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Home My WebLink About2008-00093 - windows A CITY OF ORONO PERMIT NO.: 2008-00093 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/31/2008 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4220 WATERTOWN RD PIN : 31-118-23-13-0012 LEGAL DESC : WYATTS ADDN TO ORONO : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 3,825.00 NOTE: REPLACE WINDOWS IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 103.25 WINDOW CONCEPTS OF MN 990 LONE OAK RD. STATE SURCHARGE(VALUATION) 1.91 EAGAN,MN 55121 MAIL-IN FEE 1.50 (651)905-0105 TOTAL 106.66 Minnesota State License#:20163493 OWNER WYATT,ROBERT&JUDITH 4220 WATERTOWN RD MAPLE PLAIN,MN 55359- 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/ t4ti / / �t, B'7tAj � 7, 31 , 6n Applicant Permitee Signature Date Issued B Signature / Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB' ABOVE. J 2 23:38 FROM: TO:9522494616 P: 1'2 Jul-cB-2008 10:43am From-CITY OF ORONO / +9622484616„ T-74Ft, P.002/003 F-T61 C' /.( .2 2 / 1��7'<.� e- �� 1L ..e ;(�.&. .-c/‘ --I ctA.,.--).2._.04-(4 -7.--1.2' 6--0)--) /....--) i>-____,1„,_,,,,,,-- c- (,..,,,_,,, ,.. . -. ,.E... --)/..L. _,:1_,..,.....Tr Total Fee: S /0S L/ /r 3�� Entered f, Date Received: �J �/O . Permit#f: 4,, ,,-' !»DO 9 CITY OF ORONO - BUILDING PERMIT APPLI' TT IN 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: L\ �� ---- ' ` ri—: v1): C;7:;"-Z"_-_)cmc - Will this be 3 P rude of Homes, Remodelers Showcase Home or other Display Home? I I Yes Lll o Ifyes, a special event permit i,.required ti,ifth Police Depara,, ,i:and City Council approval 60 days prior to ihe event- Shuttle burr service will be required'wiles.,applicant demonstrates sufficient on-site parking is available. .Von perrniired events 14111 not be allowed, NAME OF OWNER: -L F' : �, , \V,, _. 9pHONE: (iome) t work) MAILING ADDRESS;Z Lam _f 1t -� -c ITY: - �`� {C .iZIP: =::::3,5;1:–. CONTRACTOR: L, :: . iii; . a PHONE:( CONTACT PERSON:.__ ��c �'fN v�' MOIY,E/PAGER: �'-� MAILING ADDRESS: a a t)r a. l►CITY. < r.i; �t < ff1,N ZIP-:- .> / i� STATE LICENSE: #a'T) 9 (42:::: G _ EXPIRATION DATE.j ...----7:24---_ ,±45.:D.' 7 ARCHITECT/ENGINEER PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition _ Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) Any earth movcmen, may e uire MCWD review and permits! PROPOSED WORK(descri6 i detail): .411111_ (2 <1.:4-.------'.:4 z.Yc...� f� '�., – 4 4 - - , - - _ STORIES: SQ.FE T O 'EACH itOOR: �_ NO. OF BEDROOMS: GAG STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): S .: -1 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 Coder that 1 understand this is not apermit and work is not to start without a permit;ani that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE j-+, ., ..',/ . , 'f; DA.T'L�: �4.9<cir 31 JU (218 23:38 FROM: TO:9522494616 P:2'2 Jul 8-2008 10:43am From-CITY OF ORONO +952249461fi T-746 P.003J0)3 F-751 Sce.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rides of individual on whom the data is stored or to be stored shall be as sei forth ill Utl,S c(:iipn Subd.2. Information required to be given individual, An individual asked to supply private of confidential,Jars urn• rq;ng himself shalt be • informed ore (a)the purpose and intended use of the requested data within the collecting rrAre agency,political subdivision,or statetvide system;(h) whether he rttay refuse of is legally required to supply the requested data;(c)any known consequence.arising from hie supplying or refusing re supply privete or confidential dain;and(d)the identity of other persons or cntltiet nuthatized bysteie or federal law to receive(he data. This rcgtrirgment sham not apply when en individual 1s asked to supply investigativo data,pursuant to section 13,A2 subdivilion S,to a law enftrcemen:officer. The cntrtmiesiontr_af reeve je izt inindividual,jncprne lay or pammiliK4furAl i➢attucsioi1F iActesd of eta those forms, Subd,3, Access to data by individual Upon requesere a responsible authority,an individual ehall be informed whether he is the sebjectof stored data on indiriduale,crud whether ii,is classified as publ ic,private orcontidential. Upon his further request,an,rid ividu;ii who is the subject of scored private,or public data on individuals vial.be shown the dem without any charge to him and,if he desirea shall be informed of the content and manning of that data, After en individual has been shown the private date and informed of its mear.irg,the data need not be diec:lpeed to him for six menthe thereafter unless d dispute or action pursuant to this sectierl is pending or additional dela tier the individual has been collected or created Tie responsible authority shell provide copies of the Ovine or publie dale upon request by the individual subject of Vie deem, The responsible authority may require the requeeting person to pay the actual eons of making,cer tifyine,and camp iline the copiee. The responsible authority shall comply immediately,if possible,with any request made pursuant to this aurid ivision,or within five days of Me dun of the request,excluding Saturdays,5undoys and lege]holidays,if immediate coinpi Jane I;:nor.possible. lfhe cannot cumply with the request within that time,he shall so inform the individual,and may have an additional ve days w ithih which to comply with the:request,excluding Snturd'nn Sumdnys and legal holidays, Subd,4. P7oceriuee when dAta is Th0t5ceuOte or complete.An individual may contest the accure.cy urcontp]eueriessofpublisorprivate dew. enflaming himself To ore vise this right,an individual shall notify in writing the responelble atthnricy describingthe nature of the disagreement The responsible authority shall within 30 days either: (a)correct the dam found so be inaccurate or incomplete and artempi to notify peel re;it write of Inaecumtre or incomplete data,including recipionm named by the individual;0f(b)notify the individual thee he believe the data co he correct. Detain dispute shall be disclosed only if the individual's statement of disagreement is included with the dieelosed data. The determination of the reaponaiblc authority may be appealed purl sant to the provisions of the edmihitr give procedure set relating eo contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to i11ft'rm you that your request for permit or license from the Cry of Orono or any of its departments may require you to furnish certain private or confidential information. • You are notified that; The information you fllraish will be used to determine your qualification fur the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or Iicense. 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. S• You have certain rights under M.S. I3-04(available upon request)to review pi ivate data on yourself. 6. Your full name is required to process this application or permit. First Middle _.._ Lays Addreaa - -_ City State Zip Phone 1-understand my rights as stated above. r �_..._- • .T ;,,r ,,RPt;nanun �� ai'r1� ,,1'I l� li �llfia�.'`>w� 17.Illt lll .l irllWl�'i�tl��!lii�I 32