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Home My WebLink About2008-P11939 - windows y PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11939 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4/1/2008 SITE ADDRESS: 1005 Willow Dr S Unit# Wayzata,MN 55391 PID: 10-117-23-24-0012 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 FEE SUMMARY: Permit Fee: $ 280.25 Valuation: $ 15,173.00 State Surcharge Fee: $ 7.60 Misc.Fee: $ 1.50 TOTAL FEE: $ 289.35 APPLICANT: Pella Windows&Doors OWNER: Martha Spencer 15300 25th Ave N.-Suite# 100 1005 Willow Dr S Plymouth,MN 55447 Wayzata MN 55391 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. 2 Atel c4t PLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ti Total Fee: $ Date Received: Entered By: Permit#: 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 ONTRACTO JOB SITE ADDRESS: 1130,57 Lj l //O W J>l u t ZIP: '9,53 -9 / Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes [:] No If yes, a special event permit is required with Police Department and City Council approval 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: n)o r4A a S ik i)U l^ PHONE: (home) T9.21 Lr 7 3•/b MAILING ADDRESS: (b D 5 Wdt'DW DP CITY: 6 r e n (work) Orono zip: SS 31 Pella Windows and Doors CONTRACTOR: 15300-25th Ave.North, Ste. #100 'HONE: Sa 3kS-G d17 CONTACT PERSON: _ Plymouth, MN 55447 GER: Jbclr m £Idir Joto S MAILING ADDRESS: _ License#20165884 Zr-p' STATE LICENSE: # 763-745-1400 TATE: 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 movement may require MCWD review and permits! PROPOSND WORK(describe in detail): 8 Wt/)Clow rl DlQCt.lYItit rn Ylstl� b STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ i' Jr^j 1 -7 3 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 SIGNATURES, DATE: *3 31 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 ofthe 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 may place 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 ofthe 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 ofthe private or public data upon request by the individual subject ofthe 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 ofthe 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 ofthe 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. TM 50htn k First Middle Last rap S1: CJ - Address (ocfmt l o City State Zip Phone I understand my rights as stated bove. ,,ots nature mvmvsvv MINNESOTA DEPT.OF LABOR&INDUSTRY Elda i er-Jones Construction Codes and Licensing Division Building Permit Service,Inc. 443 Lafayette Road N. 34am Ii St.Paul,MN 551554344 vee PELLA WINDOWS DOORS TWIN CITIES INC PELLA WINDOWS DOORS TURNKEY SALES 15300 25TH AVE N#100 PLYMOUTH,MN 55447 To Whom It May Concern: Elder-Jones Buildinq Permit Service, Inc.is acting as an agent for Pella Windows and Doors. Please give us a call if there are any questions t State of Minnesota Construction Codes and Licensing Division r,:,.:• person.Thank you. �a DeP artment of Labor and Industry Telephone:(651)28284-5065fi5 i� 443 Lafayette Road N. E-mail address:dli.contractor@state.mn.9us S'r St.Paul,MN 55155-4344 Website address: ww.dolistate.mn.us �:� ii Sincerely, Residential Building Contractor License Elder-Jones Building Permit Service, Inc. Legal Name: PELLA WINDOWS DOORS TWIN CITIES INC Business Structure: (800)541-0821 (952)345-6047 DBA: PELLA WINDOWS DOORS TURNKEY SALES CORPORATION • Address: 15300 25TH AVE N#100 PLYMOUTH,MN 55447 License Identification Number: 20165884 Qualifying Person: TERRANCE E OCONNOR License Expiration Date: 3/31/2ooa Continuing Education:7 hours due by 3/31/2008 d Elder-Jones Building Permit Service, Inc. 1120 East 80th Street'Bloomington,Minnesota 55420-1498 952-854.2854'FAX:952.854-4909 �4 15- ' DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED .5-d D /D:Ob PERMIT NO. COMPLETED ADDRESS Al"PS Gv///d2cJ OWNER CONTR. 0� TELEPHONE NO. r`�' dew V3 O /06vr DESCRIPTION II- �n �S Ltj ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 LIJ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ P ING FINAL�(J��L�OGT D� / ,, ❑ FOUNDATION/REMOVAL OWNER/ ONTRACTOR TO MEEYOU` ESA NY O MN TS. W a o C AJ i 1L n A^ U_ W QZ Q f2 2 W Z W cc d WEl SATISFACTORY.PROCEED 11PROJECT COMPLETE Cr W kORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CbRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: IC Inspector. _Lj ('L"0,_ S White Copyllnspectoes File Canary Copy/Site Notice