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Home My WebLink About2007-P11209 - windows PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11209 Crystal Ba�+, Minnesota 55323 Permit Type: Minor Alterations (95<<j 249-4600 Date Issued: 7/11/2007 SITE ADDRESS: 2735 Countryside Dr W Unit# Long Lake, MN 55356 PID: 04-117-23-12-0018 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Typc: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replace Windows On House FEE SUMMARY: Pernut Fee: $ 1,016.15 valuation: $ 103,800.00 State Surcharge Fee: $ 55.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 1,072.65 APPUCANT: Gaftsmen Home Improvements, Inc. OWNER: Tim Alexander 7455 France Ave S#194 2735 Countryside Dr W Edina,MN 55435 Long Lake,MN 55356 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. /n► /' ! `�Z" � / � t. C V/i`� ( i./ r /L� � APPLICANT PERMITEE SIGNATURE ISSUGD BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, I-Septic) Page 1 07/09/2067 22:57 6514303706 CRAFTSMEN HOME IMPRO PAGE 02 , \��\\ ,; , �� , .X +" � Total Fee: $ �, �1�. ��J � � _ � �'� �-�[�' Date Received• �' I O �� Entered By: �'�'Yl hl� � Permit#• CI'I'Y OF ORONO-BUILDING PERMI'T APPLICATION All informatioa �nast be submitted in full before p�an review wfll be started. (please print all iRfor,nation) THE APPL�CANT IS: (cincle or�e) OWNER O ONTRA,C�'O . JOB STTE ADDR�CSS: a 7 3 5 eo�,H�►' s;d e D r. Q rp n r7 ZIP: 5�3S� Will this be a Par e of Homes,Rennodelers Shawcasw ome or otber D�splay Home? ❑Yes No Jf yes, a special evenl per�nte i�required with Police DeparlmenR and City Council approval 60 days prior�o the event, Shul�le buc.service wlll he required rmless applrcant de►nonstrpees su�j5cien�o»�s'i!e parking l.c avar/ah/e. Non permiffed evenls wi!/no�he allmved. NAME OF OWNER:�irn l`F��°`�,�i�r��er PHONE: (home)�/ot - 807-3 9�'� * (�'�'�) MAILING ADDRES3: 02 7 3 S �°d � JN:C�TY: ��-l�a ZIP: .5S3S`� CON'I.RA,CTOR: �`HONE: (DS!- `I i0 -�.o?�� CON7'ACT PERSON: MOB E/PAGER: MA,XLXNG ADDRESS: . 5, � ITY: �c�;_h c�__Z�:��„� STATE LICENSE: # �n.�-�o �- EXPIItATION AATE: .3/,T/�oo� ARCHiTECT/ENGINEER: PHONE: MAII.ING A,DDRTSS: CT�'X: Z1P: NAME: REGTSTRATION: # TYPE OF WORK: New Home Addition A,ccessory Structune Move Hom� R.emodel/Alteration (ie: Siding,Windows) � Any earth movement may requ�.re MCWD review and permits! FROPOSED WORK(descrihe in detai�: 'R eD L�E e (�.1.)1✓1��J 5 a� �w5�, STORIES: SQ.FEE'I'OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ ES'T�VXAT,ED CONSTRUCTTON VALUATION(e�c�ud�ug laAd): $ `O 3, $4� T I hereby apply for a buildin�g permit and�acknowledge that the information above is cornplete and accurate; that the work will be in conformance with the ardinanees and eodcs of Yhe City and with the State Huilding Code;that I undetstaT►d 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. 1 APPLICANT'S SIGNATtI�t - � DATE7 ��o -D 7 3l 07/09f2007 23:46 6514303706 CRAFTSMEN HOME IMPRD PAGE 02 . . . � 9oC.]3.M RTGHT5 OF 31TBJECfS OF DATA Subd.1, Typc of dnla. The rigMs o£individual on whom�he da�iF atotecl or to be srored shall be�v aa forth in dtis soction. Subd.2.informaUo��equi�d w be given individual.An individuffi eaked M supply priwle or c�demial data cuncerninH hirreelf sheD ba informed oE (s)the pwpose end intcnded use oF[hc raquesoed datawithin the collCcong a�tc agency.policical aubdiv�9ion,ar 9ffitewide system;(b) whether be may refusc or is le8alty rcquired to supply the roquesred da�;(c)arry knovm consaqucna alising from hie aupplying or refuaing ro supply prive0e or confidemiul data end(d)the idemiry ofother persons crr entsttee audtorized by s�rte or 1Ddern1 law ro r�ive the data.Thia rcquircment shall not apply whcn un indlv.idusl ia asked to supply imeatigative da�,paeunM to section 13.82,aubdivision 5,to a Iaw tnforr.errnem officu. 