HomeMy WebLinkAbout2000-P02768 - minor alterations � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2�6s
Crystal Bay, Minnesota 55323 Permit Type: 1v�inor Alterations
(612) 249-4600 Date Issued: si2i2000
SITE ADDRESS: 2150 Kenwood Way
WAYZATA,MN 55391
P I D: 17-117-23-4 l-0003
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Building Re-Side
Permit Type: Minor Alterations Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 251.25 Valuat�on: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 258.75
APPLICANT: DUNCAN CONSTRUCTION OWNER: JAYNE MARIE PAASCH
12309 COUNTY ROAD 11 2150 KENWOOD WAY
BURNSVILLE,MN 55337 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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A [CANT PERMITEE SI NATURE ISSUED BY SIGNATURE
Copies: City,Applicant, Assessar,Finance Page 1
z
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ,�-/_S�C ���'�i Uv v�� LZ'��.., _ _ ZIP:
NAME OF OWNER: �l�w2 �!�/�sc_ PHONE: (home)
(work)
MAILING ADDRESS: ��5� �t��•:-�-=�C>��,r�CITY: /'�'j� ,�,>n � ZIP:
� �Z- `
CONTRACTOR: �.�--�a�,,J ��,�-,s�2�.-�'1�-�1.�.,.� PHONE: ��9 ��y��
CONTACT PERSON: 1.�,�.�.4 � '1��,ti��-z✓MOBILE/PAGER:(��Z-.lia S' - G �5�
MAILING ADDRESS: �z �o�T � i Y /L�(1 �, CITY: ,1��2�us�.%� ZIP: s;�-.j 3 �
STATE LICENSE: # 2c�/ G/o y��
ARC�IITECT/ENGINEER: PHONE:
MAILING ADDRE5S: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_� Land Alteration
PROPOSED WORK(describe in detain: %t��Z ��'� i- /L�=/����, S:�,,�-•,
�/,�- '7� � �� 2 ��� 5�
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. r/
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /s� ��. �-z,
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 SIGNATURF� � DATE: �S �� - o G
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLISJECTS OF DaTA
Subd. 1. Type of data. The ri¢hrs of individual on whom[he data is scored or co be stored shall be as set fonh in this secdon.
Subd.2. Information required to be given individual. �.n individual asked to supply private or confidendal data conceming himself shall
be informed of: (a) the purpose and intended use of the requested dara within the collecting'state agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to suppty the requested data;(c)any lrnown consequence arising from his supplying or refusing[o supply
private or confidenrial data;and(d)the identiry of ocher persons or entides authorized by state or federal law to receive the data. 'I'his requirement shall
not apply when an individual is asked to supply invesagaave data, pursuant to secaon 13.82, subdivision 5, to a law enforcement ofFicer.
The commissioner of re�enue mav place the nodce reouired under this subdivision in the individual income tax_or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data b�indirzdual. Upon request to a responsible authoriry,an individual sha11 be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, private or conftdential. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown rhe data wichout any charge to hun and, if he desires, shall be informed of the contenc
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need no[be disclosed to him for
six mon[hs thereafter unless a dispute or acrion pursuan[to this section is pending or addidonai data on the individual has been collected or crea�ed.
The responsibie auchoriry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authoriry
may require the requesting person to pay the actual costs of makine, certifying,and compiling the copies.
The responsible authoriry shall comply immediately, if possibte, with any request made pursuant to this subdivision, or within five days of
the date of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with[he 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 pri��ate
data concerning himself. To exercise[his right,an individuai shall nonfy in writing[he responsible authoriry describing�he na[ure of che disagreement.
The responsible authoriry shall within 30 days either: (a)correct[he data found ro be inaccurate or incomptete and attempt to norify 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 if the individual's sta[emen[of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act relating 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 reauest
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 pemut 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 pernu[ or license requires Council action to approve, some information may become
public.
j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your full name is required to process this application or permit.
First Middlz Last
Address
City State Zip Phone
I understand my ri�hts as stated above.
_ ��
Signa[ure
CITY OF ORONO CALLED IN P�ATF��� ��IME�/
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INSPECTION , TI E SCHEDULED ��f���,�r��} '
PERMIT NO. �G���� COMPLETED /� - �
ADDRESS ��-'1�U W��� �� �'
OWNER CONTR. CC��l G�S� _
TELEPHONE NO. f�'�A�C CvG�� � �`� � �'
� DESCRIPTION ��''��
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
�yq�PJSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Call for the next inspection 24 hours in advance. 249-4600
OwnerlContr,� t r on site:
Inspector.d i��/�C�-�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �J���' `'�•��
INSPECTION NO I,CE _ ; SCHEDULED � -/��-�L) / C�
PERMIT NO. �'�� ���'�� COMPLETED � 'pC�'
ADDRESS � f��-` E i � �
OWNER �� _`'�`�"1 CONTR. ��Ll�Y(�71 �,C"�]7r
TELEPHONE NO. /X� I���� ;�f '-�C������
� DESCRIPTION �"�" � � �
�� i C� I r�1C'
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G DING/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 O5 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACT TO ME YOU:_YES NO
� COMMENTS: , � G�-1�
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0 BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ; pHOTOTAKEN
INSPECTOR WILL RETURN
C] STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i-i INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector.��G���'�'��
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��,
INSPECTION NOTICE - scHE�u�E� ��T"" , 'G C�
PERMIT NO. �` ` COMPLETED
ADDRESS �� , `� �"�' ��
OWNER CONTR.
TELEPHONE NO.
� �2� G�,"�=
� DESCRIPTION 'e�r�� �
ty� 01 FOOTING i t 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 FINA 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
['CORRECTUNSAFECONDITION WITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
f�STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
f; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
Owner/Contr�r on site:
Inspector.� `��C�� �� !�'/ �
White Copyllnspector's File Canary CopylSite Notice