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Home My WebLink About2009-00652 - windows CITY OF ORONO PERMIT NO.: 200�-oo6s2 � . 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/02/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2080 SALEM CT PIN : 27-118-23-31-0016 LEGAL DESC : DICKEY LAKE ADDN : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,640.00 NOTE: REPLACE(11)WINDOWS IN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 206.50 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 5.32 2690 CUMBERLAND PKWY,STE 300 30339- , MAIL-IN FEE 2.00 (763)542-8826 TOTAL 213.82 Minnesota State License#:20268257 OWNER HIRSCHBERG,LAURA&ROBB 2080 SALEM CT LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pertnit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire arid become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. %�Y�C �I� l l ��-� l l Applicant Permitee Signature Date Issue By i nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO ( : � j a � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submjtted in full before plan review will be started. (p[ease print all information) THE APPLICANT IS: (circle one) OWNER OR ONTRACTO JOB SITE ADDRESS: � U �� J Q I L fYl �O V /`� ZIP: 5 S^� '� L Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO Ifyes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: l. n u �a- � � r S L h pC r�' pHONE: (home) y 7 3 • 7 y o V / > work) MAILING ADDRESS: a�n 8 � S L��1 � ��' CITY: L.��1 LC) ZIP: S S 3 S (. THD At-Home Services, Inc. CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: CONTACT PERSON: _ Cumberland Office Park AGER: MAILING ADDRESS: ZIP: Atlanta, GA 30339-3913 STATE LICENSE: #_ Lic#20268257 Ph. 763/ 542-8826 DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) —�" . Any earth movement may require MCWD review and permits! PR i��D WO��scribe in detain: ! � W t �!'�D L.l !"! D 1 R G �1�l�f '1<< ) � / O �,P� i /1 d STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �� u 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 permit 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: � � 4 �05 31 � , • L Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type ofdata. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required 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 ofthe requested data within the coliecting state agency,political subdivision,or statewide system;(b) 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 or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shal I ❑ot 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 maXnlace the notice required under this subdivision in the individual income tax or prooerty tax refund instructions instead of on those forms. 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,certifying,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 the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If 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 ofpublic or private data conceming himself. To exercise this right,an individual shall notify in wnting the responsible authoriry describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)correct 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 correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination 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 fumish 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 this application or permit. Tr�1 Schr � 7c First � � � � � ��i�le �� Last Address gloo n f� l� S�S�� v City State Zip Phone I understand my rights as stated above. � � nature :�� ,� �� ;�°'� 32 � �. �� W �� ., �� D E TIME v CITY OF ORONO t'Z/CALLED IN �� INSPECTION NOTI E � SCHEDULED � _� PERMIT NO �6 COMPLETED ADDRESS d�� s�a",•�, Ct OWNER CONTR.�� TELEPF�ONE NO. 9SL �73 Z�� DESCRIPTION �� I � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑16SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on si : Inspector. `� � White Copylinspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN �� Z L INSPECTION NOTICE SCHEDULED � � PERMIT NO.a��- a��5a. COMPLETED ADDRESS a08O S�G�mt � OWNER CONTR. S�'��YK� �,r.'�� TELEPHONENO. 7� 3 85Z' �� DESCRIPTION ��f'l�` � �G��UI�LJS � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING R� ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL /❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED I SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. , — ( /� � � White Copy/lnspector's File Canary Copy/Site Notice