HomeMy WebLinkAbout2001-P03971 - re-side PERMIT
CITY OF ORONO
2750 Ke.11ey Parkway - PO Box 66 Permit Number: Po39�1
Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations
(952) 249-4600 Date Issued: 6�2ii2ooi
SITE ADDRESS: 3300 Navarre La
WAYZATA,MN 55391
PID: 17-117-23-44-0098
DESCRIPTION: UBC Occupancy R3
Proposed Use: ttesidentiai
Permit 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: �/�����p.r;,��-�- �ti�1, —
FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 258.75
APPLICANT: Michael Swanson OWNER: MICHAEL J SWANSON
3300 Navarre Lane 3300 NAVARRE LA
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 CI'IY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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A P P I I T y SSiJED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ Date Received: f �o�/—b
Ent�r,ed By: Permit#: O �
4
CITY OF ORONO - BUII..DING PERIVIIT APPLICATION
All infornnation 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: 33� ��''��'�� �� ZIP: �3 `t (
NA.ME OF OWNER: ��c�.��.L ��g� PHOiVE: (home) �?!-O(p� 3
(work)��0�� 31o3- �a� Y
1�IAII.I�IGADDRESS: 33oa ��-✓� �-�' . CITY: �.•�z��a ZIP: s.s-34.
CONTRA.CTOR: ' SGc,F PHOi�TE: t�?�-��� 3
CONI'ACT PERSON: wl�1�� 5��� ��IOBILE/PAGER �!�� 3G 3- 70 6 y�
MAII.ING ADDRESS: J3a� .�v,a�..�+�E c� . CITY: w•�.,�w ZIP: .ss-3q�
STATE LICENSE: # s� sas-603 ��3r-sya
ARCHIT'ECT/ENGPIi EER: PHO\TE:
1VIAILPi 1G ADDRESS: CITY: ZIP:
NAME: REGISTR.ATION# '
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_1� Land Alteration
PROPOSED WORK(describe in detai�: �T�«a �,o�sE � �A�'�E R�P�^-� Ro�� Fp«a+s�Fr
m New w�.,�ows o., M « lc���
STORIES: � SQ.FEET OF EACH FLOOR: /?oo
NO. OF BEDROOMS:� � GARAGE STALLS: ATT: � DET.�= . __..;.-::_-- _..-. .:, :
ESTMATED CO�'STRUCTION VALUATIOti (excluding land): S �s�Oa
I hereby apply for a buildin�pernut and I acknowled�e 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 Buildina Code; that I unders nd this is not a permit and work is not to start without a
permit; and that the work will be in ordance with the approved plan.
APPLICAN'r'S SIGNATURE: W��r`--�" DATE: 6-2Z-o �
NOTE! Parade of Flomes 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 RIGEiTS OF SUBJECTS OF D�TA "
Subd. 1. Tppe of data. Zhe righcs of individual on whom the daca is stor�3 or co be scoced shall be as sec forth in this secdon.
Subd.2. Information reqirired to be given iadividual. An icdi�ldual asYc3 w supply private or confidenrial data concerning himsetf shail
be informed of: (a)the purposc and incended use of the requested dam wi�in che eollecdng State agency,polidcal subdivision,or sratewide rysum;
(b)whuher he may refuse oti is legally required co supply ehe requesud dat+;(c)any l�own eoasequence arising from his supplying or refusing to suppiy
private or conndendai data;and(d)the idendry of o�her persons or enddcs 2echoriz-d by state or federal law to receive the data..This requirement shall
not apply when an individual is asked to supply invesrigadve dam,pursu=^t to seccoa 13.82,subdivision 5,co a.law enforcemenc officer.
Tha commissioner of revenue mav place the norice reauired erd-r this subdivision in che individual_income tax or prooem tax refund
instructions inscead of on those foRns.
Subd.3. Access to data by indi�idual. Upon requesc to a resroosibte aechoriry,an individual shall be informed whether he is�he subject
of scored data on individuals,and whe[her it is class�ed as public,privac�or con8der.rial. Upon his further cequesc,an individual who is the subjecc
of scorni priva�e or public dara on individuals shall be shown che dara wi:out any c'c�rge to him and;if he desires,sLall be informed of[he coatent
and meaning of chat dara. After an indiiidual has been shown[he priva��ari and i�:ormed of ics meaning,the dara need not be disclosed to hicn for
six mon�hs chereaiter unless a dispute or acrion pursuanc to ehis secdon is�elding or addidonal data on the individual has been coi[ecced or creaced.
The responsible auchoriry shali provide copies af the private or public dac�L:on requ:s:by[he individua!subjec[of�he dara. The responsible authoriry
may requir_[he requesring person to pay che accuai costs of makin¢,ce.=:;ing,and compiling the copies.
The responsible authoriry shall comply immedia[ely,if possibI�,wich any request made punuant to[his subdivision,or wichin five days of
the date of the requesc,exciuding Saturdays,Sundays and legal holidays,ii is.mediam compliance is noc possible. If he cannot comply with the request
wichin tha[time,he shail so inform�he individual,and may have an addideaal five da;�s wichin which to compiy wich the�equest,�xcluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. an individuxl may concest rhe accuracy or completeness of public or private
da�a concerning himself. To exercise chis right,an individual shall nodfy ia wridng�e responsible suthoriry describing che nacure of the disagreement.
The respansibte aurhoriry shall wichin 30 days either: (a)cocrect the dat�{cund to be inaccurate or incomplece and aaempt eo nodfy pasc recipien�s of
inaccurate or incomplete dara, including recipients named by[he individLl:or(b)�odfy the individual thac he believes the data to be coaecG Data
in dispuce shsll be disclosed only if�he individual's stacemene of disagree�an�is i.cl•aded wich the disclosed dara.
The de�erminarion of the responsible auchoriry may be appea:e3 pursuanc to the provisions of che adminisaarive procedure acc nladng to
contested cases. .
DATA PRIV:�CY AD�ZSORY
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 ia deparments may require you to furnish certain private or
confidential information.
You are notified that:
1, The informa[ion you furnish will be used to de:emune}•our qualification for the permit or license requested.
2. You may refuse to supply data, but refusal rsay require that the City deny the permit or license.
3, The information may be shazed with ocher loc�l, state or federal a�encies to the extent neeessary to proeess
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
. . public.
�, You have certain rights under M.S. 13.04 (available upon request) to review�private ilata on yourself.
(, Your full name is required to process this aoplica[ion or permic. �
Fint �fiddle �t
Address •
Ciry State Zip Phone .
I under my riQ s as stated above.
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Signacu '
DATE TIME
CITY OF ORONO ✓ CALLED IN
INSPECTION NOTIC� O���/ SCHEDULED
PERMIT NO. COMPLETED � z'��I�
ADDRESS ���.f/G-L�'-`�.i�Y� ��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 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 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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fl COMMENTS•
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d RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ORRECT WORK&PROCEED
W C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOUFS.
INSPECTOR WILI REfURN ❑ PHOTOTAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. ��r.�.G�(
White Copy/lnspector's File Canary