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Home My WebLink About2001-P04568 - windows � RONO PERMIT � CITY �F� O 2750 Kelley Parkway- PO Box 66 Permit Number: Poas6s Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations (952) 249-4600 Date Issued: 10�3��2ooi SITE ADDRESS: 2460 Dunwoody Ave Wayzata,MN 55391 PID: 2o-t1�-23-21-0002 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): W�ndows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 500.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 23.50 TOTAL FEE: $ 47.50 APPLICANT: Owner/Self OWNER: Susan E Mielke MN 2460 Dunwoody Ave Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIvIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � ,�� ._ ,�,, ,�.� , ,�, ;;,: _�� _ , .� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required). 1-Avnlicant. I-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 . Tota4i Fe�:r $ Date Received: / Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------- ------ ___..�--- ----------------------------------------------- THE APPLICANT IS: (circle one) �WNER R CONTRACTOR JOB SITE ADDRESS: �y�U � (_,�� ,v�� 1��. ZIP: �� 7/ � NA:� OF OWNER: � 1�-� �Lc.�'7 � PHONE: (home) �f��-�� /r �--� (work) ��_�J � 5� ry'% MaII.nvG��x�ss: ��/C�,�� 7 , ��,� 17 l��'Z�L�I�/CITY:_�'%I�I�� ZIP:_��`i 1 CO�TTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARC��ITECT/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�: ��.t��(;��_,_�-� ��.��`.3�= �Q��, ,, -�\c,�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �'C: 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 permit; and that the work will be in accordance with the approved plan. , � APPLICANT'S SIGNATURE: _-,�:.�.��,,�• • fiJ�t,�-�� DATE: IC' -�� ' � � NOTE! Parade Qf Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. � ,\ ! . Sec.13.04 RIGH'TS OF SUB.TECTS OF DAT,� Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information reqirired to be given individual. ,�.n individual asked to suppiy private or confidenrial 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 sratewide system; (b)whether he may refuse oY is legally required to suppiy the requested data;(c)any laiown consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the identity of o�her persons or entides au[horized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply invesrieadve dara, pursuan[co secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re enue mav ptace the noace reauired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data b�individual. Upon request to a responsible authoriry,an individual shall be informed whecher he is the subject of stored data on individuals, and whe[her it is classified as public, privace or confidenrial. Upon his further request, an individual who is the subject of stored private or pub►ic data on individuals shall be shown che data wiehout any charge to him and, if he desires, shall be informed of the content and meaning of that data. Aftzr an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six mon[hs thereafter unless a dispute or acrion pursuant to this section is pending or addiaonal data on the individual has been collected or created. The responsibie au[horiry shall provide copies of the private or public data upon request by the individuai subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, 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 compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an addirional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or pri��ate data conceming himself. To exercise this right,an individual shall noafy in wridng the responsible authority describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccunte or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by [he individual; or(b)notify the individual tha[he believes the data to be correc[. Data in dispute shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed data. Tt�e derermina[ion of the responsibte authoriry may be appealed pursuant to the provisions of the administrative procedure act reladng 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 pernut 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. (. Your full name is required to process this application or permit. First �tiddle Last Address C�ry State Zip Phone I understand my rights as stated above. i —� � / ��, � _� � ,��y l .� t�� C - -�Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. � COMPLETED l ' `'�v' /U-3a ADDRESS ? O �✓�� OWNER �-� CONTR. TELEPHONE NO. � DESCRIPTION � 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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 � CO MENTS: � l % ��' � � � �� c�' �� t�� O �. � `,�f� ,.�— � O � W � Q � Z W � W � � d ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN LmSTOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector. fCs?-;��`�r�-z-t` White Copyllnspector's File Canary Copy/Site Notice �/ � DATE TIME CITY OF ORONO � CALLED IN INSPECTION NOT? E c SCHEDULED f I �. PERMIT N0.�'�,�_�� COMPLETED � �� Z-� G U� ADDRESS �LI t l,t;��'�C l. OWNER�� K_ t� CONTR.c�-' ' TELEPHONE NO. �� - y�� -��_ � DESCRIPTION _ � i r"�C�� l��frc� C�� 01 FOOTING 11 MECHANICAL RI 18 EXCAY/GRADING/FILLING 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL• 35 HAFD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTO MEETYOU:_YES NO � COMMENT9kr��-�h i-�= C,��c� �- � �L e'�-V--- L►`;i-�-4�C�,�-� ci �i"ri�rj- o � �IG-t ��.1 i�P �� 1.��: t �� i��f c�c:�-La � -T�r'� �X�� '�� 0 � W � Q � 2 W � W � � � �jNORK SATISFACTORY:PROCEED �PROJECT COMPLETE W �O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCont��ctor on site: Inspector.�ft�,�,�/G `�osLf!I t White Copylinspector's File Canary Copy/Site Notice