HomeMy WebLinkAbout2002-P04917 - windows ` ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po491�
Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations
(952) 249-4600 Date Issued: 2�2�i2oo2
SITE ADDRESS: 4201 North Shore Dr
Mound,MN 55364
PID: 07-117-23-43-0007
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Consh-uction Type VN
Buildin Census Code O/S-Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83.25
Valuation: $ 2,139.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 84.35
APPLICANT: �A Homes Seivices Inc. OWNER: Betty Weitzel-Hartnett
3200 Cobb Galleria Pkwy. Suite 200 4201 North Shore Dr
Atlanta, GA 30339 Mound MN 55364
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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APPLICANT P� ITEE SIGNATURE -T ISSUED k3Y SIGNATURE
Copies: 1-File(SiQnitures Repuiredl, 1-Apvlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
- v.+ � i v� vnv��v � v IG't!�V� I V V7/G�i/7� I`F.VV � :uG/�J.� NU:7LL
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Total Fe�: $ Aate Received•
Entered By: Permit�I:
CITY UF 4RON0 - BUILDIlYG P�RMIT APP�..ICA1'ION
AIl informatlon must be submitted in full before plan review will b@ started.
, �please print al! irrformatton)
THE APPI:ICANT IS: (circle one) 0'VVNER OR NTRACTOR
,ToB sY`Y'E ADDttEss: y a o� rV . slr,o� �C; zI1P: s s 3�0� ;�
�, NAME OF OWNER:��.� �o�,��, P�iONE: (home)9�2�•y�-a•3�l 3S'
(work)
1VIAILING ADDRESS: �1 CITY: ZTP:
' RMA HOME SERVICES INC. ' �
CO�T�CTQR: Home Depot Installed Sales
. C4NTAGTPER,SONt 3200 Cobb Galleria Pkwy., Ste. #200
� � MAILIl�IG AUDRESS. Atlanta,GA 30339 ZYp,
763-542-8826
���'AT� LICENSE: +� Bc-zo2�gzs�
. ARCHITF.CT/FNGINE�R: PHONF:
MAILING AUDRESS: C�TY: ZIP:
NAME: REGISTKATIUN�
TYPT OF' 'VIJO�K: New Addition Accessory Smxcture
Niove Remodel/Alteratian Land Alteration
PI�OPOSEA WORK(deser�be in detain: ��� � �W�,�,p� ��-�-�,,nr
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STORI�S: SQ.FEET OF EACS FI.00�t:
NO. OF BEllROOMS: GARAGE STALL5: ATT. DET.
ESTIMA►T�D CONSTRUCTION VALUArYON(excludfng lan�: $ o�ti ��q �
I h�reby apply for a building permit and I acknowledge that the information above is comp[ete and
accurate; that the work will be in conformance with the ordinances and �odes of the Gity and wich
, ' the Statc Building Code; that I uaderstand this is not a permit and work is not ta start without a
pernut; and that tbe work will be in accordance w�th�the approved plan.
APPLICANT'S SIGNA ��y� DA1"E: • � -��-
NOTE! P�,�q f Homes events requfre aepamte permit approvaT 6y Police Departrntent and
G1ily Cor�nc�184 days prlor to the event. Nvn per°mi�ted eveRts w�ll not be oClowed.
Rorniunr� Ti.�� C,.., �A 1 . A�D�A n..t_ 1 m:___ r _ _ n� � �nrnr
TY OF ORONO � 6124730510 09/24/96 14:00 (�7 :03l03 Na:522
Ssc.13.04 R1C,IfiTS OF SUHJ�CTS OF D�TA
Suhd. 1. Type of data. 'Tlte dydts of inQividud oi�Whom ths daa i�scored or�o be scomd shall be as see forrh in thls seceian.
Subd.1. Ielonuatloa rpudr�d to ba�Iv�n indfMduai. M Individud nsked ro�upply privsu or oonfideed�l dza concsrning 6imaelf Rhall
be fnfo�oft (a)d�e purpose�nd intende�use oP�he requescaJ d�n wirhin�hc cotleedna 1�u�genay,polidcal aubdlvi:ion,or sdrewide sycu�m:
(b)wfie�her h�may n(use or i�legally required co supply rhe roquesud dau:(c)any knoum conaequaiu:e ariring from his supplying or retl�sing to supply
priva�a or coalldenif�!data;and(d)�he idenriry of od�e�person�or enddes aud�odzed by su�e or federal IAw m n�aire�he dara. Th�requlremaa�shull
nol apply when on Individual i�nsked�o �upply tnvesrig�dve daa,pursuani eo�eedon 13.82, subdivision S.to�I�w enfurcement otPfcec.
