HomeMy WebLinkAbout2005-P09461 - windows PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09461
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
12/8/2005
SITE ADDRESS: 720 Tonkawa Road Unit#
Long Lake,MN 55356
PID: 05-117-23-34-0002
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:
Replace 8 windows in existing openings
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,360.00
State Surcharge Fee: $ 3.70
TOTAL FEE: $ 156.95
APPLICANT: Home Depot At Home Services OWNER: Pat Middleton
3200 Cobb Galleria Pkwy 720 Tonkawa Rd
Atlanta, GA 30339 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND A�REES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINN SOTA BUILDI DE REQUIREMENTS.
i
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
e.d t t. vt vttvvr aIg`t(�id.71y V7/S'#/79
L]' :ue/tea Nu:)ee
Total Fee:
— Date Received:
Entered By: Permit#:
CI'T'Y OF ORONO m BUILDING PERMYT APPLICATION
Alt Information must be submitted in full A�fo>re plan review will be started.
(please print all inforrnarion)
—-----......----_-__-a-------- —1—---------
THE
TIE APPLICANT IS: (circle One) OWNER OR CONTRACTOR
...
JOB SITE ADDRESS: —4 o-1 ZII':
..'.
NAME OF 0 R:�00.� FH®lam: (Dome)jS
(work) -(� ' �
MAILINGADDRESS: CTS: ZIP:
CONTRACTOR; The Home Depot A.H.S. [ONE: '
CONTACT PERS6-77 3200 Cobb Galleria Pkwy.,Ste.#200-- Off. --
Atlanta,GA 30339
MAMG ADDRESS:_ 763-542-8826 ZIP:
S'P'ATE LICErft: M BC-20268257
ARCHM- ECT/ENGINEER: PYRONE:
MAILING ADDRESS; CITE: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration band Alteration
PR,OPOS�?WO (describe in detail):
`C
STORIES: SQ,FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: .ATT.
DET.
MATED CONSTRUCTION VALUATION(excluding lana): $
1.hereby apply for a building permit and I acknowledge that the information above is complete and
ccurate; that the work will be in eonforruance with the ordinances and rpodes of the City and with
the State Building Code; that I understand this is not a
permit and work is not to §tagt without a
Permit; and that the work will be accordance with the approved plan.
APPLICANT'S SIGNATURE• Al
NOTE! ,Parade Fav_ mes events require sepUde Permit approval by Police Department and
City Corincit 60 days prior to the event. Non pennitted everts will not be allowed.
• ----
TY OF ORONO 6124730510 09/24/96 14:00 01 :03/03 NO:522-
Sac.13,04 RIGHTS OF SUWECTS OF DAT a
Subd. 1. Type of data. The rights of individual on Whom the data Is stored or to be storm shall be at set forth In this secdan.
Subd,2. hdarmatloe rerlWad to be given individuat. An Individual asked to supply private or confidential data concerning himself xhall
be informed of; (a)the purpose and intended use of the rnT=md data within the collecting lttate agency,polidW subdivisian,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 orconfldentlal data;and(d)the identity of other persons or euddes authorized by sate or federal taw to receive the data. This rcqulremmt shall
not apply when an Individual Is asked to supply InvesdWve data,pursuant to stedoa 13.82, subdivision 5.to a Isco enforcement officer.
M carne) signer of rove sue rn9v glace the notice required under this subdivW.Qn in the individual income rase or orouem taxagmrid
iunglont idstalart of on tlwso forml.
Subd, 3. Access to data by individual. Upon request to a responsible authority,an Individual shall be informed whether he is the suhject
of stored data on individuals,and whether it is classifted as public, private or confidential. Upon his further request,an individual who is the subject
of stored private or pubUc data on individuals shill be shown the data without any charge to him and,'if he desires,shall be informed of the content
and nttaning of that dace. After an individual hu been shown the private dam and Informed of its meaning,the data need not be disclosed to him for
six moedts thereafter unless a dispute or action pursuant m this section is pending or additional darn on the individual has been collected or created.
The responsible auftrity shall provide copies of the private or public data upon request by the individual subject of the data. The msponsrbte authority
may require duo requesting person to pay the=teal costs of maicing,certifying,and compiling ria copies.
The responsible authority shalt 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. Ifthe catmot comply with the request
within that time,ho shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays.
Sundays end legal holidays.
