I.,�� -5 / ��. CONTACT PERSON: ���= MOBILE/PAGER: � �� - a�Fa -5� 7� MAILING ADDRESS: � c.J . �� ,4-, �)J ITY: ��� L�t7L� ZIP: ��3 S�, STATE LICENSE: # ,�03 7 4� 3 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration�_ Land Alteration PROPOSED WORK(describe i�a detai�: � ` Grf �'��3S l�� ;�rJ� �,�7� � STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �(? O�, D C7 I hereby apply for a building permit and I aclrno edge that the information above is complete and accurate;that the work will be in conformance with the ordinan s and codes of the City and with the State Building Code; that I understand this is not a pernut and work is not start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: ' DATE: �? 13 c°� Sec.13.04 RIGHTS OF SUBJECTS OF DATA � • Subd.i. Type of data. The rights of individual on whom 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 conCdential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,pofitical subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing 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 5,to a law enforcement ofecer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored duta on individuais,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within�ve days ofthe date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.It he cannot comply with the requestwithin that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,ezcluding 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 conccrning himselt. To exercisc this right,an individual shall notify in writing the responsibie authority describing the nature of the disagreement.Thc responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients 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 stutement of disagrecment is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cuses. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inforin 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 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. First Middle Last Addres City State Zip Phone I under�tand y rights as stat d above � � T—�� Signa�ture 41,',''1" ��14_1Q 15:1, '�5�49'�� ,O"� ,1L WHITE ��Cl F'�C�E 4t1 , JL WF�CanPanY�nco�pOrabe� JoMdpn Mn,Q 952-492-7747 F 852�92-7788 � �� BesmChek w2_4 Ilcensed ta:jlwh![�ecar►c Req�2308-64395 Date:7/12/04 lecNon W 4x 13 96 k*i Wldp�tanps St�a} Lat�ral 8upport at: Lc�4.3 R max. ltiorrs ACtu�l Slze is 4 x 41V8 in., Min Bearing Length IR7 m Q.7 in. R2-4.7 i1�. Da.t� Beam Span 5-Q it Beam IfVt per ft 13.0# Reactian 1 TL 2283� Reactian 2 TL 2283# 8m Wt lncluded 65� Ma�arrK,m V 2283� Max Mornent 2953 Yk Max V{ReduCe�!? N/A TL hAax befl L J 24U TL Adual Defl L 131000 Ath1•bute� actuai 5.�6 �,16 a.o4 Grikir,al 1.44 0.18 0_25 SkBtus 4K OK OK Ratb 26% 149�6 18% Pb(psi) Fv(ps�� E 'x rr�l) vaiu� a8se v��e�y �a000 z9.o Hsae Adjus#ed 2 760 14400 28.Q �qi�lusbrie►�ts YP Factor. Lc 0.66 0.�40 �,d„� Unifonn 1"L:90Q =A Unifam Load A R 1 =2283 R2=2283 SPAN=5 FT Unlform and p�rti�l uniferm loeds ar'e Ibs per linesl ft. �< <- �/ DATE TIME CITY OF ORONO CALLED IN 7 � I���� ��, � INSPECTION NOTICE SCHEDULE������y fr�-`f=`� ";��^�!'S I�'. PERMIT NO. PL� �����o COMPLETED A�DRESS—_ Z4S�� ��SC'o T � �G/ OWNER CONTR. ��� �L /�r� 'S TELEPHONE NO. ��� 7 -�� - �� �`�O � � , � DESCRIPTION � f`z�-i'v`�-'�` L��� ��" S � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � d � RKSATISFACTORY:PROCEED f7 PROJECTCOMPLETE W CORRECT WORK&PROCEED 1-� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next'nspection 24 hours in advance. �95Z� 249-Q6QQ OwnerlContra s Inspector. �-� �'� White Copyllnspector's File Canary Copy/Site Notice