The URL can be used to link to this page

Home My WebLink About2007-P10828 - windows - PERMIT CITY GF G�RONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10828 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 3/16/2007 SITE ADDRESS: 1040 Loma Linda Ave Unit# Mound,MN 55364 P��: 08-117-23-23-0028 DESCRIPTION: UBC Occupancy R3 Construction Type VN -'� 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: This Pernut Replaces P09835 -New Contractor,New Work Being Done FEE SUMMARY: Permit Fee: $ 492.25 Valuation: $ 35,000.00 State Surcharge Fee: $ 17.50 TOTAL FEE: $ 509.75 APPLICANT: United Framers Builders&Remodelers OWNER: Cindy Shapiro 6240 White Drive 5704 Deville Dr Prior Lake,MN 55372 Edina,MN 55436 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPR�MENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF OR ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � q � V�� /— � 1 APPLICANT PERMITEE SIGNATURE � ISSUED BY SIGNATl1RE u' Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 PERMIT CITY O� O�ZONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10828 Crystal Bay, Minnesota.�5323 Permit Type: Minor Alterations (952) 249-4600 � Date Issued: 3/16/2007 SITE ADDRESS: 1040 Loma Linda Ave Unit# Mound,MN 55364 P�� 08-117-23-23-0028 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code O/S-General Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: This Pernut Replaces P09835 -New Contractor,New Work Being Done FEE SUMMARY: Pernut Fee: $ 492.25 Valuation: $ 35,000.00 � State Surcharge Fee: $ 17.50 TOTAL FEE: $ 509.75 APPLICANT: United Framers Builders&Remodelers OWNER: Cindy Shapiro 6240 White Drive 5704 Deville Dr Prior Lake,MN 55372 Edina,MN 55436 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. /`�— '`/L;-f'_- (� ��'�'�'1 L�(.f� f�� APPLICANT PERMI SIGNATURE ISSUED BY SIGNATURE Copies: I-Fil e(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ��, i G `E—�� t s s.�.�{ ��...� �/�� U��VS � � j� C-CI��Q C f"D/-'� Total�'ee: $ ��,v Date Received: �—l� —�� Entered By: �Q�� Permit#: � /OQ 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 OR ONTRACTOR JOB SITE ADDRESS: /o�p ��q �;�� ZIp; SS � Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �No !f yes, a specia!event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle ba�s service will be regz�ired unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNTR: ��',,,�� 1�1.0.,�;�o PHONE: (home) �- 9��- g(�41cj (work) MAILING ADDRESS: S7 0� �p U; �l� 1�r, CITY: ��:n q ZIP: S S � CONTRACTOR: _�n ; �� .-�r��4i(�_l�L� PHONE:9�3-�S7-63 S/j CONTACT PERSON: � /sb� MOBILE/PAGER: MAILING ADDRESS: �.��o L�/ r� � � . CITY: ��='�� ZIP• S37.Z STATE LICENSE: #�C �aS�/21 �/� EXPIRATION DATE: D� � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �_ Any earth movement ma require MCWD review and permits! PRO OSED WORK(describe ip detain: � .� ^ J / � C{f STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�5� G�'�: "n 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 and work is not to start without a perrnit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: a 31 Sec.13.04 RIGHTS OF SUBJEC'fS OF DATA , Subd.l. Type of data. 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 requi�ed to be given individual. An individual asked to supply private orconfidential data concerning himselfshall 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 refuse 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 oFother persons or entities authorized by state or federal law to receive the data.This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or�rop�tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed 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 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 disclosed to him for six months thereatter 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 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 cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any roquest 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. If he 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. S ubd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data conceming himself.To eaercise this right,an individual shal I notify in writing the responsible authority describing the nature of the disagreement.'llie responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt tb notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the datato be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination 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 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 detennine your qualification for the permit or license requested. 2. You may refuse to supp(y 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 information 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. First Middle Last Address City Stnte Zip Phone I understand my rights as stated above. c / __��'�� 3/��P�,7 Signature Reset Focm 32 �� DAT TIME � CITY OF ORONO CALLED IN �� INSPECTION TI E SCHEDULED I� � PERMIT NO. � �� 2� COMPLETED ADDRESS �U�� l'`r� L�-a�t�a. �. OWNER CONTR. �-�'� 'r'�o�� TELEPHONE NO. �-�J ` �7' 3��l�s� � DESCRIPTION �� 5 ` � � ��-` �-��-��'p C�-� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FIL IL NG' y ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ CON]PLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. iil-'�LLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J � e �' �,G� � � 0 � � P� � Q � z W � W � j d W WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the