HomeMy WebLinkAbout1998-010982 - windows PERMIT
. �ITY OF ORONO PERMIT TYPE: — -:
2750 Kelley Parkway- P.O. Box 66 -'`�- `.i``_```�
Crystal Bay, Minnesota 55323 Permit Number. �_t i�=:{`_'���:t`
(612)473-7357 Date Issued: _ . ... _:. ... �
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �',�.y
,,-- C�TY OF ORONO � 6124730510 09/24/96 14:00 (� :02/03 N0:522
. '
Tara1 Fee: $ Date Received:
Entered Hy: '�' - -- - Permit�+: � ,'
CITY OF URONO - BUILDING P�RMIT APPLICATION
AU in�ormatlon must be submitted ln full before plan review wiil be started.
� � (please prin�all information)
THE APPLICANf IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ��fSb �0 ; �-�� ZIP: S��Sb „
� NAME OF OWNER: L�0 r ra�� � l�v'e�rna,�-, PHONE: (home) �{7S-D9ys
� (work) � 7a -syY,�
MAILING ADI}RESS: o�5�SO occn �cle �►�-. CITY:�La.(��. ZTP: 553 Sk
,
CONTRACTOR R�,��a,l �v �-ad�e�s�_ P�#ONE: �ora Sva-y 7.��
CONTACT PERSON: �Jb l�e,�,� Q�� �r� MOBII.E/PAGER: l��a/S5�{-a 8 s y
� � 11+IAYLING ADD�tESS: 3.S�b- ?3"� H��-e /� C. CTTY: ��d L c. �ZIP: ,�S�t 3�--
��'AT� LICENSE: // �200 0 63 �
. ARCHYTECT/ENGINEER: N� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATIUN#
TYPT O�' WORK: New Add"uion Accessory Scructure
Movo Remodel/Alteratian -� Land Alteration
PR4POSED WORK(describe in detai�: c Q w;��Ov� �r�a�v
��vol���. - Q�..� _
STORIES: SQ.FEET OF EACH FLOOYt:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
FSTIMATED CONSTRUCTIQN VALUATYON (excludfng lan�: $ � �'I�a, �U
I hareby apply for a building permit and I acknowledge that the inforntation above is complete and
accurate; that the work will be in conforcnance with the ordinances and �odes of the City and with
' the State Building Code; that I understand 's is not a permir and work is not ta start without a
permit; and that the work will be ac r ce w the approved plan.
APPLICANT'S SIGNATURE: DA1"E: l� 9 `'-c �'
NOTE! P�H��s eve regufre separate permit approval by Pol�ce Departntent atd
G�ity Council 80 days prtor to e event. Non perm�Itted eveRts will rtot be allowed.
Received Time Sep, 24. 1 :42PM Print Time Sep. 24. 1 :43PM
, - C�TY OF ORONO � 6124730510 09/24/96 14:00 � :03/03 N0:522
Sac_13.04 RIC,I�TS OF SUHJECTS OF DATA
Sulxi. 1. Type of dats. '1't►e riyhis of individual oo�rhom ehe da4 ia srored or to ba s�o�ed shall be u sec fonh!n this secdon.
Subd.3. Wormatlon rpudr�d ta be�lven Indt�►iduai. M individuol esked m supply privaa or confideedvl daa cancarcdng himaelf shall
be fnlo�of: (t)the pucpose and intended use pf the►equescal dam within rhe collecdnQ Etam ageacy,yolidcal sut+divisian,or stateuride rysmm:
(b)vrhe�her he may refuse or is legally required co supply the requesud d�u:(cy any leroam eonsequente atising from his supplyln�or rotUsing to supply
private oc coqfldential da�;and(d)�e idennty of odx�persons or eudoes authori2ed by suir or fedenl law m receive[he da�a. Thts requiremeac shnll
noe npply when an individual i9 esked to mpply in�esrigadve dan. pursueni co cecdon 13.62, subdivision S,to a law enforcement ofPfcer.
