HomeMy WebLinkAbout2001-P03678 - windows � � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03678
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600
Date Issued: 4isi2ooi
SITE ADDRESS: 185 Bederwood Dr
LONG LAKE, MN 55356
PID: os-ii�-23-12-ooi2
DESCRIPTION:
Proposed Use: Kesicientiai
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 2,240.00
State Surcharge Fee: $ 1.15
TOTAL FEE: $ 84.40
APPLICANT: RENEWAL BY ANDERSON OWNER: MARGARET M WILLIAMS
350 73RD AVE NE 185 BEDERWOOD DR
FRIDLEY, MN 55432 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AN D AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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Ar�LI ANT rERMITEE SI NATURE ISSUED EY SIGNATLJRE
Copies: City,Applicant,Assessor, Finance Page 1
Apr . 4� 2001a12 � 26PMr� �ELDER-JONES BUfLDING PERMIT SERV� v� ��a �wNo � 8151a�aP � 2/3
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Subd. 1. Type uf d�es. 2'[�e d�hu oE bsdjviduol oo wnom th�daa�1�•�+nred oe�o b.sromd eball ba s's�ec te�In thia uedan.
Subd.1. IaPov�m.tlos riqsdr�d�o ha dren tndl�ido�. M ledi�idwl a�kad w e�Ppl!Prlwx or oonFideadel d�t�conasrnin�hlmoelf�ell
bs InEo�ad af► (v the pu�pote�►d Inoe�ed ute o�d1e raquesrad d�m�viihln tde rolisa�det�ln�e�eaey�poUd4a1 aubdlviNae�or setbwl4e syeum:
(b)Wud�er Iw rasr rellidt ac U I��lly.tequirod tn auPViy O��t�qu�md d4u:(c)rny ierov�n coruequance A�I�Ing from hls n�pPlyln�or eaNsing[n wpplv
pdvata a�000MlentL�1 dsa;and(d)�he tdsnciq oP odie�persnn�or andties�uthortud by snm a�ledees►1 isw m raceive�e dau. 'ibL�iequtremea�shrll
�oC apply w�1et1��lndlridU91 It���d Oo lOPply invpd�RdvO dda.p���t m Nedon 13.82, Nbdlvlsion!.to�I�w anfol�Cenlant 0liIC��. ,
' eome�!Iener nl rovanaa m�� alase thm nedce reauind umkr thi�ubdi�isiun inshe�jv�u,�+nconu ax or aroomw �s�ll�nd
.,_ �,yCtlon�Mlemad_u!en�haao fonmt. � • � �
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Susd. 3: A�c��to dats by iedlhdu�l. Upon�squas�ro a a�panifbk au9to�lq.�n la�llvldus�shan be lnb�med whmd�er he!��+�arbleee
ot�mnd dars on I�dlvlduAls.�c+sd Whed�ar it i!ety�lfled 9s public.P�irue ar cQ�4denual. Upon hi�A�rthar iaqueu.An Uedivldual avho I�rhe suL�iect
, of+�pri•�e ut Oublle deee on Indlvlduds�h�l!bs e�!►I.v�wn d�e dau��rlthouc�q�ohuge ao him�;it.he desJe�e.�h•���omrod of d�e contsnc �
rnd m�y of du�daa. A�r vII(�wld1l'I II�b�El1 i�tiWN Iflf�Y�IA����Iib{I OL I[6 dK61110`.�0(IiA�ROt 0e a�i�t0.MR1 Por
d�amadu tHere�Poer ueilen�dlspum or�octon purauaiu m �hls sxdeu Is patuilp�or addi�ioml dam an►h� Indlvldud hai been aollecrod qr eraated.
