HomeMy WebLinkAbout2000-P03254 (Windows) • � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po32sa
Crystal Bay, Minnesota 55323 Pet'mit Type: MinorAlterations
(612) 249-4600 Date Issued: i v9i2oo
SITE ADDRESS: 1355 Arbor St
WAYZATA,MN 55391
PID: 10-117-23-31-0052
DESCRIPTION:
Proposed Use:
Buildin Census Code 434
Permit Class: g �'� ' �.,;_�- '��
Permit Type: Minor Alterations Permit Sub-type(s): Single amily, , �� �� "
DE�AILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,937.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: LAMPERTS EXTERIORS OWNER: G C PETERSON&J H PETERSON
1852 COMO AVENUE 1355 ARBOR ST
ST. PAUL,MN 55108 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.
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APPLI AN E � SI NATURE ISSUEDBYSIGNATiJRE
Copies: City,Applicant,Assessor,Finance Page 1
11/08/2000 14:04 FAX �02
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� Total Fee: $ �� �_� � Date Received: i ' "� � �
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Entered By: k'��,� Pernu�#: ;`��> � ��_��
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CITY OI�' ORONO - BUILDING P�RMYT APPLICATION
All information must he submitte�i rn full before plan review will be started.
(please prinr all irrfvrmation)
THE APPLICANT IS: (circle one) OWNER 0 CONTRACTOR
JOB SI'1'E ADDRESS: 1,3 �� (� _ � � ZIP: ,S�J 3� I _
NAME O� OWNER: � ��i � � ,(1 PFiONE: (home)�I �� �7,�,30�?(� l
(work)
MAII�IlYG A�D�SS: 13 '_55 �-r��>c� �-r CITY; ` � Z�s Z�:_�,'��- �I
CONTRACTOR: �-� ��c'�-- � ;�N i� d - PHONE: �, � I- ���l5-�6�C�
CON',CACT PERSON: ►ac���� ��_��ci,c}b MOBII,E/PAGER: (a5 I -(�5-3(0��
MA�LING ADDRESS; I�6��;J C����.�;, {��� CT�'X:g-r pav\ ZIP: <<�U�
STATE LICENSE: #�;�_,��, -��S?�
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZYl':
NAME; REGISTRATION#
TYP� OF WQRK: New Adili�ic�n Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detai�_ �P �)1�C� �� .f1c�c��S
STORIES: SQ. FEET OF LACH FLOOR:
NO. OF BEDROOMS: C�ARAGE STAY��,S: ATT_ DET.
ESTIMATED CONSTRUCTION VAY,UATION (excluding land): $ CI 3�. ��_
I hereby apply for a builcling permit and I acknowledge rha[[he information above is complete and
accura�e; thac rhe work will be in c�nformanee with the ordinanees and codes of the Ciry and with
the Srate Building Code; that I understand this is not a permi� and work is not to start without a
permi�; and that the work wi11 be in accordance with the approved plan.
APPLICANT'S SYGNATU�: ��� �-c - * DATF:: I I
NQTE! Parade Qf Homes even�s require se,parate permil approval by Police Department and
City Council 60 days prior to the event. Norc permitted events will ►tot be allowed.
11/08/2000 14:04 FAX f�0�
5cc.13•u1 R1Gti'CS OF SUBJF,C:TS OF D:\1'�
5���• �. TV}�OP��3- T�1C nghts �f indrvidual nn Whom rhe da�a iS S�nred ur�o bt Scnre�511a�1 be as Se�Fonh in�h�s seeuo0.
SubJ.?. Lnforo��tian required�o be�ivea individual. ,an uidividu:ll asked m supplY privale or�onfidcnoal dala concertsing himseL(shall
bc inForafed oE: (n) �h�P��Pose and ii�cended u5c of�he rsquestal dam wi�hin�e colle�ting�tale�gency, polidcal subdivision.ot s�te�ide.rystem:
(b)whelhec he may rcfiise oT iS legslly required lo SuPPIY��requesled data:(c)any known consequeuce arising from his suppiying o�reEusing�o SupplY
privale o�coniitleilliaf dal�;nnd(cl)thc iden[iry of alhar p�Rosu u«nolies surhorizcd by s��e o�federal law�n rccei��e rhe dala. Thu requlrement s6all
nuC�pply When 3n individual is a5kc� to 5upply� i1l�esoeaCi�e da�, pursuan[[o secuon 13.83, sub�livision 5, fo a lau+ enfor�emen�o�cer,
Tltc comRus���ner c�f re��enu� mav plaCc �he nu(iCc r:ovir�d unJeY �his SUbdiviSiun �n thC Indrviduol inrome r3x or Of�Pem Wx rcfund
jnswCuons inst2ld �t ou thnse lu�m�.