'Iha commissfone�2P fevenue mav alace �h¢ noqce r� irsd under is subdivisipn in ilee individu�l income rax or oroosm r�x rol�lind
i{�ruc�lont jgs ad u[on tho�o tQrms. "
SuEd, 3. Acee�s to data by indlvidual_ Upon rcquest to a �esponsible autbonry,en indiYidual shall be informed wherher 6a la the suhjecc
ot uorod dara on individuals,and whed�ar ie is elassified as public, privite or conPldential. Upon his tl�rther rcquest,an individual who is the subject
of�co�d pri���e or public daar nn individunls s}ull be shoWn�he dau wi�houc any charge u�him and;if he desires,shaU be informed of the contenc
rnd meaning of�hrt dau�. After on iiuli�idusl hss been shown i1►e pcivam d¢ra rnd iafortncd of icv meaning,r1►e daa need nnc bs disclosed�o him for
ai:awnrhs chereafter uNeaa �dispu�e or�crion pursuan�to �his secdon;s pending or addi�onal dara on the individual has beea collecred or creatcd.
'7'he rseponaible�uthpriry 6ha11 p�o�ide copies of the privam or public da�upon�equeu Dy dte individua!subjec�of die dara. The rosponsible au�honry
may requife the requeannQ pmnon to pay d,e acael cos�of making.cervtyinQ.uid compiling rhe copiea.
Tho rcspunsible au�horiry shall comply immediuely, if possible,wi�h any rcyues�made pursuant w�his subdivision,or wi�hin fi�e days of
�he date af the reques�,excludinQ Sawtdays.Sundays ond legal holidays,iF immedlace complianc:e is not po9sible. Jf'he cannot comply with�he requesc
within tha�tlme,ho ahall eu inform cha individual,and m�y ha�e an addirion�l five d�ys w1[hin which to comply With the request,axeluding Sawrdeys.
Sund�ye and le�wt holldiys.
Subd.4, Rotedure wh�n dnta�s not pceurota or eompltte. An inJiv�,lud mry conmsi rhe accuracy qr complerenoas of public or privxce
d�u¢oneorn�n�himselP. To exarcise�his right,an individuel shall nodfy in wriqnp the rosponsible au�►ur�ry describing d�e neturo of rhe dlaagreemenc.
'ftie ro.rpenAlble authoriry shsll wid�in 30 days ei�her: (a)cortecc ehe dxta found�o ba inaccurate or incomple�e and acrempt w nodfy pna recipienu�E
iaaaunte or incaroplete dpta, lecludin�{recipien�a named by rhe individual;or(b)noqfy�he individual thac he belleves the dau�co be¢otrect. Darn
�n d�puce eAsll be disclosad only if the individusl's sra�emene of disaQ�eemenr is included with the discloaed dara.
'i'he docerminncion oF�he rGspc�nsible au�lioriry may be appealed pursuani co the p��isionc of rhe adminisuarive proce�dure act reladng w
concested c4ses. .
pATA PRY'VACY ADYi$ORY
!n accordance with M.S. 13.04, Subd.2, "Righcs of su6Jects of data", we would like to inform ynu that your request
for a permit or license from the City of Orono or any oP its deputments may require you to furnish certain private or
confidential information.
You are notified tha[:
1. The informatian you furnish will be used to determine your qualiftcation for the permic or Iicense requested.
2. You may refusc to supply daca, buc refusal may require that the City deny the permit or license.
3. The information may be shared with o[hcr local, srate or federal agencies to the excent nec�ssnry to process
the permi� or l�cense,
� 4. . If your requested permit or license tequires Councit action to app�ove, some infarmat[on may becomc
' public.
S. You have eercain righcs under M.S. 13.04 (available upon roquest) to review private data on yours�lf.
6. Your full name is requircd co process tbis applica�ion or permit.
. �� l'�lil� `/Z�r L �Dl�►�'l U►�'S _
, Firsi p� Mid Lasc.