'�►a cum��,:9nec�f tov_e�ue ma� place ihe not�ce re uir¢d under is subdi�isic�n in ihe individu4l income �ax or oroDsttv r��;nl�lind
j�cucdona ins ud u�on�►o�c ior�+�. "
Subd, 3. Aeceu to data by tndlvidtul. Upon rcques�to a rcspansible authonry,an Iadi�idual shall be informed whother 6�le the s�ibJee�
ot�corod data on individuals,and whefiar it is cl�ssified a�public, p�ivue or canlM1depual. Upon his tUrrher rcquest,an individual who is rhe subjtct
of sarod pri�ua oc public daw nn indivirluals slull be shown�l+e dau wi�hou�any chuae u�him snd;iF he deairaa,9he11 be infonned of the wnten�
rnd maantng of diAt da�. After an individusl hu been shown�he p�i��u clara and iaformcd of i�mesning,the dan naed mc bs dixclosed w him for
da e�ond�s thersatter unlet� n dispu[e or�ctiun pureuant m this seedon is pendina or addirionrl dan on 1he individual has been oollecced or creatocl,
11�s rs�puniible�uthpriry ch�ll pro�ide copies of rhe privare or public dara upon requeu Ay�he indlvidual cubject of d�e dara. The reypansible iutho�iry
m�y requife the requestin�penen ro psy d+a xctuel cos�s oP mak[ng.csrtif�rino.u�d complling rhe eopi��.
The risponeible auth�riry sh�ll comply immadiotely, if possible,wfch any reques�made pureuant u►d�is s�,bdivision,or withln fi�e days of
�he dtte of the rayuesc,excludina Satutdays.Sundays ond legd holldoys,if irtunedla�e rompliance is not po9sihle. IFhe cannoi comply with the reques�
wlwln cha[clme,ho ahall w inform rtw individual,and m�y ha�e An ad�ileanal flve d�ys wld�in which ru comply wi�h the cequesc,eaeluding Saa�rdays.
SunJ�ye And le�wl holldaye.
Subd.4, Ptotedu�e wh�n dn�a is net oceurats or eomplete. An iruJlviduvl mry conms�rhn aecu�aay er complercnoaa of public or priv�ce
d�u coneern�n`birrwelf. To exarcise ih;s right,on indi'viduel shal)nouly in wriiinp�ho reapunsible su�hudry deacribl��d�a newro of�ho dicagreemcnc. .
The texponelble ou�horiry dtell wirhin 30 d�ys ei�her: (4)coRec�the data found�o be inaccutate or incomple�e And�aompt to nodfy p4a reciplenes oE
ie�aunte or in.camplete dpra, Includin�recipienu named by d�e individurl;or(b)nodf�r rhe individual thet ho belleves the dam co be cotrece. Data
la dbtpwe iAall be diecloaad only if tha indlvidusl's sn�artune of dlpQreemnne is includsd with rhe di9closed dara. '
�'he dotertninntion of�he respansiblo,u�horiry m�y bo appealed pursu�n►to th�p►o�isionc o[�he adminirwdve proeedure act reloring w
con�esrod e�ees. ,
' pATA �,R,jVA�Y ADVI�QR�I
ln sccordance with M.S. 13.04,Subd.2, "Righcs of su6Jects of data", we would like co inform y�u that your request
for a permit or licensa from the City of Orono or any of its departments may requira you to furnish certain private or
confidential information,
You are nntified cher.
1. The informetion you fumish will be used to decermine your qualificacion for�he permi�or iicense requosced.
2. You mey refuse to supply data, buc tefusal may cequire that the City deny the permlt or license.
3. 'I'he information may be shared with oth�r loeal, state or fedetal agenciea to the extent neccssary to pmcoss
the permit or license.
� 4. . 1f your requeeted permi[ or license requires Council action to approve, some infarmatlon roay becomc
' public.
5. You have cenain righcs under M.S, 13,04 (avulable upan request) to review private data on yourself.
6, Ynur full name is required to process th[s application or permic.
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Cl�y 8oua Zip Phon�
' t�understand my dghts as ataced above.
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Totai Fcc: S �`� � �3; �ate�leceived: � /�����c���-_�>_
Encered By: ' � t
k ' � pCtlnit 1�: �/�_ L�j i �
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CIxY bF 4RUl�iO - BUILDIl�TG P�RMYT APPLICATION
Att lnpocmadon must be �ubmitted Ia ttdl before,plan review wi116e started.
' •, � (Fl ease p�int all�t�u►raarion)
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THE �.�.'P�:ICANT I5: (clrcle one) OWNEIt QA N AGTOR
• . , . ,
ro$ sI�ADnR�ss: y a o�� `,�1�o c..���;�, - � zrp: s s�o� ��.
