HomeMy WebLinkAbout2008-P11846 - windows . ,
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11846
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
2/11/2008
SITE ADDRESS: 1955 Fagerness Pt Rd Unit#
Wayzata, MN 55391
PID: 18-117-23-14-0010
DESCRIPTION:
Pro osed Use: � ��`��
p Residential Census Code �43�4 L � S
Permit Class: Building
Pcrmit Type:
Minor Alterations Permit Sub-type(s): Windows
D ETAI LS:
Approved per resolution#:
Scparate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 147.50 Valuation: $ 6,914.00
State Surcharge Fee: $ 3.50
Misc. Fee: $ 1.50
`I'OTAL FEE: $ 152.50
APPLICANT: Harmony Homes Inc. OWNER: Ives&Gempler
3158 Viking Blvd. 1955 Fagerness Pt Rd
Wyoming, MN 55092 Watzata 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 BUfLDING CODE REQUIREMENTS.
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APPLI . NT PERMI1�k;I;S \ATUR� ISSUED BY SIGtiATURE
Copies: 1-File(Signatui�es Required), ]-Applicant, I-Monthly Reports, I-Assessing,(lf Septic, I-Scptic) Page 1
� 01/�0/2b88 09:52 7634344933 HAR�VfONY HOMES INC PAGE 02
`fotal Fee: $_ �sl, a� Date Rece�ved: Q���/D
Entered By: Permit#: �� �j'
CYT� C1F ORONO - BUILDING PERIWIIT APPLIC,A,TION
A!1 informa�io� must be subnnitt2d in full hefore plan rcview will be statted.
(pleQse p�int al!infnrmat�vn)
�_____ ----__-----
THE APPLZCA�1�' IS: (cir�le one) QW.NER O �CONTRACTOR
.ro$S�TE AD1�1��SS: 9 5S � ��s . P—a ZIP: S5 `�J� /
Will this be a �arade of Homes, Remode�ers �howcase Honne or other Display Home?
❑Yes � I°�10 If yes, a.cpecial event perriil�:��-equired u�illa f'o/ice De/�artmen�and Crry Cnun�i!opproi�al
60 day.r prior to rhe event, Sh�rrr/e bcrs.service ti�i!1!�e i-c�q�.r;red unles,s arrlicUn�demons�rares
.ru�cien�nn-sile parlrrng fs Q�•ailpble. Non�ermilted��venls wi(/not he allqwad,
NAME UF O'V�TER: K�I Ew� l�A __ pxoNE: ��am�� aSZ-y7/�03�7
(work) �
MAILING ADDR.�SS:14 5s �Alc�uua�s5 � Q�'CIT'Y: �ILC11�0 ^_ZIP: 5,3�I
CONTRACTOR: �e�141,,; u S PHONE: ��l I — � o
CONTACT P.F,.RSOPtT: R.�o�tJo .�; MO�B.�Z,�/pAGER: `
MAILIN'G ADARE�S: ��L��u vJ r�TY: 1�11� �, � ZIP: 'i�y
S'TA'X'.F.LICENSE: # LO � EXP�RATION DATE: '�j�3� , a �
ARCHJTECT/EI�lGYNEER; PHONE:
MAILING A.DDR.E�S: C�iTX: Z�p;
NAME; R.E�GISTRATI0�1: #
TYpE OF�%VORK: New IToznc Addition. Accessory Structurc
Move ilome RemodcUAltct�tion (ie: Siding, Windows) ,�
Any earth movem� t may r�qu.i..re MC revi gw and permits!
P�OPOS�ED W���des�c,ribe in dit�xK�: / , �p�t�t l� `,f r.,r i 1
STORY�S: SQ.FEET OF EAC�T FLOOlt�:
NO. OF S�DROO11�rrT5: GARAG.E STALi,S: ATTAC�IED DETACHED
ESTIl�IATCD C61�f�'TRUCTI'ON VALUATION(excludi�n.g land): g � g / �
I hercby app(y Cor a builciing permit and I ackno�vledge chat thc info�rmati�n above is ec�mplete and accura.te;
that the�vork will be in eo�formance with thc vrdinanccs and codcti of the City anci with the State Building
Cod�; l.hat i undcrstlnd this is not a permit and�vock is not to st�trt withou�a permit;and chal thc work will bc
in accord�►ncc wida t(�c�t�proved pl.an, ,
APPLTCAN"li''S S'lG�fATURF; •� DATE: (� � �
31
• 011s0/2098 09: 52 r634344933 HARMONY HOMES INC PAGE 03
$ce.I1.OJ RIGHTS OF SUB.IIsCTS OF D�1TA
5«hd, i, �ry�,���f��i;un, The�iglirs of'indiv�du�l an whom thc dsta is arored or ha he.cored shall hc as sct Forth in this scction.
Suh�l.?. Informotion requirod to be gi�cn indiv��lu:�l, �,n indiviJual�akcd to suppiy rriv�te or contiJenti:�l el.�t�cnncemin�liimaclfahall hc
inFormed uf': 1:�)thc purpose nnd intended use uf�hc rc��uosred da4�wi�l�in�he cnllcctinµ.atace agcncy,political subdi�isiun.��r;;r;�icwide�ystem;(b)
whc�hcn c�m:ry rctiise or is Icgnlly required to supply the rcqucster.l d��i:(c):�ny kn��wn cnn:rcyucncc ariaing 1"rom his supplying or reFusing co supply
privntc qr ennPid�nti�l da[a;and(d)thc idcntiry afochcr persans or cntities nuthorized by srnt�:or PcJcral I,�w ui reccivc[hc data.This rcquircmcnt shall
au�;'Pply whcn;in individu�l i.g laked tn?uprly invcstigativc dntn,pursuont to scction 1J.8:2,;;ubdivision S,ro�law cnforccmcn[offccr.