1Ae tsepotle�ble�uthqdq�t6'll pmvide eopia o��e prlvam ar pvblic dan upon requesc Dr dm indlviduat abjeee o�db d�n. '1'he ne�+ible�ut�o�iqr ,
nuy e+��u{ro No ntque�dr►�p�non ro pry d+e a�a�l coey ef iculcing.cerdiyley..ad oomplltn$d+s oepi�eti
TNe�spendbU aueMociqr.eh�t1 comp�y iramadl��ety,if�os�ibk,al�h aoy roque�c mede pareuanr ro m�s x�+bdlvt�on,or a1dUn A�e dyrs.o/
ehe Aare of d�e nques�.ezcludln=9aaudaYt.9uad�ys tnd le�dholld�yl,if imroedkco compl�nce Is not po9sible. 7Mu eanna oompiy w�th d�e mawsc .
wltl�ln thu tLit+r,Ao eb■II eo fNbrm d�a individuvl,oad may have�addlfion�l pve a■y�wId�1A whkh m cornDl�aldi�e request,esahufln�Se�t�day�.
Su�hye eed lept holld�ye. .
. �ttbd.4� R�oe�dur�whie d,te�net qaurat�or oompla�a� An Indlviduel nuy eo�rtn�me decvrwY ar complerenoa�ef publk or pmrra
d�4 ce�ern�himaelt. To�Kerciia shis dghc,Pn�ndliriduel she11 notiAr in wridno�he rospan�lbk�u�uri�y deaeribin�db�eare of d�o dlcegnamene. .
' The teepon�lbla ruthoriq shall wld►In 30 deys ei�her. (v)coRac�d�e dare fou�d oo be intauhtr or h�mplera And��n+pc Ia nomfy p��n�lpkna eE�
i�moeuew or I�droplete d�n�It�Judlna teaipfeete inmed by dse lndividusl;or(b)nodfy d�e lndtridttal�hst ho bel{rw�e�a d�m co ee�orea��. Daq
�d�paa�hall be diseloimd ea4y lf the i6dlvidual's smuarteo[of dlta�tr.�mene Is inetuded wid�ihe dlscloeed dua. ,. -
�9u demRs�Jnnllon o��he roeppnslhle yudloriq rmy bm�ppeabd pyr�wn�to�4a p�ltlo��o!tha adminisusdve procaduro ace ieluit�ao
conm�led caeas , . . � .
� ' RA�A PRIVACY ADVI6QRY `
L►rtoc�cdsnce wirh M.S. 1�.04,Subd.2, "Righcs of AutiJesra af daea"� we would 1�ke w inionn you that yourrequdst
for a permit or lic�nae ftom che Ciry of Omno or a�y of i�s depenmeats.may cequlro you to tl�rntsh cenaln pri�ate or
confidendat informacion. �
You are aa[ifi�t the�; � . .
� L � : 'fhe fnfoimacian you Pumish will be used co�decerr�nlne yaur qualificacion for the Qen�ait or Ilcense requasced.
2. You �ay refuso to=npply daua, buc reilieal m�y re�ulre thac �tie Gity dtqy the porn�it or 1'tcanee,
� � 3. The infor=aadon m�►be�sh�red w�th o�ber lueal, siste ot fede'tal ag�cies to the e�te�nt ne�e�sacy,to ptucess
. tho permie or liatae. -:
. 4. . 1f your trq�eeced Qcrmic or Ilcense requirea Couvci! ace�on co approvo. soma infotmazloa m�► become .
. public. �
S. You have ceruin rlghts under M.S. 13,04 (gvoilable upoe reqne�t) to�review private data en youraelf. . �
6. Your ful) n�cne is raquired cv proces� cbls �ppllca�ion or petmjt.
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' � • • - �lder�o�les -
. . , 8uilding Permit Servica,Inc.
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��1� Kara Lewis, �ern�.it Sezvice ext.l47
NC)o O�' �AGES �'O �'OI,�0�4ir _�� �
1�: . � � �R��ECT NO:
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�f�ou,l�a�e tr�uble r���iving t�is �u,p�e�se c�Jl �a� as �a�m as po�sible.�
Elder,lones �uilding Permit Service, Inc.
'1120 East e0th Street � Bloaminpton, Minnesota 85$20.1498 .
612-S6�i-2954 FAx� 612-8�1-4D08
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a-= ���TY OF ORONO � 6124730510 09/24/96 14:00 [� :02/03 N0:522
�a�� F�� a Date Received:
� Entered Hy: Permit�+:
CITY �F ORONO - BUILDING PERMIT APPLICATION
Al� ir�formadon must be submitted in full before plan review will be started.
