HomeMy WebLinkAbout2000-P03241(building: windows)�
� PERMIT
LITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po32ai
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: iligi2oo
SITE ADDRESS: 3245 Carman Rd
EXCELSIOR,MN 55331
P I D: 20-117-23-14-0010
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Buildings Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,175.00
State Surcharge Fee: $ 3.60
TOTAL FEE: $ 156.85
APPLICANT: RENEWAL BY ANDERSON OWNER: JON&KIRSTEN NIELSEN
350 73RD AVE NE 3245 CARMAN RD
FRIDLEY,MN 55432 EXCELSIOR,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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P LI A T PERMITE,E SIGNATURE ISSUED BY SIGNAT[.JRE
Copies: City,Applicant,Assessor,Finance Page 1
�-- ��TY OF ORCNO � 6�24730510 09/24/96 14:90 � :QZ/Q3 N�;S��
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T�a1 Fe�: $ Date Reczived:
Entered �►Y� Permit�l:
C�TY OF OR�N� - �IJ�,DII�TG PE�MIT �'�PLICAI'YON
AU�it�format�on must be submitted !n full before plan review will be started.
, �lease print att i►formarion)
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T� APPI�IC��N'I' Y5: (circle one) O�NER 0 CONTRACTO �
._ .�t�� sYT�E a�I�i�ss: ������� C�crr•n.,n �'�c�.� zlr: `>>�� I �;'�
�. NAld�OP'OWNEIt: ������.�C1 _�'�l��T,�� '�'1 PI�ONE: (home) - 33' �[�Zp
�� (wark)
11�AYLIl1iG ADDRESS: C:\1 CI'd'Y: ��,�'� ZYP:�?� I
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CO1�iTRACT4R: RENEWAL BY ANDERSEN , � •
. CONTACTPERSON: 350-73RD AYE. NE ' - -
� ' 1�'�AY�.Ir1C ADl?�ESS: FRIDLEY, MN 55432
��$AT� LICENSE: � t 612) 502�4777 ZIP:
LICENSE #20130983
. ABCHY'T�CT/ENG�lY�EIEt: PHONE:
1V�IY.ING ADDItESS: C�TY• ZI�: �
NAME: YtEGIST�iTIUN�
TYP� O�'WORIC: New Addition Accessory Sttuctnr�
Move Remodel/Alteratian�_ Land Alteration
�POSF.D�VYORK(describe in detai�: `��
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STORIES: SQ.FEIET UF EACH FGOOYY:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �
E.SR'IMA'TED CONSTRUCTION VAI.UATION(e�ccluding lan�: $ �1 ��C� �
I��reby app�ly for a building permit and I acluwwledge that the informetion above is compiete and
accurate; that the work will be in confomnance with the ordinances and �odes of the City and with
.' th.e Stxte �uilding Code; thac Y understand this is �ot a permit and work is not ta start without s
p�rnait; and that the work will be in acc rdanee with the pproved plan.
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APPLYCAN�!''S SIGNATiJatE:�� ��1�(.b�,�'E: I ! .
,
N04',�! .P�Qde of'�lome� events r�qufre separ�e permlt ap�roval by Pot�c�Dep4rtment and
C'ily Cor�r�eil8a days prdor to the evertt Non permitted ee►�Rts will not be aYlowed.
Rer.pivad Tlma Cen 7/1 1 �d�A1�d 1�rin1 Timn C�n 7�1 t . A�D1J
T� �F aR9�0 � 5�24��0510 OG�24/96 14:00 �1 :43/03 N�:52�
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S+cc.13.04 1tIG�iT$OF SUH,iEC'I�S OF DA'f'.t
Subd. 1. Typt of alata. 2Ae rlyd�s of indlvidud on�rhom eha daa Is smred or ro be smcrd shall be as see fonh in this seedan.
Subd.�. Inlora�atlon roq�rsd po be gtvsn indf�►idu71._M Individual asked ro supply privste or oonfidenu�l dota cancarnlhg�lmaelf ahall
be Ir�lonned of: (.)tlle purpose and inunded use of the�equescd!dtm withia the wlfsedng Btace agency,polldcal subdi�ision,or snrowide syseem:
(b}wluther h�may reflise ot is legally required w supply rhe roqu�ased daa:{c)any knoa+n�onsequeaee arising from hls supplyfng or rolUsing ro supply
priva�a or copflden[i�t dsa;and(d)�he idenriry o!od+e�person�or endries aud�orized by sum or tederal law u�re�eive rhe data. 1'6Lt requiremenc 5ha11
noc appiy whea an individual ia esked eo aupply tn�esdgarive daa, punuan�co cecdon 13.62,subdivision S,to s I�w enfortemen�ol�icer.
