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Home My WebLink About2008-00013 (replace 5 windows) � CITY OF ORONO PERMIT NO.: 2008-00013 . 2750 KELLEY PARKWAY ORONO, MN 55356- nATE ISSUED: 07/03/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3779 CASCO AVE PIN : 20-117-23-31-0066 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 6,263.00 NOTE: REPLACE 5 WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.13 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 1.52 �6iz�soz-4�� TOTaL isz.ls Minnesota State License#: 20130983 OWNER GREIMANN, DEAN 3779 CASCO AVE WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date CFPAR4TF AG'RI�AITC RF�IiTTRRTI G'!lU 11/�lnil n'i'u�n �run�.r nccrnrocn non��r. \� , - � � ra �� 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 APPLICAN7' IS: (circle one) OWNER O CONTRACTOR , JOB SITE ADDRESS: _ J�� CG�-�CO ��Q , ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO Ifyes, a special event permit is required with Police Department and Ciry 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. C�� ^ NAME OF OWNE]R: _ , l� �'�� (��,��(/� PHONE: (home) !✓�'� -�"�J (work) MAILING ADDRESS: �" CITY: ZIP: Renewal By Andersen CONTRACTOR: 1920 County Road "C" West _PHONE: CONTACT PERSON: Roseville, MN SS l 13 AGER: MAILING ADDRESS: _ License #20130983 ZIP: STATE LICENSE: # 651-264-4777 DATE: 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! PROPOSED WORK(describe in detain: �)�� ' i , STORIES: _ SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED COI�fSTRUCTION VALUATION(excluding land): $� _ 1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be ir� conformance with the ordinances and codes ofthe 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'SSIGNATURE: DATE: � 1 �L/Yl�� 31 - w w � � � Sec.13.04 RIGHTS OF SL�SJECTS 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 contidential data concerning himself shall be inYormed of: (a)the purpose and intended use ofthe requesred data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is leg,ally 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 mav place ihe notice required under this subdivision in the individual income tax or pronerty 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 dassified 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 infortned of its meaning,the data need not be disclosed to him for six months thereafrer 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 of the private or public data upon request by the individual subject of the 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 of the req�est,excluding Samrdays,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 responsibie 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 onl�-ifthe individual's statement ofdisagreement 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 ADV[SORY 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 perrnit or license from the City of Orono or any of its deparnnents may require you to furnish certain private or confidential information. You are notified that: l. 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 reGuires 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. �1�-�� `�(.,l��l �('1�OI�l First :�liddle Last �53.�- � �� -`' �- • �l-(a��l�-�o � Address 'Nc�i�-� �'��fa�c�, m�v ��5� C�b' State Zip Phone I anderstand my rights as ated above. Signature Reset Foim 32