� �, (please print all i�'ormation)
• _.�----------=----------------------------------------------------------r_- ��------------------------
THE APPLICANT IS: (cirele one) O�TER OR ONTRACTOR
ro� sY�Annx�ss: I a� '��t�c�ocl.�� zrn: ��3SLo �'�
�, NAME OF OWNER: `(��n��- l�;1\;c�y�� PI�4NE: (home) �S''01.a49 0��
(work)
NiAILING ADBRESS: �'1� CITY: Occm� ZIP: '�
' �,e�,e,wa\ B� ��.e��x� ,
corrr�cTaR: �5� -�-3�� ��.�,�. �' �
CONTACTPERSON: s�.;d1,�.���� s��3� t:
� � 1�IAILING ADDIiF.SS: «6 a� s�2•����- ZIP:
��fiA1'E LICENSE: � � `'c�"s, � ao t 3oi'�3
. ABCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: C�'1'Y: ZIP:
NAME: REGISTRATIUN�
TYPE OF WORK: New Addition Accessory Savetura
Move Remodel/Alteratian X Land Alceration
PR4POSED��I�VORK(descr�be in detai�: �. (�
�
STORIES: SQ.FEET OF EACH F'LOO�i:
1�TU. OF BED$OOMS: GARAGE STALIS: ATT. DET. ��
11 �
FSTLMATED CONSTRUC170N VALU'ATION (excludfng lan�: $ �i� '1�
I h¢reby apgly for a building petmit and I acknowledge that the informaaon above is complete and
accurate; that ctie work will be in confornnance with the ordinances and Fodes of the City and with
. ' the State Building Code; that I understand this is aot a permit and work is not ta start without a
perinit; and that the work will be in accotdattce w�th the approved plan
APPLICANT'S 5IGNATURE: DATE: �-{ • ; •D
NOTE! .P.,,��Ho� events requfre aeparnte permit approval by Pol�ice Depar�ment and
G�'1y Coancll 8U days prior to tha event. Nvn per►r�tned events will not be allowed.
Rer.aivod Tlmn Cnn 7A 1 •A7AlI Dri �1 Tim� C�� 9l 1 � A�DA!
TY OF ORONO � 6124730510 09/24/96 14:00 � :03/03 N0:522
Stc.13.04 RIG�'t'S OF SllBJ6CTS OF DA1'�1
Subd. i. Type of dati. 'I'Re d�bcs of indlvidud oo�rhom the dara i�arored oe co be srorsd shall be a�see fonh ln dtis:eedon.
Subd.�. Lilonaatloa rpvdr�d'to ba�i►tn lndt•iduxt. M lndividud asked ro supply privea or oonfidenae!dza cancarning hitnaelf shsll
bs Info�of: (t)dte purpose�na intended uu ot dte requescal d�a whhiu thc coltecdn�Ante agenay,polidcal subdlyision,or snroxride syatem:
(b)whecher h�may reNse oT i�legilly tequircd m supply rhe faqu�sred daa;(c)nny krwam coneqquence ariatng from his supplyln�or retl�sln�ro supply
priva�a or confidend�(daa;and(d)U�e idenriry o!od►e�person+or entides aucho�ized by su�e or feder�l law N r�ceive rhe da►a. ThU tequtromeac shn11
not apply when an lndividuat i�esked w eupply invesrig�dve daa,pursuant co�eedon 13.B2, subdivision S,to�law enforcemenc o[Scer.
o cummu�igna Qf � nuc ma� alace �he nonce reauired under is su6di�ision in ihe indtvidua� income �ax or oroosnv mx,nl�nd
._. imlNCdona in csacl u�on�►o�o forms. "
SuDd. 3. Acceea to data by ind1�(dual. Upon reques�to a rcspansibie autlta�icy,rn iadi�idua�shau be informed wherher be b�e sub)ect
ot�wrod dau on i�di�iduais.and wh�rher ic is elusified s�publie,p�ivue or conPldenaal. Upon 6is tUrrher request,an Uadividuai who i�rhe subjtct
�f sto�ed pri�ue or public daw nn individunls shall be show� �he dan wf�houc aery ehar`e w him utd;iF he desirea,sbeq be infoimed of th�wnronc
rM m�ening of d��e dua. After an individual his been shown�h�priv�u�dara u�d iafom�ed of iu meaning.th,e thn need noc ba diaelosed to him far
si:awnrhs theroafier unleu a dispu�e or�cdon pursuanc m �his seedoa is pendia�or addirional�a on�t►e indfvidud has been oollecad or ereateJ.
