The URL can be used to link to this page

Home My WebLink About2008-P12005 - windows PERMIT CITY OF ORONO permit ►vumber: 2750 Kelley Parkway- PO Box 66 P12oo5 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/15/2008 SITE ADDRESS: 630 Deborah Dr Unit# Maple Plain,MN 55359 PID: 31-118-23-22-0008 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 177.00 valuation: $ 8,839.00 State Surcharge Fee: $ 4.45 Misc. Fee: $ 1.50 TOTAL FEE: $ 182.95 APPLICANT: Renewal By Anderson OWNER: Mr. &Mrs.Karlen 1920 County Rd C.West 630 Deborah Dr Roseville,MN 55113 Maple Plain MN 55359 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. i �t.�-a..Q Lw APPLICANT PERMITEE SIGNATURE SUED BY S[GNA7'URI? Copies: ]-File(Signatures Reyuired), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . � . V`� 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 OR CONT JOB SITE ADDRESS: �3 B �-��a� �(��v�' ZIP: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia!event permit is required with Police Department and Ciry Council approva! 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suffcient on-site parkin is available. Non-permitted events will not be allowed. �,� '�� NAME OF OWNER: �V►'�G PHONE: (home) o�• � y y�9a (wark) MAILING ADDRESS: � CITY: ZIP: CONTRACTOR: Renewal By Andersen pHONE: 1920 County Road "C" West CONTACT PERSON: , AGER: MAILING ADDRESS: Roseville, MN 5�11� ZIP: — License #20130983 STATE LICENSE: # 65 l-264-4777 DATE: ARCffiTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(deseribe in detain:?►�,n�(',�C1J s � nY'�C�.U�� C.-��✓1 ��;S�r�-, o�Rem��J- STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 0� D 3� � ( 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 1 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: G�►'�–� DATE: �+ D� 31 Sec.13.04 RIGHTS OF SCBJECTS OF DAT,A 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 contidential data concerning himselfshall be informed ofl. (a)the purpose and intended use ofthe requested data within thc collecting stare agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply Ihe 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 shall not apply when an individual is asked to supply investigative data,pursuunt 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 individuai. 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 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. After an individual has been shown the private data and infomied 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,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. Procedum when data is not accurate or complete An individual may contest the accuracy or completeness of public or private data concerning himsel£ To exercise this right,an individual shall notify 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 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 disdosed only if the individual's statement of disagreement is included with the disclosed data. The detertnination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative 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 deparnnents may require you to fumish certain private or confidential information. You are notified that: L 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 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. fG.. �C�N ,Yl��01�7 First � 1liddle Last �533- 3(� � � Address r� . ca.�c�.k m� ��szD L�sl -��-G ��Lo(� �-�b' State 7.ip Phone I understan y rights as s d above. Signxture Reset Form 32 � � �j ' V - �TE `� TIME CITY OF ORONO CALLED IN L/ �� INSPECTION N IC,��,�� SCHEDULED � PERMIT NO. �� COMPLETED .�.'% S ADDRESS .1 D G�� OWNER CONTR. ��Ie�-� TELEPHONE N0. w✓t � �- � � !/� � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ►-�u a � J O � � n i� �� o� �S 0 � c,�n �-�J� C�t0 � 3,A � � S'.�- v�A-�� W � Q � Z W � W � � d 4! WORK SATISFACTORY:PROCEED ROJECT COMPLETE ��CORRECT WORK&PROCEED �� I SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN NOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. A l`" White Copyllnspector's File Canary CopylSite Notice