HomeMy WebLinkAbout2004-P07644 - windows CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P07644
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 7/13/2004
SITE ADDRESS: 2535 Old Beach Rd
Wayzata,MN 55391
PID: 21-117-23-22-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 69.25 valuation: $ 1,955.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 70.75
APPLICANT: Renewal By Anderson OWNER: Tom&Alicia Codute
1920 County Rd C.West 2535 Old Beach Rd
Roseville,MN 55113 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
MI E TA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISSUED BY-SIGNATURE
Conies:l-File(Sknitures Reauired).1-Awlicant.1-Monthly Revorts.l-Assessing, l-Finance Page 1
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JLING ADDR=t 8 'fie r .
TYM OF WORK: Now Addidon �
move RomodeDlA)tagajool� Land Afro ation -
"nil 11 t MFMOFEACHFLOO13
RTS. OF �1b+16s GARAGE 5TH: ATT._.....,, D *�,,,,
A CONRRUCnON VAL-*UATION(odu ft iond): $. ,9T, asl•�
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tic; dmt do work WUl be izimftMammildi dig otdbm M Xdmo(dwCjtywWwkh
90 Sto Building ; go 14odantand tbb is®set a pudt aW work Is notjo stah ea+ bm a.- -•
• Parut; and tbit the work "ba in A00fdam udtlf ft-approved plan. ;
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cky i0 dqs per 0 ON eft. Non-p ad eve :e9 not be mant
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of dots. 7he 4bta of lc&ldud on wham rhe baa It mad or m be mead eha0 he as mt tbA in thra awAm
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h bfottned 4 (d)an purpose ed mama an of to sagttaa ed dash ar"an oagooft sura aSauyi PH49 mb&Wskm,at mm*&byes=
(h)%*Mwin mw Was orb saolly ta4dted to suppq►rho speed (e)mW koewn eogagoancestising fKomhis ettty I tgeertvlltahl toaepply
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apply win an kOvibd Is tided to supply Invea=va dam.immm m mWoa'13:82,prhdivlaton S.to a bw esfbrcoiarm olt m.-
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of sed dam on hulivM=b,aad whadtar is bo daWlted ay PA&.POW ar coPUtadal. Upon his>buther mquei,on b&VI&W wb Is dro
of�+ oe putille dm as Padlvfduel�droll im s>fawrn she dam gridsotrr eery ah'sep m Wm 04;'l he declare.,hall be Mmad ddo l OME
ad ' is ofduadmL Alter eo tao3widuml hu bean shown*a pdvsra dam and W bund of bn mieaatng.ttte then add mt•be Blas oud fsJtbe lbr
A mombs firaraatbsr a"o dbpm or aeon pun=m rhta m den Y pen ft or addidomf dma on tho ledlvldad hu bass m&cW ci aawW.
1b"porteh ml vdw shalt provide capias at do pdv m or public dam upon mqw by the ladlnid d aqui otdo don. 'the taep elft anbvtfiy
mv"quhs do m4tm .-Pap to py die oead scam of m Lbw senlyb&surd mmpllhgp dw fa*, '
'm oeq and be ett =dW.shill amply Wmv tatniy,if posaibia i t mw satlueaat Mtb pomm w*W subdIvIdon,or whWa five dap of
lb da®of 6t m p sur erf:Wft hm dep.duad4y9 ad loplholl fti,If tem comply is racpurdbhr. Wb oasraor comply wM dm regr w ,
wldrht dmr dmsp he shag as h brtn doe ladh►ldttar,and may lmvs an mddidoul ilvs daps within whlals m asmrtly olds i a mgt►asc.essludbsj SasrtduL
`t �Od'tiya sad Ispi'itoll�yr�.• t ,' . , .�'° . .
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daft eieoaor tilmsdt• To eumfb+hts tlput,sn WWWkhan"ba wift rhe r k aur ity deutlblq do sum of*c ftwmwimi .
