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Home My WebLink About2005-P08905 - windows PERMIT CITY �F ORONO 275C� Kelley Parkway- PO Box 66 Permit Number: p08905 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/11/2005 SITE ADDRESS: 248 Cygnet Pl Unit# Long Lake,MN 55356 P�� 04-117-23-23-0017 DESCRIPTION: Proposed Use: Residenhal 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: Install 3 vinyl replacement windows into existing openings FEE SUMMARY: Pernut Fee: $ g3.25 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ $4.75 APPLICANT: Tony's Lifetime Exteriors OWNER: Dean Molin 1200 39th Ave.NE 248 Cygnet Pl Sauk Rapids,MN 56379 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. / , / / ( p �) " <----- ''� � �i / L�L ICANT��TE S GNATURE _� �' l/�`l�\ C��,�C�G��' ��/ � ISSUED BY SIGNATURE �l Copies: 1-File(Signarures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 66/30/2805 14:00 3202525279 TONYS LIFFTIME EXT PAGE 02 . �iJ� �� Total�'ee: S O y 7� DaCe Re�xiv�ed: �-l-D,� En�ered By: pe�mit#. CITY OF ORONO- BUILDING PERMIT APPLICATION Ail intormation muit bc�ubmitt�ed in�uli before plso rev�ew will be:tarled. (p/ea�e pr�t a11�n,/o�n�tfo�) THE APPLICANT�S: (clrrc%o�e) OWNER OR ONTRACTOA JOB SI7'E ADDRLSS: � �O C `� �lV ET PL . �p; � �'J 3 JrCA Will t6is be a Parsde oi Homee,Remodeler�Shvwcaie Home or otber Dieplay Home7 ❑YE� �NO �y�ea,a Jpeclrtl e►+entpe»nla!s reqrd�a/wld�PoUce Depcsbnent a►d City Camcil approvaol 60 doys priar�o die event Slntnle bus service wlll be requirsd unlesa appliccmf demptsqro�es st�`Jcient an-s/t�s pru�k�fn�•Lr oualbble. Nwrperr�ltted everrt�will no¢be ollowsd NAME OF OWNEA: D E�Ct�I ��lA'L. �l D LI� PHONE: (home) `�7 3 - 7`�5(o MAILING ADDRESS: �4 g C YCNET PL. �Ty; /..c„vC, (,�C.��Z p; 55 3 5 G �S L�F�-T,-'mE C CONTIiACTOR: ' xr�i2.;oR PHONE: 320 -��9D8� CONTACT PEASON: JEFF 3�Ok1 MOBILFJPAGER: MAILING ADDRE5S: �zo o- 3�9 a 14v� nl E CI1'y: SAd1L R/1viDs�p: Sco�?q STATE LICENSE: # l�{t��t EXPIRATIODI DATE: "�- Z o 0(� ARCHITECT/,LNGINEER: �IA� P'HONE: Ma►u.�rrG AnnxEss: ci�; ziP: NAME: REGISTRATION: # Tl'PE OF WOAK: New Additian Accessory Structure Move Home RemodeUAltecaiion _ k PROPOSED WORK(docribe 1n d�ai1); I IV'STi�l.l� ?J V i n1�!�- �E P L. ' 00 Linrr� txi�r�nlG pvE,.lt Gs STOAIES: SQ.F,EET OF EACH FLOpR: NO.OF BEDROOMS: GA.RAGE STALLS: ATTACIiED DETACHED ESTIMA�'ED CONSTRUCTION VALUATION(e=cludin�land): S �,D OD.°a I heneiry a�Ph'For a buildinQ permit and I aclmowledge dut�e inforn+ation abava is compleGe and accurete; that tlu worlc wil!be in conformence with the ordinances and codee uf che C�ty and wiitb,the Stsu Building Code;that i undersCat�d thia is n�$petmit ead w�ic i�not oo st�rt witlwut a permit;and that the work will be in acco�rd�utce with dte appravcd p APPLICANT'S SIGNATURE; DATE; L'�U'QJ� 31 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 concerning himselt shall be informed of: (a)the purpose and intended use o[the requested data within the collecting state agency,political subdivision,or statewide system;(b) whe[her he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusin;to suppl} private or confidential data;and(d)the identity of other persons or entities authorized by state or[ederal 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 place the notice required under this subdivision in the individual income tax or propertv tax re(und instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be inlormed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his(urther 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. Atter an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for sii months therea(ter unless a dispute or action pursuant to this section is pendine 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 ma} 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,or within Fve days ofthe date of the request,ezcluding 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 eve days within which to comply with the request,excluding Saturdays,Sunda}s 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 nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients 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 with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.5.13.04,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 eztent 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. i First Middle Last I ,�� Address � - City State Zip Phone I understand my rights as stated above. - � n Signature 96I30/2665 14:06 3262525279 TONYS LIFFTIME EXT PAGE 01 FAX COVER SHEET roNv�s u�trME ExtERs�ores 1200 39th AVE. NE SAUFC RAPIDS, MN 563T9 320-152-9086 Phone Number 320-252-5279 Fax Numbe� SEND TO Finm Con�r►y n� CITY OF ORONO DEB STRETf ae�� oee� BUILDING PERMIT DEPT 06-30-OS �� 0119ae Aor�tbn 1200 - 39th Ave. NE �x�� Fex numDer �l S 2-- 2��1 - y V I V 3zo-2s�-s��9 D � ❑�►� � �� pP,..�.� p �.,�►�, Tata/papas.lnduding mver: z c�OMMEnrs PLEASE LET ME KNOW THE COST FOR THIS BUILDING PERMIT, AND I WILL SEND A CHECK IN THE MAIL. ANY QUESTIONS, PLEASE CALL ME. THANK YOUI Deb Streit