HomeMy WebLinkAbout2009-00004 - windows � � CITY OF ORONO PERMIT NO.: 2009-00004
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �SSUEn: OU09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 509 FERNDALE RD N
PIN : 36-118-23-13-0011
LEGAL DESC : FAIRWAY V[EW
: LOT 000 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTNITY : O/S BUILDING-UNDEF[NED
VALUATION : $ 10,779.61
NO"1�1;: REPLACE(4)WINDOWS
APPLICANT
PERMIT FEE SCHEDULE 206.50
SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 5.39
]0751 EXCELSIOR BLVD
HOPK[NS, MN 55343 MISC FEE 1.50
(952)277-1600 TOTAL 21339
Minnesota State License#: 20239369
OWNER
SUTTON,GEORGE& KATHY
509 FERNDALE RD N
WAYZATA, MN 55391
AGREEMEfYT AND SWORN STATEMENT
l�he work for which this pennit is issued shall bc performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. 'I'his permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions oY laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any ti for due cause
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Applicant Permitee Signat Date ssue y Signalure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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JA N 9 2009
Total Fee: $ ������ llate Received:�/'�/ 0�
Entered By: Permit#: �j�J�-Qd�(�t.� �N�
CITY OF ORONO - BUILDING PERMIT APPLICAT[ON
All information must be submitted in full before plan review will be started.
(please print al!information)
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THE APPLICANT IS: (circle one) OWNER O� CONTRACTORL
/ _.._------
JO�SITE ADDRESS: 5��9 Ferndale Rd N ZjP: �5391
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO /f yes, a specral eren!permil is i�eyuired 1rilh Police Depai7ment and C'rty C'oio�cil a��proral
60 days prioi�to the ere�al. Shi�t!le hus sei��ice tii�ill he reqi�ired rr��less applicn��!demonslrule.r
si{�cient on-srie parking is ai�ailable. Non-peivnrtted erents u�ill no�be a/lou�ed.
NAME OF OWNER: �'�°`��&Kathy s"rto" PHONE: (home) (9s2>4�3-��6s
(work)
MAILING ADDRESS: 509 Ferndalc Rd N �jTY: wayzata Zjp: 55391
CONTRACTOR: Schercr►3ros PHONE: (`�52)277-t600
CONTACT PERSON: ��cn Ru�p��k� MOBILE/PAGER:
MAILING ADDRESS: �o�s� �,X�eiS��or�i�a CITY: H�pk�r,� ZIp; ss3a3
STATE LICENSE: # 'oz39369 EXPIRATION DATE: o3i3�io9
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) _�__
PROPOSED WORK(describe in detai�: R`pi`'�"'g 4 W'°`ioWs
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 10���y�b�
1 hereby apply for a building permit and 1 acknow(edge that the information above is complete and accurate;
that the wock will be in conformance with the ordinances and codes of the City and with the State Quilding
Code;that 1 understand this is not a permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: ,1�u�-�.,C�.���,r.,ya.�� DATE: /— �� - G T
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Scc.13.0d RIGII'1'S OF SI'BJECTS OF DATA
Subd I. "�ype of data. The nghts of individual on whom the data is stored or ro be stored shall be as set forth in diis section.
Subd.2 Inibnnation required to be given individual.An individual asked to supply private orconfidential data concerning himselfshall be
infonned of� (a)the purpose and intended use of the requested data widiin the collecting state agency,political subdivision,or state�vide sqstem:(b)
whether he may refuse or is Iegally required to supply the requested data;(c)any kno���n consequence arising from his supplying or refusing tu supply
private or confidential data;and(d)the identity ofother persons or entities authorized by state or federnl law to receive the d�tta. This requirement shall
not apply when an individual is asked to suppl��investigative data,pursuant to scction 13.82,subdivision 5,to a la�v enibrcemen[o�ticer.
The commissioner of revenue mav place the notice required under this subdivision in dic individual income tas or propertv tax refLnd
instructions instead ofon thosc forn�s.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed�vhether he is dir suhject of
stored data on individuals,and whether it is classified as public.private or contldential. Upon his iLrther requcst,an individunl who is the subject ol
stored private or public data on individuals shall be shown the data without any charge ro him and,ifhe desires,shall he informed of tl�c content and
meaning of�that data- A�ter an ii�dividual has been sho�vn the private data and infonned of its meaning,the data need not be disclosed to him for si�
months ther�after unless a dispute or action pursuan[to this section is pending or addiuonal data on the individual has been collectcd or crcated Thc
responsible�uthoriry shall provide copies of thc private or public data upon request b��the individual subject of thc data. 'Che responsible authorit}�
may require the requesting person ro pa��the actual costs of making,ccrtih�ing,and compiling die copies.
I�he responsible authorit��shall compl��immediately�,it possible,with any request made pursuant to this subdivision,or���ithin fi��e da�s of
the date of the reyuesi,excl�iding S�turuays.Sunda,:s anti iegal holidays,ii immediate compliance is not possible. If�he�annut compl����nh the request
�cithin d�at time,he shall so inform the individunl,and may have an additional tive days within���hich to comply with the request,e�cluding Saturda��s,
Sund2ys and legal holidays.