Ths rsspuruible�uthpriry ihall provide copiea of rhe privlre or public dera upon rcquesc by�he individuat subjecc of dro dara, 'Rrc reeponsible auchoriry
tpay require the requeadn�persen ro pay d+e�mel cosrs of making,certit�ina.u�d compiHaB d�e eopi�s•
The responcible authariry�h�ll eomply immedlately, if possible,with any reques�made pursuant ro d�is subdivision,or wiihL�five days of
d�e date of d�e roquesc,excludin;3amrdays.Sundays ond l�gd holldoys,if immedlace compliance is not possihle. INhe canna comply with�he roquesc
wld�in�hac rLne,ho ahall w iMorm dw individual,and may ha�e u�addlrion�l flve d.ys wlihin which m comply wi�h the seyu�st,axoluding Samrdays.
SLnd�ye sed le�rl hoUdtye.
Subd,a. Proeedure wh'tn dnia is not pceurata or eomplt�e. An indi�idusl m�y contes�rhe ucvacy or compleronos�of public or priv�ee
d�a concern�himself. To exercise rhis righL vn indi'viduel shall nodtyr in wridno�he responsble sudwdry dacribin�d�e nentro of tho d(tasreemene.
The ro�pon�l6le au�horiry sl�dl wid�in 30 days ei�her. (4)correcc the dam found eo be inaccucate or inc�mplece And�aempe to nodfy pric recipknu of
irmecwate or i�amplete dpa, Includin�rocipienu named by the individual;or(b)nodfyr the individual th�t ho belleves the dom ao be¢oRee� Daca
ip d{�pu�e ihall be disclosad oply if the indtvidual's sn�emeat of dlsaareemenc is includsd with�he disclosed dara. '
�'Ite deterttlinntion of�he respansible autlioriry mar bo appealed pursuani eo tbe pm�isionc o/the adminisuarive proeedure ut rolatins w
wn�ested c�ees. ,
' pATA PR A�'V CY ADVI$OItY �
In xecordance with M.S. 13.04,Subd.2, "Righcs of su6Jects of da[a", we would like co inform yuu that your requesc
for a permit or ticense from the City af Orono or any ol'i[s depar[men�s may require you to fumish certain private or
confidential information.
You are aatified that:
1. The infotmetion you fumish will be used to decermine your qualiftcation for the permit oriicense requ�sted.
2. You may refuse �o supply daza. bu� re[usat may require that che City deny the petmit or license.
3. The information aiay be shared wich oth�r loeal, stata or federal agencies to the excent nccessary to process
the permic or license.
• 4. . If your requesced permit or license requires Council setion co ap��ove, some infarmatlon may becomc
' public.
5. You have cena�n righcs under M.S. 13.04 (avnilable upon roquest) to review privata data on yourself.
6. Your full name is requir�d to process thls application or permic.
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�
� DATE� TIME
CITY OF ORONO CALLED IN � �' �U ���
INSPECTION,�VOTICE �O3'�7� SCHEDULED y � 'G �,,`Q�_
,
PERMIT NO� coMP��E�
ADDRESS ��`-� ��k': �<=�-
OWNER CONTR. � '� ����. �`�I��►�=r'�.�:�
TELEPHONE NO. ��I ' � aA � ��--1.�-��'E-
� �
� DESCRIPTION �- ( rl�� ti���•� ��c������ ;���=� ���`c r�.�..f
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z /04 ��LBD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q. 0/ 5 FINAL ! 14 SEWER HOOK-UP 06 PROGfiESS
�07 dEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOflARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (g52) 249-4600
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