HomeMy WebLinkAbout2002-P05002 - windows ' ` PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Posoo2
Crystal Bay, Minnesota 55323 Permlt Type: MinorAlterations
(952) 249-4600 Date Issued: a/i6�2oo2
SITE ADDRESS: 1160 Heritage La
Wayzata,MN 55391
PID: 10-117-23-13-0003
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Sub-type(s): Windows
Permit Type: Minor Alterations
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 181.25 Valuation: $ 9,950.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 186.25
APPLICANT: Renewal By Anderson OWNER: Erwin&Sandra Bullock
1920 County Rd C. West 1160 Heritage La
Roseville, MN 55113 Wayzata, 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 BUILDING CODE REQUIREMENTS.
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L APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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� . ,AI� D�farm�tlon�e� be suba�[tted �n t�rll.�ef�re.pl� revi�a►�vfll be �t�rt�d. .
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T� �P�IC� &�: (clr�te one) O'�VT�T1�R OR OAiTR�1C'I'OR �
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7'Y� ��'�0�: Ncw Addition �sory 3crucb�ue
�lnve I�modellAlt�ra[1an Land �►I�ration � -�
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F��POSEx?�?VOI�K(descr�b�irt detai�:_ a ,t���� l�}�����°� �
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1+�0. t'F J���10�I5: G��� STAi,Lfi: ATT. DET:
�"I`IM�1`E� COIeTST�ttJ�TIOIV vA�UA'TX(�1�T(e�cl�ain�I�ncl�: $ �4 q�Q
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I t��reby appiy foc a E�uiiding perm;e anQ I ac�rnowle�gc t�t thc information above I�complcta en�fi
accuratt; �at the war�C will b� 1c►c,�r�an��vith rhe ordlnances an� �od�s o!th�Cicy �d with
.' the Stata Buiidfu[eg Cod�; that I unQersta�nd ttti� is trot a p�rmit�nd woi'k 1s not to atait witDiout a
. � per�t; and ntat the work w�i�l be in accordance wlth the approb+�d plan. ,
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JW�T'E! �',� ��events reg�frt ae,�r�t�permtt qpprov�by d'ollcr l)ep�gi�t�red .
�tty C��a��I�'8���ya pPla�!� dlte ebent. 1Vvst��nnitt�d�►s� wtll nmt$� ��lawsd.
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Ses.13.o4�RIGfl7D D��t18JP,CTS OF DA1'A �
Supd. 1. Type nf dals. ?hv�6�s ot fadlvldu�t oa�hom tb�Ja�U•�oo�ed oe�o be smiad�hall be ai ret roetb In dW uednn. '
Subd.l. [aYoda■tlas riq�.d to�e�Indlvid�L An iadlvldud a�ked�o n,pply priv�a or oonf{deed�l daa ooacsralnO hlmeeif;h�ll
be In[ortaed oft (e)dle ptupo�n ana�cioadcd u�e o�dut n�quos�a0 d�e1 whhln du coll�odnt Ataia agenoy.paUd�►1 wbdl�Itlan,ot rbtdWWs ryclam:
Lb)�d�e�h.rnq iafllu oT 4 Iepllr,nqufred m supply me laqueaed dw:(e��'knowh eoneequence a[f/ltfg from 4ls eupplylt�or Re11ti1qQ w dupP�Y
pth�•a oe eoaAden[L�[dro.;s�d(d)tha idendqr of adie�peRons at enddes aud�orlud by wte o�I�deta(Lw u�racqlve d�e daau. TAl��+equleamane shrJl
pnc�pply when�n indiriduwl li e�ked m mPAly l�e���clve daa,punu,uie w��adda 13;8�.subdlvteion S.po�Inv eafo�centm�t o!'lto�r.
