HomeMy WebLinkAbout2003-P06442 - re-side � ' PERMIT
C ITY C�F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06442
Crystal Bay, Minnesota 55323 Pet'mit Type: Minor Alterations
(952) 249-4600 Date Issued: 6�1��2003
SITE ADDRESS: 2470 Dunwoody Ave
Wayzata,MN 55391
PID: 2o-ti�-23-2i-000s
DESCRIPTION:
Proposed Use: Residential
Buildin Census Code O/S-Building
Permit Class: g
Pernut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 223•25 Valuation: $ 13,000.00
State Surcharge Fee: $ 7.00
TOTAL FEE: $ 230.25
APPLICANT: Renaissance Exteriars OWNER: Maria Lueck
2550 Hwy. 10 2470 Dunwoody Ave
Mounds View,MN 55112 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLIC;t�DIT--P [TEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1
Sep-G6-2001 08;llam From-CITY OF ORONO +9522494616 T-770 P.001/002 F-838
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� Tatat Fee: $ 17aie Received;
Entered By: Perniit#:
CITY OF OROl�O - BUILDIKG PERMIT A,PP�,YCATION
All information must be submitted in full befare plan review wiIl be started.
(please prirat all information)
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T� Ap'PLrC��TT IS: (circle one} OVi�I�1ER OR CONTitACTQR
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J0� S�TE AbY312ESS: . J� -"; � ZIP: � r
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NA.l'VIE OF (}'UVNER: ---��`' � ��� l� p'HOiV�: (hame} .
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MAILING ADDRESS: -_`-r"�': ` CY'Y"Y: ' . ZIP:
CONTRACTOR: , � ' -x� e���: , p�ONE: � � ,`' .
CO'VTACTPERS�N: M � `�� M:OBILEIPAGER:
MAILllV'G�ADDRESS: ' � CITY: ' ZIP: �
STATE I..ICENSE: #� ; - � � —
Al2C�ITECT/EN��IEER: pHOr'�:
MAII,.ING ADD�SS: CITY: �IP:
NAl��: 1RE�ISTRATION#�
TY'P� OF WaRK: New Addition Accessory SmzcEure
Move RemodellAlt�r.ation x� Land Alteration
PROPOSED WORK{describe�n detai�: �- -,- � � � � � � ;:d-�, - +=
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STORIES: SQ. k'EET Q�'E��C�I FLOOR:
NO. OF BEDR44MS: G-ARA��? STA.�,LS: ATT. bET.
�STIlI�IATED C�NSTRUCTION 'VAY.'UATY�N (e�ccluding land): �
I hereby apply for a building pezznit and I acknowtedg�;that the information above is cosnplete 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 nat a permit and work is not to stan �viihouc a
permit; and that the work will be in accordance with the appraved plan.
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APpT,YCANT'S SIGNATURE: �� i i��, , ` ' �L,�� - DATE: � � �
NOT'El Parade o�'Horr�efr events reqriire separate perncit approval by .t'olice l�eparnnent and
City Council 60 days prior to the event. Non•�permitted events will not be allowed.
Sep-06-2001 08:llam From-CITY OF ORONO +9522494616 T-770 P.002/002 F-836
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S�c.13.04 RIGHTS OF SYJS.1'ECTS OF D�TP,
Subd. t. 7ypc oP data. The rig��s of individuaF 9a whom the dasa is smre3 or�o be srorod shalI be as se�forth in�his secrior.,
Subd.Z. Infa�macion required to be g.iven individval. .1n individuai asked to supply privace or confidenrial dara coacerning hirrsclf shs11
be informcd of: {s) cha purpose sad inundcd use of the requessed da�wichin rhe collccring�tare agency,poIiocsl subdivision,or s�ccwide system;
(b)ahe�hen c�may rfuse ar is fegaily required�o suppiy thc nquesced Q.�w;{c)sny'�own consequence arising from his supplying or rcfusing ro svpply
privan or co�der.tial data;and{d)d;c idenricy 4f ocher parsons or cnridc�auchorized by e�te or federal law�o reccivo nc�dara. This requiremeac shaIl
no�apply wncn an individual is asked �o supply invcsdgarive dan, pLruant co secdon 13.82, subdivision 5, co a law enfotrcmenc otficer.
The commissioaef of�evrnuc mav cJacc :he nocice reauir_^_ unddr thfs s�bdivision in the iadividu2! incomc taz or nropeRV �ax rcfiind
inscructians ins[ead of on chnse rorms.
