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Home My WebLink About2008-00347 - windows � �i � CITY OF OR(�NO PERMIT NO.: 2oos-oo34� 2750 KELLEY PA WAY ORONO, MN 5 356- DATE ISSUEn: 1 UO3/2008 952 249-4600 FAX: 9 2 249-4616 ADDRESS : 2130 SHEVLIN DR I PIN : 03-117-23-34-0022 LEGAL DESC : WEBBER HILLS : LOT 005 BLOCK 003 PERMIT TYPE : 'MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : �WINDOWS ACTIVITY : �O/S BUILDING-UNDEFINED VALUATION : ',$ 7,687.00 NOTE: (5)WINDOW REPLACEM�NTS IN EXISTING OPENINGS I I � APPLIC NT pERMI FEE SCHEDULE 162.25 THE HOME DEPOT A.H.S. STATE URCHARGE(VALUATION) 3.84 3200 COBB GALLERIA PK , MAIL- FEE 1.50 SUITE 200 ' GA 30339- TOTAL 167.59 (763)542-8826 Minnesota State License#:20268257 OWN�R i WYER,MR.&MRS. 2130 SHEVLIN DR I WAYZATA,MN 55391 AGREEMENT AND S ORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci£cations,abplicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or r�lated work which requires separate permits. All provisions of laws and ord nances goveming this type of work shall be compied with whether or not s�ecified herein.This permit will expire and become nu11 and void if con truction authorized is not commenced within 180 days of the date�of issuance,or if construction is suspended for a period of 180 days at a�y time after work has commenced. The applicant is responsible for assurin all required inspections are requested in conformance with the Stat�Building Code.This permit may be revoked at any time for due use. � � //i 03 �D $� l 0 / D B� Applicant Permitee Signature � Date I By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. _ � Total Fee: $ /�07� �� Date Received: l� D 3 � Entered By: Permit#: DD - CIT� OF ONO - BUILDING P RMIT APPLICATION All information must be submitted in full be ore plan review will be started. (please print all info ation) THE APPLICANT IS: (circle one) OWNER CONTRACTOR JOB SITE ADDRIESS: 1 3 O S h�v 1� IJi'1 V' L ZIP: SS 3 4 / Will this be a Parade of Homes,Remodelers Showc e Home or other Display Home? ❑Yes ❑ NO If yes,a special event permit is required ith Police Department and City Council approval 60 days prior to the event. Shuttle bus ser ice will be required unless applicant demonstrates sufficient on-site parking is available. N n permitted events will not be allowed. NAME OF OWNER: �A U 1 W � r PHONE: (home) Q s� �7 I► i?s S 7 1�(work) MAILING ADDRESS: � ��d �J�l�U �/ � CITY: �l1 y Z h TG ZIP: S S 3 R I CONTRACTOR: THD At-Home Services, I c. pHONE: 4 S� 3K S-(,0 y? CONTACT PER�ON: Dba The Home Depot At-Ho Services AGER: C(� Q .( �� o/U 1 MAILING ADDR.ESS:— 3200 Cobb Galleria, Suite 200 Z�. STATE LICENSE: # - Atlanta, GA 30339 DATE: — License#20268257 - 763-54 -8826 ARCHITECT/E1�GINEER: PHONE: MAILING ADD SS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WOR�: New Home Addition Accessory Structure ! Move Home Remodel lteration(ie: Siding, Windows) -- . Any earth movement may req ire MCWD review and permits� PROPOSED Wo�(describe in detain: � / �S R c s-f �n �e n� STORIES: SQ.FEET OF EACH FL OR: NO. OF BEDRO MS: GARAGE STALLS ATTACHED DETACHED ESTIMATED CC�NSTRUCTION VALUATION(ex uding land): $ � � 8 � I hereby apply for a�uilding permit and I acknowledge that t information above is complete and accurate; that the work will b8 in conformance with the ordinances an codes of the City and with the State Building Code;that I underst�nd this is not a permit and work is not to s�tart without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNAT'URE• � DATE: �b /� � � g i 31 � I 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. Information required to be given individual.An individual asked to supply private or confidential data concerning himself shall be informed of. (a)the purpose and intended use ofthe requested data within the collecting 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 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 may