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'Ru� cnm�lulaner eP roy�twe mgr alaoe d�e no�{ce n�oulnn!t�C,dsr d�(t:ubd(�ialon la d�,i� dual ��„sr oroncnv ae,�:rel�sid �
-`"" l�lEyG�ion�laioo�d_u[on'rhoap_fQ�,�g�. . . • . . � �
�Ed,3. A�tn dat�6y(edMdusl. Upon.requea�to�ro�putt�lbla wmo�14�.�n ladivldwJ�hall M InFomted wl�etl�er 6e b the suaJect
o[rooced dru en{adlv(�u�lr,riad wlvd�ar fe is olxa�ifiod a�publl�.Ptiva�s or coaMeNW. vpon ba fUnd►ar requos[,�ut ladlvWwl wq�o I�d�a�u4ieet
oi,ro�ed pri.�e or putilk dw an Indtvkiud;�hsll be�hoWn rhe d�u wllheur ury e6up m h�end;V he dalsa.thell be ieEot�nd oi d�e wntnnr
�M n�nla�nf dutdam. Ahar on Ieal�vldutl.lut be�a�hqwn ilu'p�vtue daea�nd fulbimaA M io meu�in6.�i t�a4 e�dld mt'b�dl�eeJo�ed re.41m�ar
d:mnmhs iheroalker unles��dJtpure or+�ction punutnc m th�s�eden Is yeqdlat or addi�loro)drra oa U1e lndlvWud hu bean aoll�rtcd o��ronrbd.
Tla tppaiftibl��u�hpriry e(ult pro�We wpie�o�d�e peiviro ar pubilc daa upoa.requcs br che indlri�ud wl��ea ofthe din. 71te nerponable tuthprfq�
a�s9�qulti tlw raqwNdny porsnn ro�ny d�e acnusl ooea oE en.ktaa.oaesHyin`.uid eompllln�da ooph�,
7'he�rspnndbu sud�udd�thall aomp�y immcdiataly,lf posa{bla.ald�a�p requeec mtda pnrsuenr w�ir wbdlvltian.or wl�hla fiw dqr of
�due of d►e nqueA�,e�ccludlr�S 8anudsys.SunQays ond 16�a!holldiy,l,iP b�dl�ea sompllanen N not poss�+la IFAe earorwt comply widi the ceqwsc
wltbtn�u da�,ho ehsU w I�fortn C�e todlvidual,�f1Q M�y have�11 oddldDpql flve dtys wldd�l Whkh h�cofqp�y wldf ILO t���,AkWUdIOg S�Q1rdYyf.
: �iamd�lyj�ed ks�lholld.ty4. , •
�ubd,1, Proe�dure v6i�d do�a 4 net occunt�or eomplate. An indl'viduN nyy ca��the orct��aoy or eompluanoa�oPpuMlc or privua
dut�acerninj Eiimself_ '!e eKotci�rhis tight..n indiYiauel rh.�l oafl�W aetdna�e rrsponaibk�udwda dacribin��n ns�uro ef dw dle�eeem�ni.
T1u cespowlbla�u�ho�iq d�ell wld�ln 30 days eid�er, fa)eor►eoc dre dam fopnd io be ii�cur�ca or�nam�ptue wnd■coemp�m nodf�►y.�e realpkne�oE
lnaoaueue or Ir�omplece d�a�Ineludls��rocipknrs n�med br d�e IndivfdaRl:ar(b)eo�iFy dm indiv�l qiae he bellev�e,d�e d�a m�earreec D,ca
ip oltpwe itt�ll be dl�clo�ed only ff�ha i�flvidu�l's awemeat ol dlaQra�m,am b Includrtd Wid►d�e d�clo�ed dam. .^
�'he defe�min�tfon o!�he rosponeible autholiry m�y ba�ppmqlsd purauwt eo tlw previsions of the adrtJnise�sdve proeeduro aet cetllcina w
eonai�md et�es.
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- . D�TA PANA�Y ADVIBOI�Y
Lt�card�aee with M.S.13.04�Subd.2� `ltighcs ot 4uBjecte oY data°, we would Nke to infacm yeu thet yoa�requeet
fior a pernt�c or lEconse fmm the Ciry of�rona oc avq► of i�a depannsenca may requira�you to [umish certe[n privs�e or
contldendel Infarination.
You are aoc[tied the[;
1. The iaformettan you Nmish w�ll be used�to decermtne your qcu�lificacioa for tha petmic oriicenae requosced.
2. You nuq► rofuse to supplq dac�a. bur�cclkisei uuay i-equlre ihat the City deay She Qermlt or Iicollse.
� 3. 77ne informotion may be shered wi�h orher 1xa1� s�au or fedecal sgenctea �a the extent nexe�sa:y ro p�rocess
tl�e petmit or.11cet�e. .
