HomeMy WebLinkAbout2006-P09670 - windows PERMIT
CITY C,�F ORONO
2750�I�eiley Parkway- PO Box 66 Permit Number: p09670
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 3/21/2006
SITE ADDRESS: 1790 Shadywood Rd Unit#
Wayzata,MN 55391
P��: 17-117-23-21-0025
DESCRIPTION:
Proposed Use: Residential !��
Permit Class: Building V�S � I�
Permit Type:
Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 349.25 Valuation: $ 21,255.00
State Surcharge Fee: $ 10.65
TOTAL FEE: $ 359.90
APPLICANT: Renewal By Anderson OWNER: Troy Ehlers
1920 County Rd C.West 1790 Shadywood 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
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITE GNATURE IS D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' . Total Fee: $ ���� ' 'D DateReceived: � i L- 1 '
Entered By: %� �� Permit#: �-r ;
CITY OF ORONO —BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print atl informatior�)
THE APPLZCANT IS: (circle one) OWNER OR O
JOB SITE ADDRESS: I�q 0 � ��� �, . z�:
Wil�tbis be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �No Ijyes,a speciad event permit is regurred with Police Departmenr and Clty Council apprava!
60 alays prior lo the event. Shuttle bus service widl be seguired unless applicant demonslrates
s�cient on-site parking is warlable. Non permitted events wilf not be allowec!
NAME OF OWNER:�ro� �,h1-e-r s rxorrE: (home)RS a . -Q�-c�(.o
� (work)
MAILING ADD�tESS: � I CTTY: ZIP:
RENEWAL BY ANDERSEN
CONTRACTOR: 1920 COUNTY RD, "C" WEST ����'
CONTACT PERSON: _ ROSEVILLE,MN 55113 'AGER:
MAII�INGADDRESS: _ 631-264-4777 ��
STATE LICEN5E: # LICENSE#20130983 f DATE:
A�2CHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: 7.IP:
NAME: REGI5TRATION: #
TYPE OF WORIi: New Home Addition Accessory Structure
Move Home RemodeUAlteration(ie: Siding,Windows) �C
Any earth movement may require MCWD review ar�.d perrttits!
PROPOSED WORK(descrdbe in detai�: � GJ
, �
STORIES: SQ.FEET OF EACH FY�OOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTAC�IED DETACHEDT
E5'I'IlVIATED CONSTRUCTION VALUATION(excluding land): $��SS� _
I hereby apply for a building permit and I acknowledge that the information aborra 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 pemut and work is not to staxt without a persnit;and fhat t]�e work will be
in accordance witlz the approved plan.
APPLICAIVT'S SIGNATiJRE: : IllG �
31
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• • Sce.13.04 RI(3g'f8 OI+5UB7EGTS�1+bATA
• Subd.l. 'lype of data. The righc�of individuat on whom�he dsta is stoned es to 6z at�+ed a6a11 be aa set forrh in this s�ction.
Subd.2.lnfmtuati�snquaedwbeg�ra�individuel.Aaindividualaslc�dwsupplyp�fvaoeoccamfidcrtielddacanoeminghimselfslmllbe
informtd of: (a)the pia�poae m�d ir��ae a�'rhe sequessed data wirhin ihe wllocTing s�Ie agenry.Politi�]subdiv9sio4�s(atewide sYs�em;(b)
whether he tnay tefu�c or is legallY�N�m�Y the roques0ed dsta:(o)anY known consequotue sdsitlg ftom his suPP1Ying�t�siqg bo e�ply
privss�arconfidernial data:�d(fithe idendty ofotbarpasons orentioes author�d by ct�re orfedc�al lnvtoreoeivethe da1a.7'hi,:nquina,erasl�atl
not epply when�individnal is a4kcd to supply investigative data,p�asuanc w acccmn 13.82,subdivis�on 5,to n law enforaeer.nc ofttcer.
