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Home My WebLink About2002-P04878` PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P04878 Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations (952) 249-4600 Date Issued: 2�i3i2oo2 SITE ADDRESS: 2215 Kenwood Way Wayzata,MN 55391 P ID: 17-117-23-44-0057 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code O/S-Build'mg Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 223•25 Valuation: $ 12,800.00 State Surcharge Fee: $ 6.40 TOTAL FEE: $229.65 APPLICANT: Minnesota Exteriors Inc. OWNER: David&Luann Kupka 8600 Jefferson Highway 2215 Kenwood Way Osseo,MN 55369 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 MINNE A UILDING CODE REQUIREMENTS. ��-��'1�.�--� '�" —� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Reauiredl. 1-Apnlicant 1-Monthlv Renorts, 1-Assessine. 1-Finance Page 1 �I • � � � I�� Total Fee: $ �"��', ��j DateReceived: ,.� - 4�- ��-' � Date Approved: Entered By: n�� Permit#: � �; /�! ,�j J�' CI�Y OF ORONO - BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WII,L BE STARTED --------------------------------------------------------------- - - - - -------- --- ---�---�------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTO�� JOB SITE ADDRESS: � � /�-rz i, %- � � � ZIP: ,�5�� > � NAME OF OWNER: , ,e.� � /�� PHONE: (home) -�-�� - `f'J/�'�� , wor �� ._ .��: " S�F C MAILINGADDRESS:,-, � ��t 1 L�-��z�� CITY: ` �-, ZIP: SS;3 `3/ � � CONTRACTOR: �� "� PHONE: ��:�j% � MOBILE PHONE/PAGER: MAILINGADDRESS: �G��'� �.��r ' '-� "��(c CITY: �:��: ZIP:SS � STATE LICENSE: # - .- � • 5 �c. _._ ,?�� ,y>�� _ �_ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration L,ar�Alteration PROPOSEDWORK( scribeindetail): `�' * ;�% �,-� '. ; STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATEDCONSTRUCTIONVALUATION(excludingland): $ �� 2% - �2 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 in accordance with the approved plan � :� APPLICANT'S SIGNATURE: \ �'-� DATE: �/��- NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non-permitted events will not be allowed. n . � 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 section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shail be informed of: (a)the pu[pose 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 supplyiitg or refusing W supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal!aw to receive the data. This requirement shail not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. The_commissioner of revenue mav place the notice required under fiis subdivision in the individual income tax or prooertv tax refund instnictions instead of on those fortns. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals,and whether it is classified as pubiic,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, if he desices, shall be infortned of the content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this sec[ion 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 individuai subject of the data. T'he responsibte authority may require the requesting person to pay the actual costs of making,certifying,and compi(ing the copies. The responsible au[horiry shall compiy immediately, if possibie, with any reques[made pursuant to this subdivision,or within tive days of the date of the request,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 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 shall notify in writing the responsible authority describing the naturc of the disagreement. T'he responsible aut!►oriry shall within 30 days either: (a)coaect the data found to be inaccurate or incomplete and attempt to notify past recipienu 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 statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaring 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 fumish 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 shazed 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. First Middle Last , Address Ciry State Zip Phone I und stand y r ts ted above. .P� Sig e ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE Q �] SCHEDULED �� _��''� PERMIT NO. �� U f � COMPLETED � ADDRESS $ �'��'�� - -� OWNER .-+- CONTR. TELEPHONE NO. _ 7 5�� -- �{ j� -- S `5 � � � � DESCRIPTION -�-�- -�.C.�1� / � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL Z04 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 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 � J O � � O � W � Q � Z W � W � j d W� �$9'VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContract n site• Inspector. White Copyllnspector's Fiie Canary CopylSite Notice