HomeMy WebLinkAbout2002-P05608 - windows PERMIT
�I TY O F O RO N O Permit Number:
2 7 5 0 K e l l e y P a r k w a y- P O B o x 6 6 P 0 5 6 0 8
Crystal Bay, Minnesota 55323 Permit Type: M�nor atcerac�ons
(952) 249-4600 Date Issued: 9i23�2o02
SITE ADDRESS: 1725 Fagerness Point Rd
WAYZATA,MN 55391
PID: 17-117-23-22-0036
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residenrial
Permit Class: Building Census Code O/S-Building
Pernut Type: Minor Alterations Pernut Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 195.25 Valuation: $ 10,248.88
State Surcharge Fee: $ 5.65
TOTAL FEE: $ 200.90
APPLICANT: Seal Guard Systems OWNER: C D&S M TAETS
3770 Dunlap Ave. 1725 FAGERNESS POINT RD
Arden Hills,MN 55112 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
f<' � ��;��./i� _
APPLICANT PERMITEE SIGNATURE ISSUED Y SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Sep-12-2002 01 :39pm From-CITY OF ORONO +9522494616 T-029 P.001/002 F-012
'Y'otal Fee: $ Date Received:
Lntered By: Permit#: ,
� � � ��,i CITX 4F ORONO - B'C�.bYNG PERMIT APP�,ICATY�N
All information must be subnaitted en full befare plan review will be started.
(please print all information)
-___....__.._....,.__�__�_-__,._.._........--------------------------------------- ----�.. ----- _�,..._------------------
THE APFLICANT IS: (circle one) O'UV'N�R CONTI7ACTOR
J�B SIT`E ADDRESS: ��I��x� ���_GC.� n�S �C����fil �,. �S �t
NAIV� O�'OWNER: 1 � l f, C_ LI I 3
� ��,�� —- -�.�\ PH4NE: (hom�)� ti � � �C��
,. � C ( ork)
1ViTA.�I,�iiG A�Y3R]ES�: ��� ��l ��,� r1�S��. �1�: '��Yl C� ZIP:_ ���
C4N''i'YtACTOR: � C� � `� �T�ONE: ��� ��\ �`1`��t''��
CONTACT PERSON: ��L C C�v u����OBr[.EIPAGER:
MAILING ADDRESS:h�f�U �1�,V11.�U.'1-.-��'�2� CITY: � ZIP: SS I i<3,
STA'Y'E LICENSE: #��;�;��-P����� �
ARCHITECT/ENGINEE�: PHON�:
MAILING ADDRESS: CITX: ZIP:
NAM�: 1tEG�IS'T�tATION# �
TYPE �F WQRK: N'ew Addition Accessory St�ucture
Move Remodel/Alteration Land Alteration
PROPOS�D WO�K(describe in detain: �1(�G;iICJI�Q. � 1 ��1�'1�.���
STORIES: SQ.FEET OF EACH�'L�OR:
N'O. OF BEDRaQMS: G�A�tACx� STALLS: ATT. D�T.
ESTIMATED CQNSTRUCTION VALUATI0�1 (excluding lan�: $ �,� ��-,��-%� . ���
I hereby apply for a building permit and I acknovc+ledge that the information above is complete and
accura�e; �hat�work wi11 be in canformance with the ordi.nances and codes of the City and with
the State Building Code; that T understand this is not a permit and work is not to start vvithout a
permit; aAd tha.t the work will be in accordance �c�vitlx ihe appraved plan.
�1 ., ,
A�PLICANT'S SYGrNA . � �v', �' '�.�.���� ���V�, ; � �����'� DA'TE: C'E' - ��� a � v��
1V'OTE! Par � of Home� events require separate permit approval by Polr.ce Department and
Cr.ly Cauncil 60 days prior ta the event. N'nn pernutted events will not be allowed.
F��7M :rEALGUARD FAX N0. :6514813939 Sep. 12 2002 02:59PM P2/3
• s.p-12-2o0t 01:aaam From-ciTr oF o�ono �A622494818 T-028 P.001/002 F-012
/��(� Tot�l Fee: $_„a v o, o D&ts R�eivcd:`y-/�_ o�
� �1 �ntered By, m, Permit�: ��0 5-6 o g
� CITY 4F ORONO - BT.TYLDIlVG PTRMIT Ap�i.�TCATYON
All informatlon n�u�tt be submitted In fu]l b�efora plan review wfll bo�tar��ad.
