HomeMy WebLinkAbout2001-P03766 - windows/doors � �
CITY OF R N PERMIT
O O O
2750 Kelley Parkway - PO Box 66 Permit Number: Po3�66
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(9�2) 249-4600 Date Issued: si3i2ooi
SITE ADDRESS: 1991 Fagerness Point Rd
WAYZATA,MN 55391
PID: 18-117-23-41-0001
DESCRIPTION:
Proposed Use: xesidentiai
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Addn/Remodel/Repair
� ��-c-.r.� ��.,r.1� �- �z�Z2
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 403.75
APPLICANT: Renovators Inc. OWNER: G L& S L MILLIREN
1665 Bluebird Lane 1991 FAGERNESS POINT RD
Mound, MN 55364 WAYZATA MN 55391
TI-�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.
��� '" � ,�.�C�, .{� '� ,� � � �c...�
APPLI A ERM[TEE SI NATURE �UED SIGNATURG
Copies: City,Applicant,Assessor, Finance Page 1
� +
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BITII.,DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all information)
--------------------------------------------------------------------------------------------------------------------=
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
SS3�'i
JOB SITE ADDRESS: ���/' �����`�s� �� �� --- ZIP: D�vx� �
NAME OF OWNER: L714C[/ ��A-�G�/ ��1���''� PH0�1E: (home) 1�SZ `�7/- ��j
—� - (work)
�IAILL�IG A.DDRESS: /�l%/ �-�y���s1'�f CITY: C��� ZIP: 5�5-39/
�G
CONTRACTOR: /�c�t��-T�Q`J� �i��, PHONE: �j�L �7Z �<3�
CONTACTPERSON: �J:s'ri �/�� MOBILE/PAGER: ��Z 7�� 3�o
MAII.,Ii\TG ADDRESS: �(aG 5 �c-u.�/�.�� G�n� CITY: ��G�i�4 ZIP: 5-�.3�s�
STATE LICENSE: # Z�f� �7��
�� 4�5�� lv7T b
ARCHITECT/ENGINEER: G'1"�s,�.�- /�o� PHO\TE: �
MAILI�G ADDRESS: CITY: ZIP:
rJ��; ��i� REGISTRATION# �
��� �J� '-���
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �L�w u./�N���J' s7�,� ����� ��
�7�f�/'J%li"���� �c:(dl/�cl�?�1 � —
STORIES: Z SQ. FEET OF EACH FLOOR: Zn��
NO. OF BEDROOMS: � GARAGE STALLS: ATT. 3 . DET.
ESTII�i IATED CONSTRUCTION VALUATION (excluding land): � �5 �-%
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 Buildin; 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 a�cordance with the approved plan.
�
APPLICANT'S SIGNATURE: �G�����%' ����'�— DATE: � � %�
;
NOTE! Parade of Homes eve require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
� �
Sec.13.0-�RIGHTS OF SUBJECTS OF DaTa
Subd. 1. Tppe of data. The rieh�s of individuai on whom c�e data is stor�or to be scored shall be as set forth in this secdoo.
Subd.2. Information reqirired to be given individual. An icdividual as'�c3 co supPly privace or confid�ndal data concerning himself shall
be informed of: (a)che purpose and in�ended use of the requesud dam wi�in the collecang'sta�ageacy,polidcal subdivision,or statewide sysum;
(b)whe�her he may refuse oY is legaliy required�o supply che requested daa:(c)any l�own consequence arising from his supplying or refusing co supply
privace or conndenrial data;and(d)the idendry of oeher peaoas or enaries a�chorized by state or fedecal law to rec�ive the data..'Ihis requiremen�shall
noc apply when an individual is asked to supply invesoearive data, pursi:�^.t[o seccoa 13.82, subdivision 5, to a law enforcemenc officer.
The commissioner of re�enue riav place the noace reauired �rd�r this subdivision in the individual ircome tax or propem tax refund
instructions insczzd of on those forms.
Subd.3. Access to data by indiridual. Upon request to a r.s�onsible aec:oriry,an individual shall be informed whecher he is the subject
of scored data on individuals,and whe�her it is classified as public,privac�or conf�d�r.rial. Upon his furthe�request, an individual who is the subjecc
of scored priva�e or public data on individuals shall be shown ehe data wiu.ou[any c:.3rge to him and,-if he dasires, shall be informed of che concenc
and meaning of chac dara. After an individual has been shown the priva�Ca�and i�:ormed of ics meaning,the daca need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuanc to this secdon is�ending or addidonal data on the individual has been collec�ed or creaced.
The responsible auchoriry shall provide copies of the private or public data a�on reqacs:by the individual subject of che data. The responsibte au�horiry
may requir� che requesdng person to pay the ac�ual coses of makinc,ce=.�:ing, and compiling the copies.