1b m poable iiolgr shell wft 30 days o�hw. (d scum db daft MM io he i xmvp or,b>gm0 m sed attempt to 1181*haat teslplatga of
fraeetuwm or hqe mphns dui,W*ft m4lesa usmW by&m tfdW"-oc(b) dee b&lrtuat drat ho beibsvas dee dam w be ratraar. Data
ht d Wm 00 be dbrduM may If*a bodivb3tml's Mom of dheorrattsrate Is D%WA wish the dbtebmed dwL
ft dotarm6tsstoe of rhe tupe>aibto audtmhy nay by appeatad pat sur to to pm*loaa of deo adminl+uodve ptoemlure act WAR to
. asnsdoed tom. •
mu Raftex
JA sp owi loam with bbL;.*19.040 Stsbd.2, 'RION of A4 b9em ofdata•,we vuould like co iafostn you chat your regndac
-fora pwa t or Ikem Ekom*a Chy of Or= =y of in�epaoubear Vmy requiroyou to fi=hh tmr[aia private or
aalfidenae! ldf6rnrtutaa. .
Yon sur nodi9etl*W.
1'. The lofoim®don you Nmkh wW be nsed'co det ndu your qualificadon for ft permit oriir eme regmW.
2: ' You may refuse to supply date. but*A"may ragWm tbm she City deny Ache*wt or liconde.
',3. The itdbunWan may be•shared wbb OUM IML do or feral Modes to toe eatim ttiOMsry,to p>
*0 pa*t or licrosa. .
• 4. . if your mgmvitv4 permit or Himma req*ix Codstd sWmd w approve, some idamatlon meq► bewn e
pnb0c. '
S. 'Yoe have ceratn rlp)n unties M.S. 13.64(Mollable upon mqum) w"reviwv private dote on yotrma
d. ` `:Ycalr W.acme is mgtsired to prmss.dgs ogpHudon or permit,
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Tundustand d#n m above.
UE 'd' 96LO 'ON 2uilliwaad seuor ,aP13 NVS[ : k MZ 'Wunf , '
• _ ban
. M Adng Pence semko,Inc.
DATE
TIME
FAX LRANSMISSION
ORM-
PLEASE DELIVER Mk4EDIATEL'Y TO:
NAIM
C®N[PAINY
4
FAX N®-. • , ��'^• I
FROM Dara .
, Permit Service ext.147
NO. OF PAGES TO FOLL®* �
RE: PROJECT NO:
1 •' e
NOTES:
i
agTrt *0L
tit
If you have trouble receiving this fax,please ON ane as soon as possible.-
Elder-donee EuRding Permit Service, Inc.
1120 East 80Stmt• Bloomington. MlnnSWM 5542D.1408
0124"204 FAX 612 8M4.4M
• E/l d 86L8 "N 3u ' Wwa ad MOP J OH3 WdW k HE '8b 'ung
I't- 4A LT :'Ve/W
Toil $ _ Date Received:
Entered By: Permit#:
CITE' OF O O O m BUILD G "MUT APPUCATION
AN Information must be submitted in full Aefore plan re'view will be started,
(please Prim all informarlon)
-----------------4Y----�___-----------------______--
THE APPLICANT IS: (circle one) OWNER 0 ®NTRACT®R
JOB SITE ADDRESS: ac-23b O l d ZIP; '2 J
NAS OF OWNEIL
q�}� �,T�1g�g,��i (work)
CONTRACTOR; Arcc ct �PHONE:
�CgO®l'��g'�A `TSP PERSON: Mao
(� � j� � OBILE/PAGER:
�V�615ARJ.d�G DRESS., { ao cougA-4 ��L1 C
S` ATF, LICENSE: #.a1 a 98a
A,RC T CT/RNGINEER: PHONE:
MAILING ADDRESS. Com: ZIP:
N IE° REGISTRATION#
TYPE OF 'CORK: New Addiaion Acctssory Structure
Move Remodel/Alteratson ted Alteration
PROPOSED WORK(describe in detail)�� t ��� oc,
STORIES.- SQ.FEET OF EACH F'I,O R*-
NO. OF BEDROOMS: GAGE STALLS: ATT. DET.
