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Home My WebLink About2009-00441 (doors) CITY OF ORONO PERMIT NO.: 2009-00441 2750 KELLEY PARKWAY c � ORONO, MN 55356- �ATE ISSUEn: 08/24/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3237 CASCO CIR PIN : 20-117-23-43-0013 LEGAL DESC : SPRING PARK : LOT 018 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING- UNDEF[NED VALUATION : $ 4,312.00 NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENING. APPLICANT PERMIT FEE SCHEDULE 118.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.16 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (6l2)502-4777 TOTAL 122.16 Minnesota State License#:20130983 OWNER HOOK,JULIAN& PEGGY 3237 CASCO CIR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'I�he 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 governing[his type of work shall be compied with whether or not specified hecein.This permit will expire and become null and void if construc[ion 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 the State Building Code.This permit may be revoked at any time for dua cause. �K.�u,c �- , , a , , Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. \� � � � �j� \ V-: . Total Fee: $_ Date Received: Entered By: Permit#: CITY �OF ORONO - BUILDING PERMIT APPLICATION All inform:�tion must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ -- �- ----__� THE APPLICANT IS: (circle one) OWNER O CONTRACTOR .? JOB SITE ADDRESS��J� CCI.SCO G � C,I ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO /fyes, a special event permit rs required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNElE2: �� iV(�� PHONE: (home) �Sa- �- - �'��(p (work) MAILING ADDRF.SS: � CITY: ZIP: Renewal By Andersen CONTRACTOR: 1920 County Road "C" West _PHONE: CONTACT PERSON: Roseville, MN 55113 AGER: MAILING ADDRF,SS: _ 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: �pU(' (.t1?�� , . , � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED COPISTRUCTION VALUATION(excluding land): $ y, 3l a � I hereby apply for a building 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. APPLICANT'SSIGNATURE: DATE: O��JUI U 31 . � E Sec.13A4 RIGHTS OF SI�BJECTS OF DATA Subd. l. 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 orconfidential data concerning himselfshall be informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry 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 may piace the notice reauired under this subdivision in the individual income tax or pronerty tax refund instructions instead of on those forrns. 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 classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or publ ic data on individuals sha(I be shown the data without any charge to him and,if he desires,shal I be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter 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 au�horiry shal I comply immediarely,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days eithec (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 only if the individual's statement of disagreement 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 ro contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Ri�hts of subjects 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 deparnnents 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 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]icense. 4. If your requested permit 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 1liddle Last 9533- ?�(o�-� ��--. Address �c-�. Pxa-n.c�, I�� S�o C�S"l��1-l�' (v C�tY State Zip Phone 1 understand my righ as stated ab e. Signature Reset Form 32 -�- �� / DATE TIME CITY OF ORONO CALLED IN ` INSPECTION NOTICE [� SCHEDULED D 9� PERMIT NO.o�D'O '�l��D7 �/ COMPLETED ADDRESS � 3 � L�-� OWNER CONTR. / TELEPHONE NO. ��"—� "—S � DESCRIPTION K/��!'L�('� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � �DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O a � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED G SUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 � OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice