HomeMy WebLinkAbout2008-00077 - replace 2 windows CITY OF ORONO PERMIT NO.: 2oos-000��
., 2750 KELLEY PARKWAY
� � ORONO,MN 55356- DATE ISSUED: 07/28/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2525 KELLY AVE
PIN : 20-117-23-11-0022
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK 005
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,475.00
NOTE: REPLACE TWO WINDOWS INTO EXISTING OPENINGS-NO STRUCTURAL CHANGES.
APPLICANT pERMIT FEE SCHEDULE 191.75
SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.74
10751 EXCELSIOR BLVD
HOPKINS,MN 55343 MAIL-IN FEE 1.50
(952)277-1600 TOTAL 19'7.99
Minnesota State License#:20239369
OWNER
HEIMBACH,K&R
2525 KELLY AVE
EXCELSIOR,MN 55331
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified 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 app►icant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
i i 7 i a8"i DC�
Applicant Permitee Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE.
Ju1. 22 2008 1 :49PM No 9616 P 2
s
. Total Fee: $ ��• Date�eceived: 7��, �D�
Entered By: „ Permit#: C� - Oa 7 7
r�} /o'���
C�'�'X OF ORO�TO -BU�LD�I�TG�E�'�',A►,PPL�CA��O�T
,AU iQ�o�rmatioQ must be sabmitted in full be�o�e�IaQ xeview wi11 be started.
(please print al!infor�nation)
TH�A.PPL�C,A.NT XS: (ci,rcCe one) OWNER.O CONTR,A,CTOR. '
J�B 5�,�•�.�.���SS: Z525 Kelly Ave �: 55331
WiU this be a Parade of Homes,R�mode�ex�s Sb�owcase Home ox othcr Di�pl�ay HoAue?
�YCS �✓ �TO Ifyes,a specia!event permif is required with Police Depca�tment mid City Council approval
60 days prior to dze event, Shuttle bus service will be required unless ap,plicanl demonstrales
su,�cient orrsite parking u warlable. Non-permitted events will not be allowed
NAME OF OWNER: �������0°b� P$QNj'i,' �O�e� (952)471-7609
���)
MAII.ING AAA�SS' 25z5 Kelly Ave C��,. EaceLsior Z�. 55331
CQNT�tACTOR: Scb,erqt�a'os.I.u�cibe�Co. P$ONE• (9sa�Zr�•i600
CONTACT PERSON: aeth Ru�iaicki N�[O$XLE,/PA,GER:
MAILINGADDRESS: �o�s��u��st�a �Ty;xo�� �p; 55343
5TA.TEL�CENSE: # ZO?39369 �p�,�p�ip,A,'�E• 03/31/09
ARCSI'�EC�/ENG�NEER: PH0�1E:
MAILIl�TG ADDRESS: GTTY: Z.IP:
NAME: REGYSTRATION: #
TXPE OF WO1tK: �Tew�Iome Addibio� ,A,ccessory S�uctuz�e
Move Hom�e RemodeU,A,�terataon(ie: Sidi,z►g, Wiundows) ✓
PROPOSED WORK(describe in detai�: �"u''eptaam�tof two winaows into exisicing opcnings.
No sb�uchual absngas.
STOR�ES: SQ.FF.�T OF FACH FLOOR:
NO.OF BEDROOMS; GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTTON VALUATION(excluding land): $ 9,a�s.00
I hereby apply for a building permit and I acknowledge that the informatian above is complete and accurate;
tb,at tb,e wozk wi11 be�iz�,co�'oz�ance wi�tk�tb,e ordiunat►ces and codes of th.e City and with the State Building
Code;that I understand this is not a pe t d w is nat to start wixhout a�ernnat;a�o�d tba2 t�e wox�C wxla be
iva accordance witk►the a�pproved p .
APPLICANT'S SIGNA : � p�T�: o�r,�zios
31
Jui. 22 2008 1 :49PM No 9676 P 3
.
Sec.13.04 IUGH'�'S OF SU�I�C�'S 0�AA,T,#
5ubd 1. Iype of dara. �he rigb�s of individual on wbom tbe dara is stwed or w be sWxed sbaU b�as se�forth ia�his section.