• 4. . If your �quae�od pecmic os lic,ea�e r�quuree CovacU scllon �a approvsr come informacloa may beeome
' .publk_
S. You have ctrcain righcs under M.S. i3.04 (aveilable upon roqu��) to roview private dara an yourcclf. ,
6, Ynur fu11 ntme is required co proeeas.tbls application or permit. �
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����u b��re �r�uble r�cefv�ag t�is fa�, p��ase c� �xi� as s�om as possible.
Elder-Jones Building Perrnit Service, Inc. �
1120 East 80th Street • 8loflmingion, Minn�ota 554�20-1498 �
B�2-854�28ba F,qX: 612-8544909
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. . AI} �n�c��°m�tlon�nu�t be submttted !n Fult��fo�re plan r�vaew �vfll be started.
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. C+DNT�#�T PER,�CDle1: 1l��BILElPAGEIt:
' � 1b�AIL�IYG A�►fl�s: 19 a 0 Co vn��?,�1. C l�s�CIT'Ye �o�-e.v;11�. ZIP: S�
��'Y'�#T� �.ICEWSE: � ao� 9��
� �C�'I'�CT/�A1GIldE�1�: PY$�ATE:
11�Ir�II.I[�iG�.AlDR�3: C�'!'1'• ZIP: . .
. NAME: 1�GI3"y'�tA'TI�N�
°1'Ylf� O� '4�V014�IS: New Add"uion �c�essory StrucWts
TMove It�model/A1t�eatlan Land Altsration
��POS�D V.VORK(descr�be irs d�tai�: a ,n p,,�Q � �,�p�� ��m
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ST���t SQ.F'I��T�F�ACIi�'I.O��L:
PiTQ. OF �E1�00�: �AI�AGE S'TAI.LS: ATT. I)ET:
Eg"I'IM�,�D �O�iSTRUCTIl��1 V�I.UA7CXOM (�accluding lan�: � q}q�j Q �o
I h�ceby ap�ly for a building p�ttnat�nd I ae9cnowied�e th�t the informatian above is eompiete snci
�cccurate; that ghe work will b� i�s�r�fonnance with the ordinances and �odes of th� City �nd with
. ' t}� State �uildln� Code; th�c I uaderstand th�s is not a permit �nd work ls not ta start vvithout a
. peranit; �nd that the work vtirill be in �ccordance with the approd�d pfl�n.
�PI.I�AI�1''S SI�NA'H'i7 ": � I��,1'�: �� •�
1W�7'.�! ,�arad� of F�or,eec ev�rats r�qufre �ep��ate permit a�prov�l by �ollct I)�pac�t�ent artd
City Co,��ecll���tays prlor to tlae event. 1`l0�peam�tted sve�cts wtll r�et b�a�lowed.
Rorcive.� Ti�.,� C,.� �A 1 . �7D1( D..:_ t m:_._ r _ _ n� � �nmr
TY OF ORONO � 6124730510 09/24/9b 14:00 � :03/03 N�:522
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Stc.13.04 ItIG1�TS QF SUBJECTS OF DAT�
Subd. 1. Typs of dsti. 7he rlyha ot indlvidual on v�hom rhe da�1�aeored or�o be swced�hall ba u set forth in d�is�ecdcn.
Subd.3. InPormrtlaa reqtdnd to b��rem Indtofdual.. M individud aslced ro aupply privtce or aonfideativ dits cancarning himsaif,�hall
bs Infortaed of; (�)tl�e purpose and inunded uu ot fie nques�d d�a widda thc collecdny laatt�geaoy.polldeal aubdlvisian,or�nceWide syunm:
(b)whether M may mfl�se o1r i�leealiy nquired w supply the raquessed dau:{�)�y known consequeuee aritir►g from 61s cupplyln�or cellula�ro supply
pcivice or coalidedd�!drta;snd(d)�he idendry of o�he�peRom or enddes aud�ori:ed by su�e or federai l�w m reerive the dau. Tht�requlremea�shull
not�pply when an individwl i�nsked co mpply la�esrig�dve daa,pursu�nt ro�eadon 13.B2, subdivirion S.to�I�w enforcemenc ofP[cnr.