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,�aa�a � o .�n �/�tJ� �Sz/aU / S�1-�a8".5�
C��, Snm 2ip Phone
' I�uaderst ' hts as s ed ubove.
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Received Time Seu. 24. 1 :42PM Print Time Sen �d 1 �Q�PM
'�p� e Elder-Jones
:�
o, Building Permit Service, Inc.
�s
sin ■
-- -. 1120 East 80th Street
Bloomington, MN 55420
�p� °< < y�;;�,� Phone: (612) 854-2854
Fax: (612) 854-4909
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To whom it may concern:
We at Elder-Jones Building Permit Service, Inc. are actin� as an agent for Renewal by Andersen.
If there are any questions, , please give us a call at
the number above. If
, -
Thank you,
i
im Schenk ext. 140 G,�� �
o en Connors
Holly Connolly ext. 158 . / • � /�2�,�
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Elder-Jones Building Permit Service, Inc.
1120 East 80th Street • Bloomington, Minnesota 55420-1498
612-854-2854 FAX: 612-854-4909
• . � , � 1 � .. . ' . � . . . .
. ,�'' �. SYATE OR MINN�SOTA . . ' � CYAYI�bf MN OEPY.O!!CQMM�!!CL .
" D6PARTMBNT OF COMMERCE .�. �' �� . , !!
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t�i 13�£�!3e+rrd2�S� r ~ � • 139 F.ut�na�t}�S�.� ' ' � ' �►
! � 3t Piuf,}�133101 .. . • , . 'St P�ul,I�J 3310] ' . , �.
' (61t):�6�6'319 � � • � - (61�?.9d�Sl19 � . '^�
�{„ ,�►,ww" �V7�.D�tG�CONT2L►CTOR :� . . , . ' �V�LDII1dCO2J7RACPOR.• • 'y�.
. IlD�OO+�Od30 ,: IqM1,0pd0630 � . .
� . , . _ .
. SULLDER ' . . . . . � � BZJILDER . . . � . � ' .� �
COR4022ATION . . � • .. . . '. COR�ORA?ION . .
. ,Skpire� 03/31/1999 . , . � .
�EF1�Y G 90LS{R4 � � . .,. �ira: 03l91/1999 � ' . �
�I�CE�eby3h1/99 . � . . . � .
� R�2TEVVA�8Y ANDfiR�FX � � ,, .► �. . � �1tEY G 80L3VIa. �� : .,
�OO F'OVRTX A1T8�1V8 2JOR1H � • . . . .� �Hr�C$bie by 1�1!'99 • . , . .
SA7PORT Iu�?SS003•1096 . � • • . �� ,� � DHJ1:•R�EWALSY 1W'D�EN� . � • .
. .. � . . . � 100F'OVRTHAVF�VE2�tdRTFi . . .
_ � . , . ' ' SAYPOR?I�+t 53003-109d . • , '
aM��� . . . � . . . . + . . . • . . . • . .
" RENEWAL BY ANDERSEN � � � � � � � ' . �
' � ' '. NORTH PARK BUSINESS CENTER � � ' ' `�. � � �
. � 350 - 13RD AYENUE �NE � � �� � � ' : ' � �
SUITE #8 ' � � � . � ' � � • � � .
FRIDLEY, MN 55432 � . ' '
:., . . �
. . 612/502-4171 . .
� � . FAX/571-4485 . . ' . , � . .
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /��r3� S� ��" �
PERMIT NO. �� �f8 Z COMPLETED `{( �/�
ADDRESS Z'�5� �-N� S��-P
OWNER CONTR. �N'�c,c1'R� �J��-��
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z � �
Q �OS�RINAL 14 SEWER HOOK-UP 06 PROGRESS
� �07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 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� �WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK 8,PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. [- PHOTOTAKEN
INSPECTOR WILL RETURN
[l CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractqqon ' .
Inspector. �
White Copyllnspector's File Canary CopylSite Notice