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HomeMy WebLinkAbout2002-P05328 - re-side � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Pos32s Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6iiai2oo2 SITE ADDRESS: 650 Gander Rd Wayzata,MN 55391 PID: 04-117-23-43-0020 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 237.25 Valuation• $ 13,568.00 State Surcharge Fee: $ 7.30 TOTAL FEE: $ 244.55 APPLICANT: Superior Exteriors OWNER: James&Whimey Tucker 315 Crestview 650 Gander Rd Long Lake,MN 55356 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. 7 �� � ' i ^ � ,.i " � � �'1/\ c�r��� f,��r;�';i',%L �' ,�,r/- �.� APPLICANT PERMITE IGNATURE ISSUED BY SIGNATURE � � Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 ! ••,� , � '�; � � � � ; � Total Fee: $ ,���� �� J Date Received: Cv /,� Entered By: �,v�_ Permit#: , '�� '>>,� �" CITY OF ORONO - BUII..DING PERMIT APPLICATIOI� 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 , � JOB SITE ADDRESS: �n SL,' � ��iIZ ZIP: NAME OF OWNER: S� t'� �vL(C-�IZ� PHONE: (home) �5 Z- �����3�' (work) MAILING ADDRESS: (�S Q (�G4-N��.rZ. CITY: �t1-��c; ZIP: SS 3S lv � CONTRACTOR: S� ���.��i�.- �x i�r� :'v�z� PHONE: �+Z- �{3 2-�S�� CONTACT PER.SON: �,h �.o p i ��;,—o►�( N10BILE/PAGER `� ' � MAILING ADDRESS: �t� C��t v��c,c;�s CITY: (��� ZiP: SS 35(`0 STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1�tE: REGISTRATION�# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration i��N� Land Alteration PROPOSED`VORK(describe in detai�: ���L� b�r ��� }Z�Si,�� STORIES: Z SQ.FEET OF EACH FLOOR: � ��� NO. OF BEDROOMS: � GARAGE STALLS: ATT. '��� DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ o I hereby apply for a building pernut 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 a�proved plan. � / � / APPLICAIVT'S SIGNATURE: DATE: �j'l��� �i' NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. l � Sec.13.04 RIGH'TS OF SiJB.TECTS OF D�TA 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 secdon. Subd.2. Information reqirired to be given individual. An individual asked ro supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and intPnded use of the requested data within the collecang"state agency,polidcal subdivision,or sratewide system; (b)whe[her he may refuse oY is legally required to supply the requested data;(c)any irnown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenriry of ocher persoas or enrides authorized by state or federal law to receive the data. This requ'uement shall not apply when an individuai is asked to suppiy investigadve dam, punuant to section 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of re�•enue mav place the noace reauired under this subdivision in the individual income tax or oropertv tax refund instructions insczad of on rhose forms. Subd. 3. Access to data by indi�idual. Upon request to a responsible authority,an individual shall be informed whe[her he is the subject of scored data on individuals, and whe[her it is classified as public,priva�e or confidendal. Upon his further request,an individual who is the subjecc of stored privace or public data on individuals shall be shown�he data wi�hout any charge to him and, if he desires, shall be informed of the content and meaning of�hat data. Afrer an individual has been shown�e privace data and informed of its meaning, the data need not be disclosed to him for six months thereafrer uriless a dispute or acrion pursuan�to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shalt provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual coscs of making,certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding 5aturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi[hin[hat time,he shall so inform the individual,and may have an addidonal 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 conceming himself. To exercise this right,an individual shali noafy in wriang the responsible authoriry describing[he nacure of the disagreement. The responsibte authoriry shall within 30 days either. (a)correct[he data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipiencs named by the individuai;,or(b)nodfy the individual thac he be(ieves 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. Tfie determinadon of the respensible authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relaQng to contested 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 request for a permit or license from the Ciry 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 deternune your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemiit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. 5. You have certain ri�hts 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. �6� 6 (L \ ���'r-!� �-a�� f�C, '����� First � �iiddle Lasc '� `I,� (L�� i��E�;.% I�U�'� _ Address � �(1.��,ti'U �,n� �; �S'�`��v �.�?.-c��z-S S� Ciry State Zip Phone I understand my rights as stated above. � � Signature � " DATE TIME CITY OF ORONO CALLED IN INSPECTION T,�E>.-�^ � SCHEDULED ��� ���--_�`-3'� PERMIT N0. J �o COMPLETED A D D R ESS---�E%� U �����'^^��'� OWNER ��'�c�G/-F'� CONTR. TELEPHONE NO. �P �� � �J�� � �S3 � DESCRIPTION ��"-� t� 01 FOOTING 11 HANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0�4� W�ALL ��� 12 WATER HOOK-UP 17 SITE INSPECTION Q .1�6�F�NAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP = 09 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � J O >. � O � W � Q � � 2 W � W � � d � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Ow ra on site: -_ � Inspec ' White C pyllnspector's Ffle nary Copy/Site Notice ,