Subd.2.�,t'om�euon�«�uired co be given individuel.Au indrvidual�ked w suDPIY P�va�e w coafideadal dara aoncern�og himsel[shall be
informed of; (a)rhe purpose snd irttor►ded yse o�rhe reques�ed da�wishin zhe collecdn8�aB�Y,Polidcal subdivisioq or saroewide system;(b)
wh�her he may rof'use ot is legatly t'equind W supply t6e requ�da't�;(c)stty known cot�sequence uising from his supplying er refi�sing m supplY
privaoe oc confid«�tial data;and(d)tbe identity of other pwsons or entities a�horiud by ataoe or federal lew to raeive the data Thzs require�ent shall
aot apPly x�ha�en individual is asked m supply invessiB�ive dara,pursuent m sec�ion 13.82,aubdivisioo 5,w a�w en[orcemeoc�cer.
The commissioner af revenue may�lace the nocice reauired under this subdivision in the individual income tax or p�pgt�py��
inatructions inatoad of on those fwm,�.
Subd.3.Access m da�a by ia�dividuat.Upon re�uest m a responsible aurhoriry,ao indi�idual shall be ioformed whetha he is ctu subjxt of
stored data on individuals,and whet�er ic is elass�ed as public,privete or cop�dencial. Upoa his fiuther request,an indirvidual wlao is tbe subject of
atored private or pu'blic data on individuals shall be shown the data without any charge to him�ad,if he dcsires,sl�all be infom►cd of the coatent and
meaaing of�c dsre, Alter en iodividual has beea shown rUe p�ivaze dam end in[amed of as mean�in6.she daTa need no�be disclosed w hum fox six
• months rhereaRer ualess a dispute or action pursuant to this section is pending or additional daca on the individual has been colleeted or created. The
�ponsible aur�orny shetl provide coyies o�'�he�ivaze or public dam upoa roqueas by rbe iodividueJ su�jxc of+he da�, �be responsible auiho�iry
maY ro9uire du requesting person oo pay the actual costs of making,certiCying,and corapiling the copies.
The[apoasible autboriry shell comply iamediaro�,if possible,with m►Y�4uest made p�vsuant w ihis subdivisiou,o�wifhiafrve days o�
the date of the request,excludir►g 3atwrdays,Suadays aod legal holadays,if im�►edi�ce compliance is not poss�ble.Ifhe canno�com�ply wich d�ie roqu�st
withiu that time,he shall so inform the individual,and may Lave aa additional five days within which ta wmply with tho requat,excluding SanudaYs,
Swudays aod legal�olidsy,s,
Subd 4.Proeed�ue whc�dare�s awt ecc,w�ace or cA�uplece.Ao iu�drvidual may comest�he accwacY or corpple�eaes�of public orpriva:e dara
eoneemir►g himself.To a�ercise cb�is nigb�,sa iwdividual shsll noci�y in w�idag the�sspon,sa'ble aud�mip�desaibing ttie natu�o[the disagreenaenc Tbe
reaponsible authority aball within 30 Qays either: (a)correct du data found co be inaccur�te or incomplebe and aitempt to notify past recipients of
inace�u�ate or incomple6e data,includ'wg recipierrts aamed by t�individual;or(b)aodfy the individual that he believes the data to be eomct.Daea in
diypuu sk►sll be disetosed only i�'the individual's steteme�nt of dissgre�inent is mcluded with the diselosed dere.
�he determinasiou of tbe lrespottisible au�horisY meY be appealed pursusnt to tGe provisioas o�t6e'sdmir►isue�ivo proeed►ve acs relatiog co
contested cases,
DATA PWVACY ADVZS RY
In aceordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that yow request
for a permit or license from the City of Orono or any of its dcpartment4 may require you to fumish ce�tain private or
cv�nfidential in�ormation.
You are not�f ed that:
1. The information you furnish will be used to detecmine your qualification for the permit or license
tequested
2. You may refuse to supply data,but refusal may roquire that the City deny the permit or Iiceose.
3. The information may be shared with other local,state oT feda�al agencies to the extent necessaly to
process the peRmit or license. �
4. �f your requested p�cmit or liceo,se requires Council ac�on to approve,sobne iaafonmacion m�ay become
public.
5. You havc certain rights under M.S.13.04(available upon request)to re�iew p[ivate data vn yourse(�:
6. Your fu11 name is required to proeess this application o�p�rn►it.
Jill W Vinz
Firat Middle l.ast
30751 Excelsior Blvd
Addresa
Hopkins MN 55343 (952)2�'l•1600
CI� Stxte Zip Phoue
I undecstaud rights s tated e.
�
Siyoaare
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