HomeMy WebLinkAbout2002-P05450 - re-side - '� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Posaso
Crystal Bay, Minnesota 55323 Permit Type: Minor aicerations
(952) 249-4600 Date Issued: �i2si2oo2
SITE ADDRESS: 3215 Lafayette Ridge Ct
Wayzata,MN 55391
PID: 17-117-23-44-0088
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 permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 69.25 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 70.75
APPLICANT: John 7erney OWNER: 7ohn Jerney
3215 Lafayette Ridge Ct 3215 Lafayette Ridge Ct
Wayzata MN 55391 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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AP� IC TPERMITEES[GNATURE ISSUEDBYSIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
. �
Total Fee: $ (��. � � Date Received: '-� rj -U�
Entered By: � �� Pernut#: ��� 5����
CITY OF ORONO - BUILDING PERNIIT APPLICATIOIeT
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: 5 L�5 �A�A v E�� R���� C T. ZIP• �5�� 1
NAME CjF OWNER: ��►-�a� J t�c�! PHONE: (home) �I�Z �-�i �k Z
(work) (�71 Co43 �3� 30
MAII.ING ADDRESS: ��i5 �R r�`�c�� (z�r��r CrCITY: 6>�2�r�c� ZIP: �S 39 i
CONTRACTOR: �;c.�� PHONE:
CON'TACT PERSON: MOBILE/PAGER:
MAII,ING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: ti���'= PHOi�TE:
MAII,ING ADDRESS: CITY: ZIP:
NAME: REGISTRATION##
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration K Land Alteration
PROPOSED WORK(describe in detai�: 2cP�,��� rna�c��n: ��,�•,�� o�' S,r��.5
1N� ��Z�r'� C�F h�lJ `` _ ;J� rn � �AI'Y1�.5 I�f�(LI�'lt, 5�$J i�IV C�
STORIES: 31��el�,i�-r SQ. FEET OF EACH FLOOR: ti �cc ft sc� ��;F�
NO. OF BEDROOMS: �3 GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Zc�C �
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 pernut and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: � DATE: � I 25 I oZ
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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Sea13.04 RIGHTS OF SLJBJECTS OF DaTA
Subd. 1. Tqpe of data. The righcc of individual on whom the data is stored or to be stored shall be as set focth in this secaon.
Subd.2. Information reqiared to be�ven individual. An individual asked W supply private or confidendal dara conceming himself shall
be informed of: (a)the purpose and iaunded use of the requested data within the collecting 3tate agency,poliacal subdivision,or statewide rysrem;
(b)whe[her he may refuse oY is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing w sappty
private or confidendat data;and(d)the identiry of other persons or enaaes authorized by state or federal taw to receive the data. This requirement shall
not apply when an individual is asl:ed to suppty invesdgadve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of rcvenuc mav place the noace required under this subdivision in the individual income tax or orapem tac refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher it is class�ed as public,private or confidenaal. Upon his further request,an individual who is the subject
of stored prirate or public data on individuals shall be shown the data without any charge to him and;if he desires,shall be infocmed of the content
and meaning of ct►at data. After an individual has been shown che privau data and informed of ics meaning,the dala need not be disclosed to him for
siz mondu thereafter unless a dispuu or acdon pursuanc to this secdon is pending or addiaonal data on the individual 6as been collected or created.
The respoasible authoriry shall pmvide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of cnaking,cerdfying,and compiling the copies. �
The responsible authoriry shall compiy immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possibte. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addiaoaal five days within which w comply with the request,exc(uding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or compl'ete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in wricing the responsible authoriry describing rhe nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct rhe data found to be inaccurau or incomplete and attempt to nodfy past recipienu of
inaccurdte or incomplete data,inciuding recipiencs named by du individual;or(b)notify the individual that he bclieves the data to be correct. Data
in dispute shall be disclosed only if rhe individual's statement of disagreement is included with the disclosed data.
The decermination of the responsible auchoriry may be appealed pursuant to the provisions of the adminisaadve proceduro act relaang to
contesud 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 Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You aze 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 ihis application or permit.
)o;�� P�A�S ����y
First Middle Last
. 3-z�s l��'P�E rC Rr�Gt CT
Address .
� o��j rn N S�3q 1 9 S z471 ���-7
City State Zip Phone
I understand my rights as stated above.
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Sig re
�'�� DATE TI�
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED J_ �:�- 1�.�,>�
PERMIT NO. ���S�J S(1 COMPLETED
ADDRESS � t � �._c� ` � `- ��
OWNER � ��� CONTR. ���
TELEPHONE ` . ����- � � I — ��'I�
� DESCRIPTION �`ic-� � VY''
t� Ot FOOTING 11 MECHANICAL RI 18 EXCA RADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
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 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�C NO
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContract�r r�site:
Inspector. � ��
White Copyllnspector' File Canary CopylSite Notice
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DATE Tlt�dg
� CITY OF ORONO CALLED IN !
INSPECTION E SCHEDULED � ��'�
PERMIT NO. ' S S � COMP Eo
ADDRESS � -� �' � v"�d � �
OWNER ��'i��►-� �.-1�-'yn� CONTR.
TELEPHONE N0. -S r r 6 �f_3 -- :.�7 3 �'
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� DESCRIPTION S � � '��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEF/FIREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS F L 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU:.�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR FiEINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call forthe next"nspection 24 hours in advance. (g52) 249-4600
OwnerlContracfar-�h '
l
Inspector. �
White Copy/inspector's File Canary CopylSite Notice