HomeMy WebLinkAbout2009-00446 - windows ' CITY OF ORONO PERMIT NO.: 2009-00446
, 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 07/30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 600 BIG ISLAND
PIN : 22-117-23-31-0034
LEGAL DESC : ISLAND POINTE
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,673.00
NOTE: ] WINDOW REPLACEMENT IN EXISTING OPENING
APPLICAI�TT pERMIT FEE SCHEDULE 88.50
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 134
2690 CUMBERLAND PKWY, STE 300
30339- MAIL-IN FEE 2.00
(763)542-8826 TOTAL 91.84
Minnesota State License#:20268257
OWNER
ADAMS, GEORGE& DONNA
9581 V[RGINIA AVE
BLOOMINGTON, MN 55438-
AGREEMENT AND SWORN STATEMENT
"1'he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for addi[ional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of wark
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 I 80 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 a[any time for due cause.
`�1�t a.c.Q �l�l_ l l l l
Applicant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO
�
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in fu❑ before plan review will be started.
(please print all inforination)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: L� d v � i�y �s 1�n d zir: S S 3 3 /
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ YeS ❑ NO Ifyes, a special event pern:it is reguired with Police Departnient and City Council approval
60 days prior to the event. Shutde bus service will be i�eguired unless applicant demonstrates
sicfficient on-site parking is available. Non pernzitted events will not be allowed.
NAME OF OWNER: '✓ � � n Q ��'(n'M � pHONE: (home)44� - g � !�7
MAILING ADDRESS: � v� (work)
3 �� �s ��n d c�TY: b.rb n b z�: 5 s 3 3 �
THD At-Home Services Inc. „
CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: �5� 34� - L 0y7
CONTACT PERSON: _ Cumberland Office Park AGER: � b d, p ���(,,r Jo� s
MAILING ADDRESS: Atlanta GA 30339-3913 ZIP:
STATE LICENSE: #_ Lic# 20268257 Ph. 763/ 542-8826 DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) ��
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�:� (��f1 �b LJ !`1 ,� �Q C,L l�'1�l� �
�n �Y� �-�� ��2 ��� �? � n �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a � � 3
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 SIGNATLJRE: � DATE: � �� b �
31
�
, ,
Sec.13.04 RIGHTS OF SUBJF.CTS OF DATA
Subd. l. 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 or confidential data conceming himself shall be
informed oF. (a)the purpose and intended use ofthe requested data within the collecting s[ate 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 identiry 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 mayplace the notice re�red under this subdivision in the individual income tax or propertv tax refund
insuuctions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whetherhe isthe 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 public 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 priva[e 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 sha11 comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply wiLh the request
within that time,he shall so inform the 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 notaccurate or complete.An individual may contest the accuracy or wmpleteness ofpublic or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to no[ify past recipients of
inaccurate or inwmplete data,including recipients named by the individual;or(b)notify the individual that he believes the da[a to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The detennination of the responsible authority 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 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]icense 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.
�� � h �� �
First Middle Last
// a d � �a fin s -�
Address
�m � o /�`� �l � S�a u
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City State Zip Phone
I understand my rights as stated above.
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v
Willie Gibbs
From: Horton, Bryan (Roseville) [Bryan.Horton@andersencorp.com]
Sent: Friday, September 27, 2013 10:04 AM
To: Willie Gibbs
Subject: FW: 600 Big Island
Attachments: IMG_20130920_160047.jpg; IMG_20130920_155952.jpg; IMG_20130920_155938.jpg
Importance: High
Morning Willie-
Attached are a few pictures from the install at 600 Big Island. All windows were into the existing frames. Any concerns or
questions let me know. III assume the permit inspection is closed upon receipt of this email.
Thanks,
i
Bryan Horton
Renewal by Andersen
Permit Inspection Coordinator
W: 651-264-4088
F: 651-275-6254
From: Bryan Horton [mailto:perpane9 gmail.com]
Sent: Thursday, September 26, 2013 2:32 PM
To: Horton, Bryan (Roseville)
Subject:
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