17t�commisai�tl,r.r of revenuc may elace thc notice required under this sybdivision in the indjyjSl4l�l incomc tmc or nrot�e[lv t��fund n cN n;ies[ead of on_t�j seSl fo�m�. Subd.3, Accesa to data by individunl.Upon requa¢C to n responsiblc autl�o�ity,an individual shall be intbcmod wheeher he is che subja.t of sarced data on individunl�,and wha�hoT rt iv cl�aified as public,privnbe or co�fidcntial. Upon his furchcr requesC an i�ividuul wt�o is che subject of storcd privaee or pubtic data on individuals ahaU be shawn thc dam without any chargc m him and,if hc dcaims,shall ba in fomwd of the com�c and mraning of th9t data Aftcr on Individuel has been shown the privatt de�and infortrrcd of iCs meaning,the data need not bo discloaed to him for gix montltl Ute[enfter unlesa e dlspute ar acxion putsuant u�thiA aextion 19 perlding or aAditionell dAb►on thc individuell b0.s becn collected oi Cteaoad. Thc responsibla authoriry shull pro��idc copies of tho Drirvet�or publit detA npon roqueat by Ihe individual aubjett of tFle daffi. The teeponeiblo aatltariry r�y rc.quire the requesring pe�on to pity[ha ecwal eoafs of ineking,c�,titifying,end compiling the copios, ?he te5rx►nsible nutho�lty eh�tll comply immedlEwely,ifposaible,wilh arry rcqu�mude pWsuartt m thia subdivialotl,or within frvedeys of thc da�of the tequest,cactuding SetuNayq,Sundeys and►egal holidays,if fmmediate complienx it1 not possble.ifhe cannol cotnply�the tequest wi�hin that dme,be sha11 ao inform tho i�dividunl,anA may have��dditional f ve d�within wtiith eo camply with thc request e�weluding Sahtrcl�s, 9undeys end legsl holidayn. Subd,a, Roceducs when dan ia na�eecu�nte or comAle�.An individual may am�the ncaca�y or axnDleocnwg ofpublie or pm��dala concoming him9elf.To cxettl9e 1liis�ght,an individuel shell nodfy in writing 1he tesponsiblc aulhotiry des�Tibing th¢naturt of tlte dis�oer�1C'the responalble authoriry ahaJt within 3o daya eitha: (e)correcc thc deta found w be ie�aocmaoe or inoomplere and am,npt oo notify pn9t�ecipicnb of inaccurate or incomplde dtr[a,including recipicnts named by thc ntdividueh of(b)nMify thc indivi6ua)thttt he 6al icvra the data to be correct.Data in disputc shall be disclosed on►y ifthe indivldual's starem�t ufdisogt�ec�ns is includcd wilh du disclo.aod da�. The detertninacion of the�pon9ibla auchoriry may be appeeled pur�uem bo the provisions ofchc adminiatrative procedur�ecc alating to coMeSoed casea. DATA P ACY ADVISORY Ie accordance with M.S.13.04,Subd.Z,"Ri ghts of subjectv of dota",we wou]d like to inform you that your tequest fot a perrnit or license frpm the City of Orono or any of its depectmentc may rcquitc you to furnish certsin private or conf.►dential infortnation. You are nptified that: 1. The information you furnish will be used to determine yout qualification for the permit or license reque9ted. 2. You may tefuse to supply data,but refusal may rcquire tihat the City deny the petmit or license. 3. The information may bc shared with other local, state or fedetal agcncies to the extent ncccssary tci process the permit or license. 4. If your requested pctmit or license requires Counci)t�ction to approvc,some information may become public. 5. You have certain rights undcr M.S. 13.04(available upon request)bo review private data on.you�elf. 6. Your full namc is required to process this application pr permiL �0.�;e,� �. 3 y� l � n �,�� 7 `� 55" ��an�e �� 5 .� 1 �1 `� � �aa� � �i ho� 1� I� 5r��{3� (� �I `�30-�`� Clry 9dte Zip Phone 1 nade�sts�nd my rightv ss st�ted wbove. \ � � � 81Rnatac+c ,�- - - __,,__.�.._.........,.:.,,.,_•..•— - �_`:�te�L�e;Fbml;`,,;. . . . ,, 32