HomeMy WebLinkAbout2005-P09483 - windows ' PERMIT
CI'�'Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09483
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 12/13/2005
SITE ADDRESS: 3508 Lyric Ave Unit#
WAYZATA,MN 55391 �
P��� 17-117-23-43-0058
DESCRIPTION:
Proposed Use: Residenrial Census Code O/S-Building
Permit Class: Building
Pemut Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Install egress window and sheetrock basement
FEE SUMMARY: Permit Fee: $ 38.75 valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 39.25 �� flC��1
r� �
APPLICANT: Owner/Self OWNER: J C KRA�L&J L KRA�L
MN 3508 LYRIC AVE
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.
a \ �\
`�
-,
APPLIC G I UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1- onthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
.
Total Fee: $ Date Received:
Entered By: Permit#:
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 R CONTRACTOR
JOB SITE ADDRESS: ��70� Lyr; c /�Y ZIP: �5 39�
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes O If yes,a special event permit is reqzrired with Police Departrnent and City Council approval
60 days prior to the event. Sha�ttle bus service will be reqt�ired unless appdicant demonstrates
suff:cient on-site parking is available. Non�ermitted events will not be allowed.
NAME OF OWNER: ���� ����,� PHONE: (home) ��a-�y 7} �3 y /
(work) � - - 99�5
MAILING ADDRESS: 50$ Z 41l /�-V-� CITY: � '�q� ZIP:
CO CTOR: PHONE:
CONTACT ON: MOBILE/PAGER:
MAILING ADDRE . CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILiNG ADDRESS: C ZIP:
NAME: REGISTRA N: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding,Windows) �
PROPOSED WORK(describe in detai�: ���5�� rgc�sScd W%�1�Gc-� o-.ol
5�+�1'rof� �tg�Pw�f�.�
STORIES: SQ.FEET OF EAC�I FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ d �
I hereby apply for a builciing 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 a d or is not to start without a permit;and that the work will be
in accordance with the approved plan.
,\
APPLICANT'S SIGNATUR�: ,` DATE: /V �C 3 --�5
31
.
�
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. Infottnation requircd to be given individual.An individual asked to supply private or confidential data conceming himself shall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is IegaUy 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 identiry of other persons or entities authorized by state or federal law to receive the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or nrooertv tax refund
instructions instead of on those fortns.
Subd.3.Access to data by individual.Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six
months thereafter unless 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 public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsible suthority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,orwithin five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. !f 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
concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)coaect the data found to be inaccurate or incomplete and attempt to notify 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 coaect. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The deteimination of the responsible authority may be appealed pursuant to the provisions of 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 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 pern�it 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 this application or permit.
First Middle Last
Address
C�n• State Zip Phone
I understand my rig st ed a ve.
Signature
\
32\
��� DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION N TIC t�,Q SCHEDULED - -� � �O',►1
PERMIT NO. �/ u� COMPLETED
ADDRESS � � C��� �y�',�- ���
OWNER J� ����G�-�- 1 CONTR. C���<�i1 �v�
TELEPHONE N0. LP�� � �� �G�J
� DESCRIPTION `�Y'<V1/�c .n� �1- �Arz,SS r.c)� �"�'IUw -l��SQ��-/�
W 01 FOOTING 11 MECHAN AL RI 18 EXCAV/GRADING/FILLING �-�i
��RAM� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y�03��INSULA�� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZO�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
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a �U EivN�' cK �t. J f�
� � o ` e
0
� � � � �� o — I�l.
� uJ� 0 r.�
W
Q 3 c,c�� e�. e `�- L�.
� �' � � � k u6 � �
� �� ~us ` �E,'
W
�
�
d
W ❑ ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �ORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
O �❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. rJ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
OwnerlContrac�o�ite:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
�� � DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION N TICE � SCHEDULED !�t-D`� �� �
PERMIT NO. COMPLETED
ADDRESS �;�� o �c���C.
OWNER �,�P t�t� �r�r�� � CONTR. ����
TELEPHONE NO. ��j� ��� � ��.5� �
� DESCRIPTION �/SG�C'� � �JG(.���GL'� /,t,�iL1�0?c.�S
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION / 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FINA 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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
BING FINAL 36 FOUNDATION/REMOVAL
OWN, ONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
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 n CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr � on site:
Inspector.
White Copyllnspec or's File Canary Copy/Site Notice