HomeMy WebLinkAbout2005-P09039 (siding) PERMIT
CITY�OF ORONO
2�50 Kelley Parkway- PO Box 66 Permit Number: P09039
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
8/19/2005
SITE ADDRESS: 3275 Carman Rd Unit#
Excelsior,MN 55331
P��� 20-117-23-14-0012
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Siding
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Reside,soffit&fascia,rainware
FEE SUMMARY: Permit Fee: $ 349.25 valuation: $ 21,880.00
State Surcharge Fee: $ 10.95
Misc. Fee: � $ 1.50
TOTAL FEE: $ 361.70
APPLICANT: Minnesota Exteriors Inc. OWNER: Mitchell&Kimberlee Olson
8600 Jefferson Highway 3275 Carman Rd
Osseo,MN 55369 Excelsior,MN 55331
TNE 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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APPLICANT PERM[TEE SIGNATURE 1 SUED BY S[GNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1
Total Fee: $ DateReceived:
. DateApproved:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BESTARTED
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THE APPLICANT IS: (circle one) OWNER OR CO TR�AC� �
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JOB SITE ADDRESS: �Z 75 -- �-f�,��ti�--�} �, ZIP: ��3`� 1
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NAME OF O Wl�'ER: �'�� �f�,��,I� �$�.� PHONE: (home)��/5 Z -4�r '�;�Z
(work) �15Z-�"/— �`���
MAILINGADDRESS:�2 7 -i (r�-K%,�.c,�ril��& : CITY: ���Q����,i ZIP: �3`-��j
* CONTRACTOR: j�� �1�t3<�T)4- L�l���' - �K:5 PHONE: �1�3._ ����-��UC>
� MOBILE PHONE/PAGER:
MAILING ADDRESS: ��,ff�( :f��-'l�� fIL� CITY: ��j j j�.�% ZIP: �5�E, `�
STATE LICENSE: # .�'-�� 7 7 �
ARCHITECT/ENGINEER: PHONE:
l�7AILINGADDRESS: CITY: ZIp:
NAME: REGISTRATION #
TI'PE OF «'OKK: New Addition Accessory S�-ucture
Move Remodel/Alteration � Land Alteration
PROPOSED«'ORK describeindetail : �
( ) _ e.5�c�-_ : J�i-� �, -t �Sr,� �.� ��-1-�-a)i��z �-�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTIONVALUATION(excludingland): $ �� ��� c�
I hereby a�pl}� for a buildin� 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.
APPLICAi'�TT'S SIG\TATURE: < �• ,��2!��--.I�:Z� DATE: � Z�C��
1�'OTE! Parade of Homes events require separate permit approval by Police Deparhnent and
Cin� Couricil 60 days prior to the event. Non pernzitted events will not be allowed.
�
Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd. i. T}�pe of data. The rights of individual on whom die 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 conceming himself shall
be informed of: (a) the purpose and intended use of the requested data within the collectine'state agency, political subdivision,or statewide system;
(b)whecher he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supp(ying or refusing to supply
privare or confidential data;and(d)the identiry of odler persons or entities authorized by state or federat 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 mav pface the notice required under [his subdivision in the individual income tax or propertv tax refund
instructions insread of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authorin,an individual shafl 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 of the content
and meaning of that data. Af[er an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for
six months[hereafter unless a dispu[e or action pursuant to this section is pending or addi[ional data on the individual has been collecced or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of makin„ certifyine, and compiling the copies.
Tne responsibie authoriry shaii compiy immediaiely, i£possibie, wi�t�any reques[rrade pu:suart:o;his snbdivis;on,cr�.��i;hia f:•:e days of
the date of the request,exduding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot compiy with the request
within that time,he shali so inform the individual, and may have an additional five days within which to comply with the request,excludine 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 conceming himself. To exercise this right,an individua(shall notify in wri[ing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days ei[her: (a)correct the data fo�nd to be inaccurate or incomplere and attempt to norify past recipien[s 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 wi[h the disclosed data.
The determination of the responsible authoriry 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, "Righ[s of subjeccs 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 qualifica[ion for the permi[or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license.
3. The information may be shared with other local, sta[e 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_righ[s 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 Middle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Sienacure
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DAT TIME
CITY OF ORONO CALLED IN ��-� _v�s
INSPECTION NOTIC�E ?� SCHEDULED - "US� _��
��G✓% COMPLETED
PERMIT NO. /-J �
ADDRESS ��� 75 �CL /�il � C�� ( /�
OWNER CONTR. ��'� L-� � •
TELEPHONE NO. 7Ca � � �� � 5 S �3
� DESCRIPTION � (�� � �
� 01 FOOTING 11 MECHA P,L RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 0 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 tor the next insp ction 24 hours in advance. (952� 249-4600
OwnerlContracto��e:�
,
Inspector.
White Copyllnspector's File Canary Copy/Site Notice