Subd.4. Procedure whka dots is not accurate or complete. An individual may contest rhe accuracy or completeness of public or private
data concerning himself. To exercise this right,an indi4idual shall notify in writing du responsible authority desetibing due nature of deo 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 dam, Including recipients named by die Individual:or(b)notify the individual that he believes the data to be correct- Dant
in dispute shall be disclosed anly 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 MA!QY APVY¢ORY
In accordance with M.S. 13.04,Subd.2, "Flights of subjects of Bata", 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.
61 Your full name is required to process this application or permit.
First- LUL
City Sam Zip P —p n)Ll
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1-understarA my rights as stat above.
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Total lee: s S De Received: 1 -o,5
Entered�y: Parma : y
QTY OF ORONO - BUMMG PER= "MCATYON
A1}itrformadon mast be submitted In PuII*fife•plan review will be started.
- (please prbtt gall innardon)
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M JAiPPI:ICAlVT gS: (circic one) 0Wm m CONTRAm. R
JOR E=ADDS: ' zIF: ..r.'
NASOF FROM. -
MAMG ADDRESs• ter: zrp
CGNTlIA[*i'('l�; The Home Depot A.H.S.
3200 Cobb Galleria Pkwy.,Ste.#200
�' � ���` AtUga GA 30339 ►G '
MA1 MGA B%„ 763'-542-8526 .
LIC$': �,;, sC-20268257 'y .
J�STEC'1'/ANG111t: PRONE:
MAILING ADDRM
NAIV Z: - ....._. M�.�■-rA .�
TM OF WOKS: New AQditloti..�_ cc y Strlmm
MoveRamodellAltetation Laud AUeradon, -
PROPOSR�WORK(desg ibe In ddak): '
S1'f1Ri : _ 6Q.FUT OFBACH FLOOR:
KOO OF BOOMS: ,� GMAGF$TAi;I.IS: ATT. DET
' MATHD CONSTRUCT ON VALUATION(ftae Whq landD: it)In
I bmcby apply for a liuilding'pemut and i acl=wledp that tt.Information above is con:ptr�e Aac#
that.tbe work will be is�afainanse rvltii the ordinances and ;odes of the City ad with
' the State Building Code; that I nndmtand this is not a permit aW work In not to atsit without a
pexmk; and that the work vdU be actor km with tl:e.approved plan.'
AMPLIUnIS SIGNATURM
NOW &W& of events negrdre aepetnte perrntt approt►al by Police DgPat and
a► Counck do dqj,ptdor to.As event. No"ernted a ffb W19,90t be ollotve4
VI 'd 0611 •°N 2uil} iuuaad sauor aaPl3 MLS : I SOOT 1 '0a4
heW.04'R1GaiTd OF 8U$1>XU OF A4Ti
;ttbd. L. TAw of data. The don of bdhidud e0 wrama the deal Ismaad ora ba stored be ag mt&A In ebb aeedan.
WL 2. ialAeeAatMa fadtdred to be Sim ledMdaaL An 106idwl naked a atRpply pdvna or emafideodal dam dowseolat bbtsdf adwl
be Inlhr W M (V din pupa ad 10=dcd On of A9-MgmtwW deal e►"roe ccloc t Same weary,palldW-subdlvidem,or aewAls gveft
(b)*hatter iw letq t1Aua or to later tegired m die nq wtwd deet(a)ww kaoaT eealequetaa♦atilltlt lienar rbs applyrgl Or aaAtalfd ee mpply
pelves ora ddirmW doW sad(dl the Itlt+a*of odierperttoalt or4addaa wee"by vAw orlkdesal law to tacelva tate des. lob eegoltecowi aq
mat W1Y Wtun in Wdivadad b AdcW to atppty h eedtedve ma.Onsaam m wA3&1342.sOdW"S.to s bar moblWow OEM.
ng rgm ittftr of aavatme may dame do mdee MWgd under th'htobd(vision be-he hdlvldud ieeeme sx at0oeely I%mh&
.tubd.3: Acari to deb by fiWbidnel. tapett raquet fo s rdgi aalbk aaftow.to ledlvidoN*Abe Informed wbadw he b ft mbjaa
of swW dm on iWIvidMb6 sad whedw ig Is ohualfM ap public,Owns or cowidetaial. Upon him Amber rw*wit.an bavatal Who Is dm MAIM
of voted priwle or ptatillo des no lodkMintit dull be dwro the dos wWm new tip m Was end,'G he deifies.dap be idaomed of the deaoent
.red vdniyt ofd5aLd*AL. Afiw no itdirldtul hu beam shame da pdwa deem and halblatld of Is masks,66 dam amid verbs dtedeatd as.*"far
A aanaft dferalaw Ohba a divan er•Want poram m'ahli acedoa is pmodbft of switlotal dm"ft M*Wttd ba beau adios"orero d.
