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Home My WebLink About2008-00271 - siding CITY OF ORONO PERMIT NO.: 2008-00271 � • - 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 10/03/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 220 CYGNET PL PIN : 04-117-23-23-0014 LEGAL DESC : SWAN LAKE ADDN : LOT 005 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTNITY : O/S BUILDING-LINDEFINED VALUATION : $ 12,000.00 NOTE: REMOVE CEDAR SIDEING,APPLY TYVEK WRAP AND NEW VINYL SIDING REPLACE 2 WINDOWS AND 1 SLIDING GLASS DOOR APPLICANT PERMIT FEE SCHEDULE 221.25 STEELE CONSTRUCTION SERVICES, INC. STATE SURCHARGE(VALUATION) 6.00 4880 HILLCREST DR. DEEPHAVEN, MN 55331- TOTAL 227.25 (612)508-1865 Minnesota State License#: 20428136 OWNER HAYES, CHRISTOPHER&ANDRE 220 CYGNET PL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT "I'he�vork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requices sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wi[h the State Building Code.This permit may be revoked at any time for due ca /� /� / �,�''�� L � ��jnQ-r� /o , 3 , d� Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. � r '� Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT 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 ONTRACTOR� � � `` � �- _.._---� i � � �— � �-e� _ ___ S� ��"v JOB SITE ADDRESS: ' " �j�N�f ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �NO /fyes, a special evenl permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cienl on-site parking is available. Non-permitted events wil/not be allowed. NAME OF OWNER: �`%✓�S r1`'- �� PHONE: (home) �� (work) MAILING ADDRESS: CITY: ZIP: / ,, _ 5�-<�L� , C�,�� -�s,. ��-,-v-��-> PHON��'�)z�� 7J y ��i� ) CONTRACTOR: l� .a:,�.�-�-, � CONTACT PERSON: �-�'�%> 1,�,/��1�., MOBILE/PAGERC ��'Z.) 5"G -%,�'�; MAILING ADDRESS: YJ�'J %s�,��s� f'�� CITY: ,1�1.G��.,;��-,- ZIP: ��/ � STATE LICENSE: # '��1�� EXPIRATION ATE: ARCHITECT/ENGINEER: PHONE: �""�' MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessor Structure Move Ho�ne Remodel/Alteration (ie: �idin 'ndow �_ Any earth movement may require MCWD review and permits ! PROPOSED WORK describe in detai : � .�„��-z- L'-��-�lw �-�-'<-. % c�c% c n � s �-��; c � . �� -J�' l w-��,� 1/-��,/ �/� { �I/ � L�--��, ,/ �` y Y� �T 7 �� "�"�l/ !�' ��/�t.z � //✓�u�li � v...� S /CGllv' './ic:,,l u . �_ J /� f �..,_ STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED > ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Z� �UJ< — I hereby apply for a buildinb 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. ' ,�� APPLICANT'S SIGNATURE.0 DATE: �d .f/l/� 3l `� � 1 Sec.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. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of. (a)the purpose and inlended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally requircd to 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 s[ate or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant[o 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 prooerty 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 to him and,if he desires,shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed 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 of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the 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,ot within five days of the date of the request,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe canno[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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaceurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes the datato 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 the provisions of the administrative procedure act relating to contcsted 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 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 permit or license. 4. If your requested permit or license requires Council action to approve, some information may become pubiic. 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 City State Zip Phonc I understand my rights as stated above. �� Signature Reset Form 32 (��J " � DATE TIME CITY OF ORONO CALLED IN ' INSPECTION NOTICE SCHEDULED �� -�' PERMIT NO.��rS't ��7� COMPLETED ADDRESS �c�D �� Q��-�- OWNER CONTR. ��- �� TELEPHONE NO. �l Z �D� IC�GS � DESCRIPTION ��'e ��n�( � w�� S � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ¢ W � � � O � � O � W � Q � Z W � W � � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C,i IS UE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on 'te: Inspector. White Copylinspector's File Canary CopylSite Notice