HomeMy WebLinkAbout2006-P10117 - windows � � __�_.._
PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P1o117
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 7/19/2006
SITE ADDRESS: 1190 Heritage La Unit#
Wayzata,MN 55391
PID: 10-117-23-42-0001
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:
FEE SUMMARY: Pernut Fee: $ 111.25 valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 113.75
APPLICANT: GLH Consh-uction OWNER: Bruce&Melanie Flessner
7380 31st. St. SE 1190 Heritage La
Buffalo,MN 55313 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.
,
% �
,1 j
/� �
� ) ��� / // //��/ � ,e--
/! � a,
_. t ;,,� �1, ``"r'� / �//",C. � /� ; � �� �
' " ' PLICAN PE IT E SIGNATURE ' ISSUED BY S[GNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� /
Total Fee: $ Date Received: � �� C�' � -
Entered By: Permit#: ���L�J / �
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRA TO
JOB SITE ADDRESS: � 1 �( O � 2J�� a c, �p �--,� ZIP: j ,� l�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS �NO If yes, a special event permit is r•equir�ed tivith Police Department and City Coz�ncrl approval
60 days prior�to the event. Shiittle bus service�vill be r•eqa�ir�ed i�nless applicant demonsh�ates
sifficient oi�-sr.'te parking is available. Non-per�nitted events rvill not be allowed.
NAME OF OWNER: ��(,�,C��u"l���,� � I PSS hPC'PHONE: (home) �o�' ,3 -�-(3�
(work)
MAILING ADDRESS: ���t� �e t`��ati(J �1� CITY: 6 ZIP: ;�,���
CONTRACTOR: ���� Cr�./`.S�r�.�,e."�"� o. � PHONE: �Cp 3 - � ? 7 - � I�Q
CONTACT PERSON: Cyo�'o�-u 1-�o w a�' d MOBILE/PAGER: L�12-20 4' --�j'7�� '
MAILING ADDRESS: '(,3 80 -3(s?5't S�E CITY: �u�a i p ZIP: ,�"S �r 3
STATE LICENSE: # 2 c�d Z l O Q t� EXPIRATION DATE: {/�a��� Q'�
ARCHITECT/ENGINEER: PHONE:
LY1�1L11\TV�Ll LJJ. Vii i: �iiin:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) �
Any earth movement may require MCWD review and permits !
�x OPOSED WORK(describe i� detain: �.e� 1a c P � t,cl I ��.o w —
'K.��-�a� P d r�.� o� �.e S w i-N� �- r�e� }�e a�e r'
STORIES: �_ SQ.FEET OF EACH FLOOR: Z SO C�
1�'O. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $�, ���, ��
I hereby apply for a building permit and I acknowledge that the infonnation above is complete and acc�u�ate;
that the work will be in confonnance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a permit and work is not to start without a permit;and that the work�vill be
in accordance�vith the approved plan.
APPLICANT'S SIGNATURE:� �[ V DATE: 7 �R'dZ-P
31
. �
Sec.13.0�1 RIGHTS OF SUBJECTS OF Dr�TA
Subd. I. Type oFdata. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individuai. An individual asked to supply private or contidential data concerning himselfshall be
infonned of: (a)tlle purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whedier he may reFuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or contidential data;and(d)the identity of other persons or entities authorized by state or tiederal law to receive the data. This requirement shall
not apply when an individual is asked ro supply investi2ative data,pursuant to section 13.82,subdivision�,to a law enforcement officer.
The commissioner of revenue may�lace the notice required under this subdivision in the individual income tas or pronerty tax refund
instructions instead ofon those fonns.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infonned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is d�e subject of
stored private or public data on individuals shall be shown the data without any charge ro him and,if he desires,shall be infonned ofthe concent and
meaning of that data. After an individual has been sho�vn the private data and informed of its meanine,the data need not be disclosed to him for sis
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 authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certitying,and compilin�the copies.
The responsible authoriry shali comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,e�cluding Saturdays,Sundays and legal holidays,if inunediate compliance is not possible. Ifhe cannot comply with the request
within that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,excluding Sawrdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete An individual may concest the accuracy or completeness of public or private data
conceming himself. To e�ercise this right,an individual shall notify in writing the responsible authority describing the nature of the disaereement. The
responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to noti'ty past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)noti'ty the individual that he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data.
The detennination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforn�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 license requires Council action to approve, some inforn�ation may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
� o f`al.o v� L, e �� O c,v�.��v
First 1�liddle Last
�7380 3I � s�"• S�
Address
J—'�t'-- _-�2 l O �� �.�j�.� �ln 3 -L���`����
City Statc Zip Phone
I unde stand my rights as stated �bove.
Sign�turc
Reset Form 32
r 1`.�Iinnesota Commerce Page 1 of 1
Commerce Home � North Star Home � Commerce Site Ma�
MINNESOTA Wednesday,July 19,20i
Dcr�ar�e�rrr a # '•
� �co�r���cE n�rth�ta�
Energy Info Center� �
News Releases � Advanced Search � Search Topics� �,All NorthStar� �Commerce Site Only
Contact Us (
Consumer Industry Applications, Unclaimed Heating Weights& Minnesota
Info and Info and Registration, Property Assistance Measures Relay Petrofund
Services Services Certification
License Detail
Here are the details for the license you are currently looking for:
Licensee Name: HOWARD GORDON (DBA: GLH CONSTRUCTION )
Licensee Address: 7380 31ST ST SE
City State Zip: BUFFALO , MN 553130000
License Number: 20021094
License Type: Residential Building Contractor
License Status: ACTIVE
License Effective Date: Oct 28, 1994
License Expiration/Renewal Date: Mar 31,2007
Qualifying Person: GORDON HOWARD
Number of hours of continuing education required to renew license: 7.0
Enforcement Action: Yes.This individual or company has at one time had formal
administrative action taken against one or more Commerce-issued license. For further
information please contact Commerce Investigation Unit at 651-296-2488 or 1-800-657-
3602(phone hours 8:00 AM to 4:30 PM CST).
��!'�Ir'c'"r�'�:'S''�"��'-'�'�'�!!y�'�'.
Copyright 2000 North Star, Minnesota State Government Online 5tate Of Minnesota �About Us � Get Acrobat
North Star is led by the Office of Enterprise Technology Reader�
This site best viewed with 1024X768 or greater and with Netscape 4.7 or Internet
Explorer 4.5 or greater.
https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NUM=20021094&LIC_... 7/19/2006
�`V DATE TI E
CITY OF ORONO CALLED IN �
INSPECTION TIC SCHEDULED ��b //��
PERMIT NO. b� COMPLETED
ADDRESS �I l � �1�� _
OWNER CONTR. G� C��rY�L�.
TELEPHONENO. ��a o�09 97J� �
� DESCRIPTION P�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED f i PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR ' 1 CITATION ISSUED
C INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for th next inspection 24 hours in advance. (952� 249-46�0
OwnerlCon c o site:
Inspector.
White Copylinspector's ile Canary CopylSite Notice
� � DA TIME �
' CITY OF ORONO LLED IN ��
INSPECTION CE SCHEDULED �4 �
PERMIT NO. � � COMPLETED
ADDRESS I��D �� � ""'�rr.�—l�V�/
OWNER CONTR. G�-�C C�U 1ti-�� -
TELEPHONE NO. �I a O��� � 7 3 �
� DESCRIPTION l�� � W�l�I�1���
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS INAL 14 SEWER HOOK-UP O6 PROGRESS
� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CI�RRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe n xt inspection 24 hours in advance. (952� 249-4600
OwnerlContr r o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice