HomeMy WebLinkAbout2008-P11842 - windows PERMIT
C:IT�� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11842
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 2/1/2008
SITE ADDRESS: 120 Chevy Chase Dr Unit#
Wayzata,MN 55391
P��� 36-118-23-41-0037
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Permit Class: Building
Pcrmit Type:
Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 103.25 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Mise. Fee: $ 1.50
T07'AL FEE: $ 106.75
APPLICANT: Lampert Exteriors OWNER: Mr. &Mrs. Caswell
1756 Terrace Dr 120 Chevy Chase Dr
Roseville,MN 55113 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PL'RMI7'EL SIG�ATL'RE SUED E3Y S[GNATURE
Copies: 1-File(Signarures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
, Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII�DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR ONTRACT
JOB SITE ADDRESS: /�,� �vc� Cha�e /� ✓'-__ zrn: 5<5 3 �'1 J
NAME OF OWNER: �rn �GlS1�/-�l1 PHONE: (home) �S o�- �l�3�3 7��
(w rk)
MAILING ADDRESS: I ao C�'1�//1/(�1 C�G�/� l,��Y: ZIP:�_/
CONTRACTOR: eY-� � t���0�S PHONE: (a S I - �'S -�3��
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: � 7.5��0 / �Yl�ClL� �Y.CITY:��ZIP: S/
STATE LICENSE: # a�SS�oS�o
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration I/� Land Alteration
PROPOSED WORK(describe in detai�: �-���,CC � liU i Y2C�Q V� —
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����- �
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'S SIGNATURE: J,����1,L��GCQ. (�GU?W� � !f��!�� _
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NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGFTTS OF SUB.TECTS OF D�T�
Subd. 1. Type of data. The rights of individual on whom[he data is stored or co be stored shall be as set forth in this secrion.
Subd.2. Information reqirired to be given individual. An individual azked to supply private or confidenrial data conceming himseif shall
be informed of: (a)the purpose and in[ended use of the requested data within the collecting"state agency,polidcal subdivision,or statewide system;
(b)whether he may refuse ot is legally required�o supply the requested data;(c)any lrnown consequence arising from tus supplying or refusing to supply
privace or confidenrial data;and(d)rhe idenriry of ocher persons or entides authorized by state or federal law to receive the data. This requ'uement shall
not apply when an individual is asked to supply invesrieadve dara, pursuant to secrion 13.82, subdivision 5, to a law enforcemen[ofFicer.
T1te commissioner of re�enue mav place the nodce reouired under this subdivision in the individual income tax or propem tax refund
instructions inscead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, private or confidendal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the dara wichout any charge to him and, if he desires, shall be informed of the content
and meaning of rhat data. After an individual has been shown�he private data and informed of iu meaning, che data need not be disclosed to him for
six months thereafter uriless a dispute or acrion pursuant to [his secrion is pending or addidonal data on the individual has been collected or created.
The responsible authority shall provide copies of the priva[e or pubiic da;a upon:equest by tt:e ir.divid��J suhject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of making, cerrifying,and compiling che copies.
The responsible au�horiry shall compiy immediately, if possible, wich any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply with the requesc
within that time,he shall so inform the individual,and may have an addidonal 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 pri�•ate
data conceming himself. To exercise this right,an individual shall norify in wri[ing the responsible authority describing[he nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)cortect the data found to be inaccutate or incomplete and attempt to norify past recipients of
inaccurate or incomplete data, inciuding recipients named by the individual; or(b)nodfy the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statemenc of disagreemenc is included with the disclosed dara.
The decerminarion of the responsible authoriry may be appealed pursuanc to the provisions of the administrarive procedure act reladng to
con[ested 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 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.
Z, 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 iocai, state or fedctal agencies to the extent ne�ess:�,� to p:ocess
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain ri�hts 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 �fiddle Last
Address
State Zip Phone
C ity
I understand my rights as stated above.
Signature
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ATE � TIME
CITY OF ORONO CALLED IN 3� U�
INSPECTION N TIC SCHEDULED
PERMIT NO. / � COMPLETED
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ADDRESS �
OWNE CONTR.
TELEPHONE NO. 95�� I"7 3 r�71�
� DESCRIPTION !�U ry C� � ��6L�'1/1�(��
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y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
_ �AL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI O SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�i NO
� COMMENTS:�-� —
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0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE COPIDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site-
Inspector. �� � �
White Copyllnspector's File Canary CopylSite Notice
DA TIME "
CITY OF ORONO CALLED IN lD '
INSPECTION N�TIC SCHEDULED r'� ���'
PERMIT NO. � COMPLETED
ADDRESS ��� � , �LQ.Q
OWNER �/��'YI �-l�'SGC� CONTR.L�f
TELEPHONE N0.
� DESCRIPTION C�`��u�s " �"��L+��� C2��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WAI.L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
_ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. � � r � _� --S
White Copyllnspector's File Canary CopylSite Notice