HomeMy WebLinkAbout2009-00479 - windows CITY OF ORONO PERMIT NO.: 2009-00479
2750 KELLEY PARKWAY
« ORONO,MN 55356- DATE ISSUED: 08/27/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1000 TONKAWA RD
PIN 08-117-23-12-0005
LEGAL DESC REG.LAND SURVEY NO.0617
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WINDOWS
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 5,646.00
NOTE: REPLACE(3)WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 132.75
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.82
1920 COUNTY RD C.WEST
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(612)502-4777 TOTAL 137.57
Minnesota State License#: 20130983
OWNER
HOFFMAN,RAYMOND
1000 TONKAWA RD
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
'/.xx,210, '--K l l l l
Applicant Permitee Signature Date Issued By 6bature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
Aug-11-2008 02:38pm From-CITY OF ORONO +8522404616 T-717 P 002/003 F-600
Total Fcc- $ l DD 4 Date Receno
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Entered By
(� Permit a: -Z>a 9
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 OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ yes ❑ No lfyes, a special event permit is required with Police Department and City CouneU approval
60 days prior to rhe event Shurile bus service will be required unless applicant demordrrates
sufficient on-sire parking is available. Non-permitted events will not be allowed
PHONE: (home)_250'
NAME OF OWNER: (work)
MAILING ADDRESS: CITY: ZIP:
Renewal By Andersen PHONE:
CONTRACTOR: 1920 County Road "C" West AGER:
CONTACT PERSON: Roseville, ;V N 55113 ZIP:
MAILING ADDRESS: License #20130983
STATE LICENSE: #1 651-264-4777 pA�i"
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: --�ZIP;
NAME: REGISTRATION: #
TYPE OF WORK: New Hoene Addition Accessory Structure
Move Horne Remodel/Alteration(ie: Siding, Windows)
Any earth movement may require MCwb review and grmit8!
PROPOSED WORK(describe in detail): !A0NQt � •S -ice
STORIES: SQ.FEET OF EACH FLOOR:
NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMA
TED CONSTRUCTION 5/VALUATION(excluding land): $— O(4 k 001
-
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 permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: 6ATE:
JLQ%_Q1
31
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Aug-11-2000 02:36pm From-CITY OF ORONO +9522464616 T-717 P.003/003 F-600
gex.1>1.0/ R1rtrTa of susJECT6 OP DATA
Stubd. I. TM of dam. TAo rights of individual on whom the data is stored or so be oared shall be as set forth in talo section.
vidual. An individualadrodto61AWyprlvateorW11FAmllaliaoacOneenllag,hiroseltshAtlbe
Sebd Z.iNbnlreNor►roqubad m be given rear liticil subdivision,or waw(de systeas;(b)
infbtned of (a)the purpose and'mended lire saftheupply
itis requested
dem within they known
dint score gismo f erthir to or rehsine to gamy
wbether he may m4useor is legalty required to wpply the seep Dread nttiica authorized by sMc4c�al 1rw bteerive�Thu nequirensntt shall
privets or confidetNial data:and(d)the Identity ofotlia pataotts
trot apply when est individual is asked to supply investlaattve data,pursuantla 8690011 13.82,sobdivisioa s,m s law enfbrec"�sat Drifter•
s.. may otter the scute neouired_under this auhdiyiahnn:n the ind[v_fd1�'
-----------------------
Subd ].Awas re data by individuol.Upsn mquoto a responsible authority.an tudivldaal shall be ir&mad wbsaher be litwthssubjof
Individuals,and wheeler it Is classhfied as public.private or eonfrdential. Upon his%rdw request,its individdel who is the subject of
cored data on In
stored private public drab d individuate daale shall be shown the data without any charge M hirn turd,ifhe"pos.shall be lofmood of the comteat and
90 Win for six
eneatsing of that data. Auer ash individual has bcen dawn the privale do"and«add deo 1 dam 64 i"Viduathiss bat+collectego be d 0 asaskd.The
ow da tharealler unless a diepate or notion pununette this section u pending
t:spomlblc authority shall provide cops the individaal subject of the duo. The responsible arthertq
v es of rho privets orpubik data upon eegtheat by 41
may require the regwslieg poison to pay the aoeual Costs ofnahing,earti"ll,and eompiilft the:copies.
The rorponsibl .udarley shall comply immediately,irpossible,with any mgaest made pofntnt to this subdivision,of within Ave dttye of
t:
lhedata oftherequest,erxcludis&Ssaadays,Sundaysand legal helidays,ifiminediasacomplianceisnotpossfblernnotcomptudiegSaetdr imyt►t
within thattlms,ho shall ao infbrrs the Miv ideal,and MY have ant additional five days within which to comply with
gandays and legal holidays.
Subd.a. ProccdurewhisrrdataisootaccurateOrcomplete.AnWAvidualncyeoWAdeteeurecyoreonnpleteneworpubiicorp�so'w
concerning himself.To exercise deli tight an individual shat l notiry in writing the tt poaibte wlharity dwctrbhtha ere ata be menti of
responsible authority shall w111hin 30 dace either (a)cornet the data fog"so he inamim or inwmplesaend asearrpt
inaccurate or ineanplede dao.including mciptents named by the individual:or(b)notify tic individual that he behoves the data to be oorfotx.Data in
ret is included with the disclosed data.
aorta shall be ese mifig only if the responsible
ratelity of dieagna'>� uant to the visions of the aebtinietradve Proeeduss sot relstiea a
The detarninattpn of t8a raaporaible authority may be arra i>mPao
cwcsted cases.
DATA PRIVACY ADVISQBY
lin accordance with M.S.13.04,Subd.2,"Rights of subjects of data',we would like to infohltn yout'hatyourTegltest
for a permit or license ttom 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 dctermine your qualification for f1Ele permit or license
requested.
2. You may refuse to supply data,but refilsal may require that the City deny the permit or licMt.
3. The information may be-shared with O*CT total, state a federal agencies to the extent necesisary to
process the permit or license:•
4. if your roque0od permit or license requires Council action to approve,scene information may become
public.
S. 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.
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I understand y riots sat stated above.
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6 D E TIME
CITY OF ORONO CALLED IN
INSPECTION NOT I E SCHEDULED 0) -'06
PERMIT NO. 0 — 06ICOMPLETED
ADDRESS 000 7�Ox./� Wa- 4d
OWNER G �
CONTR.
661
TELEPHONE NO. l Z& f- ( 3
DESCRIPTION W,111 ✓
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
H ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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El WORK SATISFACTORY:PROCEED AROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Q PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
EISTOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on ite:
Inspector.- .I!
White Copy/Inspector's File Canary Copy/Site Notice