5ubd• 3- Ac�e.ss lo da�a b1�inJ���d��• Up�in requrs�rn a re�p�insible�u�huriry,an individual Sh�ll be inFormed whcther lte IS the SubjccT
OF stured da�a on indi�i�U�15.an�whcrher il ls clsssiCicJ as publiC. pnvate o�confidcnoal. Upon Liis funhet requesl.an individusl u+ho is�he subject
oC Storcd pnvaze or public dala on mditi idUals shall be shown the dala W¢haul nny ch�rge co him and:if he desires, shall be infarmed of�he con�ent
and meaning uF rha�data, AFter�n individual has bzell 5ho�++n tl�c pnv��e da�a aild inlonned ol i[S meanulg. me da�nced n0L be disclosed ro hirtl for
5» p�onth5 [hereaftcY unless a di5putd o�acnon pUrSuan�lo Th�s seCtion is pdnding Of adclilional datl on �hd indiv�dual has been e0��ecte�or crealed,
The rCsponsible aU�arity sh111 provide copie5 ot thd Ntiva�e or puhhc d�u:+upon lequest by�he u�dividu;il suh�ect of�e dala. The responsible auChonr.y
may �equire �hc reyues��ng pC�son Lo p1y �he aCN�I costs of�ku�g- �erulylDg. dnd compiling che Copses.
1'he tet�,onsiblc authonry shall cnmplY i[11�1cdia(ely. if puS5lble, with 3ny�equest m�de pursu3n�to thi5 subd�vlsion,or wlrhin five dsys of
the d�ce of ll�e�equesl.exclu�in,y,Saturd�ys.Sund�ys and le?sl holid�Ys.�f immedi�Ie compliance u i1o�possible. If htl�nnot comply wilh�he reques�
wj�hin[haL time.he Shall So�nfonll�he�ndivldual,�Lld mav li�ive an a�dinonal flve days wi�hin which lo cqmply �++I�h�he requcs�,eaCluding SBNrdays.
Sundays and lcgal h�lid�ys
Suhd.�. ProceJuce when d�ta u nn��ccur,l�e or cuulplctc. An inJiyidual ulay conle5��e aCCur3�y ur completepcss of public ur p[i�ale
data Concernin$himszlF• Tu exerns�d��s neh�_an individ�»I shall n�n'ty �n wnung Ihe resp0��sible au�onn�rsenbtng the na�ure of�he dis�greemeu[-
1'he responsible�u�honty Sh31I widlin�U�I1y�5 ei�hcr: (a)cnrre��rhe dara found tn be I�l�ecurdle or in�uitlple[e and aaemp�Io nodfy paST re�iplenu of
ina�CU�a[e o[incomplese dak1. includN4 recipien�s namd�l hy tha Ind��tdu�l; or(b)nouFy �he individusl lh�L he believes rhe da��o be correc[. Da�
in Aispu�e shall be disclused only if Lhe i,idividual'S S��emenf oF d�suereerneill�5 included wi(h �e diSC�osed cla��•
The delzrtninati0n of dlz respui�siblc auQ�oriry muy he app��lcd puisuant Iu [he provi�ion�of�he adminisrrdtive �ro:.edure act relanng lo
con�cstcd casa5
na�r� Pxivac�� �.vvYsc�x�
[u accordan�e wl�h h1.S. 13.04. Siihd.2, "Ri�h[s of'subjeccs �f data", wz woulQ l'tke to ulformyou th3c your[equzs[
Cor a pernnit or license Crom �he City of Orono or ��y oC i�s dcpartmcn�s may require yau io furnish ceRain private or
cnnfiden[ial inforrna[ion.
You are no�itied �hat:
1, T1�z informatio��you hirnish will he used[o detcrmine yuur qualiFic�tion for thz permi�or license requested.
2. You may refuse �o su�ply cia[a, bu� cefils�l u�ay requirc diat thc (:iry deny �he permi� or liccnse-
3. The informa[ion may hc shared wi[h a[}�er local, sca�c: or fedcral a�cncies �o[he cx[en�neccssary �o p.ocess
�hz �Frmit or lic�n52.
q, If your cequested pzimi� ur licznse r�quires C:ouncil �c�ion to appruve, some information may become
puUl'lc.
5. Y�u have cenain ri`f�[s untlz[ M.S. 13.U-1 (av;iil�blc �pon r�quzs�) �o [evic�� pnvate data on yourself.
6, Yu�i� Full naisle is required to proccss this applica�ion or permi�.
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Sign�in�re
11/08/2000 14:04 FAX �01
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# of pages including cover: �
Fax number calling: �-�c� �i - � �
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LAMPERTS EXTERIORS
1852 Como Avenue
St. Paul, MN 55108
(651) 695-3680 • �'ax: (651) 287-0145
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