HomeMy WebLinkAbout2003-P06410 - windows � -
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PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06410
Crystal Bay, Minnesota 55323 Pet-mit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 6�ii�2oo3
SITE ADDRESS: 25 Brown Rd S
I,ong Lake,MN 55356
P I D: 03-117-23-21-0001
DESCRIPTION:
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit T e: Addition/RemodeURe air Permit Sub-type(s): Windows
YP P Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 125.25 Valuation: $ 5,900.00
State Surcharge Fee: $ 3.45
TOTAL FEE: $ 128.70
APPLICANT: Bauer Building Co. OWNER: Susan Powers
Daniel R.Bauer 25 Brown Rd S
4628 S Lake Sarah Dr. Long Lake,MN 55356
Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P f� SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Reauired), 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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• ' Total Fee: $ ����� �� Date Received: J� �-�/-(� � _
Entered By: „�!/y�. Permit#: �U�v ti/G
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information) �
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS: �" , _ .
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NAI�tE OF OWNER: � PHONE: (home) �
. (work)
MAILINGADDRESS: %'� ''''��=--- CITY: U'v'v►� ZIP:
CO\"'TRA.CTOR: ,��.c�t u-- �j l d q� C.o . PHONE: (o ( 2.-.��Z-�2-���
COti�T'ACT PERSON: ( a v� i�ci c,t_�.+�' l�'IOBILE/PAGER:
IVL4II.I�i tG ADDRESS: LI t.2av S. G.a ke ✓�a l� CITY: �.'ta ►e �a�`h Z1P: 5'S 35�
ST�TE LICENSE: # z c�3 :? �.��'_�i? �Y.
ARCHTI'ECT/ENGI�YEER: ----�-�- PHOi�TE:
1�I.AII,I�i'G ADDRESS: CITY: ZIP:
N�`�; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
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PROPOSED WORK (describe in detain: �nS-1-�t)� a �d '� YA w'`�- -�-o►�' t���
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STORIES: SQ. FEET OF EACH FLOOR:
1\'O. OF BEDROOMS: � � GARAGE STALLS: ATT. DET.
ESTl�IATED CONSTRUCTION VALUATION (escluding land): $ � 5��'� �
I hereby apply for a building pernut 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
perm.it; and that the work wiR be in acc anc 'th the approved plan.
APPLICANT'S SIGNATURE: � -DA'�� � � c (^ u�
NOTE! Parade of Homes events require separate permit approval by Police Depariment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0•i 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 confidencial data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecong state agency,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or
refusing to supply private or confidenrial dara;and(d)the idenary of other persons or enades 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 revernie mav lace the notice re uired under this subdivision in the individual income taz or ro errv tax refund
instrucrions instead of on those fortns.
Subd. 3. Access to data by individuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data withou[any charge to hun and, if he desires,shall be informed
of the content and meanin,of that data. Aher an individual has been shown the private data and informed of iu meaning,the data need not be
disclosed co him for sir months thereafrer unless a dispute or accion pursuant to this secdon is pending or addidonal data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of che data.
T'he responsible authority may require the requesring person to pay the actual cosu 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 dace of the request,excluding Saturdays, Sundays and legaf holidays,if immediate compliance is not possible. If he cannot comply with
the request witFun that time, he shail 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 dara concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy
past recipients of inaccurate or incomplete dara,including recipiencs named by the individual;or(b)nodfy the individual that he believes the data
[o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is inciuded with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administraove 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 �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You aze 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 pemut or license.
4. If your requested pemut 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.
First Middit
Last
Address
C�ry State Zip Phone
I understand my ri s as state aboy�-�
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Signamre �_
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(Ol� �� UA� /�/�� TIME
CITY OF ORONO CALLED IN J��
INSPECTION TI SCHEDULED
PERMIT NO. �L�' cornP�ETE�
ADDRESS �'r'J !')
OWNER C NTR.
TELEPHONE NO. .. ��� � �� - �`7��
� DESCRIPTION
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ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPT C FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: ��L-t,�nnl� ��(��- ����� -
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W ❑WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED r- ISSUE CERTIFICATE OF OCCUPANCY
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V ` �BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra s te:
Inspector.
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