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�y�p�}�na QP�yg�t,ue m9� olace the nac�ce r�puircd under is subdi�is�an fn �he indlvldual income tsx or oroorm� re�,roll;nd
_ , jnEuucdont�Ka�t uE on�w�o forme. „
Subd.3. A�ceu w data by Ind[vidual. Upon rcquest ro�rcspansible wthonry,�n ladiYfdud shall be informed whother he b the suhJecc
at nond d�a on iadlvidwis,and whather ic is cliss[fied s�pubtic,p�ivue or confldencial. Upon 6is Airrher Rqueat,an individuv w{to is�he subjact
of uored pri�ace oc pubUe dw nn fndividuds shill be 9ho��he dua wid�ou�ury char`o w him u�;if he det(eas,shdl be inforoud of rhe wnten[
�nd me�nlna of d��t dani. Afur�n iadividual hu been zhown d►o pti�ate dar��nd infort�d of io meanin6,t!►a data need not be dGicbsed co dim far
d:eoondu theraaftar unleu a dispute or accion punuutc ao �his seedoa es pendlnQ or addiRonal dara on ihe individud hat been ooliecced or crearr,cl.
�e rapnniible�uthpriry ciull pro�ido copies of ehe privi�e or public d.ra upoa roqueu br ihe indlvidua!subjee�of dm dara. 'Iht rc�pons�le tutha�iry
may requite rho raquettin�pmrsnn ro pay d►a aCa�l cos��f mafcG�.eerBlyint.uxl compfllaa dse eopHi,
'fhe�+esponeible wd�oriry ch�►11 compiy immedi�tely, if possibk,wich aer requesc medo purcuant w d�is Yubdivision,or wi�hin five day:of
�s d►te of the roqueeG exdudin¢9uutds�ys.Sundays end le;d holld�y�,if im�nedlaeo compilsna is not po�sibla. If1�e caruwe comply wfth d�e aquesc
�vithln tluc[lme,ho ahall a inform rhe lndividual,u►d may ha�e�n additiopal flve d�y:wlti�in whicb tn corbpiy witb the tequeet,exdudk►g Samrdays.
3vnd�yi�po le�d holldiye.
Subd.�. Protedure vhieti dnta is net oceunta or eompla[e. An indlvWu�l rtuy comes�the�t�wrtoy or compluenoa�of pultlle oc privrro
ds1�eoacorninj bimseiP. 7o exercise rhis right,an indiViduet shsll uo�ily ia wridnQ du«�ponabk surlwdry de�ribin�the neutro of ifio dl�ycee�nenc.
T'he�espoarlble�u�horiry d�ell wi�hin 30 days euher. (�)cotne�the dYm found�a hc uuccurate or in�wmplea�nd�aampt to nodfy ptct«eiplencs oE
Irneeunte o�{n.camplete dpn, Includin�recipients nartud by �e indivldual:or(b)aopf�dx individwi th�c ho bellevea the daa to be eo�see� Dan�
Ip d1�pu�e ihall be ditclo�ed anly if du individu�l's auament�f dls�reemnn[is tncludnd with�he diulosed diu. �
�'lu detemtinadon of the rcspansiblo authoriry may ba ippealed puesuwi w�pro�isions o[rhe admtniruadve procedure act rel�rin;w
canaRed cates. ,
� pA'�A�$ A�Y ADY�¢ORY -
In accordanca with M.S. 13.04,Subd.2, "Righ�s of�ulijects of da[a', we woutd like co inform you that your tequesc
for a permit or ltcenso from the City af Orono or any of its depanmeats may nquire you to fumish cer[ain priva�e or
confidential lnformation.
'You are natified ths[;
1. The informacion yoe furnish will be used to deceranine your qualificacion for the permic or license requ�sced.
2. You may refuse co aupply daca. bur retusal may require thac the City deny the germlt or lict7l�o.
3. The informuiion may be shared wich othcr loeal, sta�e or federal agenciea to the extent neccssary to process
the permic or lkense.
� 4. . Yf your cequaated pecmit nr Iicease tequirec Council sctlon �o ap�cove, some infamiatlon may becomc
' public.
S. You have certain righcs under M.S. 13,04 (availabte upan roquest) to roview private data an yourself.
6. Ynur full name is requind to process_thls application or peimit.
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, Ftrc� Mlddle Latt.
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' I• erstaad my dghts as scaced above.
8i�no�u�e