Subd. 3, Access�o data by individuat. Cipon requesc to a rr;ponsi6le auchoriry, an individusl shsF]bc infonnrd whaeher he is Lhc s�bjcc�
of scared dsrs on individuala, and whether ic is classificd as publi:, pri�zce or coi�fidenri�l. Upon tus furher rcqucst, an individusl who is�he subjecc
of swrcd privace or public data on individuals s;tall be s�own chc data N�thou�atty charge to him and,�if he desires, shall be informcd of�-�e con�er.:
�nd mcaning af chac da�s. Afur an individu:,1 has been shown nc�priv�,ie da�a and iniormzd of iu rncasing, cha duci need not be discloscd co him for
�iz mor.r3rs cl:crcaf�r unless a dispute or acrion punuanc co �his sccrion is pnnding or addidonal dara on zhc individust tia�bccn eollected or c:caced.
Thc responsihle suchQriry shall pcovide copies ot rhe orivase or public d.ta upon teques[by�`:c individual subjccs of nc�dara. 'fhc responsibte au�horiry
may require �hc roquesGng person to pay the acnsal coses of makinF, e.;rcifying,and eompiling�he copics,
. The responsiblc authoriry sna11 compty immadiazefy, if possi�la, wich any rcquzse made pursuant w ihis subdivision, or within ftvc days of
che dare of thc rrquzsc,excloding Sancrdxys,Sundays and Ic;a1 hoiidays,if irr�m�d:aze complisnca is not possibte. If he c�.-inoc comply wi�:che request
wi�hin et:ac time,he shail so inform�he individu�i,and may have sn add:uonaI five dsys within w�ich w compty wich chz request,exc!udin�S�n:rdays,
SLndays and t�gal holidsys.
Subd.4. Ptoeeduze when d�tII LS not aCCsuate ar tompletr, ,�.n individua!may contcst che accuracy or campleuncss of pubiic ar pri�•acc
darn conceming himself. To exercise;his right,an individual sha[!:ocify in wri�ino cn�responsible authoriry describing she naiure of thc disxgreemeut.
Tt�e resporsiblc authonry shull wirhin 50 days ci,hcr: (a)coner,ihc d�ca found�o be inaccuraec or incomple�e and aacmpt to norify pasc recipicnu of
inaccur,�ze or incflmp3ece dac�, inctuding recipienu nar.zcd by che individusi; ar(h)no�ify�he individual cha�he beiieves 4`�e d��.w bc corrett. Daea
in dispuce shall be disclosed only if ihc individuul's sta�emem of disag�c�meni is inclueCd wi�h d:e discioscd daca.
The deurmir,urion of she responsiblc auchoriry may be appzaled pursuanc co tha pro�isions of uhe adminisuaavc p�cedure aci rcla�ng �o
concesud cases.
DAT� pRT�VACY A17�'TSORY
In aeeo:dance wiLh M.S. 13.04, Subd. 2, "Rights of siibjects of da�a", we would like to inform yoa thzt your reqeest
for a permit or license frorn �he City of Orono or any oi its �epanments may requirc yon to fumish cenain private or
confidential information.
You are notified that:
I, The information you furnish will be used to cjetermir_e your qualifcation for the pe:mit or license rcquested.
?. You may refuse co suppIy data, but refusal may require that t�e Ciry deny the permit or Iicense.
3, The information may be shared wi�h o�her 1��cal, scace or federal agencies to the exzent neeessary to process
the permit or license.
4. If your requested permit or lieense requiies Couzieil action to approve, some information may become
pubiic.
5. 'You have certzin rights undez :VI.S. 13.04 {available upon re�uest) to r�view privaEe data on yourself.
6. Your fuil name is required to praczss this applica�ion or permit.
Firs� VSidale � Lzs�
Address
Ciry -- S�« Zip Phane
I understand my rights as s�aze�i_a�e�,
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �7--�(o-U3 �
PERMIT N0. p0 �I 2 COMPLETED
ADDRESS , � � !f
OWNER CONTR. ���--�,������'Xf
TELEPHONE NO. ��� 3���U ,�CJ(�CJ
� DESCRIPTION� ��S'��`--`�— �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FIN 14 SEWER HOOK-UP 06 PROGRESS
� MO-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
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
��CORRECT WORK, TEMPORARY
O -
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on e: �
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Inspector._� � �,� �
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White Copyllnspector's File � Canary Copy/Site Notice