place the notice required under this subdivision in the individual income tax or property 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 infortned 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 ofthe 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 ftve 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 himsel£ To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement. The responsible authoriry 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 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 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. �r IYl S c �1� r �C First �Middle Last ll� D � go� S-�. Address g��D��f�Ci�Z1� ! " � � �rJ �� , City State Zip Phone I understand my rights as stated above Si at � `"' '' � �'� �� ' �ix 32 ' �( ° ��,,, ,. i < �� I I-4 I U 1 .u u I/u�1 � • " APR-a3-20oe 1t:1OP61 FROM- MINNESOTA DEPT. OF LA6�R & 1��1DUSTRY II Canstruction Godes and Li�ensing Divisian 'I 443 LaFayette �oad N. �, St. Paul, Mtd 55�56-4344 ' THD AT HQME SERVICES INC HOME DEf�OT AT HOME SERVICES THE 32�0 C06� GF.LLERIA FI:v^J; ' STC 200 i AT�ANTA.'GA 30339 I i � _�=: .. .: .. .: '. ��+ ��ConstCuctio.n��o.des��nd Licensing Division :::;s,��,`�;..-r. �. � . :•.G:�1 '•2.$��-5065 :�.,,,:_M,Se��;�-�� .: �� ate of:Minn�sota ��. ..::.::�,:�, :�:: . :.�Tel�phd.�.e.:f ) . �zr ''• _ -�''� :��:� • . �..., .,. . , _�_ � � Departiment of Labor and In us ry °:;'._:::.;::;;a°:�.:�_n ar�dress: dli�:contraclor@state.mn.us �.g�`-:. �iail ��- . :-_ �--.��"`i� 443 LafayetEe Road N. �� '� ebst � a r � . • • �� . ��. .:`�; :s;. -.: :�,: ...:.. "��x�,.:.`�:`{;ii�,� 5t. Paul, MN 55155-4344 . W� -� d� eSs' vdwW,doli s a e mi � '`"-`.;-�4,4'�,�' . . � � �� " ' . . � Res�ciert�ial:!Remv:d:ele�' Li ense . .. .. ' • '� • ��eusiriess,°Strticture: •:;lega[�I.�Ia'rrie: •�.TNC]::AT N�ME SERVICES INC �::; . • .... �`' 'CORPQI�AT�ION . , .. . ..... .: . �. .-... .. .,:: . ;.: � �:� ...... ..:... . �..DBA;:`•....: :'�Hp�l/p�p�POTAT HOME SERVICES THE . . .. •.... ... : . :;�,. • .:..�:..: •... .. .. Address� 3200 COBB G 'LLERIA,PKWY ,.,.:•::.. . •• •�`:: � ' S7 E 200 . • • . ' '3•p::::��: • . .. �� a . ATLANTA,G/�,i .: :`•�,° : ....:�..... . .... >';`:: `�''. •'' :,:•:.' .. ::�'�QualfFyf g Person: JAMES G�ORG��N�RDBY°:�. . L.icense IdenfiFication N�mb'er�'"'•�2�268257',, . .;. ..� CQrrtinuin` Educalian:;?..h'cur's:dU2 C�;3/311Z009 ��License�ExpiraFioti:Q.ate::• :31��12D�9 . �' �":r:.. . . .. •�,;:'..; . .. , ... ' � . . . :�, . . . . .. ' . . • .:....: ... ...:.. ..:: ...... . ,..,... ....... . . : .::: .:..... � ::..... ...:.....•. . . :...•. .. ,. . ...:::.. � � ...., . .::. :,;.:... ;,•..:: , , . I ::.:. ... , .:. . . ; .. . . . .. . : �...,... ' . :�::. °;: '�.;: .. . • 'i:• . ... . , .. .. . ... ... ',`. � i � `� DATE TIME � CITY OF ORONO ca,�� INSPECTION NOTICE i SCHEDULED —�a- PERMIT NO. " COMPLETED ADDRESS / OWNER CONTR. TELEPHONE NO. � � ��Z DS � DESCRIPTION � ��s � ❑ FOOTING ❑ M HANICAL RI ❑ EXCAV/G ING/FILLING Q ❑ FRAMING ❑ M CHANICAL FINAL ❑ LAKESHOR ETLANDS y ❑ INSULATION ❑ W�OD BURNER/FIREPLACE Q ❑ TREE REM Al Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPE TION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEpTIC MAINT. ❑ COMPLAIN v ❑ DEMO-FINAL ❑ SEpTIC INSTALL. ❑ FOLLOW-U _ ❑ PLUMBING RI ❑ SE�TIC FINAL ❑ HARD COV REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATIO /REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO v�, COMMENTS: � � W ' a J � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPIEfE W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF CCUPANCY 0 ❑CORRECT WORK,CALI FOR REINS CTION TEMPORAR V BEFOREC�/ERING PERMANEN ❑CORRECT UNSAFE CANDITION WIT IN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPEC�TOR ❑ INSPECTION REQUIRED.CALL TO AF�RANGE ACCESS. Call for the next inspe�tion 24 hours in advance. (g52) 24 -4600 OwnerlContractor on ite: Inspector. ` White Copyllnspector's Fi e Canary CopylSfte Notice i � �