HomeMy WebLinkAbout2000-P02300 - addn/remodel/repair � ��
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po23oo
Crystal Bay, Minnesota 55323 P2ft711t Typ2: Addition/Remodel/Repair
(612) 249-4600 Date Issued: si3oioo
SITE ADDRESS: 1973 Fagerness Point Rd
WAYZATA,MN 55391
P��: 18-117-23-14-0008
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Sub-type(s): Buildings Windows
Permit Type: Addition/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 492.25 Valuation: $ 35,000.00
State Surcharge Fee: $ 17.50
TOTAL FEE: $ 509.75
APPLICANT: MANLEY BROTHERS CONSTRUCTIO OWNER: KURTIS L. MANLEY
3338 FREMONT AVE S 1973 FAGERNESS POINT RD
MINNEAPOLIS, MN 55408 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TOMAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLWNCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CAN1'PERMITEF,SIGNATURE� ISSUED BY SIGNATURE �
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ � �' � �`' Date Received: �-'�- �' c'
Entered By: ,%� �-� Permit#: �ic% �� �'�-'
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
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(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �o�+-►
JOB SITE ADDRESS: ►q-13 F�p.c��s..NE..ss��.sz- �O. ZIP: 5�3� 1
NAME OF OWNER: �"�-r►s L.. CYIc�..���► PHONE: (home)�ta•S�� •9��19
(work) ��a. ��c...-�. �I�-1�
MAILING ADDRESS: 3'33$C-�.tr�-�'��S CITY:m,?`S ZIP:55�-108
CONTRACTOR: �1c��.,,..fiy �c�.s;-�.1�1�c..-,�..�ST. PHONE: ��a •S�?�� Q��-19
CONTACT PERSON: ►<,�,�-r�s r�1o,,.,��,.� MOBILE/PAGER: �►� • �� •y�-1�
MAILING ADDRESS:333�F"ct��,�..-r r�ve..S. CITY: r�'lt�-s ZIP: 5�yo$
STATE LICENSE: #ao�'�►-�3��
ARCHITECT/ENGINEER: �! � PHONE: �/�
MAILING ADDRESS: ''' s�- CITY: "I� ZIP: r•
NAME: ''�' �. REGISTRATION# '�'�—
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration _� Land Alteration
PROPOSED WORK (describe in detai�: /Z,E,,,r�_�•c,.�_ o�o l'._�cc..ck.,t..,.i t�J�•�^-..._=y=s
STORIES: t ��� SQ. FEET OF EACH FLOOR: I 'T����.. �,��; ��'—" 39�
NO. OF BEDROOMS: � GARAGE STALLS: ATT. a DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3'�, a`-"� • "�
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: �--��' DATE: �-I•� • ��
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLJBJECTS OF DATA
Subd. 1. Type of data. The 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 himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polirical subdivision, or statewide system; (b)
whether he may refuse or is legally required to supply the reques[ed data; (c)any known consequence arising from his supplying or refusing to supply
private or confidenaal data; and(d)the identity of other persons or endties 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 officer.
The commissioner of revenue mav place the notice required under this subdivision in the individual i�come tax or property tax refund instrucrions
instead of on those forms.
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 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. Afrer an individual has been shown the private data and informed of iu meaning, the data need not be disclosed to him for six months
thereafter uniess a dispute or action pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsible
authoriry shai 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 acmal costs of making, certifying, and compiling the copies.
The responsible authoriry shali comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the
date of the request,excluding Satucdays,Sundays and legal holidays, if immediate compliance is not 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. Ptocedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himself. To exercise this right, an individual shall notify in writing the tesponsible authority describing the nature of the disagreement. The
respo�vsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate
or incomplete data,including recipienu 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 of disagreement is included with the disclosed data.
The detertnination of the responsible authoriry may be appealed pursuant co the provisions of the administrative 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 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. Ii your requested permit or L'ce:�se :e�uires Council action to anprr�ve, 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.
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First Middle Last
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Address
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Ciry State Zip Phone
I understand my rights as stated above.
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Signature
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED `'p ,""`
PERMIT NO. �� U� COMPLETED �V �Z °
ADDRESS /�7.3 ��-��rZc S� f T: ,���r
OWNER � CONTR. %����.-ti ��.� r/"�S .
TELEPHONE N0. �Cf� ���� � 02,�� /�
� � DESCRIPTION G �- f.�S t1 �G�i� ��
� 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 05 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 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W� �VVORK SATISFACTORY:PR�CEED ❑ PROJECT COMPLETE
�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContr r on site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED 5 /�f �!o/Vt
PERMIT NO COMPLETED
ADDRESS_1 I�,��.�r/LPSS /��- ��y.
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OWNER �� CONTR. ,�(�.�l,t�l YIr�S.
TELEPHONE NO._ ~�C� � �l� I � ,3�3
� DESCRIPTION ( l�--S l/���--�'�%� '�.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFiE/WETLANDS
Q'03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-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
J 10 PLUMBING FINAL 36 FOUNDATIONiREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
II forthe next inspecti hours in advance. (952� 249-4600
Owner/Con o�site: �- �
Inspect .
ite Copyllnspector's File Canary CopylSite Notice