�Q,c mi issigna QP ro�enue ma� alace che noc�c= r�auirsd under this subdi�isiv in �fi� individuai incnme rax or oroos�v mx�n�ind
-_ , lnc��ion�t i{�s ad u�on rhoso fortns, "
SuDd,3. Aeeees to data by G�dlvidu�l. Upon rcquest to a rcspansible authanry,an indi�idual shali be informed vvhather 6e le the s�tbJeec
ot etarod dua on individuais,and whecher ic is elassified a9 public, ppvace ar sonPldea[ial. Upon fus}I�rther rcquest,an individual who i��he subjtct
of s[ored pri�sce or public daw en individuals shall be shmrn�he dars wirhoue any charae ur him and;if he deaires,sheil be infonned of the wntent
rnd meaning of diat data. Aher an irnli�idua!ha9 heen shown ohe p�i�ew dnra end iatom�ed of in�esning,the dao aeed noc be diulosed w him for
ds emnrhs theresFur unle:s a dispute or�ction pursuan[m this seedon is pendin�or addi�io��l dua un ihe individual 11as been e�ilecced or creatLd.
Ti�e rsapu�eib{e authpriry chail provide copies af rhe privare or pubiic da�upon rcquesc Ey�he individua!subjec�of�e dara. '!?�e responsible aa�horiry
may requiro che roquearin�person ro pay�,e aen,al cosu of making,csrtifying.and eompilia8 rhe eopies.
'Tbe nesponsible suth�rity shall comply immediately, if pussible.aich any requesc made pucauant ro fiis subdivision,or wi�hin fi�a day�of
che date of qu requea�,exetudinQ Satutdays.Sundays and lcgal holldays,if immedlaee complisnce is not po9siblc. If'he caraio�compiy wi�h d�e roques�
wlth�n�hu clmo,he�hall au inPorm che indivfdual,and may ha�e an addirion�l Five dsys wid�in which ro comply�i�h she request,excludlt►g Saairdays.
S1imleye nnd legpl holMaye.
Subd.4, �oeedu�e wh�n dnta is not occurote or enmpiete. An indi�idual m�y conuss��accuracy or complercnos�of pubiic or privrue
deu rancernrng bimself. To exarcise�Ais right.an indi'vidvel shal)noaf�in wridnQ�+e ros�wnsible suehurity�euribing d�e neeuro of�he diadgreemcnc.
1'he roApon�lble Authoriry sltell withit�30 days either: (a)cotrecc the data found eo be inaccucxte or incorr►ple[e and atrempt to nodfy paie recipiencs eE
iaaeeucue o�incaroQlete dpa, Including recipiencs namcd by d�e individual;or(b)nodfy�hc individual ths�he belleves the dara co be cnRece. Data
ip d�pute ihsll be discloaed only if the inclividusl's su�ement of disaQaemen�is includad with the di9closed dara.
9'he deromunnrion o►�he rrsponsible.u�tioriry may be appealed pursuani to ths pm�isionc of Tlte adminisuarive procedure act rclacine�
concested oases. ,
' p TA P�tIVACY ADVI$ORY
in accordaace with[4i.S. 13.04, Subd.2, "Righcs of su6Jects of da�a", we would like to inform you chac your sequesc
for a pern�it or license from the City of Orono or any of its departments may require you to furnish certain private or
confidentlal information.
You are noti6ed thar.
1. The infocmetian you furnish will be used to determine your qualification for the permic orlicense requested.
2. Yuu may refuse co suppiy daca. buc refusa�l may require thac the City deny the permit or license.
3. The information may be shared with othCr loeal, state or federal agencies to the eAtent nccGssnry to process
the psrmi[ or license.
� 4. . if youY requcatcd permit or license requires Councit action [o approve, some infarmation may becomc
' public.
5. You have cercain righ�s under M,S. 13.04 (available upon request) to review private data oa yourself.
6,� Ynur futl name is requirod to process this applieation or permic.
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' d•u�derstand any dght� ' aced above. _
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