11w aft*tau awAft of ebe ptivieft or pulft dm vpw by as bdividoal a*jW of dte dfn. Ttlo-raspoosok twtbodgr :
eau►tMko foe reowdnr pamtoll a pry ate vows eoae of otatltto&oeroiy bg.tend ttma Reg dw tao&..
Tbi seapeeabk=*oeigt.Ad w*lmme a wly.F pen".whh away squeet mega Farrsot to trb ribef1don,of UM Ave dnym of
6 dile of tyle r qnX ayeolpdint Siauditys.SwAys and ktd holldilar If btlmedbu eoWlance b not padbl0. 0%Cirmat am*wldf dta regtleat ,
wkbht trot dens,he"I so rtlbnr the bdivtdtul,And rote hove as adlIVO l Qre drys w%bk edecb a osm*oddf 60 tegtt %etabdlat hmdays.
aid heat bill*&
81tbd.d. PHNOM iNfift dole!i stmt staemata'ea•eom*te. An iodlirided may ooasal foo wwwmq or oEpubls orp"
_ dos ategardo;iimtdf. '!b aourabe chis tight.ar:hidlWdaal atmll oaab in eve dte lapoali5le aurhaailitr daaildrlE the atamei of the dipgaaaetette. ..
Tau mpeoslbie taffrhorigr dud wl*b 30 days either:-(U tormcdre dada hoW to he it mace or blemgalbi mad aoamp tono*bins mefplelrcl of•
(oaeaaua or lopropim dna,InWo 6tp atambpkw ntreed by foe krAIY ad;or(b)MAO do bdbYAW go he belkft go damn m be t 4ML Dam
In dbpfue trail be Mulaed&W If dw Wdlvidfal a Mwat of dltitttaaneat at lneloaad wilt dee dbdaaed dal. , •
Bw dowmbteft of the ltttpaailble oft*ta.y be one"parsa t m tin pawWom of*a afthdstoadve praeadt is mol w1ft a
gooteetad galas. �
Is Mazdawa With lb[.S. 13.04,Subd.a.`Rights of of data',we woald like ti inform you that yimw mq=
for a pemmit or ilaease from the City of Orono or any of it:&Vutmenta,may cegwiwyou to famish main pt VK4 or _.
aa< la>iormetlot�l, .
You ors entitled theta .
1. The lafoitaatton you forubb will be used'too dewratias yow gualificioo for fila pm*orliosaw tequalted.
2. You may rafm w supply data, bur tehad may require dw doe City deoy the persalt or lit:etl:e,
.• • 3. '1'!,e infosaenloa may bt:•shared veld,other 1oce1,state trr federal agmcles to•the eMmt>necessery•to ptocosa
the pewit or limine.
4. , if your rMucited permit Of Burse t+aquireis Cotfnoii octlon to approve; some infomadon imay team
pubHo-
3. You Gave mtdn rights wider M.S. 13,64(avaiibbb upon mgmt) w rrvieaa pdvift data an yound
6. Your fW1 name: is wquiittd to pwcess;this applicaltop or permit.
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EA 'd0611 '0N 2 U I I I waad sauor a9P13 WS l 5006 0
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. Building Permit Swim Inc.
DATE
TIME
FAX TkffSMISSION FORM.
PLEASE DELIVER DIATELY TO:
NAME
COMPANY
FAX NO:
• FROM k:ara I'
mss, Permit Service ext.147
NO. OF PAGES TO FOLLOW'
RE: PROJECT NO:
NOTES:
• S• - iir•2G�
If you have trouble recebtag this fag,please can me as soon as possible..
8deraones Suilding Permit Service, Inc.
1120 East 80th Street• Bloomington, Minnesota 55420-1498
0124542854 FAX 81248644909
V[ 'd 0611 'IN 2u1Wwaad sauOP ) ;Pl3 WdLS : I 5001 'l '114
ce? < DATE - TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT NO. COMPLETED
ADDRESS 0 7—Ln
OWNER ��O1VTR. Uf
TELEPHONE NO. �� ? � " 93 0/?
DESCRIPTION
14 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
r 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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O
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W� WORK SATISFACTORY:PROCEED PROJECTCOMPLETE
❑CORRECT WORK&PROCEED X❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
4fortt inspection24 hours in advance. (952) 249-4600
Owner/ ite:
Inspect
White CopylInspector's Fil Canary Copy/Site Notice