HomeMy WebLinkAbout2007-P11592 - windows PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11592
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
l 0/26/2007
SITE ADDRESS: 2730 Silver View Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-42-0007
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Electrica)(state)
NOTICES/REMARKS:
Replace Window Only&Non Structural Fixture In Bathroom
FEE SUMMARY: Permit Fee: $ 38�75 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 39.25
APPLICANT: Home Enhancers Inc. OWNER: Dale&Carol Monson
8609 Lyndale Ave. S 2730 Silver View Dr
Bloomington,MN 55420 Long Lake,MN 55356
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.
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� APPLICANT PERMITEE SIGNATURE SSUED QY SIGNATURE
Copies: 1-File(Signatures Required), ]-Applicant, I-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ Date Received: /D-/8 D 7
Entered By: Permit#: _ A//,$�j�,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print a[l information)
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THE APPLICANT IS: (circle one) OWNER O1�CONTRACT�
JOB SITE ADDRESS: �7�� S l L jJ�7�, �/l�ic.J L�f�ZIP: c��- ��(��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS � NO /f yes, a special eveM permit is required with Police Department and City Council approva/
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
su�cient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: (.J�'L� ��.Z�;�J S�.-J PHONE: (home)
(work)
MAILING ADDRESS: Z�3 J ����/��LUI� �)iZCITY: ��,�,.��� ZIP: �-s 3,(v
CONTRACTOR: �Z%lv�G `ivif�i✓c'.�� 2,j �-•. � PHONE: �S Z-.�'��.y�{-(Q/c�(p
CONTACT PERSON: _�5�i�'v�� ��i2a 5 MOBII.,�/PAGER: ,'s-Z-z9 Z-- 7�v �-
MAILING ADDRESS: /Zyvv ��,1z_�.ti c�r,-�.� qtL CITY: 5,-r✓a�� ZIP: 5--s�7.�'
STATE LICENSE: # /5 y`j EXPIRATION DATE: ���'
ARCffiTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home emo e Alteration(ie: Siding, Windows) �,4-i-?tf'E>E���
, ,
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: l���r����,(_'X� y;�.,a(,— /-�i;�,��,��� ��,,
,
L c�����``�7 7�� � — �' �v-���l�j�.�- G�iii...J�:�J ij,..> L, �,�'4P�'>�`�
,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding(and): $ �� /�(1d0�
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the wark 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 SIGNATUR . �9.��-f>� DATE: /v/��v 7
�U a n:' I.7 t-'�-'v� l ^`- 1�.� iN(7 O lr (7 0 N v.'l �T�-�� �r � lJ 11�.��
/i (3 v�`-"-'7 'Q'`'i'"`� fi E s3�- Gw�T� U�4� �c H-�-s g,e�,,., fI�-�o��c�
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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 shal I 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 himselfshall be
informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivisioq 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 mav olace ihe notice reauired under this subdivision in the individual income ta�c or DCODerty tax refund
instructions mstead 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 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 ofthe 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 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 of public or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority 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.
7'he determination of the responsible authority may be appealed pursuant to the provisions of the adminisVative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects ofdata",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.
First Middle Last
Address
C�►Y Stste Zip Phone
I understand my rights as stated above.
Signature
32
- CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z 7 3 O S��� �-�
PID:
DESCRIPTION OF WORK: �„er-n.�c ��,,y�w,��;-L.
ZONING REVIEW BY.• DATEAPPROT�ED: n� ��^
BUILDINGREi�IEWBY.• DATEAPPRO[rED: !�- Z2 - v>
FEES TO BE CHARGED: / Misc. Fees Calculated By: �~ �� ~ ��_�_
PERMIT Yes e/ No �-
PLAN REVIEW Yes�/�o� SEGi ER CONNECTION
STATE SURCHARGE Yes ✓ No G�'ATER CO.NNECTION
INVESTIGATION FEE Yes No �PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (spec�)
-----��-�-----��----�---��-
ZONING CHECK LIST Zoning District: �v U G(�F�.�/
Fire Department: __ Post Off ce: chool District:
Lot Area: Sq.ft. Acres W"idth Depth
Survey Submitted: Yes IVo Date of Sz�rvet��
Proposed Setbacks: �
Front (Lake): Right Side:
Rear(Street): Left Side: '�
Adjacent Structures: Wetland:l
Building Height: Def. Hgt. Peak H t.
Lot Cover�age: �
\
Grading: Staff Approva!Date: Bv: �_ Council Approval Date:
Septic: Staff Approval Date: ����— �� gy; �
Zoning File: # Resolution: # Resolution Date:
Shoreland District: MCW'D PermiL
.4vg. Setback: _ BluffSetback: LotCoverage:
Existing Proposed
Hardcover: 0-7.5'
7,i-2.i 0'
�.i 0-.i 00'
.500-1000'
Hardcover i'ariance Required: fes IVo ate of Council,4pproval:
REIILARKS(i�7 house): �
'
33 I
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BUILDING REVIEW CHECK LIST
L%BC: (2- � CONSTRUCTIOIV TYPE: �lv�I
Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Const�uction Vatue: �' {�$�� �� poo 00
Inspections Required: Work Requiring Separate Permits:
_ Site �Plumbing Fire
Hardcover Remova/ �l W'ater Connection
Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
_�Insulation (Ntasonry) Other
_1! Y4a11 Board (Mfg.) W"ell(State Permit�
d'Final __Grading,'Filling p� Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Exisiing New
Access Approval: Date By:
REMARIiS (TO BE NOTED ONPERMIT):
34
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CITY OF ORONO CALLED IN I' I`t' 3
INSPECTION NO IC Q SCHEDULED �
PERMIT NO. �( I� `� COMPLETED
ADDRESS Z�I� �I'��VI� �.
OWNER CONTR. � �1�,�,�d
TELEPHONE NO. ►�lL i�� ��7'� Z� ���-'`1
� DESCRIPTION W��W — �►�x.�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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 RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� •ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor on site:
Inspector. �/
White Copyllnspector's File Canary CopylSite Notice