The com.Q��spyoner 4}' .�v49up��y�Ince the norice reAuircd under rhis subdivi;�i�n in the i�idividual income tn or orooerry eax relund
instructions instc,.�i ot�on those,�;Q�S.
Subd.3. Accccs to data by individual. Upon rcquest to a r�sponsiblc authoriry,�ui indivi�lll�il shall be infol'med whcthcn c�i9 thc guhjcct of
storcd d�t�on individu�ls,�nd whcthcr it ic clascifcd sa public,private or confidcnunl. Upcm his ftirthar rcques�,nn iadiviJu�l whu i<the.ubjcct of
swrrJ pfiv.uC or publie ilor,�un hldivldualc sh�ll be shown the dat:�wjchout any eharae ro him and.if he desires,shall be intormed of the conrent an(1
meaning i�Pthcrc data, ARer an inQividual hax been shown�.he prl��re d����qd infnnned of ita mcaning,thc data nced not be discloscd ro him for six
mon[hs thoreatter unless v dispute or action pursunnt to this section is pending or�iddieioe�)l,lat�ro�the indivi�ival h�s hern eollecced nr ereatod. The
rc.qponsiblc suthoriry ahall providc copics of thc�riv�tc or public data upon rcqucst by the i�ndi�idual subje�e�if�.he d�c�, The respposihle audinriry
m�y rcquire thc requcarinp pc�aqn tn pay thc a�n��l costa nf making,ccrtifyinR,�nd compiling thc eopics.
The responsible aunc��nr.y shall comply immediorely.If possible,with any rcqucsi madc pursuant ro[his subdivision,or within five dnys ul'
the dntc of thc rcquest,oxcluding San�rdays,5undnys nnd legul holid�ys,if immedi�r�cpmp���nce ic np[pocciblc. If he cannot com�ly wi[h du requcsc
within thnt time.hc shall so inf'orm the individunl,�nd may have un additiunnl tive days wirllin whi�h t�comply wich the rcquest,excludinR S�turdaya,
Sundnys nnd legal holiduys.
Suhd.C. Prnecdure wl�cn data is not�ccursce or enmrletc. An individusl may contcat the sccuracy or complcteness of public orprivq�e datn
con�crning himsal G To eicrcise�his right.nn indiv{�ual shnll no�ify in��rl�ing the responsiblc,wchoriry ilegcriHing dic nsturc ofthc disagracmcnt.Thc
rospon�ible authuriry shnll within 30 dnys either: (n)correct[he dnti tounJ tv be inneturaY:e or incomplere ond attempt to nptify paqt reeiricnt.s nf
innecur�i�e ur incc�mpleee dnta,in�:ludinb rccipionta nnmcd by thc individual:or(b)norify ehc inAiviOval�.hnr.he believec the dst�ro be corrcct. Dat�in
dispute shall be disclosed only i1'thc individual'A statcmcnt of disegrccment is included with the disalosed dnta,
Thc dctcrmination of thc rcapon.qiblc authoriry may bc eppealcd pursuant to thc Frovisions of the ndministrntiv�proccdure act rclnling ro
contcstcQ cases.
nAT�► PRiYACY ADVISORY
In accordance�vith 1�1.S. 13.p4,Subd.2,"Right;ofsubjects of data",.wewould like tp infqnn ypu thatyour�equest
� for a pcnnit or license from the City of Orono o�arry of its deparlmenr.s t.r�a.y cequire you to fumish ceRain private or
confidcntial infonration.
You arcno�iGcd �h��;
1. The inform.ation you furnish will be used to detennine ypur quaiificatipn foc the pertnit or liccnse
requestcd,
2� You may refiisc to si�pply data,Uut refusal may require chat the Ciry deny the permit or lic;ensc.
3. The informatioq mfl.y be sharcd with other local, st�te or federal agencies to the extent necessAry l'o
process the permit or licensc.
4, If your requested pc:rmit or liccnse rc�uires Council actio�u to approve, some inforn�ation m�y becomc
public.
5. You have certain rights uncicr M.S. 11,04(available upon reques�)to review priva�e d�ta on yoursclf.
6. Your fiill name is requiced Co roccss this application or ncr.rmat.
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Address
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City Stare 7.ip PhonC
I undcrstand my ��y��y a5 4tntcd ab c.
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• 01/36/20e8 09: 52 7634344933 HARf�ONV HOMES INC PAGE 01
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date: ��i O� fax# � �–f �7� l
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from: ��' �� C Harmon 'Homes
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message/
comments: � �, s' ?—
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UVind;ows • Doors • Experts
3158 VIKING DOULEVARD NE (163} d13.1100 PHONE
WYOMIPJG,MINNE50TA 56092 (763) 434.4933 FAX
wti'�W,HARMOrvvHOMESINC.NET MN�_iC1l:AC-20507,�3�3
Eaual opp�i•tunity Employ�;�
Please apply this check to ourjob at 1955 Fagerness point road.Any questions please call.
Thank you,
BRIAN MURRAY � HarmonyHomes ���'�f���
Field Sales Support �t� � � ��„��
Direct Dial: 612.238.0522 � Mobile: 612.685.6316 CITY C7F pRpNO
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