HomeMy WebLinkAbout2008-00161 - windows f �` CITY OF ORONO PERMIT NO.: 2008-00161
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEu: 09/03/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2710 CASCO POINT RD
PIN : 20-117-23-24-0021
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 3,448.00
NOTE: REPLACE(4)WINDOWS IN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 103.25
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 1.72
3200 COBB GALLERIA PKWY
SUITE 200 MAIL-IN FEE 1.50
ATLANTA, GA 30339 TOTAL 106.47
(763)542-8826
Minnesota State License#:20268257
OWNER
PALMER,CURTIS& BARBARA
2710 CASCO PT RD
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. 7'his 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 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 I 80 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 due cause.
`y�.a.i Q �- i i �i � i �
Applicant Permitee Signature Date Issued y ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Total Fee: $ DateReceived:
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)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: � � � � CC1 �('O YT' �� ZIp; 5 S 3�' �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS ❑ NO Ifyes, a special event pernrit is reguired with Police Departrnent and Ciry Counci!appi•oval
60 days prior to the event. Shuttle bus se�vice will be required unless applicant de»ionstrates
su�cient on-site parking is available. Non permitted events will not 6e allowed.
NAME OF OWNER: f�� � hn rQ Po �m t� PHONE: (home) �Sa �Y�! • $Q o U
�work)
MAILING ADDRESS: a�I o Ca s c o �t ��l ciTY: ���y z c� � zrn: S 3 r/
THD At-Home Services Inc.
CONTRACTOR: ' PHONE• �l Sa r 34S �G 0�l7
CONTACTPERSON: Dba The Home Depot At-Home Services �R: I 0�Ir o �ld�r Jon�s
— 3200 Cobb Galleria, Suite #200 `�
iVIAILING ADDRESS: _ Atlanta GA 30339 ZIP:
STATE LICENSE: #._ License#20268257 - 763-542-8826 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 detai L
( �� �{ l.�i�lC�ol.� l�'f ,DI�G /n�f) (-S
�n ,�k�s �� ��� OD.tn�l1�'i S
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ c� �� a
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I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confarmance 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.
�PLI��T'S SIGNATURE: %=" DATE: _ $ (a r ���
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Sec.13.Od 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 bc given individual.An individual asked to supply private or confidential data conceming himself shall 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 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 staYe or federal law ro 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�lace the notice required under this subdivision in the individual income tax or propertv 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 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. After an individual has been shown the privatc data and infortned 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 authoriry shall provide copies of the private or public data upon request by the individual subject ofthe 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request
within that time,he shail so inform Yhe in�ividual,and may have an additieral five days�i�ithir���hich±e comply with the rec�uest,excliidine 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 responsible 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,induding recipients named by[he individual;or(b)notify the individual that he believes the data to be corzect. Data in
dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the adminishative 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 licensc 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 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 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;ull name is:equired to process this application or permit.
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First Middle Last
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Address
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City State Zip Phone
I understand my rights as stated a
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