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Home My WebLink About2004-P08004 - doors PERMIT C�I T`�' O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Posoo4 Crystal Bay, Minnesota 55323 Pet-mit Type: Minor Alterations (952) 249-4600 Date Issued: 9�2gi2oo4 SITE ADDRESS: 2464 Dunwoody Ave Wayzata,MN 55391 PID: 2o-ii�-23-2i-000i DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Sub-type(s): Doors Permit Type: Minor Alterations DETAILS: Approved per resolution#: Separate pernlits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 69.25 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 70.75 APPLICANT: ��er/Self OWNER: loseph&Margaret Henderson MN 2464 Dunwoody Ave Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRIC'I'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUI , ING ODE REQUIREMENTS. � > �� 1 � � �.�%24�.`i ��-lC/ LICAN ERM TE G ATURE SSUEDBYSIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 1 Total Fee: $ Date Received: Entered By: Permit#: p��;Y>L� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�it all iiiformatio�z) ---------------------------------------------------------- ------------------------------------------------------------------ THE APPLICANT IS: (circle oiie) OWNE OR CONTRACTOR JOB SITE ADDRESS: ZIP: v Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, cz special event pe��rrrit is rec�uired witlt Poliee Depcz��tment at�rd City Coirrzcil approval 60 dc�ys prior to tlae even�t. Nor1 permitted events will not be allowed. � NAME OF OWNER: PHONE: (home) J J'�% / a (work) - MAILING ADDRESS: ��L� 1 -� CITY: � ZIP: , �=��- CON'I'1ZA��OR: _��l'�'��,� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: 7IP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration� Land Alteration � PROP SED WORK(describe in detai : -i ' STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ o ,(�(� � (,1� I hereby apply for a building pemut 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 with t a ermit; and that the work will be in accordance with the approved plan. / APPLICANT'S SIGNATURE / ��U �� . DATE: ' � 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 asked to supply private or confidential data concerning himsclf shall be informed of: (a)thc 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 Icgally required to supply the requested data;(c)any known consequence arising from his supplying or retusing to supply private or con�dential data;and(d)the identitV of other persons or entities authorized by state or federal law to receive the data. This requirement shall not appl,v�rhen an individual is asked to suppl��investigative data,pursuant to section 13.82,subdivision 5,to a larv enforcement officer. The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tas or nroperh� tax refund instructions instead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,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 lurther request,an indi��idual 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 necd not be disclosed to him(or six months thercafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible autBority shall provide copies of the private or public data upon request bV the individual subject of the data. The responsible authority may require the requesting person to pa� thc actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any requcst made pursuant to this subdivision,or within five days of the date of the request,excluding Saturda�'s>Sundays and legal holidays,i(immediate compliance is not possibla If 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,excluding Saturdays,Sunda,ys and Iegal holida,ys. Subd.4. Procedure when data is not accurate or complete. An individual may wntest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the naturc of the disagrcement. Thc responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipicnts of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bclieves the data to be correct. Data in dispute shall be disclosed onl,y if the individual's statement o(disagrcement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative proccdure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we�vould like to inform you tl�at 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 contidential 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 tl�e 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 Yliddle Last Address City State Zip Phonc I underst d my right s sta d a ve. �\ Sign re ' �� DATE TIME � CITY OF ORONO CALLED IN ��}��Z �U� INSPECTION NOT CE,S{.., scHEou�Eo b-I -�>'� < O� � PERMIT NO._' U" �� COMPLETED ADDRESS � y1�1 ��n ��b�� U�. OWNER I"�n c�/SUvt CONTR.� c�s�/� �C.�'�(O• TELEPHONE NO. ,L�S% 7,�( aG'Y�L � DESCRIPTION l��-5�Gl l �1 � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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: � W a � J O a � O � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CI�RRECT WORK,CAL�FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-4600 Owner/Con o n it : Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ < !/ ' /�D=TF, TIME CITY OF ORONO CALLED IN � INSPECTION N I n� SCHEDULED 0-7-0 � PERMIT NO. � �CJ COMPLETED ADDRESS a OWNERA G� L��AI�TR. TELEPHONE NO. /S�- SI � DESCRIPTION , � �� 01 FOOTING 11 MECHANIC I 18 EXCAV/GRADWG/FI�LING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � `. � ��(:C(.� � \ �_ , � J O a � O � W � Q � Z W � W � j d � WORK SATISFACTORY:PROCEED ; PROJECT COMPLETE W C; CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � �1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C, pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-46�� Owner/Con r o site: Inspector. White Copyllnspector's Fi Canary Copy/Site Notice