HomeMy WebLinkAbout2000-P03011 - re-side � PERMIT
�;ITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: po3oi i
Crystal Bay, Minnesota 55323 Per'mit Type: Minor Alterations
(612) 249-4600 Date Issued: ai2�i2oo
SITE ADDRESS: 3460 Livingston Ave
WAYZATA,MN 55391
PID: 17-117-23-43-0017
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 209.25
Valuation: $ 11,003.62
State Surcharge Fee: $ 5.55
TOTAL FEE: $ 214.80
APPLICANT: K-designers OWNER: KENRICNLINDLAN
11261 Sunrise Park Drive 3460 LIVINGSTON AVE
Rancho Cordova,CA 95742 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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APPLI ANT PERMITEE IGNATURE ISS D BY SIGNATURE �
Copies: City,Applicant, Assessor, Finance Page 1
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DESIGNERS
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BUII.DING PERNIIT
HOME OWNER INFORMATION
NAME:�V� •
ADDRESS � 1,� r'1 S � ��'.
CITY,STAT'E,ZIl': C� "' '�Y �
TELEPHOIV�.`1���1 u�I I - `"l�� O
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VALUAT ON�II �� �� S UARES:� I
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COST: ��.
PICK UP PERNIlT AT: C(����� �(CC� �.
PRE INSPECTION: FINAL:��,�
CALL FOR FINAi.: � ^ �
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�1 aa�forana�ao� a�tast �e svbaaDitted aa� t'uH! be€�re plam a���vaew wafli be s#.�rted.
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�"�PE OI+' �VO]!�: New Addition Acccssory Sttucture
1Viove � RemodeI/Alte,i-ati.on �, Land Alteration
PROPOSE��O�(descr�be[n detcti�: � �j� ���
S�O]�S: SQ.3E'EE1'O��ACk��00]fd: .
�TO. ���Ed)I��O1IYY�S: GA�GE ST�,�,S; ATT. DET.
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I hereby applq for a building permit and I acknowledge r�a�the information above is complete and
accur�a.c; rx,a[rhe woi�k will be in conf�rmaucc w�tL U��raindnc�s ancl cud�s uf thc: City and wit�i .
the Srate Building Code; that Y undersrand this is not a petmit and work is noi co start without a
permit; and that the �vorl:will be in ccordanc� wiih the approvec�plan.
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Nd7�! �'ur���af�oR�P.� ve ents require sepdrate perrnit dpprovad by �'otice d)epem�tent urtd
� City Conrccil 6r0 days,�rior Bo the event. N'on permitted eve�ts�wall not be allowed,
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Sap-25-2000 08:50am from-CITY OF ORONO +9522494616 T-660 P.003/0�3 F-509
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. se�.��.04 ItIGIi7'S()F SUB.fEC'I'S Ol�b.�'I'e
5ubd. 1. '1'y�al eiara. 71�t�RghLs of individual on wftom rhe data is s�oted or m bc staced shall be a�set fo[th ia this secrion.
Subd.2. Itlormation reqtrired�u t�c�en iad,iv�dy�l, pn iud�„�dual sskcd to supply privare or ronfideacal dats coocefning himselP s6al]
Dc infonn�d of: (a)th.parpo�e sad ier�nQcd use of�e requcsiul d�a within tl�e collecripg;rare ar�ney, polidcal subdivision,or startwide sys�cu�-
(b)whcrlser he may refii�r ot is Iegallr�equiirQ co suRDly ihe�eques�ed daa;(cl uty��nwn coasequeace arising fr�m hic a�S,p�y;n.g ar�furing►o:vppty
privaLc or eonfidenoa�clara;and(�[he idearity ot'arAec perspas or entices aurho�i2ed Ay s�are or federrl law eu rR�ive rlie daca. lhis requ�rcrs,ea�shal!
apc apply when an individual is aYicad ro supp�y invesegacvc dara,p+�rn�anc io seccon 13,&2,subdivision S,cv a iaw enfor�emznr�ffeer_
The eommissioner af revern�e �Y.IY nIt!!P �hr��npr_r rea�ired uncler ehit tvbdiv;c;on �� �a individuol inanM� rak oc Dio�iilY [�:t Ccfu_�(
instn�etions inSte�R n�Cn those torms. ' - '
S�xbd.3. Aa:r�s to dow by iadi�iduaL Upon rc�ucst ta a respoasiblc aa�oriry,�i��adi�;dva!shaIl be informed�vt�ethor he is rhe s►tbjecc
of�Tn�r�dac�on inaivi�u�lr,acid�hethee ir is elas�ified a�publie, privat�or eonGdcnaal. Upon his fur�or teques�.m u��i.i►Lual who i�rhe subjCCt
of stoctd(�rir��C of pvbliC d�Gl op iqGividusis;hal1 bc strown�he daa witho�e�iy chat�e io him and;iEt�e dcsir�s, sliai� bc infarmed of flto concenc
snJ meaning oE�har da�a. ARersn individuat pas bcen shown fio privace dan anQ informod oE irs meaaing,thc darn need oot be disclosed ro him Poc
siz moaths thCtrsftEe un;rss u dis�.�urr nr n�pon porsuant eo dais sc�cinn ix prnding ot addiQon•d1 da�i on the uldividual bas beeR toqretcd o�ercs¢d.
