HomeMy WebLinkAbout2007-P10999 - windows ' ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10999
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
5/15/2007
SITE ADDRESS: 2800 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0009
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:
FEE SUMMARY: Perniit Fee: $ 195.25 Valuation: $ 10,598.98
State Surcharge Fee: $ 5.30
Misc.Fee: $ 1.50
TOTAL FEE: $ 202.05
APPLICANT: Pella Windows&Doors OWNER: Gregory&Jewel Vitas
15300 25th Ave N. - Suite#100 2800 Countryside Dr W
Plymouth,MN 55447 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Sigiiatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page 1
. ..
RECEIVE�
` MAY 1 4 2001
CITY OF ORONO
Total Fee: $ �- �� '� - �'�-� Date Received:
Entered By: Permit#: !' i a � �/ `�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print al[information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 2g00 Countyside Drive West,Orono,MN ZIP. 55356
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes Q No Ifyes, a special event permit is required wtth Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
suffrcient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: Greg and 7ewe1 vitas PHONE: (home) (952)449-9621
(work)
MAILING ADDRESS: 2g00 Countyside West CITY: orono ZIp: 55356
CONTRACTOR: Peua w�naows ana Doors TwTc PHONE: (763)�as-iazo
CONTACT PERSON: 7oyce Nazario MOBILE/PAGER:
MAILING ADDRESS: 15300 25th Ave N,Suite 100 Cj'j'Y: Plymouth ZIP; 55447
STATE LICENSE: # 20165884 EXPIRATION DATE: 03/31/08
ARCHITECT/ENGINEER: N/A PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding, Windows) ✓
PROPOSED WORK(describe in detai�:
Replace 8 windows-same size openings
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 10,598.98
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.
, �Pe���`�) osio2io�
APPLICANT'S SIGNATURE: ti �, DATE:
31
• �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. 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 orconfidential data conceming 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 ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shal l
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 mav place the notice required under this subdivision in the individual income tax or�roperty tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual�vho 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 con[ent and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed ro him for six
months Ihereafter 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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require t!ie reques?ing persen to pay the actual costs of makir.g,ecKify irg,and compiling the cupizs.
The responsible authority shall comply immediately,if possible,with any request made pursuant to Ihis subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with 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 not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data
concerning himself. To exercise this right,an individual shall no[ify in writing the responsible authority describing the nature ofthe disagreemenL The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipicnts of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Uata in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed da[a.
The determination of the responsible authority may be appealed pursuant to the provisions of the adminisVative 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:
l. The information you furnish will be used to determine your qualification far 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 infcr.nztian mz}� be shared �a�ith othPr laca!, ctate er federal a�encies to the extent necessary to
process the permit 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.
Pella Windows and Doors
First Middle Last
15300 25th Ave N,Suite ]00
Address
Plymouth � 55447 (763)745-1420
City State Zip Phone
I understand my rights as stated above.
Z , P �,��L�
Signat r
Reset Form 32
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CITY OF ORONO CALLED IN �
INSPECTION N SCHEDULED
PERMIT NO. g COMPLETED
ADDRESS . ���
OWNER CO TR. �
TELEPHONE N0. �S� �f 7�I
� DESCRIPTION_��,
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� Cl CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 for the ne� inspection 24 hours in advance. (J52� 249-4600
OwnerlContra n i e:
Inspector.
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