HomeMy WebLinkAbout2006-P09879 - windows PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09879
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 5/22/2006
SITE ADDRESS: 1360 Vine PI Unit#
Mound,MN 55364
PID: 07-117-23-42-0037
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: $ 111.25 Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: Owner/Self OWNER: Thomas&Jennifer Linder
MN 1360 Vine PI
Mound,MN 55364
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.
LICAN RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ Date Received: 5/n Lo(p
Entered By: /f'Y r Permit#: fl)2
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 R CONTRACTOR
JOB SITE ADDRESS: B (p o U i n L T l QC (' ZIP: 5 5 3
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑Yes10 If yes,a special event permit is required with Police Department and City Council approval
/T 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. ,,Non-permitted events will not be allowed.
NAME OF OWNER: 1 0 ryi a S L I Vl Gam' PHONE: (home)
r / (work)
MAILING ADDRESS: _ CITY: A11,0140d- ZIP .-�
(_vA/r.4 c T s o/v ('Ts z)`t72- -.2jr,S-'�
CONTRACTOR: S I r� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: # '
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding, Windows) X
PROPOSED WORK(describe in detail): Ao(&� t{ w; nd0WS 4 Fran Som,
a d Z C e c ►-),Ar w_
STORIES: Z SQ.FEET OF EACH FLOOR: u�p ra . 1400
NO. OF BEDROOMS: 5 GARAGE STALLS: ATTACWED Z DETACHED 14
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 5,, C)0 n
I hereby apply for a building pen-nit 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: '4DATE: May 1 'Loo 6
31
or
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 shall be as set forth in this section.
Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himself shall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,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 mayplace the notice required under this subdivision in the individual income tax or property tax refund
instructions instead 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 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
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 of the 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 of the 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
concerning 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.
The determination of the responsible authority may be appealed pursuant to the provisions of the 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:
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.
TTIOm-is EdV-,l0Mi Llnc
First Middle Last
130 Vi.�-u
Address
Cit, State Zip Phone
I understand my rights as stated above.
T
Signature
32
May 13, 2006
Mr. Lyle Oman
2750 Kelley Parkway
Orono, MN 55356
Dear Mr. Oman,
I understand that I will take full responsibility for the quality of the work and
materials used in the installation of the windows at 1360 Vine Place, Mound, MN
55364. 1 realize that the project will need a inspection before any work has
been closed in or covered and also that a final inspection will take place when
all work is completed.
Sincerely,
71,-,, /-,�
Thomas Linder
CITY OF ORONO CALLED IN TIME� /
INSPECTION NOT E SCHEDULED
PERMIT NO. � PLETED
ADDRESS 1 /r1l) 11"&
OWNER CONTR. 4C� � p� &11A—
TELEPHONE NO. ��� Y7� 7/
DESCRIPTION
�
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
FRAMING 13 MECHANICAL FINAL19 LAKESHORE/WETLANDS
y TION 24/25 WOOD BURNER/FIREP CE 34 TREE REMOVAL
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W WORK SAT ❑ PRO JECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
CO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Cj 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.
Call for the next spection 24 hours in advance. (952) 249-4600
Owner/Constn o :
Inspector_
White Copyllnspector's File Canary Copy/Site Notice
DAT TIM
CITY OF ORONO CALLED IN �/�
INSPECTION NOTXE SCHEDULED / b
PERMIT NO. 0 90q 79 COMPLETED
ADDRESS _�3 L,C) U� hQ . :1 Q
OWNER 1/V5YYIC�S �1 ONTR.
TELEPHONE NO. s,
DESCRIPTION 7 J S
01 FOOTING 11 MECHANIC I 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z
04 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
QC
W
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WWORK SATISFACTORY:PROCEED ROJECT COMPLETE
cc —0.CORRECT RECT WORK?£PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O
1:1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. 1:1 PHOTO TAKEN
INSPECTOR WILL RETURN El CITATION ISSUED
El STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
Owner/Contr Re:
Inspector.
CAAU
White Copylinspector's File Canary Copy/Site Notice