(plet�r.se print all ir�formaiion)
____.�.._..___.,T_-----------�...........----------------- ..._. _��.....�------,
TH� APPIeICA1VT I5: (circle one) O'VVNER CON'Y'1ZA,CTpR
.ro� srr� an���;ss: ���� �C� �� : SS��i 1,�,_. '
rr� o�owx�R: .-�,,UI,V�1,S�0��� � �o�: �no�� ��l�-UT13
r- ( rk) _
�nvG�nn�ss: _�, �C� e,� h�S� . �i�rY: 6�n v z�: l
�r�rrr�croR: r�arrE: loSl y�45\ Z��
CONTACT FER�UIV: C (�J MOBI'T..�/PAG�R:
MA]LIl�TG ADDRE�S:'3`�� > > �,Yl O�,b '�(�'l`1 Cl7'Yo xI�: SS 1 1
STA,TE LYC�NSE: ��x�����d
ARC�C'Y'I�CT/FNCZN��.R: PHOIV�:
MAILIN�s ADDI�SS: CiTY: ZII':
ly'AlVl�: �[�ISTItATYON�
TYPE 4F WORg: N'ew Addition Acc.���QKy►Sttuctiu.te
Movc RemodeUAlteration La�d Alteration
PROP03�D WOItK(dGscr'W s�ic deta�n: YT - - � � U.��V l���
STORIP�a: SQ.F�ET OF EACH FLOQR:
N'O. OF BEDROd1ViS: w__r__ CARAGE 5TALLS: AT�', DET,,_„�„ '
ESTIMATED CdNSTRiJCTION VALUATION(�excludtn�lantn: � �� �7-,U,Q� , `��
I hereby apply for a building pcmliL a�d I aclocwwledge tl�t the in�ormation above is eomp�e�e a�d,
accurare; t11at rhe work wi11 tie in conformance w�th th�e ordfnances and eod� af the Ci�ly�nd with
the�tate Auilc�it� Code; that T underatAs�d this is not a pernais and work is not to st�,rt vVit]3out a
� permit; auc�that the work wfll be i�n accordat�ce with t'hc appcaved pl.an.
A�`PLTCANT'S SYC'rNA . V�I�. . (l� DAT�: "�^ l� ' ��
ND?'�c! Parad�pf�p���yents require separate perrntt a,pproval by Fol�Ce Depu�tnient artd
' Ctty Counc�C 60 days pr�vr to th� eve,rt. N'on per»iitted events will�ot be atXawed.
F��M :�qLGUARD FAX N0. :6514813939 Sep. 12 2002 02:59PM P3i3
.�,--•..a
' SOp-11�2d02 �1:90pm Fro�-CIfY OF ORONO +o62�4A481B T-020 P.002/G02 F-012
seo.13.04 RC(�HTs dF BLJgdCCT9 oF DATa
SpbG, 1. Typ4 0l dqta, l�e rig4a of irfdiv(du�tl on whom�Ao daq li ameud or ro bc sfatsxi sholl bm�yo�fp�h i��y ssptfon.
9utxt 3. Ia[q�atioq raqu�red to(N$1v�11 iod[vidueJ. An indiv(dual�akad rq supply P�ivefe or poa6d�pd8l dam cooellnl4g pirn�elf rhall
bd IoPotnllld ofi (W�a pu�palW eed lp�Cadc4 uee aP[he eMqU�sp4 dats witLin tht Cotlaodag al�e sQftiCy� pplidcq��ubdlvf�ion,Cr sraqWi4A Iryefs4l;
(b)w4e�r he reqy�1Uq0 or ix le�ally hquleGd ro mpply rba iequ�9ad A�fa:(e)aay iutawn aansequeaes a�alag hnC�tiia NppIY{ng or retl�sin�ro lupP�Y
priw�e orouM4enda�Aooa:ana�d��he►a��aa ota�.r�esooa o��nda�s aud�ort�ea oy sr�o,or t�da�roW m���a�aoc�. ThtS roq�tuc�pea�ah�11
no�applY whaa an Indi�idual a3 a�t•sd w aupply lnva�tigudve d�a,pu�Nw�ca oecdan t3,8�,subdtvfalnn S,�o:Isw vnPo�ameac at�cer,'
11�� commteslnnnr uf Avenue m�v olece che nada� n �I►a un qr�hia sybcllvl�i�}���via��pi i� .
4piEtUCd011F_inifep�o on rhnda,�,��. �S�2ean�ny ra:ee�
Subd.3. AConae to dn�by indlviaunl. t]pon r�es�ro��o�panaihle witlodry,an ladividusl ah�W bo tnPyrauod wherher M 18 d�mb�oa�
af s[ored dn�e on lndividuole,and wha�o�I�is claulticd ai publ�. privsn or wnfulendal. Upon blx ft�Rhee r�quese,en 1md{vldunl�vlta is etu eubJacF
of aeot�ed p�iv�or public dafa oA indlvlGua7a�ha�t bn 9hown d��dm wl�eur aAy¢bat8e m hiu�enit;lf he deaimr,Ahall bw ihlo�ad of�q�ooumne
und mi4rling ol'thnc daia, Afur lut individu9l has been a4awa tFu privow dap�and inioeffltd oE IQ maaniq�{,�t 4Nt��eCc�Aqt be Q19610�od ro bUn far
sls mon�1 tllereattrr uWe�u a dispuoo o�aador�punuam!0 chis pection 18 peoding oi Welrkatl dera on rhr indlvldual q�a b�,sn Collecoed ar on�a[�d,
11t�1�6po�slble Au►6odry chaJl provida cqplet af d�e privare ot pubf I¢dota opon roquas�by the individual eubJect oF t1�a dtm. The tespapslblc aurhariry
sn�y requin�e rcqueodn�parean�p��h�acwnl coas oF m�king,clydfying.and eomplllnQ cho eoAiea,
. Tlu eeiporu�ible aurhoelry idaU comply immcdl�roly,if po�alble, wIW any mqu�R mrqa pur:uanR eo tlfle subdlvllllon,or wltbin Pivd daya o!
