HomeMy WebLinkAbout2007-P10789 - windows PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P10789
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
3/15/2007
SITE ADDRESS: 114 Chevy Chase Dr Unit#
Wayzata, MN 55391
P��� 36-118-23-41-0035
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:
Replace 20 Windows In Existing Openings
FEE SUMMARY: Permit Fee: $ 363.25 Valuation: $ 23,000.00
State Surcharge Fee: $ 11.50
TOTAL FEE: $ 374.75
APPLICANT: Renewal By Anderson OWNER: Christopher&Elizabeth McLean
1920 County Rd C.West 114 Chevy Chase Dr
Roseville, MN 55113 Wayzata, MN 55391
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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APPLICAIVT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sigiiatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ 3 7Y�• 7 Date Received•
Entered By: Permit#•
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(pletcse print all inf'ormatio»)
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THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: 1 �, 7�p, � �j�
Will this be a Parade of Homea, Remodelers Showcase Home or other Display Home?
❑ Yes �No Ifyes, a special evenl permit is required with Police Deparhnent cmd City Council apprrnal
60 days pri or to the event. Shuttle bus service will be required unless r�pplicant demonstraces
su�cient on-sfte parking is available. Non permitted ever2ts will not be allowed
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NAME OF OWNER: C,J�'� 1S `� � �1c,1-�,h PHONE: (home)��-��-(p-�J �
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MAILING ADDRESS: CITY: ZIp;
Renewal By Andersen
C4NTRACTUR: 1920 County Road "C" West PHONE:
CONTACT PERSON: _ Roseville, MN 55113 �AGER:
MAILING ADDRESS: _ License #20130983 ZIP:
STATE LICENSE: # 651-264-4777 �N DATE:
ARCHITECT/ENGINEER: PHONE:
MAiLING ADDRESS: C�y; �p;
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Horne Remodel/Alteration(ie: 5iding, Windows) _�
Any earth movement may req ire MCWD review and ermits!
PROPOSED WORK(d�scribe in detai�: � �� � � ;��
� v.�-. _�n:.Y�O�"J .
STORIES; SQ.FEET 4F EACH FLOOR:
NO. OF BEDROOMS: GEiRAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(�xcluding land): $�� �� —
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 witt�out a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: O�.G� DATE: �Q'tC, O�'
31
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
� 5ubd.1. Type af data. The rights oF individual on whom tl►e data is stored or Io be stored shall be as set forth in this sectioa.
Subd.2. Infotmation required to be given individual, An individuel asked to supplyprivate or confidential data concerning himgelfshal]be
inforcned of. (a)the purpose end intended use ofthe requesbecf data within the collecting state egency,politicel subdivision,ot sfatewide system;(b)
whether he may refuse or is legally required to supply the requested data;(o)eny known consequence arising fromhis supplying or refusing to supply
privete or confidential data;and(d)the identity of othcr persons orendties authoriud by staie or faderal law to receivethe data. This requirement sltell
not apply when an individual is askod to supply investigative data,pursuanf to section 13.82,subdivision S,to a law enforcement ofticer.
The com iccianer of r�enue may plaee the notice required under thic subdivision in the individual income AY o�p��rtv fax refund
in3tructions mstead of on those fom�.
5uhd.3. ?.ccess to data by individual. Upon request to a responsible aulhority,an indiv;dual shall be informed whether he is the subjecc of
stored data on individuais,and whether it is classified as public,private or confdential. Upon his further request,an individual who is the subject of
storod private or public data on individuals shall be shown the data without any charge to hun and,ifhe des►res,shall be informed ofthe contcnt sad
meaning oftha[data. ARer an individual hes been shown the private data and informed of its meaning,the dats need not be disclosed to him for siz
moeths thereaRer unless a dispute or action pursuaot to this section is pending or additional data on the individual has been collected oi created. The
respoosible authority shall provide copies of tNe private or public data upon request by the individual subject of the data. The responsi6le authority
may reyuire the requesting person to pay the actual eosts of making,certifying,and compiling the capies.
The responsible authority shall comply immediate ly,ifpossible,witfi any requesl made pwsuanl to this subdivision,or within five dgys of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if imrr►ediate compliance is not possibla If he cannot eomply with d►e tequesi
within thattime,hc shall so infvrm the individual,and may have an additional five days within which to comply with N�erequest,exc[uding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete.An individusl may contest the eccuracy or completeness of public orprivate data
concerning himself. To exercise this right;an individual shall notify in writing the responsible authority describing the nature ofthe disagroea�ent. The
tesponsible suthority shal]witBin 30 days either: (a)correct the data found to be inaccurate or inoomplete and attempt to notiCy past recipients of
inaccurate or incomplete data,including zecipients named by d�e individual;or(b)notify the individua]thatha believes the datn to be concct. I3ata in
disputc shal]be disclosed�nly if the individuaPs statemcnt of disagreement is included with the disclosed data.
The determination of fhe responsible suthorily may be appealcd pursuant to the provisions ofihe administrative procedure act relating to
contested eeses.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforrn yau that yout 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 wi11 be used to detemvne 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 an yoiu�self.
6. Yow full name is r uired to r cess this application or permit.
First � � ` � �a� Lest
Addreee
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City 5tah Zlp Phone J�-� �
I unders nd my rights a d above.
Sign ture
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W S � D Permit Service
9533 — 367th Street; North Branch, MN 55056
Phone 65 I-674-1766 — Fax: 65 I-674-6 I 90
952-249-4616 - Fax
City of Orono,
Please figure out the building permit fee for this job and cali me with the fee amount so that I
may come to the city and pay for/pick up the permit.
Also,please call if you have any questions.
Thank You,
Kaza Benson
651-674-1766
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L� ��'� �I ,I� �� DATE TIME
CITY OF ORONO ALLED IN � �-��
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WSPECTION NOJ�TICE SCHEDULED �l ' - :��I �
PERMIT NO. j�" I ��4�,�� COMPLETED I n%�.Y�
ADDRESS « � � � ��
OWNER CON . �-
TELEPHONE NO. �7�,�. ���� � ��� � ��7t�1.
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� DESCRIPTION ��I��� C'�-�� ����-'�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU:�ES�NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
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Inspector. n
White Copyll�spector's File Canary CopylSite Notice