HomeMy WebLinkAbout2006-P09705 - windows PERMIT
` CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 Po97o5
' Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued:
4/12/2006
SITE ADDRESS: 255 Crestview Ave Unit#
Long Lake,MN 55356
PID: 05-117-23-14-0021
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#:
Scparate permits required:
NOTICES/REMARKS:
Replace 8 windows into existing openings
FEE SUMMARY: Permit Fee: $ 13925 Valuation: $ 6,910.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 142.75
APPLICANT: Minnesota Rusco, Inc. OWNER: Stephanie Reiman
5558 Smetana Dr. 255 Crestview Ave
Minnetonka,MN 55343 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 S[GNATURE ISSUED BY SIGNATURE
Copics: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Rcports, I-Assessing,(If Septic, 1-Septic) Page 1
� Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: Jj� �i�,��j/�� ZIP: ������
NAME OF OWNER: � � PHONE: (home) 9SZ• y7�'����
(work)
MAILING ADDRESS: � � �g.� �` CITY: (�:�(-�L� ^ZIP:�535(O
CONTRACTOR: m � • PHONE: 9J�o�• 9�J�'1�CQ�
CONTACT PERSON: �a tc�p MOBILE/PAGER: lolZ• Z80• 4005
MAILING ADDRESS: 5558 �cL � i(� CITY: ��ZIP: 55�3�/�3
STATE LICENSE: # �/'�,3
ARCHITECT/ENGINEER: PHONE:
NIAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration _�—
PROPOSED WORK(describe in detai�: � 8 �� 1 ��
�����i ��nt;r�9 �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
Q �1 oa
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��7�CJ
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 Ciry 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 SIGNATURE: I ` I/l5`/�`�' DATE: �Z/ �
NOTE! Parade of Homes events req 're separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
.
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 or confidendal data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecdng 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 confidenaal data;and(d)the identiry of other persons or entities authorized by srate 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 mav olace the norice required under this subdivision in the individua(income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon•request to a responsible authoriry, 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 who
is the subject of stored private or public data on individuals shall be shown the data without any charge[o him and,if he desires, shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be
disc(osed to him for six months thereafter uriless a dispute or ac[ion pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying, and compiling the copies.
The responsible authoriry shall comp(y immediately,if possible,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. If he 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 public or
private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nacure of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify
past recipienu of inaccurate or incomplete data,induding recipienu 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 wi[h the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to[he provisions of the administrative procedure act relating
to con[ested 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 [he 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 pen�Iit or iicense.
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.
First Middle Last
Address
Ci�y State Zip Phone
I understand my rights as stated above.
�-�..
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Sighature
6
03/29/2066 16:59 952-935-9544 MINNESOTA RUSCO PAGE 92/92
. ,.,..� �
' /`�a . 7`S� ?�•os° Date Received: 3-Z�1—�
Total Fee: $ 3 q�
pernnit#:
• Emtered By:
CITX OF ORONO � BUYLD�NG PE�T t�PPLYCA'TI4N
AlI i�.formation must be submxtted in� full be�ore plan review will be started.
(please print all information) �
-------------- CTO
T� AppI,YCANT IS r (circle one) OVirNEl2 O CONTRA
,�- �j Zr�; "��5�
JOE SI�E ADDRESS: J� �
^ PH:.ONE: (home} 9SZ' y7������
1�TAME OF OWNER: � work}
f ��
�� `` CITY: � �IP:_ S��P
11�IAII�YNG ADDRESS: .
M � � . Pxorr�:..q5 � 9v5��f21��
CONTR.ACTOR: f� � �O�II,E/p,�G�R: (�/2• 2S0� g0o5
C4N�'�ACT PERSON: �Q � ; lp; �'�
M,AIY.ING ADXfRESS: 55�8 ++�ar � �u2� CITX:
5TATE LICEN5E: # /73
ARCHTTEC'X'/ENGINEER: PHONE: .
c�r�: z�:`
1VIAILTNG A.DDRESS: ItEGTSTRA'I'XON#
NAN1E:
A,ddition A.ccessory Structure
T�� ��W��" NeW Land�lteration ..�—�'
�o�,� RemodeUAlteratzon, ,
PROPOSED WORI�(describe in detai�:
� g �j� �
o - �
,
ST4RYES: �` SQ•�ET OF EAC�FLOOR: '
NO. OF BEDRQOMS: GARAGE STALLS: AxT. DET.
f aa
ESTIlVIATED CONSTRUCTXON'V�I.,YTATI�N (e�cluding Yan�): � �/� �
I he�eby ap�ly for a bui�ding permit an.d I acknowledge that the inforrnation above is complete ar�d
accu�ate; that the work will be in eonfomaanee with the oxdinances and codes of the CitY and with
the State Building Code; that I un,derstand this �s not a permit �nd vvork is not to start �withouC a
P��1t, and that the work wi11.be in acc rdance 'with the approved plan.
APp�ICANT'S SXGNA�TURE:
i - 1/� D��: �z9 0
NOTE! Par e f ffo� events reQ 're separate permit approval by Police Department�Qnd
Cit� Cor�ncil 60 ddys prior to the event. Non permitted events will not be allawed.
5
03/29I2806 10:59 952-935-9544 MINNESOTA RUSC� PAGE 61/62
. �, .
MINNESQTA
� �
Windaw's. 5iding,Doors and More!
MN Ua 2173
5558 Smetana Dr. • MinneFonko, MN 553d3 • 7elephone 952-935•9664 • Fax 952-935•95d4
visit our websiie:wwN'•m�^nesotarusco.com
AX�TRANSMITTAL
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DATE: �Y�I,n� .
1 C�
TO:
T FAX NO.; �`� . _ � � �
gECrn�N _
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�ROM: ,
TOTAL PAGES (including cover shee�Ey:
COMMENTS:
��
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4 Years �ervin� the �'tivin �ities
DATE TIME "
CITY OF ORONO CALLED IN _i 3�� -��
INSPECTION NOTICE SCHEDULED
PERMIT NO. ��� �G'� COMPLETED
ADDRESS o� �� �li.�, S'������
OWNER CONTR.��fL� l��'SC C�, �l�'!C .
TELEPHONE NO. j �4�'
7��� D Y� P��l
� DESCRIPTION l'(���1C���
lu Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 W 12 WATER HOOK-UP 17 SITE INSPECTION
Z �
Q 5 FIN 14 SEWER HOOK-UP 06 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATfSFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ^ IS$UE CERTIFICATE OF OCCUPANCY
0 ❑CORREC7 WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WI7HIN' HOURS. ❑ pHOTO TAKEN
INSPECTOR WtLL RETURN ❑ CITATION I$SUEA
❑STOP ORDER POSTED.CALL INSPECTOR � ' '
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-460�
OwnerlContra�ter�o it�:
inspector. �
White Copyllnspector's ile Canary CopylSite Notice