HomeMy WebLinkAbout2004-P07445 - minor alterations • _
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�44s
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: si3i2oo4
SITE ADDRESS: 1695 Fox Street
Wayzata,MN 55391
P I D: 03-117-23-44-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 434 �;� j c�C%J
Permit Sub-type(s):
W indows� �' (�
Permit Type: Minor Alterations -
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 9�.25 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 99J5
APPLICANT: Allstar Construction OWNER: Mr. &Mrs. Cathcart
8401 73rd Ave N - Suite 80 1695 Fox Street
Minneapolis, MN 55428 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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_IC 'GRMITEE S(GNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQriitu��es Require�l), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ Date Received: j=�- -�y
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan revie�- will be started.
(please print all informatio�t)
-----------------------------------------------------------------------------------R=—� -- ----------------------
THE APPLICANT IS: (circ[e one) OWNER OR:CONTRACTO�
JOB SITE ADDRESS: �� �/� ��� S' f ZIP:
Will this be a Par o�Homes, Remodelers Showcase Home or other Displa�- Home?
❑ Yes ' No If yes, a special event permit is reqt�ired with Police Department and City
Council approval 60 days prior to the event. .�on permitted events will not
be allowed.
NAME OF OWNER: ��'C, �' /� ��i`��,G �,-'f- PHO\"E: (home)
(work)
MAILING ADDRESS: ,��' �,�-- �;� S'f CITY: ��r�=��-i ZIP:
CONTRACTOR: �-f�/S�i�i � �=1��
�=�7/' � PHO\-E:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: yl / 73��� >v CITY: /j�,r�-/l/�_ZIP: 5;5 fi��''
STATE LICENSE: # 3 „Z �7 `',�
ARCHITECT/ENGINEER: PHO\�E:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATIO�t #
TYPE OF WORK: New Accessory Structure
Addition Nlove
RemodeVAlteration Land Alteration
PROPOSED WORK(describe in detai�: ���J/<< �,{,�;j��/G��,S'
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROONIS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � lr��
I hereby appiy 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«�ork«-ill be in accordance with
the approved plan.
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APPLICANT'S SIGNATURE:l� - D aTE: �— .� " c��
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Sec.13.04 RIGHTS OF SUBJECTS 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 sectiou.
Subd.2. [nformation required to be given individual. An individual asked to suppiy private or contidential data concerning himself shall be
informed oL• (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or[ederal 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 en[orcement officer.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orooertv tax refund
instructions 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 o(
stored data on individuals,and whether it is classified as public,private or conedential. 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. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six
months therea[ter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority 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 Iegal holidays,if immediate compliance is not possible. I[he cannot comply with the request within
that time,he shall so in(orm 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 individual may contest the accuracy or completeness of public or private data
concerning himselL To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noti[y past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in
dispute shall be disclosed only i[the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions o[the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with NI.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 permit 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.
6. Your full name is required to process this application or permit.
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First biiddle Last
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Address
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City State Zip Phone
I understand my rights as stated above. .
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f I - E -� 'SC.�aul,MN.55101-3165 Wehsita address� cammarco�.state.mn'us
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License.1clentification!Numeer: • $C-. ,�24'� � - ,. .Quaiifying'Parson:' ROBERT JOHN.VASSALl.O � -
�;Li�ense Expiiation,0ete_. - �.�/3��ZQ�5 � Continuing Educatlon: 7 H�5 CE due by 3/3.1/2005 �
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SEE REVEFiSE SI�E FOR �PENING INSTRLICTIONS
Minnesota Department of Commerce
', Licensing Qivisivn �
, 85-?th Pface East, 5uite 6d0
5t. Paul, MN 55101-3165
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ALLSTAR CONSTRUCTiON INC
84D1 73RD AVE N
SUITE#80
BROOKLYN PARK, MN 55428
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED !D 3-a �; 3-O
PERMIT NO. /d D �`��S COMPLETED
ADDRESS ` �
OWNER CONTR. �-Q ���
TELEPHONE NO. �� 3 - 4�7�' — � ���
� DESCRIPTION ����W S
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP � PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��i "Td l� �� �/ad ��11
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W� ❑WORK SATISFACTORY:PROCEED ^ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED I UE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
0 STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor o site:
Inspector. �/lJ _Ll J�
White Copyllnspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN �a-i3
INSPECTION NnOTIC-7E,/ SCHEDULED o�-/(o-D /D,�p-�
PERMIT NO.—1'D / 7 �� COMPLETED �I �1
ADDRESS ��IrJ� ����
OWNER CONTR. ,/T`� �/w' ����
TELEPHONE NO. !o�Z �� 7 �3�7
� DESCRIPTION ��'��C � G���-���(�7.(J�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 I.AKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED f; PROJECTCOMPLETE
� Cl CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
W
� O CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN
INSPECTOR WILL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contract n it •
Inspector
White Copyllnspector's Fite Canary CopylSite Notice