n x inspection 24 hours in advance. (J52� 249-4600 OwnerlContra on i e: Inspector. - � White Copyllnspector's File Canary CopylSite Notice � PERMIT �ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p09835 �l Crystal Bay, Minnesota 55323 Permit Type: v�� Minor Alterations �� (952) 249-4600 Date Issued: 5/4/2006 �, SITE ADDRESS: 1040 Loma Linda Ave Unit# ��( Mound,MN 55364 Y � rf�l,° � `�V PID: 08-117-23-23-0028 L r�°. —� DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Minor Alterations Pem,it Sub-type(s): Windows Permit Type: Doors Siding DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 492.25 Valuation: $ 35,000.00 State Surcharge Fee: $ 17.50 TOTAL FEE: $ 509.75 APPLICANT: Transformations by McDewitt OWNER: Loren&Srey Pellett 17305 Cedar Ave. S 1040 Loma Linda Ave Lakeville,MN 55044 Mound,MN 55364 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. i Y� .; _{--_!-� . ._-�i 4� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page I - �' PERMIT GITY OF ORONO �750 Kelley Parkway- PO Box 66 Permit Number: P09835 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/4/2006 SITE ADDRESS: 1040 Loma Linda Ave Unit# Mound,MN 55364 P�� 08-117-23-23-0028 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-R�f i�� i c�c_ Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 492.25 Valuation: $ 35,000.00 State Surcharge Fee: $ 17.50 TOTAL FEE: $ 509.75 APPLICANT: Transformations by McDewitt OWNER: Loren&Srey Pellett 17305 Cedar Ave. S 1040 Loma Linda Ave Lakeville,MN 55044 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC(FIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQ NTS. 1 , � '� � ) � , .�� ,�� , -��-) :A ICANT PERMITEE SIGNATURE ` SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � �. Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print a/Z information) ------------------------------------------------------------------------------------------------------------------------ __—��—__.... -- � - ._ __ _ _� THE APPLICANT IS: (circle one) OWNER O�CONTRACTOR � JOB SITE ADDRESS: i�y� L�� G��'� ��- . ZIP: S_S 3�Ll Will this b a _,arade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes NO If yes, a specia!event per•n�tit is reqz�irec�ivith Police DeparUi�ent and Ci.ry Councrl appr•ovcz! 60 days prior�to the event. Shidtle bz�s service ivill 6e r•eqiiired a�nless applicant demonstr•ates sc�ficient on-site pnrking is avnilable. Non-pe��mitted events ivill not be allotived NAME OF OWNER: C��h�� .�t�o�r-o PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: %/��•,��;,.-;_,� �„� �., /,� /l�c i,�e�.:iS� PHONE: �ISZ-zz�3- 4-rv^r CONTACTPERSON: lus�., r'�,c:o;:,�-� MOBILE/PAGER: �iZ- �%i> Z/�'� MAILINGADDRESS:�73c�S` �� %+�•e S CITY: G<<.�K�.�/:` ZIP: i:�� " STATE LICENSE: # i�C' -L�'Y'c.P��-i EXPIRATION DATE: �3� 3r • c� 7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Altecation (ie: Siding, Windows) '�_ Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detain: /�S ��,�.z,:�� c�c:�; � • _. �� -�j�> ��Q;n`�� z `�„-c-c-,� �� %�-, •�'i4,,, LZ..,.�� ..2 Ge�:,..�._ L.c�` STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3��`Z`� I hereby apply for a building permit and I acknowled;e 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[ 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: DATE: � `�! 31 ., , . Scc.13A4 RICf[TS OF SUBJECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this section. SuUd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data conceming himseffshall be infonned of. (a)the purpose and intended use of the requested data�vidiin the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or conYidential 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 ofticer. The commissioner of revenue mav vlace the notice required under this subdivision in the individual income tax or prooertv tax refund instructions instead of on those forms. 5ubd.3. Access to data by individual. Upon requestto a responsible authoriry,an individual shall be informed�vhether he is the subject of stored data on individuals,and whether it is classitied as puUlic,private or contidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data widiout any charge to him and,if he desires,shall be infonned ofthe content and meaning of that data. After an individual has been sho�>>n the private data and infonned of its meaning,the data need not be disclosed to him for si� months thereafter unless a dispute or action pursuant to diis section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofd�e 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,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days oC the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he 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 wich the reques[,e�cluding Sa[urdays, Sundays and legal holidays. Subd.�l. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data conceming himself. To exercise this right,an individual slial I notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past rec�pients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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 included with the disclosed data. The determination of the responsible authoriry 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 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 license requires Council action to approve, some information 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. First �4iddlc LAst Address City f State Zip Phone il ! I understand �ghts as st gd ab ve. . ,' ;' Signature i Reset Form ��