The reapvnsibla authoriry shnll v�u�iJc wpi�a�f�ie priraee or puDlle a�ca apvn Iequtst Oy rhe I1tG1v14ua1 suujec�of U1e QB�. 'l�ne respon4;ble authoriry
may rrquire th�eequeRri��g person ro pay�he a�mal cosr.s af�rraking, ceraFying,and compiling che copies_
'�hc�espoasib e authoriry shaA comply i mmediacely,if possible,with any Rquesi made punuant w this s�eddivision, or wichin five day�oP
R�c daa of�hz nques�,ex:luding Sanirtlays.5u��days and fey�l 6olidayy,if immediate compliuue is nor possi6le, ilbt catwot comply wid►di�roquert
w[mut u�ar lime,ne snau;��inio��n u�a md��iduaJ,and may have:,,,addiuooal five days withir.whieh ro e���ply 1���e reques[, exetud�a 5aardays,
SLrsdays snd lcgal holiday�s,
Subd_4. Proc�edure wheQ d�ta f�nac accurate or complete. An indlviQunl may corttest rhe azcaracy or comDlctenoss eFpuhlic er privarc
dam con�eming himsetP. '�n eztr�isa ch;s righ�.�n itidividual shsll noufy in u�riung d1c�esponsiblo ainhonry describing d►e namn of�h�di���;,ecaunc
'Ilu respons�ble aud�oriry..hall Wi�hin 3D days ei�er. (a)correcr,h�eaa faund w be inaccuca�e or incornpi��e and asump�[o n�dfy pas��ccipieats oP
inaecurare or incomplere d», including recipien�s named Dy iLe indi�idual;or(D)nodPy ehe individual tt:a�he believes che dat�tn De�orrec�, Da�
in disDu�a sha!!bc disclo�ed oniy iP the u:dividuel's sr�tern�n[oCdisa¢ctemenc is included with the dis�losed Aara.
'ITie dererminaq�n oE rhe rrsponSibin surhoriry�n�y be appenled pursuanc ro►he prov�sions of[t�aUminisqac'sve proccdure ac�zefIIrins m
cpnut.�rd cas�s.
DATA PRI�ACY ADVIS�RX �
Ia accord,�nce wi h M.S. 13.04,Subd.?, "R.ights of subjzc�s o�da�a", we wwld like�o inforo�you rhat your requ�er,
for a permi[ or license fco►t� [tie Ciry of Orono or any of.irs ciepanmenrc may rP�uire you co furnish cenain priva�e or
confidenria] informauon.
You are notifiod �har_
1. The infoimaaon you fum;sh will hc used to determine ynur qual,ifcation for the permit or Iicense requested.
2. You may refusa �o supply daca� buz refusa! may requin: �bac [he Ciry deay [he permit or license.
3. The informacioc�may De shazed with oc6er local, scare or federal agencies to�ht ex«u[necessary ca process
rhG pernzit or licease.
4. If yaur.requested pettni[ or ticrnsc aequires Council action to ap�cove, same iaformarion may become
pe�blic.
5. You have cercaim ri�,hcs andcr M.5_ 13.04 (availabl� upon r�quest) to review �riva(c data oa yoursetf.
6. Your full name is required to process this a�iplica[ioa or permit.
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/ DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTIC SCHEDULED v
PERMIT N0. �� /� COMPLETED � .�
ADDRESS 3��D� Lr�✓i'�Srr� �ve .
OWNER �P./�'n �JI�L- CONTR. ��� i�fi�•
TELEPHONE NO. ��� ,`� �.5� c3 ���
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� DESCRIPTION /`��-�00" �t
� 01 FOOTING 11 MECHANiCAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALI INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra r on site:
Inspector. , _,
White Copy/inspector's File Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED �`z`t-� 3-'�
ADDRESS ' ���� li/ t//�����
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION.�'��`�
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 0 LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '�. CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra r on site: ,
Inspector., �-�-�� —�
Whiie Copyllnspector's File Canary CopylSite Notice