HomeMy WebLinkAbout2006-P09720 - windows -� PERMIT
C�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09720
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 4/11/2006
SITE ADDRESS: 1951 Concordia St Unit#
Wayzata, MN 55391
P��� 18-117-23-14-0011
DESCRIPTION:
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:
Installing 2 basement windows in family rooms&bed room
FEE SUMMARY: Permit Fee: $ 83.25 valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 84.50
APPLICANT: Innovative Egress Windows, Inc. OWNER: John&Lynn Waldron
39122 Darling Ln. 1951 Concordia St
Hinckley,MN 55037 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRfCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU[LDING CODE REQUIREMENTS.
i
_ �� _ �.�.�� � �;'yy1C:� �l1 /���
APPLICANT PERMITEE SIG URE ISSUED BY SIGNA'PURE
Copies: 1-File(Sig�iatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. � r� �/b��
Total Fee: $ �`f• � � DateReceived: ` `����
Entered By: Permit#: �{p t=j �Z_C:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(plense print all informatio�)
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THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR�
JOB SITE ADDRESS: I ��l C ��� c. t�rC( r ,�- ��. ZIP: 5 5 3�%
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No !f yes, a specia!event per•mit is r�eqt�ir•ed lvith PoGce DeparU��ent and City Coimcr!appr•oval
60 days p�•ior to the event. Sharttle bus service 1�i�ill be reqi�ii�ed unless applica��t demonstr•ates
sa ff cient on-sile parking is ai�nilable. Non-per»iitted events will not be allotived.
NAME OF OWNER: J o l�,1 �v'�t ( �� ����✓ PHONE: (home)
(work)
MAILING ADDI2ESS: ��1�c Ca� r.� -�^� �� Sr CITY: C;�"n v ZIP: j 5 3; �
CONTRACTOR: .�n,��,,,,�.�.,� lf. t ; 5 PHONE: �S"/ 3 Y//5'S�c
CONTACT PERSON: Sc. o t� � MOBILE/PAGER:
MAILING ADDRESS: �r z z !.n G�� CITY: %�, 1� /<,;� ZIP: �`s"�'� 7
STATE LICENSE: # 7� �z y� 5� EYPIRATION DATE: .3- �, - ��
ARCHITECT/ENGINEER: PHONE:
N.I?_�i INr A��1�FSS: CI'1_�'�': 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 !
�- �; ,_�'ROPOSED WORK(describe in detai�:_�l- ,t�v�'�a//.r� z �,.a s..�.�-�.� �� ��.•�c���-�5
� . � � �/ �,.� �G�.tr+-� �c-, ��s t7�•b..�_'� ,�,.�i� Ojs...�,( j�-c.r..�yw.
�1i
'�� STORIES: SQ.FEET OF EACH FLOOR:
�-�� NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
�i
ESTIMATED CONSTRUCTION VALUATION(excluding land): � 2 s��� �� �
I liereby apply for a building permit and 1 acknowledge that the infonnation above is complete and accurate;
that the work wilf 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 pennit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: �^-� � DATE: �- � �' C�
3t
Scc.13.04 RIGHTS OF SUBJECTS 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.
S�bd.2. Information required to be given individual. An individual asked to supply private or contidential dataconcerning himselfshall be
informed of: (a)the purpose and intended use of the requested data within the collecting state 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 conYidential data;and(d)the identiry of other persons or entities authorized by state or federal la�v to receive the data. This requirement shall
not apply when an individual is asked to supply investiga[ive data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue ma�,olace the notice required under this subdivision in the individual income tax or prooertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subjectof
stored data on iiidividuals,and�vhether it is classified as public,private or contidentiaL 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 private daca and infonned 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 ofYhe private or public data upon request by the individual subject ofthe data. The responsible authoriry
may require the requesting person to pay die actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,e�cluding Saturdays,Sundays and legal Ilolidays,if immediate compliance is not possible. Ifhe cannot comply with the request
wi[hin thac time,he shall so inform the individual,and may have an additional tive 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 private data
concerning 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 eithec (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 the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to[he 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 reGuest
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 wiil 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 permif 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.
5 �� ��<< 3 � 1� : .�-
First Yliddle Last
� `j l Z Z ��A�Z ��.-�. L?�J
Address
��� .1� l� -� :��, �� ��> �� � 7 „ s- � 3 y � �s-s��
Citv State Zip Phonc
I understand my rights as stated above.
���____ ���
Signxture
Reset Form �'
• � CHEC�K OFF i.,IST FOR iSSUANCE OF �ERIVIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I�S 1 Gonsco(��� s 1 -
PID:
DESCRIPTION OF WORK: w�►,�oows a-� ����5 w��-
--- ----__-----___--__—__-----------------------------------
ZO.�17�.�IG REVIEtiV BY: � DATE APPROVED: Y- S-o-6
SUII�D�G REVIEtiV BY: DATE APPROVED: `1- S-b.6
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERM.IT Yes ✓ No
PLAN REVIE`V � Yes No ✓ SEWER CONN'ECTION
STATE SURCHARGE Yes .� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------
ZONI�tG CHE.CK LIST Zoning Districc: /vo �t-�-�,.2
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear (Street): Left Side:
Adjacen[Structures; Wed d:
Builcling Heigh�: Def. Hgt. Peak Hgt.
Lot Covera;e:
Grading: Scaff Approval Date: By: Council Approval Date:
Septic: Scaff Approval Date: By:
Zoning File: n Resolutioa: # Res lution Date:
Shoreland District:
Avg. Secback: Bluff Setback: Lot Cove��e:
Eusti�Q Proposed
a
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Va.�iance Required: Yes No Dace oi Council Approval:
RE`L4RKS (in house):
BUILDING REVIEtiV CHECK LIST
�Cs TZ' 3 CONSTRUCTION TYPE: �!!`�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage z =
x =
TOTAL
pJ
Estimated Construction Value; $ ZSO� �
Inspections Required: �Vork Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing ` Septic Sewer Connection
_�C_ Framing Firepiace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_� F�� Grading/Filling Electrical (Scate Permit}
Ocher
REMAR��S (IN HOUSE):
--------------
REY�tiV BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Date By;
REI�IARKS (TO $E NOTED ON PER1tiIIT):
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c, �� l� TIME
L/
ITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �Z ^ �• 3(�
PERMIT NO. �Q9-7Zl� COMPLETED
ADDRESS ���� C c.�C=t�r c�l�� � .
OWNER CONTR. ��NG�r,�,�i� ?t� ���
TELEPHONE NO. C�SI - 3��/ - /�S<�
,.
� DESCRIPTION �
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W . ❑ CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN
�:�CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance. �952� 249-46QQ
OwnerlContra �te.
Inspector. ��_
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