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Home My WebLink About2005-P08459 - siding/windows ` � ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08459 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations , (952) 249-4600 Date Issued: 2�22�2oos SITE ADDRESS: 3560 Ivy Pl Wayzata,MN 55391 PID: 20-117-23-42-0027 DESCRIPTION: Proposed Use: Residential Perxnit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Side �- W;n.c��c�v-� S DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 293.25 Valuation: $ 18,000.00 State Surcharge Fee: $ 9.50 TOTAL FEE: $ 302.75 APPLICANT: Danberry Company OWNER: Gary Christensen ET AL 4410 Shoreline Dr 3560 Ivy Pl Spring Park,MN 55384 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. .' � Z��.. �� ANTPERMITEESIG TURE SSUEDBYSIGNATURE Covies: 1-File(Si�nitures Reauired), 1-Auvlicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 � . � Total Fee: $ � � a �� Date Receive • � Z Z l U� Entered By: Permit#: �Q'U S � CITY OF ORONO - BUILDING PERMIT 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 JOB SITE ADDRESS: �SCov —�v y �� ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes [� No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: �u✓'y C��-�S'�� S� � PHONE: (home) if�� "�lS� (work) MAILING ADDRESS: �S � v ��1 2-- CITY: �l'c� L•.v ZIP: S�� / / CONTRACTOR: L� ��c u- G�-ef�� CC) PHONE: ��/— o s'3 2 CONTACT PERSON: -e r 1= ti MOBILE/PAGER: 2,�-U 7�v '7 �y MAILING ADDRESS: �" /CJ o✓` /r`�,.e �- CITY: 5 r ZIP: �'��5/ STATE LICENSE: # /�� ARCHITECT/ENGINEER: � — PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition / Move RemodeVAlteration t/ Land Alteration PROPOSED WORK(describe in detai�: 11� eS�� + l��N pew c�� o -� STORIES: Z SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Z. GJ ESTIMATED CONSTRUCTION VALUATION (ezcluding land): $��dd 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 perrnit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'5 SIGNATURE: :DATE: �Z/ 4 5� " ' � f Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.l. Type of data. The rights ot individual on whom t6e data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. M individual asked to supply prlvate or rnnfidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdiviston,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 federal law to receive the data.This requirement shall not apply when an individual is asiced to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer. T6e rnmmissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orooertv tax refund instruMio�s instesd of on those forms. Subd.3. Access to data by individual. Upon�equest to a responsible authorlty,an iodividual shail be intormed whether he is the subject of stored data on individuals,and whether it is classi�ed as public,private or confidential. Upon his further request,an individual who is the subject of stored private or pubiic data on individuals shall be shown the data without any charge to him and,it he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and intormed of its meaning,the data need not be disclosed to him for siz months thereafter uoless 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 publlc data upon request by the individual subject ot the data.The responsible authority may require the requesting person to pay the actual costs of maWng,certifying,and rnmpiling the copies. T6e respansible authorlty shail comply immed[ately,if possibie,with any request made pursuant to thls subdivision,or within tive days of the date of the request,eacluding Saturdays,Sundays and legal hotidays,if immediate compliance is not possible.If he cannot comply with the request within that time,he shall ao inform the indivldual,and may have an addltional tive days within whic6 to comply with the request,excluding Saturdays,Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete.An iodividual may contest the accuracy or completeness of public or private datx concerning himself.To exercise t6is right,an individual shall noti[y in writing the responsible authority describing the nature of the disagreement The responsible authority shall within 30 days either: (a)correct the data tound to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including reciptents named by the individual;or(b)notify the Individual that he believes the data to be correcG Data in dispute s6a11 be disclosed only if the individual's statement of dlsagreement is included with the disclosed data. The determination ot the responsible authority may be appealed pursuant to the provlsions ot 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 noti£ed 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 Gcense. 3. The information may be shared with other local,state or federal agencies to the eztent 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 a�licat�permit. .� r F Middte Last ��s- .��.�, �/ Address � r�n,-tr- �71 �-- "7� u`-f City State Zip Phone I understand my rights as state bove. Signatu DATE TIME " CITY OF ORONO cn� INSPECTION NOTIC`E�� SCHEDULED ' -� /D,'�aC� PERMIT NO. ��1 COMPLETED ADDRESS �S�oO �� 5�� OWN ER CONTR. � TELEPHONE NO. ��a �I� �� 7 � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALI. 22 FOLLOW-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 C � J O a � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952� 249-4600 OwnerlContra�t�r�site: Inspector. White Copyllnspect 's File Canary CopylSite Notice � I \ DATE TIME CITY OF ORONO CALIED W `� � �S INSPECTION N TICE SCHEDULED � /�. � PERMIT NO. COMPLETED ADDRESS �� ' P L OWNER CONT . ��r2�LP�!'l�I TELEPHONE N0. �7�J�'� 7 ��" �S ��— � DESCRIPTION �VIGt.-� /C�'k�-I l� 01 FOOTING 11 MECHANICAL 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 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 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � �d C� �V�S �v 5 o � a � 0 � W < < Q t�►il.Fi� r. � G� � � a w � W � � d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours irt advance. �95Z� 249-4600 t OwnerlContrac s e: � . Inspector. White Copyllnspector's Fil Canary CopylSite Notice \` I �� DATE TIME � � � os CITY OF ORONO CALLED IN I� tSIO S �_ INSPECTION NOTICE �7 �^� SCHEDULED �l!Ig I� .�;.3D PERMIT NO. ��C� D�-I 7-1 COMPLETED 4oc�DRESS �� u plc�c�e OWNER CONTR.�-r1 ��-I TELEPHONE NO. �CJ�2- - ��' ��C� ��rv--�f� . � DESCRIPTION � '�-� �`�� a' l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV ADING/FILLIN � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR !� GTATION ISSUED ❑ INSPECTION REQUIR D.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952� Z49-4600 OwnerlC tr cto 'te: Inspector White Copyllnspector's ile Canary CopylSite Notice