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Home My WebLink About2008-P00217 - windows , - CITY OF ORONO PERMIT NO.: 2oos-oo2i� 2750 KELLEY PARKWAY ORONO, MN 55356- DA'rE�SSUED: 09/16/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 120 CHEVY CHASE DR PIN : 36-118-23-41-0037 LEGAL DESC : HILL O'WAY MANOR : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRLTCTION TYPE : WINDOWS ��,� �� • �f� �j (�-�� VALUATION : $ 2,500.00 NOTE: REPLACE 1 WINDOW APPLICANT LAMPERT EXTERIORS PERMIT FEE SCHEDULE 88.50 1756 TERRACE DR STATE SURCHARGE(VALUATION) 1.25 ROSEVILLE,MN 55113 MAIL-IN FEE 1.50 (651)695-3680 TOTAL 9l.25 Minnesota State License#:20555656 OWNER CASWELL, MR. &MRS. 120 CHEVY CHASE DR 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. Ail 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 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 due cause. / / Applicant Permitee Signature Date � � Issued B��Signature Date � SEu�RAT� PERNIIT� REQUIRED FOR WORK OTHER THA1�' DESCRIBED ABO'�'�. � . ' µ CITY OF ORONO PERMIT NO.: 2008-00217 . 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 09/16/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 120 CHEVY CHASE DR PIN : 36-118-23-41-0037 LEGAL DESC : HILL O'WAY MANOR : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 2,500.00 NOTE: REPLACE 1 WINDOW APPLICANT PERMIT FEE SCHEDULE 88.50 LAMPERT EXTERIORS STATE SURCHARGE(VALUATION) 1.25 1756 TERRACE DR ROSEVILLE, MN 55113 MAIL-IN FEE L50 (651)695-3680 TOTAL 91.25 Minnesota State License#: 20555656 OWNER CASWELL, MR. & MRS. 120 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifications,appiicable 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 permiks. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hetein.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 the State Building Code.This permit may be revoked at any time for due�Cause. e�� ''� � � 9� /�� P' Applicant Permitee Signature Date Issued By ' ❑ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE. �l� Z-��l �-��t�l� �otal 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 a11 information) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR EONTRACT R JOB SITE ADDRESS: , C �l E'l.�l, �C��(' �I�ZIP: 55 3 c I NAME OF OWNER: �[., �'Y1 ��5��1,�� ( ! S 1� PHONE: (home) L.1--13 :3� I I (work) �nv��x�ss: I'�(� Ci��L� � �C �. l�►� u z�:��;S =� 1 � CONTRACTOR: e f � frt'� u rS PHONE: �oSl-Loq5-3(�� CONTACT PERSON: � � I MOBILE/PAGER: MAILING ADDRESS: �1`�(� �Yl�ll C � f�1� CITY: �'i)�� U l �I �ZIP: Sl/ � STATE LICENSE: # �U��S Cr�S(�� ,3�� ARCHIT`ECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 1VAlVIE: REGISTRATION#{ TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ✓ Land Alteration PROPOSED WORK(describe in detai�: (�{� �y�j��'0 W STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ;��UC. `�'� 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: / 1/�l //1,11�.�1F �J/f�I C�(i�l � �' �� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . Sec.13.04 RIGfTI'S OF S[IBJECTS OF D�Ta Subd. 1. Type of data. The rights of individual on whom the data is stored or co be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individval. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a) the purpose and intended use of the requesred data within the collecting"state agency,poliucal subdivision,or sratewide system; (b)whe[her he may refuse oY is legally required co supply the requesced data;(c)any lrnown consequence arising fmm his supplying or refusing to supply privace or corindenrial data;and(d)the idendry of other persons or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdeadve dara, pursuan[to secdon l3.82, subdivision 5, [o a law enforcemenc ofFicer. The commissioner of re�enue mav place the norice rewired under this subdivision in che individual income tax or propertv tax refund instructions ins�ead 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 wherher it is classified as public, priva[e or confidential. Upon his further request,an individual who is che subject of stored private or public data on individuals shall be shown[he dara wichout any charge to him and, if he des'ues, shall be informed of rhe content and meaning of rhat data. After an individua!has been shown che private data and informed of iu meaning,the data need not be disclosed to hirn for six months thereafrer unless a dispute or acrion pursuanc to �his secaon is pznding or addidonal data on the individual has been collecced or crea�ed. The responsib(e authoriry shall provide copies of the private or public data upon request by the individual subjecc of che data. The responsible authoriry may require the requesting person to pay the actual cosu of making, certifying,and compiling the copies. The responsible au[horiry shal(compiy immediatety, if possible, with any request made pursuant to this subdivision,or wi�nin fivz days of the date of che request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the request within rhat time,he shall so inform rhe 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 compleceness of public or pri�•ate data concerning himself. To exercise this right,an individual shall noafy in wridng the responsible authoriry describing[he nature of the disagreement. The responsible aurhoriry shall within 30 days either: (a)correc[che data found to be inaccurate or incomplete and attempt to norify past recipiencs of inaccunte or incomplete data, including recipiencs named by the individual; or(b)notify the individual tha[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 dara. Tlie decerminaaon of the responsible authority may be appealed pursuan[to the provisions of the administrarive procedure act reladng 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 license from the City of Orono or any of its departments may require you to fumish certain private or confiden[ial 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, T'he information may be shared wi[h other local, state or federal a�encies to the extent necessary to process thz permit or lic�nse. 4. If your requested pernut or license requires Council action to approve, some information may become public. j. 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 �liddle Last Address Ciry 5tate Zip Phone I understand my rights as stated above. Signature �t DAT��} TIME � CITY OF ORONO CALLED IN �� '« INSPECTION NOTI E SCHEDULED lD`� L$� PERMIT NO, � �7COMPLETED ADDRESS l � �? r ��--J OWN ER �C� CONTR.�.��.'.r�`��.�,C-�� TELEPHONE NO. ��Z T7� ��7�� ` L� �Ch(1 Ir�� DESCRIPTION �`��L � � � ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q ti Z W � W � � d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �_� SUE CERTIFICATE OF OCCUPANCY � ❑CARRECT 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. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. /�v /7t �� White Copyllnspector's File Canary CopylSite Notice