d�e dap of the rdqu�et,eucludGt$9awed�y3,Sunday�nad UgtJ holldayr,lP imen�dUR eompllaeoe is ao�poeiible. I!'he ounnoc aamply wl�l1 tho requea�
wirhla rho�dme,lw eltall so Infa�Tn�ha lndlvldusl,euxJ rtsay havo an�tldidonel Five dqye wlt�N whieh uf r.omply wl�f1 rhe requAKt,oxaludinp Sa�urdaYA,
9undRy6 ana le�al holldsys,
S1ihd.4, Peoradprd Wlaa dnFa 11 aot aactuat�or camplela, A,n indlr+dual may con�eu�o aroue��y ar eomplannoes of pu411a os pd��sa
c1`m cnneemin�h[roseU. Ta exerCi9a�i rlah[,nq itldlVtdwl shqlll�tlly in wrldAO d►e rofpoaAiblt 5udwetry d�W�lblag d1m RpND!of Lhs t�17l�prneWeni,
Tht respon�ibb aurlwdry shaU wtd�,�Q daye elchcca W oam+c�d�e d�m toun�ro D�Inaecuraa or t�oomplen nnd a�ump�w ru�dfy pau n+alpienra oF
Inas�ursua or Inaamplete da�,iaaluding roaipiaeee named by th�iudividual:oe(b)ooutq du(ndivldual�h�c ho hatievaa��dam oo bG socmu. Aaa
in dlsp�t�e rh�ll bo dtaelo9ed ody IT eha Indivldua!'a�rioemeae of dilpg�men�b inoludld widi tho dl�aloaed d�ra.
�r decermla�doe of�he nipon�i6le au�ho�fa may�appoaUd purs��u m d�e provtsions o�'�a�amin;santive peocedur��ac nalv6ag[a
conr�eKd a�ges. �
�ATA PRIVACY ADVISC1YtY
In acwrda�ce wich M.�. 1�.04, Subd.2, "Rig,hrs of subjocw at da�s"�we would like to inFann you that your reqaest
for a permi� Or licansa �om tbe Ciry af fJPono or eny of lta departmea[s may requtro you�o furnlsh Cot�ain priva� ar
coa�ideadal inforn►at[on.
You a�e notified that:
�, The infortttatiion yc►u fl.trnish will bc used to dece[mina your quelifzcatioA�or t�e permit or licmWe requestad•
Z, Yau IDay reft�ae �o supply data, bux refusal mey raquire that the Ciry deay rhe permic or licanse.
3, 'Trie infor�tiaa may be sharad with urher local, etate or fed�ai e�encias�o the exieat neeesaury to procass
tha pcXmlt or license• �
4, TP yo�r teqvaece� pern�lt or license requues Cauacfl acuon to approve, some it►Po�matio� ,�ay become
publfc.
S, You hgve cerceia �QJats under M.S. 13.04 (ava�lable upan requesc) w revlew privau da[e on youre�lF,
6, Yuuc tull nsu�e ia tequired �a process this sppl�catioA or pesmit.
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cg- n' /l �'�\l` ��lV ��_�1 Z �L7 �1'-' "1 � ` ^ � 8 6 C1
Gry !mM Zlp Phona
i undantaad my rlght� es scatad above.
L."k�-�4 L�.�v��'S o�r�c�'
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FF�JM :S�ALGUARD FAX N0. :6514813939 Sep. 12 2002 02:59PM P1/3
SEAL,, GUA. RD SYST � NiS , INC .
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r,A,CSIMIL� TRANSMI'CTAL SHEE'C
�.e.
TO� FRUM;
Courtney Possen
COMPANY: pA'p�;
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PAX NL T�P.R: 70TAL NO�PAGES iNCCUDING C,C�VLA; �
S�. o1�q �Collo
l'HONi. rvt1MBER: '
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❑ URGENT C]ppR R�vIF.,W ❑PLEASE COMMENT C�PLEASE R�PLY ❑ PLY?qS�I�ECYCLL
NOTrS/COMMCNTS:
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377'0 Dunlap Avenue North,Arden Hil1s,MN 55112
P�i: 651-481-7858 Pax: 651-483-Q611