•� NA�ME OF OWNER:�' �.�� �o��c -�,�,_ � PHONE: (home)957►•y�a.3�35
' (worl� �
tVIAII.ING ADDRES.S: .� C1TY: ZIP:__;___w__.
' ' ' ' RMA HOME SE�tVICES IN'C. ' ,
CON'TRACTUR: �Iome Depot Installed Sales - —
. CONTA�TPERSON: 3200 Cobb Galleria pkwy.,sce.#zoo
� ' M�►�.�G i��ss: Atlanta,GA 30339 ���
6�"AT'�LIC�N3�: A!„ �63-542-8826
BG20268257
. ABCI�Y'rI�',CT/ENGI111��R: PYi�NE; _ �
�#�LING AUriI�ESS: Ci'1'Y: ZIP:�
NAME: REGISTRATION�
�'XPE OF W4�K: Now Add�tion Accersory Snucture �
11►,�ovc Itemodel/Altecatian Land Alt�ration� �
P?�iOPOSE.D�WORIC(descrlbe fn deta��:�_1p�� l��y�cLn�i� l.�i�ti r�
�
STORIES: S�.FBET OF�ACI�FLOOYi: �, „�,
1�'O. OF BED�OOt4IS: GARAGE STALLS: ATT. DET:
�STI1�A�n CONSTtt'UC1�ON V�,YI'A1ZON(exel�dinQ tanrn: $ o?���� / --
I h�reby app�y for a bullding percnit and I ackwwlcdge that the information above is comptete and
accucate; that tt�e v�ork will b�in canfoiman+c�with the ordinances and��od�s o�the Ciry and with
� ,' the State Bulldtng Code; that I under8tand t1�ia fs not a permit and wock f� not ta start without A
� pc�nit; and that the work'will b� �n nccordar►ce w�th the �pproved pian. �
APPLICANT'S SIGNA � DAT�'.t r�� �6 a.
1WOTEl P�q�e f Xnmes evenls requfrs �eparnte pern�u approva!�y Police Deparhaent and
GYty Cor�nc�l 6U daya prlor�o the event. NoR pernttfted ev�en�s w�lC not�e allowed
E/l ' d�„�,8���' �N��,� r,� �� � . ��n�� n_:_, m:-•- r- - n�WdEO � Zl,rZ00Z ' ZZ ' Ga�
� i �r vRvlrv � o�cyr�u�'IU 09/24/y6 14;00 [� ;03/03 N0:52�
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S�o.1��04 RIGIIT9 DF SUBJ�CTS�F D�TA
.SuF+d, L, '!'�rp�of d�ta. The c1Yhu o�Indlvldutl on�vbom�he Aa4 I■•smrcd oe�u t+e scomd���I!b��t�ee Ibnh In d�l�oeectan.
Subd�7. Wonnotlae riqudnd to be�Ir�ladtvtdwd. M Ittdividurl vkad[b�upply pdveoe o�aonfidoodd don eonasmins bittuelf Rhell
be Intolmed of: (�)d10 pUtP01E�fkl IDIaRded I/Ie o�d�e Rf{tlase�d datq WId1tA df!C011eadllj ITite sge.l�ay,pelidF�l aubdtyidon,or�tite�vida s?ntem:
LbI whether b�may rafl�u oR b IrogWy nqufrod ro s�+PPly th�rrques�ed dou:!c1 rrry known�onsequence ariUng frnm hls eupplyln�orcelliaing tn supplv
prlv�a orooqlldendo[d��;and(d101e idlnriry of odie�peRon�or tedoes aud�otlzed by sue orladstAl leu►m recelra tha dau. 'i'6ti roqulratrtopt shul!
nos�pply wAen on fndiriduel ls ndce�!eo supply�n��9dg�dve daa.purtuont ro caodoM1 13,81.subdlvla�on S,to a lew eN'oresment o(Pi�t.
„�
�o �Qmml�itener ol rovewc m� alac�,�e nn ce r�rn,�g,d under rhis,�y,b�i�i�inn_.____I�,ih_e in�lvldual tn�ome ax q,r oronmtv_r���.nlund
__..w 1�u�Ncdoi�a,t��d���l6��..[Q.�t� . � � - : , . ` - , , • � ` ,
. Suhd�3. Acc��a eo data by indhrid�ol. [lpoe hquee�!o�ra�punsiEk authori,ty.�n ladlvldu�l shsll ba info*med whath�t 6�le the supJace
o�rta�ed d�ea an iadivtdnas,ind whed►or it ia clafslAed it public.p�lva�s o�confldandal, Upon bia Nrd►er te�uss�,an Indivldu�l who b the subjde�
q�.,�ored pdv�ea o�publlo deu on�indlrlduel��htll b�ehown�1+e dau wi�ow e�ry cho�[�a W hla�•and;I�he deetres,ahali be infenned of d►e eonnenr
' �ni1 meaidna of d��Rdaa. AMr on fndi�idu�t ha�baen shown Uii pilviu�:ra�nd info►med of[u�eening,t�!d�ta need mrb�dlselooed ro.hlm for
d:amnthr ther■rhor unl����dl�pu[a er�odon purouanc m �hls seedbn is pat�ln�or addi�on�l dnai on the IndlvWuoil har been eollec�ed n�crea�ad.