'f1�e commissio�er of revenue mav nlace the notice reeuired under thj�e�vhdivisinn jn the individ�sl income t���pt,pmpr,�ty tez refund
Subd.3.Acoessmdetabyindividual.Upoarequesttoaresponsibleaud�mity,mindividuelsl�allbainPormedwhdher6eisthesubjec�of
st�ed daa on individucla,aad wh�ther it is classified as public,privaEe or eor�"idcnaal, Upon ha fiuther roquen,an individuel who is ct�subject of
stand p�ivme a public dam on in�viduele 9ha11 he ehrnm tl►e c�ara withw3 airy ct�slge to him and.if ho desires.shal l bo infomoed of tl�coaretu u�d
mean�,g ofsh�dote.After an individuel has beon shmvn tha priva�e data and L�btmed of ia maning,the data need na be disclo�d to him for six
mo�nths theteafter uNess a dispu�e or ecdon piasnant to th3s sectioa is pending oradditional dam oa the individuel hes bxn ooUoctcd ar cnxoad.13e
raponsible au��iry shati p�ovide oopies of the private a puWic dam upon roqttest by tho individusl subjeat of tho d�. The responslble a�thorrty
�Y���n4ucs�g pe�we to pay the actusl o�s of making.certifying�and rnmpiling the eopies.
'ibwespor�iblc awharfry shall wmply immedieteqr,ifpossible,with a�requesc made pvrsuaet w this subdivision,arwithc►five dsye of
tha data oftharequesC�cluding3aturdaya,3uodays sodlegal holidays,if imraediatec�plienceis not pos�iWe.Ifhe c�mcaa�ly whhrheroquest
widtie that tia�,lu shel!so intarm Hu individ�l,�d may have m edditiooal frve days witldn which to camP�Y���N�o7oc1udm8 S�Yg•
S�mdaya and legal holidays.
3ubd4,Frocedurewl�ndataisaotaccauateorcomplete.Anindividuolmayoa�te�ttheacciauyoreomplexoessofyublicorp�ive�edsta
concetning Limself.To eacercise this rigl�ea iadivid��al shsll�6fy ia w�itmg Ihe napo�nsibk enthvrity d�scibaigshe nm�ue oftho disagreeanenx 13e
mepor,sible aufho�iry shetl wishin 30 days eid�ec (a)cortrcc tho daffi found to bo inaccuca�e or iocomplete and atcea►pt u eotil�post neipicute of
ins�ctnata or iacomple�oe dats.including recipieaas naeced by the individusl:or(b)mtity du�ndividual that 6e bdievice the dam to be coc�ac�Dusin
dispute shall be dlsclosed ady if du mdividosl's seate�at of du�art is includnd with the disclosed defa
I'he detumc�etioa of tbc�esponsiblc eutf�oriry msy bo appoaled putsuant to thc plovtsions of the adminlsastive prtocedare act releting to
aonoesoad case�a.
' � DATA PRIVACY ADVISORY
In accordtance with M.5.13.04,Subd.2,"Rip�ts of subjects of data",we would l�ce to inform you that your reques[
for s permit or liccase from the City of Orono or atry of its departrnents may require you to fwnish cettaln private or
confidcntisl inforrnation.
You are notified that:
1, 'The informarion you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refvso to supply data,but refusal may requiro that the Ciry dcny the permit or license.
3. Tha information may be shared with otl�er local,state or fedzrsl agencies to the extent necessery to
process the permit or license.
4. If you�requested permit or license requ'ves Cotmcil action to apprpve,some it�formation may become
public.
S. You have certain dghts under M.S.13.04(available upon request)to revlew pdvate data on yourself.
6. Your full name is required to process this applicadon or permit
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D TE TIME
CITY OF ORONO CALLED IN � ��
INSPECTION TIC SCHEDULED �
PERMIT NO. 7� COMPLETED
ADDRESS �74� � �
OWNER CONTR. � ��
TELEPHONENO. �S� d6 � �f 93
� DESCRIPTION w���� � �a�S r�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� Q CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor site:
Inspector. -�
White Copyllnspector's File Canary CopylSite Notice