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Home My WebLink About2004-P07986 - re-side ' PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po�9s6 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: ioiiii2oo4 SITE ADDRESS: 2464 Dunwoody Ave Wayzata,NIN 55391 PID: zo-ii�-23-2i-000l DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code O/S -Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: r�:�:.__ir._rc.. n r__ J.....:b; '...........,.»D.,...: FEE SUMMARY: Pernut Fee: $ 307.25 Valuation: $ 18,388.00 State Surcharge Fee: $ 9.70 TOTAL FEE: $ 316.95 APPLICANT: Customs Remodelers,Inc. OWNER: 7oseph&Margaret Henderson 474 Apollo Drive 2464 Dunwoody Ave Lino Lakes,MN 55014 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. � � -:'_-_-- "l ,8� � ' ��;��-�...---- �� `� PL T PER TEE SIGNATURE ISSliED BY SIGNATURE � Conies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-AssessinQ. 1-Finance Page 1 T�r.al Fee: $ .3��• 9 � DateReceived: ' � � Etttered B � a3 � , Y= Permit#• D yg � o�' q'��'�b CIT'Y' OF OR N - � ��a,{ O O BUILDI1vG PERNIIT APPLICAI'�ON � �y AU information must be snbmitted in �hil before plan rcview will be started. � (please print all tnformation) THE APPLICAIV'T YS: (circl�one) OWNFR O CONTRACTO�L JOB SITE ADDR,�SS: a��0 �Q, �p: � Will this be a Parade of Homes,Remodelers SLowcase Home or otber Display Home? ❑ Yes ❑ No If yes, Q special evenr pernrir is required wilh�Police Deparlment and Ciry Counct!approva160 daysprior to rhe event, Non pernlitred events will naa be allowed. N� os ovvr�R: � ��a-`f 7/- �5R' `�- PHON�: (home) � (Work) (�-�3 - ,a-� 7�Ut�-. NIAXLri�TG A.DDItESS: CITY: ZYP: � � i CONTRACTOR: PHONE:(0 5�' 7 'a b �,(� CONTAC�'P�12SON: MOBII,�/P �ETt: MAILING ADDRESS: C�y.. STATE LICENSE: # � ZIP: a/ ARCYiI'TECT/ENGLNETR: pgp�; MAILING AUDRESS: CITY: ZIP: NAME: � REGISTRAT'ION# � � TYPE OF WORK: New Accessory Structure � � � Addition Mo�►e RemodeVAlteratioo � Land Alteratiou . � PROPOSED WORK(describe in detai�: ..9 �'�Q,Q,�,�� L � � STORXES: SQ.�+'EET OF EACH FLOOR: NO. OF BEDROOMS: � G.�R�GE STAI,LS: ATT. bET. ESTIII"1ATED CONS?RUCTION VALUA�'TON(ezcluding lan�: s I g. 3 ��• D � I hereby apply for a building permit and I acl�owledge that tho info►Tnation above is complete and aeeurdte;ths��ho work will be in eonformancc with the ordinances and codes of the Ciry and wich the State Building Code; tbac I , understaad this is not a pernzit and work is r�ot ro statt withoett a permit;aad that the work a►ill be in accordance with the approvod plan. � I APPLICANT'9 SIGNATURE: DATE: r�3 JO � 1D0/i00 'd LS � �i (�N�)b002-�Z-d�S f � " , Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All iinformation must be submitted in full before plan review will be started. (please print all infornzation) --------------�-----------------------------------------------------------�=�----- ----------- ------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: ��l� "I ��U M I 1 �� Z�: �5 ?J Q � _.� NAME OF OWNER: `�' PHOiVE: (home) R Sa'�71�- � � �� c� (work) l�1AILING ADDRESS: a� �f �p�( nU CITY:, ZIP:�J' CONTRA(.TOR � PHONE: �� I �7 � "a(p �{� CONTAC7C PERSON: 1�10BILE/PAGER: MAILING ADDRESS:� CITY. ZIP: ,�D STATE LICENSE: # 7 ARCHITECT/ENGINEER: PHOi1TE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSF:D WORK(describe in detai�: � � �'� � STORIES: SQ. F'EET OF EACH FLOOR: NO. OF B�EDROONiS: GARAGE STALLS: ATT. DET. EST iMA7'ED CONSTRUCTION VALUATION (excluding land): � ( 0, � �g.. �� __ I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and accurate; t�hat the work will be in conformance with the ordinances and codes of the City and wit�i the State E�uilding 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 ,�cordance with the approved plan. APPLIC?►NT'S SIGNATURE: �� ' ATE: J �'r� �_ NOTE! 1'arade of Homey events reqrcire separate perntit approval by Police Department an� City Corencil 60 days prior to the event. Non permitted events will not be allowed. r �•� •♦ 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 information) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Depar-t�nent ancl City Coun�cil app��oval 60 clays prioY to the event. Non pern�iitted events will not be allowed. � NAME OF OWNER: PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(descrihe iii ctetai�: STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building permit and I acknowledge 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 pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATU�tE: DATE: r �' 1 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. Thc 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 nsked to supply private or con�dential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political 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 of[icer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax reCund instructions instead of on those torms. Subd.3. Access to data by individual. lipon request to a responsible authorit,y,an individual shall be informed whether he is the subject of stored data on individuals,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 pa,y the actual costs of malting,certifying,and compiling the copies. The responsiblc authority shall comply immediately,if possiblc,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compli�nce is not possiblc.If he cannot comp�y with the request within that time,he shall so inform the individual,and ma��have an additional five days within which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when datu is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To e�ercise this right,an individual shall notify in writing thc responsible authority describing the nature of the disagreement. The responsible authority shall�vithin 30 days either: (a)corrcct the data found to be inaccuratc 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 statement o(disagreement is includcd with the disclosed data. The detcrmination of the responsible authority may be appealed pursuant to the provisions of the administrativc procedure act relating 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 inf'ormation. You are notitied tliat: 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 pernut. First Middle Last Address City State Zip Phone I under � t as stated ove. � ; ,: - � � �