11,e mpnneible�u�hpdg��h�ll pmvlGe eop�e,ot�p��aoe or pubNc aea upon�equese br�+c indtvlduai NbJ�ca or tlro da�a, The rerpn�aible ou�hodq�
tn�y trquil■the mquesdnr p�rfon N MY�e�u:iusl cosw et niaWn=.cerdlSrinO.ard eom�lll��ho copt�e.
Th�rosponcible sutbo�ity.�h�ll comply irMudl��sly,if pot�lsla.alth any rcqueet m�de pursuant�bcis�ubdlvlelon,or ai�ftl�A�e dsys of
the dele of q�e nquaec,excludlnt�aaN�Ys.Suadays�nd leesl hollday�,If Unmedla�e eampl�snca is not po9efhlo. INhe camno�aompty wlth d�e roque��
N►IUlln tlut dme,ho al�ll W in(urm tha Iridlvldu�l,and maq haw rn.ddiuonpl flve d.ys wld�in whlcfi oo aornp�y wld��requ�e�,���ludlag 8qwrday�.
RvnJeye nnd I�rl holldty�.
Snbd.4, Atoeodue�whY�ds�a:�net veeurota or camplete. An I�dl�utu,l m�y aona�i iMe uoeunay or complerenoa�oPpubtk orp�r�ce
d�u ooneom�nR h����• To ucorciie rAis ri,ht,u+iedi'viduel sh�l 000ly in wcidna ihe rosponslble aurhodb desertbin��e nemro af�ho dl�nemene.
71te�e�ponelbls�u1h�ry d�e11 wl�hl�30 d�ys ei�her. (a)wmat d�e data foa�d tp be ouecuewte or incumplm[e end�uymp��o nadfy pue r�elplepta nf
(taomun�e or Mcompl�te dpm,lncludin�aciplentr named by �e indivldnal:or(b)nodl�dro iadiYiduol th■e he belle�ez tl�e dam w be eorroo� Daca •
In dl�pu�e,hall be dl�sbasd only If�he indlvidusl's sa�amdnt o/dlsaorcemonc Is Ineluded wtrh�6e diactns�d�4m. '
�'Ito deoerminndon o/�he n�panaible au�horicy msy bo�ppeal�d puraueni ea du pro�l�tonc of the adminlewd�e proeeduro act relatinR�
aante9Ged C�bts, .
' ' �
' �d�A i'atYA�Y.��
In accordao,ce wl�h M.S. 13.Oa,Subd.2, "Iti�6cs af subJa�[s ot da�s�', we would 11ke co inPorm yyu that your requesc
for a pecmit or Itcense froro che Ciry af Omno or su�y of its depanm�ar��a may requfre you to 1limtsh certatn priYate or
confidentlal info�rmation.
'Yoa are no[[fiad ther;
1. 7'he 1nPormec�on you furnish wiU be used�to decermlae your qunlificacion for�he Qermic or lieen�o roquea�ed.
2. Yau�may tofuso to supply daia, buc teltisul may re�ulre chac the City deqy the pejmlt or lioat�e.
3. The informailon mey be�shaced w[ch o�her loeal. s�a�e or federal ageQoioa �che excenc nec�ssary to procese
the permlt or lkenae,
• 4. . lf your roqueece� pecmii or IL'cense requlros Couacll netinn co appmve. �ome inforrrittbn may become
' pubti�.
S. You have ccrcain righ<<a under M,S. I3.04 (sv�llable upon tequeat) to�review pdvate dst�on yourself,
6, Yaur full nnme is requiced to proce�s tbls appllcuion or parmic.
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' 1•ut�det�and �my �iglite uz staccd ubove. • �
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. , � Bullding Permlt 5ervlca,Inc.
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JPLEASE D�LIVE� I�D�A'I'EL'� TO:
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If you haee tri-ouble xec��ving t�uts �aaz, p�ease call Bn� as sao� as pos�ible.
Elder-Jones Buiiding Permit Service, Inc.
1120 East 80th 5treet � BloomingtOn, Minnesota 5542Q-14�8
B12-8342854 FAX: 612-554-4909
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