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Home My WebLink About2013-01249 - doors CITY OF ORONO � 2 P1 1 3 - 0 1 2 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 105 CHEVY CHASE DR PIN : 36-118-23-41-0008 LEGAL DESC : HILL O'WAY MANOR : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 2,300.00 NO"I�l:: RF,YI,nCE {�.'��IRY DOOR IN'I�O}?X1S"I'ING OPENING APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.15 CUSTOM REMODELING, INC. MAIL-IN FEE 1.96 474 APOLLO DIRVE L.INO LAKES, MN 55014 TOTAL 91.61 (65l) 784-2646 Payment(s) Minnesota State License #: 1748 CHECK 93716 91.61 OWNER SUN & ZHN SHI,ZHONGYI 10�CHEVY CHASE DR WAYZATA, MN 55391- ACREEMENT AND SWORN STATEMENT �I�he��ork f�or�vhich this permit is issued shall be performed according to th�approved plans and specifications,applicable City approvals,and the Statc 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 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�vithin 180 days of the date of issuance,or if construction is suspended fbr a period of ]80 days at any timc a�ter work has commenced- The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. Cy��1%L-C�t,C�GC � / ' �,� /a-G J l�� npplicant Permitee Signature �Date [ssu By Signature Date , . �` i � � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PER:MIT APPLICATION All information 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: �Q �J ('�h�;Q,V y C�`,�y�D,�, iN��v��-Io,.,MN ZIP:S�S Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � NO If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to Ihe event. Shuttle bus service ivill be required unless applicant demonstrates su�cient on-site parkrng is available. Non permitted events will not be allowed. � a l�'� NAME OF OWNER: � �J � PHONE: (home) Je�- �' (work) MAILING ADDRESS: �O C C�ASe. CI'TY: IN� , ZIP: , � CONTRACTOR: � U�-��-, �Q�yyta�p�R� ��n L � PHONE: Cp�I'�� -r !�O CONTACT PF.RSON� z�— �S � ��BILE�'F�GEl�: MAILING ADDRESS: � (IG Dr CITY: ��`r'�"-��S ZIP: STATE LICENSE: # C,Q` (,� EXPIRATION DATE: 3 j ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) �� PROPOSEDWORK(describeindetain: � ��qC��,Q„r/�-�, ��'Y�'U UQOr` ' '�' � S`{'"'�" c a � Y-u C U �.�1� , STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACI��D � . �o ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �-�' I hereby apply for a building permit and I acknowledge that the inlormation 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 perniit;and that the work w�ll be in accordance with the approved plan. �'a�� APPLICANT'S SIGNATURE: �� ATE: ►`'� 31 Sec.13.04 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 be given individual.An individual asked to supply private orconfidential data concerning himselfshall be informed of: (a)the purpose and intended use of the requested data within the collecting slate 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 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 the notice reauired under this subdivision in the individual income tax or pronertv 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 publ ic 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 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 authority shall compty immediately,ifpossible,with any request made pursuant to Uiis subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannotcomply with the request within that time,he shall so inform the individual,and may have an additional five days widiin 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 authoriry 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 beI ieves the data to be correct. Data in dispute shall be disclosed only if the individual's statemen[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 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 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 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 actian 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. _�r�_I� �, Rs�S-p _ ��l First Middfe Last W ?�( �,�y t v �r ; c Add ress L �r�� .5 �� 1�— �Sof W �S(��Iu�� City State Zip P6one I understand my rights as stated above. � Signature Reset Form 32 , , � DATE TIME J CITY OF ORONO CALLED IN �-� � INSPECTION NOTICE SCHEDULED - — /� PERMIT N �� COMPLETED ADDRESS � OWNER T PHONE a ��- D CONTRACTOR � � DESCRIPTION � t � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL �OWNERI�O RACTOR TO MEET YOU�YES_NO C � COMMENTS: � �fb�t a �h�r� �6a� 'V` _SG r ee�, �o�a r � �Me 5iZ2 � ex-lerr;n� ,��e��,. 0 � �au(L�� f� Com.�1 l�� 0 � W - � ��r►,�.�Z F,.�/e� Q � a W � W � j d W� ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� wnerl ntractor on site: Inspector. �w White Copyllnspector's Ffle Canary CopylSite Notice � � �� DATE TIME `� CITY OF ORONO CALLED IN /2 -/8'�L3 INSPECTIONN�T,�IC, E �HEDULED /2 Z3!3 : °� PERMIT NO�L -Q�Z� COMPLEfED - � t ADDRESS � OWNER TE HONE N . ��- � CONTRACTOR � � DESCRIPTION ��.Gt�f" - � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL <``�TRACTOR TO MEET YOU�1'ES_NO � COMMENTS: � a /�b �s7� howr� — � 0 � � /1�G5� �.��,e ��,�GG SS ?`d' �o M C �a r o � i✓I S.DP��ia�. W � Q Z _ G�t�� F-G� �'�i�l5 �I,�L�/o%! W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �JS�PECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: /Vo/til�. • Inspector. Q a.-., , White Copyllnspector's File Cenary CopylSite Notice