The responsible authoriry shall comply immediacely,if possib!=,wi�h any r=quest made pursuant to this subdivision, or within five days of
ehe date of rhe request,excluding Sacurdays,Sundays and legal holidays,i;ir,.media�e compliance is noc possibie. If he cannot comply with the reques�
within thac rime,he shall so inform the individual,and may have an ad�i�c:al Five da}•s wichin which to comply wich the request,exciuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. ?.n individual may concest the accuracy or completeness of public or pri�•ate
data concerning himself. To exercise�his rieht,an individual shall nodr+ia wricin;c=responsible authoriry describing�he nanire of the disagreement.
The responsibte authoriry shall wichin 30 days eicher: (a)correct rhe dae icund to be inaccurate or incomple�e and attempc to noafy past recipienes of
inaccurate or incomplete data, including recipiencs named by the indiviC�_�;or(b) r.oafy the individual that he be:ieves the data to be coaect. Data
in dispuce shall be disclosed only if the individual's statement of disagr���_nt is i^.c:�ded with the disclosed dara.
Ttie decerminadon of the responsible au�horiry may be appe�:ed pursuanc co the provisions of the adzinistrarive procedure acc relaang to
contesced cases.
DATA PRIV�CY AD�ZSORY
In accordance with M.S. 13.04, Subd.2, "Riohts of subjects oi da�a", we would like to inform you that your reouest
for a permic or license from the Ciry of Orono or any oi is depar�mencs may require you to furnish certain private or
confidential information.
You are notified that:
1, 'I�e information you furnish will be used to de:ermine�'our qualification for the permit or license requested.
2, You may refuse to supply data, but refusal nay require that the City deny the permit or license.
3, The information may be shared wich other local, stace or federal agencies co the ex�ent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
. public.
j, You have certain ri�hts under M.S. 13.04 (available upon reques[) to review private data on yourself.
6, Your full name is required to process this applica�ion or permi[.
�a��S �� C�-��
�fiddle Last
Firsc '
1/o�oS .��'��� ���-�
Address �S�z� c��1• S�j��
�lf��vD ��i�/ �'J'�� —
Ciry
State Zip Phone
I unde tand my ri�hts as state above.� .
� �i� ��
� �
�,-�� ,�/I�Cr
si�tia re
/
/
�
DATE TIME
CITY OF ORONO CALLED IN ����
INSPECTION NO E_ SCHEDULED � % � t�
PERMIT NO. �'� �� COMPLETED " � '�-�d
ADDRESS l �/ � , /
OWNER CONTR.�„��'L ��'�`�
TELEPHONE NO. �r/.� y / - ���� �
� DESCRIPTION ��. �G'�.!�� �G(�-�-�����
Ly� Ot FO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRA G 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
�
j a � � ��(��� ac, -E'
o �
�
�
0
�
w
�
Q
�
z
W
�
W
�
j
d �IORKSATISFACTORY:PROCEED CPROJECTCOMPLETE
� t�.i
W L; CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
� C? CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �— pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
Cl STOP ORDER POSTED.CALL INSPECTOR
�I INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.//�C�,a�t�^�,�1 J
White Copyllnspector's File Canary CopylSite Notice
DATE . TIME
CITY OF ORONO CALLED IN ' I
INSPECTION NOTICE-7 SCHEDULED '�
PERMIT NO. � / COMPLETED ����
ADDRESS ��G�_� �'i.�(/1 CS S ,/�'��,
�f`j • ,d.f.7 i i.e.� ._,. ,-
OWNER � , G�.T_CONTR. .J r M Cf��i-l�
TELEPHONE NO��z �I7 f ��U/
� DESCRIPTION ((�Q-[ I �G�C...,�^..�' �`r�..----'(
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
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 05 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
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMNiENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� RK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑ RRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46�0
OwnerlContr�or on site:
Inspector.1�,��!�' ���
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN - -tJ
INSPECTION NOTI�) �?�SCHEDULED 'v o
PERMIT NO. �'v37�6 COMPLETED � �� .-��
ADDRESS f��I �Gi G2��/f<SS � �� ,
OWNER�� c/ ,M�.�1��/�.C_/) CONTR. JiM C'���K%nG�
�,,r o �
TELEPHONE N0.�y7 l— 7�D /
� DESCRIPTION _ �✓ISCJK-L�/U/'1
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSU TIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOVU-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
� COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� �'�NORKSATISFACTORY:PROCEED 0 PROJECTCOMPLETE
..+
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 2Q9-46��
OwnerlContract r n site:
Inspector. ✓ ' �
White Copyllnspector's File Canary Copy/Site Notice