HomeMy WebLinkAbout2000-P03046 - windows r � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03046
Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations
(612) 249-4600
Date Issued: 9i2�i2oo
SITE ADDRESS: 1945 Fagerness Point Rd
WAYZATA,MN 55391
PID: 17-1 l 7-23-23-0018
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows
DETAILS:
Approved per resolution#:
Separate permits required:
N�YICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,910.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 142.75
APPLICANT: ADDITION&REMODELING SPECIAL OWNER: J P&P J THIMMESH
2618 COON RAPIDS BLVD 1945 FAGERNESS POINT RD
COON RAPIDS,MN 55433 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.
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APPLI ANT PERMITEE IZiNA�RE ISSLTED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
t ,
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: i. ��`7�� ��-� r ��SS 'J G'� '���C'�ZIP: o�.� 3 7�
NAME OF OWNER:�U�� ��`�'� /l�i�.Y,�1� PHONE: (home) ���' �l �l
` (work)
MAILING ADDRESS: `��� �1�-Q r��f.�����+CITY• (�'rz�v ZIP• '-�z�3`7'/
CONTRACTOR: ���t hw, ,��Fh,c�cO�ri ,�e f«��fh.L�� � PHONE: �O l z— `�Z'7���G
CONTACT PERSON: UC c y � � MOBILE/PAGER: �Z - �� —'1�30
MAILING ADDRESS: �(c l� C���r i�(r J l� ' CITY: ��t�� ������ ZIP: ����
STATE LICENSE: # ��C)�'j
ARCHITECT/ENGINEER: - PHONE:
MAILING ADDRESS: ; - CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: (i(�n�U� D�-��l��e�''�e�'r
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
� °=
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� ��U
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 acc ce with the approved plan.
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APPLICANT'S SIGNATURE�� � ��'-�`� d DATE: l z 7/��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DaT.�
Subd. 1. Type of data. The righ�s of individual on whom[he data is stored or to be scored shall be as set forth in this secrion.
Subd.'_. Informatioo required to be given individual. P.n individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and intended use of the requesced dara within the colleccing'state agency, polidcal subdivision,or sratewide systEm;
(b)whe[her he may refuse oi is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to suppty
private or conndential data;and(d)[he idenriry of ocher persons or entities authorized by state or federal law to receive the data. This requirement shall
noc apply when an individual is asked to supply invesrieauve data, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propem tax refund
instructions instead of on those forms.
Subd. 3. Access to data by indi�•idual. Upon reques[to a responsible authoriry,an individual shall be informed whe[her he is the subject
of stored data on individuals, and wherher it is classified as public, private or confidenaal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to him and,'if he desires, shall be informed of the content
and meaning of[hat 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 mon[hs thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal data on the individual has been collected or creared.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actuai cos[s of making, certifying, and compiling the copies.
The responsible authority shall comply immediately, if possible, wi[h any request made pursuant to this subdivision, or within five days of
the date of[he request,excluding 3aturdays,Sundays and legal holidays,if immedia[e compliance is no[possible. If he cannot compty with the request
within that time,he shall so inform the individual,and may have an additional 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 individuat may contest the accuracy or completeness of public or prn•ate
data concerning himself. To exercise this rieht,an individual shall notify in wricing the responsible au[horiry describing[he nature of the disagreement.
The responsible authoriry shalt within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiena of
inaccurate or incomplete data, including recipients named by [he individual; or(b) notify[he individual that he believes[he data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuan[to the provisions of the administracive procedure act reladng to
contes[ed cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Ri�hts of subjects of data", we would like to inform you that your reauest
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 wiil be used to deternune your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the pemut 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.
�. 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 vliddle Las[
Address
��Ty State Zip Phone
I underst d my rig ts as stated above.
Gt� vL� � ��
Signature
DATE � TIME �
CITY OF ORONO CALLED IN f a�� �t' I�`��
INSPECTION N,�I E SCHEDULED / �% ��
PERMIT NO. ,�J���� COMPLETED ^ � � ( • �''�
ADDRESS I cT�I� r��'►�S� ���l� ���
OWNER CONTR.��2.�'�C�Q��'f�'C.
TELEPHONE NO. ��'� �- ��� ^ ���C�
� DESCRIPTION lW�`"chC�--�
ly� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL� 12 WATER HOOK-UP 17 SITE INSPECTION
�OS_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 P MBING FINAL 36 FOUNDATION/REMOVAL
� OWNERI ONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� 4�WORK SATISFACTORY:PROCEED I,�QROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. ///,��� _ 1�-vl�
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