TEWATED CONSTRUCTION VALUATION (excRuding laxed): $ �,qS 4007,
I bpxeby apply for a building pormit and I acknowledge that the information above is comptlete wid
wcurate; that ffic work will be in conformance with the ordinances and lades 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 be in accordame with the approved Calan.
APPLICANT'S SIGNATURE: Ci►'L1 DA'T :
NOTE! de Uf a eveafs require sipamte permit pproval by police Dela ent and
CRY Council 40 44y3 prior to the event, dant penaltted eveswPs will,lot De allowed.
t!C!( a i ❑e,� Ti h,,, C,.., �A 1 ,1�n1,R D., _ 1 m:___ r _ _ n 4 a n513r -
�Y OF ORONO 6124730510 09/24/96 14:00 15 003/0*3 Nb.522
See.13,D4 RIGHTS OF SUMMS OF DATA
Subd. 1. Type or data. ` r tights of individual oth whom the data Isstoredor to be stored shail be as set forth In this section.
Subd.3. Wottmation regsairad to be gi®en Individual. An individual asked to supply private or confidead&I data concerning himself shall
be Informed of., (a)die purpose and intended use of the requested data within the collecting hate agency,polldcal subdivision, or statewide system:
(m)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private breodfldendal data;and(d)the idenrity of other persons or endues authorized by state or federal law to receive the data. This requirement shall
trot apply when an Individual is asked to supply Invesdgadve data.pursuant to section 13.82, subdivision S,to a law enforcement officer.
e c2miBigsigilgr 12Lrovenue mqv olace the notice rewired under this subdiviOnn in the individual income tax or orowt:tcy rex;rcf6d
lnsttvctiona la itd of on those forms. „
Subd, 3. Arrest;to data by Individual. Upon request to a mspnttsible authority,an Individual shall be informed whether he Is the subject
of stored data on individuals,and whether k is classified as public,private or conrldendal, Upon his further request,an individual who is the subject
of stored privtue or public data an individuals shall be shown the data without any charge to him and,'if he desires,shall be informed of the content
and niftning of that daut. After an individual has been shown the private data and Wormed 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.
no mapunsible auftrity shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may requite the requesting person to pay the actual costs of making,cardfying.and compiling the copies.
The responsible authority shall comply immediately, if possible,with any request made pursuant to this subdivision, or within five days of
tha date of the requesr,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If1 he cannot comply with the request
within that tlme,he shall so inform rhe individual,and may have an additional five days within which to comply with the request,excluding Saturdays.
Sundays and legal holidays.
Subd.4, Ptrotedure whore data is not accurata or complete. An individual may contest the accuracy or complerenom of public or private
data concerning himself. To exercise this right.an individual shall nodfy in writing the responsible authority describing die nacure of the disagreemcnt.
The msponolble authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or iruaroplete dam, including rtcipientt named by the individual;or(b)nodfy the individual that he believes the data to be catraeL Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
'rite determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedute act relating w
contested cases.
)DATA, PRIVACY APVI$ORY
In accordance with H.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 dwa, but reftnal 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 fait name is required to process.this application or permit.
iddl LUL
, ' 1 ss�a a 9sa
CJty Stere Zip Phone
I.understand luny rights as stated above.
t ,
Signature
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION J,�CE6 ,, [ SCHEDULED �� •�Uri
PERMIT NO. (/ / `J COMPLETED
ADDRESS a53� ��� rk �,.n /_
OWNER // CONTR. O1Q/.�l/l�e.Y YX�AAQaG
TELEPHONE NO. (OS���T —
DESCRIPTION
W 01 FOOTING 1 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
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:
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L WORK SATISFACTORY:PROCEED X--,- PROJECT COMPLETE
W ElCORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Cj BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. E; PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
I' STOP ORDER POSTED.CALL INSPECTOR
I I INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call fo:i;ite-
6
t inspection 24 hours in advance. (952) 249-4600
Owner/Contra
Inspector.
White Copy/Inspector's Fie Canary Copy/Site Notice