Subd.4. Procedure when data is notaccurate or complete. An individual may contest the aceuracy or completeness of public or private data
conceming himsclf. 'I�o esercise this right,an individual shall notify in�vriting the responsible authority describing the nauire ofthe disagreement- The
responsible authority shpll within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt to noti�y past recipients ol
ii�accurate or ineomplete data,including recipients named b��the individual;or(b)notity the individuai that he believes the data to be correct. Data in
dispute shall be disclosed only if lhe individual's statemcnt of disagreement is included with the disclosed data.
"I�he detennination of the responsible authority may be appealcd pursuant to the provisions of the administrative procedure act rclntine to
contested cases.
DATA PRIVACY ADVISORY
In accordance���ith M.S. 13.04.Subd.?."Rights of subjects of data",we would like to inti>rm you that��our requcst
for a permit or liccnse from the City of Orono or anp� of its dcpartments may require you lo furnish ccrtain private or
confidential int��rmation.
You are notitied that:
I. The information you t�urnish will be used to determine your qualitication 1or the permit or license
rcqucstcd.
2. You may refuse to supply data,but refusal may require that the Cit�°deny the permit or licensc.
3. The information may be shared with other local. statc or federal aeencies to the extent necessaiy to
process the permit or license.
4. If your requested permit or license requires Council actioi� to approve, some informatioi� may become
public.
�. You have certain rights under M.S. 13.0�(available upon request)lo revic�v private data un yourscif�.
6. Your full name is required to process this application or permit.
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First 11iddlc Last
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City Statc Zip Phone
1 understand my rights as stated above.
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Signahire �
Reset Form - 32
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INDEPENDENT
IRREVOCABLE STANDBY LETTER OF CREDIT NO. 779
City of Orono Date: December 23, 2005
2750 Kelley Parkway Amount: $5,250.00
Crystal Bay MN 55323 Expiration: December 22, 2006
To Whom It May Concern:
We hereby authorize you to draw on CITIZENS INDEPENDENT BANK, 5000 West
36`h St. St. Louis Park, MN 55416, up to but not exceeding the aggregate amount of five
thousand two hundred fifty dollars and zero cents (($5,250.00) for the account of The
Danberry Company Inc., 4410 Shoreline Drive, Spring Park MN 55384, available by
your draft at sight effective December 23, 2005.
This credit is being used for firture septic work in corulection with the property at 509
Ferndale Road, Orono MN 55391. a
We hereby agree with drawers, endorsers and bona fide holders of drafts negotiated under
and in compliance with the terms of this credit that the same shall be duly honored upon
presentation to us at our bank house from December 23, 2005 to December 22, 2006.
All drafts must bear the phrase: "Drawn under Citizens Independent Bank Letter of
Creciit No. 779" and shall be accompanied by a statement signed by an official of the city
of Orono that payment has not been made by our customers.
The credit is subject to the Uniform Customs and Practice for pocumentary Credit, ICC
Publication NO. 500 (1993 Revision).
Very Truly Yours,
Citizens Independent Bank
--'��� >-W- a� ��.� �z_
BY: Joan M. Kall nberg
ITS: Vice President Commercia Banking
St.louis Park Robbinsdale Hop!<ins Plymoirih
5000 West 36th Street 3700 West Broadway 10901 Excelsior Blvd. 15650 36th Avenue North
St. Louis Park, MM 55416 Robbinsdale, MN 55422 Hopl<ins, MN 55343 Plymouth, M�l 55446
952-926-6561 763-588-2715 952-935-3333 763-550-9191
'r�f�����i unncinir i cn�nc❑ W bV NI.�J cl li'(,C!�J.C�:'ll ME���18EA P�IC
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' C I�Y Of ORONO
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� �� ��, �, ; Municipal Offices
� ` G� Street Address: Mailing Address:
�9�E$H�g� 2750 Kelley Parkway P.O. Box 66
__---- Orono, MN 55356 Crystal Bay, MN 55323-0066
December 14, 2006
Joan Kallenber�
Citizens Independent Bank
5000 West 36`i' Street
St. Louis Park, MN 55416
Dear Ms. Kallenberg:
I am releasing the letter of credit for 509 Ferndale North issued for the Danben•y
Company of Spring Park, MN. The septic system has been fixed and the building project
is complete. If you have any questions concerning this matter, please call.
Sincerely,
Willie Gibbs
Inspections
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DAT TIME
CITY OF ORONO CALLED IN 7 �
INSPECTION NOTICE �7 CHEDULED �
PERMIT NO. —�v���� MPLETED ��
ADDRESS �
OWNER CONTR.
TELEPHONE NO. � ` ��l/� - o� �� '✓�OT_
� DESCRIPTION ����C/�I,G�G'(/U� � ✓ �/� �/
� ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Q�OWNERIC TRACTOR TO MEET YO�ES_NO
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W��WORK SATISFACTORY:PROCEED [i PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED rJ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContra i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice