HomeMy WebLinkAbout2005-P09284 - windows PERMIT
CITY, OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09284
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
10/12/2005
SITE ADDRESS: 142 Chevy Chase Drive Unit#
Wayzata,MN 55391
P I D: 36-118-23-41-0044
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type:
Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Complete Installation of Egress Window
FEE SUMMARY: Permit Fee: $ g3.25 valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 84.50
APPLICANT: Innovative Egress Windows, Inc. OWNER: James&Chiemi Hanneman
29122 Darling Ln. 142 Chevy Chase Drive
Hinckley,MN 55037 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMIT SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
,
Total Fee: $ !'�� 5�' Date Received: �� ��—���
Entered By: Z� Permit#: f1D9o?�'
�/yy�`� ��'�I Z%U`�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pf•int al[information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �WZ C��r.�v�r \..�c��� I.�������� ZIP: �"-�3`�I
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes ❑ No If yes, a specral even!per•rnit is required with Police Department and City Coa�nci/approval
60 days prior to the event. Sharttle bus service will be�•egttirecl i�nless applicant demonstr•ates
s:fficient on-site parkij�g is availab(e. Non-per•rnitted events 1vi11 not be allowed.
NAMEOFOWNER: �Re>�.�� �«nr�� �ti��x�� PHONE: (home) �Sl���l�-`T9Z.k
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �'Rw�.t;c��;u� ��xr�SS L,:;�,c�c�o�.c�s ,j,��� , PHONE:��� �;H-l3`i�
CONTACT PERSON: Sc.����- '��, e MOBILE/PAGEI�(�S►� �r�� - ��='` 3ti t'!S�
MAILING ADDRESS: '�,�f I LZ �:1��� i.� CITY: ��;v���-�<�� ZIP: SSZ��`—I
STATE LICENSE: # �.oS,Z�t'1�,S EXPIRATION DATE: 3 31��'oc�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration
PROPOSED WORK(cle.�cribe in detain: ���ti1����-� .�v�5�-c�`c��o�� �=�'1�
���S��`� �,;�. v�c�`l:v
S�'ORIES: SQ.FEET OF EACH FL,0012:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
c ���
ES'I'IMATEI)CONSTI2UC'�ION VAL�1A�'ION(exciuding land): � �S�%!
I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate;
that the work will be in conformance with the ordinances and codes of the Citv and with the State Buildin�
Code;that I understand this is not a permit and work is not to tart without a permit;and that the work will be
in accordance with the approved plan.
/
APPLICANT'S SIGNATU .�,, a � DATE: � g ;�'C�.�
31
E�.
:1
1C
.
Sec.13A4 RIGHTS OF SUBJECTS OF DATA
Subd. ]. Type of data. The riehts of individual on�vhom the data is stored or to be stored shall be as set forth in this section.
--Subd.2._Infocmation.required_tobegivenindividual.Anindiv.iduaLaske�tasupply_priva[e.or.confidential_dataconceminghimselfshallbe_ _ _. _______ —_.
informed of: (a)the purpose and intended use of the requested data within the col lecting state agency,pol itical subdivision,or statewide system;(b)
whether he may refuse or is le�al ly 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 sta[e or federal law to receive the data. This requirement sha(i
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 makplace d�e notice required under this subdivision in the individual income tax or propertv ta�refund
instructions instead of on those fomis.
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 individuafs,and�ahether it is dassitied as pubfic,private or contidential. Upon his further request,an individual who is the subjec[of
stored private or public data on individuals shail be shown the data without any char�e to him and,if he desires,shall be infonned of the content and
meaning of that data. After an individual has been shown the private data aiid informed of its meaning,the data need not be disclosed to him for si�
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been col lected 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,certifyine,and compilin�the copies.
The responsible authority shall comply inunediately,if possible,�vith any request made pursuant to this subdivision,or within five days of
the date of d�e request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he ca�mot comply with the request
within that time,he shall so inform the individual,and may ha�-e an additionaf five days within which to comply with the request,excludi��g 3aturdays,
Simdays and legal holidays.
Subd.4. Procedure when data is notaccurate orcomplete. An individual may contest the accuracy or completeness of public or private data
concerning himself. To e�ercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement. The
responsible authority shall wid�in 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 believes the data to be correct. Data in
dispute shall be disclosed only if[he individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authorit}may be appealed pursuant to the provisions of the administrative 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 infonn you that your request
for a pern�it 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 inforn�ation you furnish will be used to detern�ine 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 full name is required to process this application or permit.
i� �-�� �----- `
� � C�uc��'S �z;�.Ksa v '�
First �Iiddle Last
`�1 ,Z- C-�t `I�
Address
� ` - � (� ��3�7 � ���
Cih State 'Lig Phone
I u derst my rights as st ted abo .
• �,.
Sigm urc
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_ CHECK OFF LIST FOR ISSUA1�tCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /y 2 CN cv y cff/�sc: 02
PID:
DESCRIPTION OF WORK: C6�ss wc:-z.�.
ZO�iIVG REVIEW BY: DATE APPROVED: �a -i z-0 5'
BUILDIti G REVIE`V BY:� DATE APPROVED: ��-�z• ��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes �^ No SEWER COi�TNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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Z0�1I�1G CH�CK LIST Zoning District: �V� G/-�►N�
Fire Department: Post Office: School District:
Lot Area: Sc.ft. Acres Width Depch
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right S'de:
Rear (Street): Left ide:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. al:Hgt.
Lo[ Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Av�. Setback: Bluff Setbac. : L.ot Coverage:
Ezistin� Proposed
Hardcover: 0-75'
7�-250'
2�0-500'
�00-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REii�1ARKS (in house):
\
�
BUILDING REVIE`V CHECK LIST
�C: 2• 3 CONSTRUCTION TYPE: V/v
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor R =
2nd Floor z _
Garage x _
z —
TOTAL
Estimated Construction Value: $ 2 5 O� ��
Inspections Required: Work Requiring Separate Pecmits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Foo[ing ' Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�F�� Grading/Filling Electrical (State Permit)
O[her
RENIARKS (iN HOUSE): ---- -��--
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RE'VIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
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REI�IA.RKS (TO BE NOTED ON PERi�II'1�:
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