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Home My WebLink About2007-P11613 - windows PERMIT CITY OF ORONO 275Q K�y Parkway- PO Box 66 Permit Number: P11613 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/24/2007 SITE ADDRESS: 65 Ferndale Green Unit# Wayzata, MN 55391 PID: 36-118-23-44-0026 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 Windows-stucco&cedar trim FEE SUMMARY: Permit Fee: $ 421.55 valuation: $ 28,000.00 State Surcharge Fee: $ 14.00 TOTAL FEE: $ 435.55 APPLICANT: Done Rite Restoration OWNER: Timothy&Nancy Laperre 13713 196th Ave. 65 Ferndale Green Elk River, MN 55330 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL[MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BU NG CODE REQUIREMENTS. � `� O ��..J � PI.]CANT PERMITEE SIGNATURE S UED BY SIGNATURIi Copie : 1-File(Sigi�atures Reyuirerl), 1-Applicant, 1-Monthly Reports, I-Assessing,([f Septic, 1-Septic) Page 1 � . . � - n , C.<<,� �,_, Total Fee: $ i_�� , �- Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION A❑ information must be submitted in full before plan review will be started. (please print a[l information) ------------------------------------------------------------------------------------------------------------------------ �----._._ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� ,�, __ JOB SITE ADDRESS: ��'�--fi��l L�� o v�r�L�,�� `�_.__ ZIP: �� I Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �o If yes, a special event permit is reguired with Police Department and City Council approval 60 davs prior to the event. Shuttle bus service will be�•eguired un[ess applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed NAME OF OWNER: � �� r��vr-.� PHONE: (home) � �I i (work)�ci�—�l'��.... lCa� MAILING ADDRESS: �n� fi�n�tL� 1� �� CITY: �� ZIP: �3�1 �� CONTRACTOR:�,p `�p��C�r..�tY,�- ,�" ; PHONE�3'- — Q�� CONTACT PERSON: MOBILE/PAGER:(G(a-�� -�rj`y'v MAILING ADDRESS: �ii� � ti. � CITY: t�� R�� ZIP: ��3� STATE LICENSE: # � '�j EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessor Strucr e Move Home Remodel/Alteration (ie: Sidin , Windows) Any earth movement may requi��je MCWD review ermits ! PROPOSED WORK d/e'�ciJ•�'e in detai�: dC Li.+��,�pC�I.�S ' �,�� t,.-� 1 C�`�1�� '�� f'c,L'C��''L jZ i y'2 � ^ 0 �� IL�� ') S ct'rr�C .� � - STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �'z-' 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 a k is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: "- � �--�� 31 . . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stoted shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of. (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may retLse or is legally required to supply the 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,pursuant to section 13.82,subdivision 5,to a law enforcement oft�icer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or properry tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individ�als,and whether it is dassified as publ ic,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 ofthe content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disdosed 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 authorit��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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe 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. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. 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 dala,including recipients named by the individual;or(b)notify the mdividual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRI�'ACY 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 departments may require you to furnish certain private or confidential information. You are notified that: 1. 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(icense requires Council action to approve,some information may become public. 5. You have certain rights under M.S. 13.04(available upon reGuest)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature Reset rorm 32 �/1 ff D��E TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �� - °�' � PERMIT NO.�/�lO/3 COMPLETED ADDRESS �5 �nd�e �� j� � ,,_, OWNER CONTR. �"�� TELEPHONE NO. ��'o� ��3 �� 2 � DESCRIPTION �-�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBtNG RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W '� � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on ite: Inspector. �" �� White Copyllnspector's File Canary CopylSite Notice