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HomeMy WebLinkAbout1998-010100 - replace windows PERMIT CITY OF ORONO PERMIT TYPE: ,, i 2750 KelleyParkP.O. B 66 Parkway- ox Permit Number: Crystal Bay, Minnesota 55323 Date Issued: tib 06/_8 (612) 473-7357 SITE ADDRESS: 1:310 VINE PL .Tc P. I . N. = 07-1 -17-23-42-000-1 DESCRIPTION: F;EF'LAC:E WINDOWS Building Permit. Type :_:F-ADD/REMODEL Building Work TypeRENCIVATE/REMODEL Census Code 4:34 ALT . RESIDENTIAL REMAF $jR,Cj,,M WINDOWS M�ST MEET Er RES.':, EEc,'U I REMENT=_ FEE SUMMARY: VALUATION $11 , 618 Base Fee $187.25 Total Fee $i93.06 CQKT TQ>R:A DER.SE N 1-S024777 200406-3o MICHAEL 150 73RD AVE NE 10 VINE PL F R I DLE Y MN 565239 !--iFE ilii i MN 5=:--364 (61:..) 4:30-7255 472-446 THE UNDERSIGNED FIEFiEEtYi'£t t ESTS F'E# M 7 DTNS Ft AL , PR-VE� , SPECIFIED AND AGREE: TO DO ALL WORF� IN .'5 "R I CT I ' i �ALL 0�,���N�� ��c�CDIIVAN�:E�: AND :TATE SRF 1�IN E�.��TA SUILQI� � ISE , Lr APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO 6124730510 09/24/96 14:00 [!P :02/03 NO:522 }} Total Fee: $ 1 C� Date Received: /0-78 Entered By: Permit ti: ( _/ cu 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 ORONT CTOR JOB SITE ADDRESS: ZIP: J5-6,9� NAME OF OWNER: M) 51a PHONE: (home) `12 4 (work) a31�Pf X13 MAILING ADDRESS: 9hhC CITY: 09-0 ZIP: CONTRACTOR: �rcw N° - VA —PHONE: 5p2.' Wrl-7. CONTACTPERSON: MOBILE/PAGER: MAILING ADDRESS: "13'2° Pf\)C-- . CITY: Ftp.\D l9N ZIP: Z STATE LICENSE: #-2-004Cq ARCHITECT/ENGINEER:.t-� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detail): (Z�EP�-R C ...1�M6 ...S� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 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 rdance with the approved plan. APPLICANT'S SIGNA ADATE: a L� , NOTE! Eargde of&Mes, events req Vire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Received Time Sep, 24, 1 :42PM Print Time Sep, 24. 1 :43PM CITY OF ORONO d 6124730510 09/24/96 14:001J :03/03 NO:522 Sec.13.0-4 RIGIM OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data Is scored Or m be stored shall be as set forth In this section. Subd.2. Imre notles rskWod to be given individgaL An Individual asked to supply private or confidential data concerning himself shall be Informed of: (a)tie purpose and intended use of the requasted dam wid&the collecting flute agency,political subdivision,or satewfde system: (b)whetter he may refuse or is legally required to supply the requested dam:(c)any known consequence arising from his supplying or WIUSIDg to supply private or eoofldehufai dam;and(d)die identity of other persons or enddes authorized by sate or federal law to receive the dam. This requirement shall not apply when an individual Is asked to supply investigative dam.pursuant to section 13.82, subdivision S.to a law enforcement officer. The comrtr�s+ signer of revenue may place ft notice rcamigg under this VMivis!Qn in the individual.income rax or Brown-ax rellirid i ay"na Instead ut an smic foams. 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 dam on individuals,and whether it is elassified as public,private or conAdential. Upon his ftrrher request,an individual who is the subject of stored private or public dam on individuals shall be shown the dam without any charge to him and,if he desires,shall be informed of the content amt meaning of that dam. 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 diereefter unless a dispum or action pursuant to this section is pending or additional data on the individual has been collected or crested. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the dam. The responsible authority may require the requesting person to pay the actual costs of making.certifying.and compiling rhe copies. The responsible authority shall 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 imam compliance is not possible. VU 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, precednra wham data is net accurate or complete. An individual may @onmst die accuracy or completeness of public or private dam concerning himself. To exercise this right.an individual shall notify in writing the responsible authority describing die nature of the disagreement. The responsible authority shall within 30 days either. (a)cornet the date found to be inaccurate or incomplete and attempt to notify put reciplemts of inaceutw or incomplete dam,including recipients named by rite individual;or(b)oodfy the individual tot he believes the data to be cornett. Dam in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dam. lin dearrninaihon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested eases. DATA PE VACY AD 966 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 aro 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 liCetlse. 4. If your requested permit or litems requires Council action to approve, some 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. ' Firs � ^ �. Middle Last. 11 — Mtdress City Stan zip phone I ars my rights as stat above. Sha r -01- Received Time SeD. 24. 1 :42PM Print Time Seo_ 2Q_ 1 .41PM CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1'910 V' IN e P(A c.c PID: DESCRIPTION OF WORK: L pw g ZONING REVIEW BY: tJJA DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: y-/S•g$ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t/ No PLAN REVIEW Yes No ✓ SEWER CONNECTION STATE SURCHARGE� Yes t--- No WATERCONNECITON INVESTIGATION FEE Yes No PARK FEE SAC Yrs No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): _ Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: N.p' Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: (in house): 26 BUILDING REVIEW CHECK LIST UBC: 3 CONSTRUCTION TYPE: vnJ Sq Footage $ Per Sq Ftg Basement x = 1st Floor x — 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) L.Final Grading/Filling Electrical (State Permit) Other --------------------------------------------------------------------- REMARKS (IN HOUSE): ----------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------ ----------- REMARKS(TO BE NOTED ON PERMIT): �jCX�2ao,r. Gv„yl�er,✓f �►•w,��- 27 igj Elder-Jones Building Permit Service, Inc. ELDER-JONES BUILDING PERMIT SERVICE, INC . 1120 EAST 80TH STREET BLOOMINGTON, MN 55420 PHONE : ( 612 ) 854-2854 FAX : ( 612 ) 854-2703 We at Elder-Jones Building Permit Service, Inc . are acting as an agent for Renewal by Andersen . If there are any questions , or if permit has to be picked up in person, please give us a call at the number above . If permit can be mailed back to us, we have enclosed a self-addressed envelope . Thank You, Tim Schenk ext . 140 Jolene Connors ext . 134 Elder-Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 612-8542854 FAX: 612-854-4909 DATE TIME CITY OF ORONO CALLED IN -� 9B� /yr, INSPECTION NOTICE SCHEDULED PERMIT NO. l C I D COMPLETED 1e ADDRESS OWNER CONTR. TELEPHONE NO. q3U — 7,.� 5 DESCRIPTION � 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 NAL 14 SEWER HOOK-UP 06 PROGRESS 0 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Cc W 0. O Cc O W Cr Q Z W z W CC O d WO W RK SATISFACTORY:PROCEED >(PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 17 PHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra site Inspector. White CopylInspector's File Canary Copy/Site Notice