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Home My WebLink About2007-P10764 - windows . PERMIT CITY OF ORONO :.750 Kelley Parkway- PO Box 66 Permit Number: P10764 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2/22/2007 SITE ADDRESS: 1330 Sixth Ave N Unit# Long Lake,MN 55356 PID: 26-118-23-31-0010 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: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�.25 valuation: $ 3,231.00 State Surcharge Fee: $ 1.65 TOTAL FEE: $ 98.90 APPLICANT: Scherer Window&Door Consultants OWNER: Wallace&Susan Bohach 10751 Excelsior Blvd. 1330 Sixth Ave N Hopkins,MN 55343 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 BUILDWG CODE REQUIREMENTS. . /l �� ,..�� , ,, %:_��/�to//�7%t 4-._ �� `�-� APP [C P M GNATUR6 / ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l Feb, 9. 2007 11 :27AM No, 4122 P, 1 . � � Total Fee: S_ 98.� � DateReccived: Ebtercd By: Permit#c _�f�� CI'Y'Y OF ORONO -BUILDING PE T A,PPLICAT�ON � � All information rnust be submitted i�u full bcfore !an rcv�iew wiU be started. (please print a[l informali n) ._____�- --.— _�__- T�l�+ A.PPLICANT IS: (circle oae) OW�TER O CpNT"RACTO aos srrE a��n�ss: 133� ��j I�a o( (� z.�: ,��"d Will thic be a Parade of Homes,Remadelers Showcase Home or otder Display Home? � ❑ Y'CS �NU /f y�s,u special eveni�rmit is reguired wilh Police 1'�epur(ment and City Cor�ncil approva! 60 days prinr to lhe event. Shultle bus ser�ice will be required unless applicant derrlonstrates �cient on�site pprking is a►+ailable, Non permitted evenrs will nol be allowed. NAtV1E OF OWNER: �a I � �G�C h PHONE: (ha�ne�l.�o? -l/7�-a2`��1(� 13�0 �W�� MAILING ADURESS: �,`!y � G c[�: 1'bn o zYP: �5 CONTRACTOR: Ck �erer �rOS,�.v r,��.�Q• PHON'E:952-Z'11 � I F�� CONTA,CTPERSON: , .. -j"�u�Q� ` MOBYY.,F,✓PAGEIt• MAILINGADDRESS: 10'151 Exeel�ror RL � CITX: �-{p n 7�Yp; 5r3!k3 STATE LICENSE: #_ ZpZ 3q 3 14 q EXPICtATION DA E;_,3 J D'7 . ARC�ITECT/ENGINEER:�� P�TTbNE: MAZLING AD�RF.SS: I CI'Z'Y; Zip; N�� REGISTI2ATION: # TYPE OF WORK: New l� ome Addition Accessory Structure Move tome Rem�del/Alteration(ie: Siding,Windows) >c PROPUSED WOY2K(descr be in detai�: ��r�0� ��C2I►�en f � STOIt1ES: SQ.FF;ET OF EAC�I FLOOYt: NO.UF BEDR04MS: GARAGE STALLS: ATTACHE� D�;T�,CHED � ESTIMATF.D CONSTRUC �ON VA1.,UA,TION(excluding land): $ 3f o�.3� � ' . 1 hereUy apply fnr a Uuilding p it and I aeknowledge that the information above is complete aad accunte; that the wark will be in canfo ee with the ordinances aud codes of the City and with the State Building Code;that I understand this is no a permi d work is not to st�t without a permit;and that the work will be in accotdancc with the�pprovc plau. APPLICANT'S SIGNA .: � pp��; 31 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTO�� JOB SITE ADDRESS: I �� D LLn� �� ZIp: •�5-��' Will this be a Parade of Homes,Remodelers Showcase Aome or other Display Home? ❑ Yes � NO Ifyes, a specia!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 su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �� ( �y �f>i'� �� PHONE: (home)�l-�02 -�� -��c �3�� nJ / (work) MAILING ADDRESS: �u-n� /�a l� CITY: � 1�►"l b ZIP: 535� CONTRACTOR:SCherer YOS. �..t.�►��r (b0. PHONE: 95Z-Z�"1 - (�L��a CONTACTPERSON: , _ - j�r.� �'Yl�� _ MOBILE/PAGER: MAILING ADDRESS: l�'1 5 I Exe e l ror l�l r,� CITY: �-}o kr n ZIP: 553�}3 STATE LICENSE: #_ �p�,�q� �q EXPIRATION DA E:_-�C �'J ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIp; NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) �C PROPOSED WORK(describe in detain: h1�+1�0+� �P��C,�(�`�P-n t STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ �,o�3� 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 permi d work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNAT : � DATE: Cf 31 Sec.13.Od RIGHTS OF SUBJECTS OF DATA Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as se[forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himselfshall be infonned of: (a)die purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide systero;(b) whedler 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[o 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 pro e{�rty tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is the subject of stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,an individual who is[he subject of stored private or publ ic data on indiv iduals 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 mondu[hereafter unless a dispure 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[he requesting person to pay the actual costs of making certifying,and compiling[he copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe request,escluding Saturdays,Sundays and legal holidays,ifimmediate comp(iance is not possible. Ifhe cannotcomply with the request within that time,he shall so inform the indi��idual,and may have an additional five days within which to comply widi the request,e�cluding 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 concerning himself. To exercise[his right,an individual shall notity in writing tlie responsible audiority describing the nahire ofthe disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,includin�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 ofthe 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: l. 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 extenf 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 A'liddle LHst Address Ci y State Zip Phone I unders a d my rights as stated above. �— Signature Reset Form 32