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Home My WebLink About2008-00396 - windows CITY OF ORONO PERMIT NO.: 2008-00396 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE Iss[1ED: 1 U19/2008 , 952 249-4600 FAX: 952 249-4616 ADDRESS : 36'75 LYRIC AVE PIN : 17-117-23-34-0040 LEGAL DESC : NAVARRO : LOT 004 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 1,100.00 NOTE: 8-WINDOWS, 1-FRONT DOOR,2 SLIDING DOORS APPLICANT OWNER/SELF PERMIT FEE SCHEDULE 44.50 MN STATE SURCHARGE(VALUAT[ON) 0.55 TOTAL 45.05 OWNER NIELAND, DOUGLAS 3675 LYRIC AVE WAYZATA, MN 55391 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 separate permits. All provisions of laws and ordinances governing 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Buildin�ode.This permit may be revo,�t�at any time�r due cat�s�J /J�j� � � � �� ._ ��_�„� � , '��1�'G r/ �� ;'l�/,� �� / �� ,,� � �- �_ C��1C'�� y"+ Applicant P mi Sig ature Date G`i`� � / / Tssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . Total Fee: S_ ��_______�,__ Date Received: _____,_�_ �ntered By: Pernt��t#: ^ CITY 4F URONU - BUILDING PERMI'i' APPLI�A?70N AI1 informatfod enast be�ubmitted in fuil before p�s�n rev�ew wilt be start+�d. (ipt�ase prdnt all ireforrnatlr�rr) T�IE APPLICAI�T IS: (cJrcle o►te) �WNER R C()N'l�2ACTOR ,TOD SITE ADDRE�S: ` �`` �„�-��.�,_ ZIP. „'�� Will this be a Arade of Homes,Re�nodelecR 5howcasQ Hame or ot#�er Display Ha�me? ❑Yea �No if yes,a s�ecPal evP.nf/�ermit is required with PGlice Depor�menr and C:fty CouncJl apprnvo! 60 days prior�to the event. S6�uule hu.s aervfce wi!!be regutred unless app!lcar►t demonstrca�es su�cient on-site parking ts avarlable, l�`nn-permitted evertts will rtvt hg aldowed NAME OF QWNER: C%�,��t� �T N��`�,7,�,�-� PHCINE: (hornc) �'7 �;/,j��'7� (worlc)C./�,z/� -.Sr�/�/C/ MA�LING AUBR.ESS: �L, �7 �� i; < <_��CITY: "�t `; ZTP: ' -�.. CnNTRACTOR• �� ;�{�c.;v PHONE• CONTACT PERSOI�: _ �0�3ILE/�AGER: ,_„r, MAIi�ING ADARESS; ��,�____ _______, CI1'X: .ZIP: _ STATE I,I(',EN9E: # EXPIRA`�'IUl�IDATE; A.RCHITECT/E1'�GIN�F:R. Fi�+(�NE: _ MAILING ADDItESS; CI°�"i'; 7.�LP: �,. NAME: � RECISTRA'I'IQl'�1: # ____,� TYPE OF WC1�2K: 2�3ew Home Addition AcGessary Structure _ Ivlc�ve Home � Rernc.�el/Alt�ration(ie: Siding, Wi�dows) �__ An.}r eaxth movem�rt tnay rec,�i�re MCWD review and permiLs t P OPOSED WOR�(desct�b�en detail}:,��.�/,ac ' /- �i^�i�r� �'>c�� /i �� ......�_��c��i u�7 �� 71�1' ._..�.3��., SYCOI�IES: SQ.FEET 1��'FAC.H[FL�OR: 1�t0.UF B��RO(?MS: GARAGE ST��LS: �TT�C.HEI) D�TACH�iD� ��1 ESTIN�►TED CONSTRUCTIUN VALUA'Y'ION(�acc�udt�e�l��d); $��C�- I hereby apply fc►r a buitding permit and T s.�cknowiedge that the i�sfo��mation�bave is complete ar�d accurate; that ihe wc�r�c w�ll be in uanforxna.n:.e witPt the ardinances anci eodes af the City and with the State Building Cods;that I unclers#a.nd this is not a pem�it and w�rk is�ot to sta.rt without a�rntrt;and that the�.vark wzil t►e in acc:ordaiace wiih the appmved plan. � .� ,�',^ �� A�'PI.IGAN'["$SIGr1AT'�Jl�: �f �� ' x}.!�'I�': � �� c.�� 3t . Sec.13.04 RIGHTS OF SUBJE4TS OF DATA Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored s6all be as set forth in this section. Subd.2.Infonnation required to be given individual.An individual asked w supply private or confidential data concerning himself shell be infotmed of: (e)the purpose and intended use of d�e requested deta within the collecting st�e agency,political subdivision,or statewide sYstem;(b) whethed he may refuse or is legally requ'ved to supply the requesbed data;(c}any known consequence arising from his supplying or refusing to suppiy private or confidential data;and(d)the identity of ott�r persons or ea�rities suthoriaed by state or federa!law to receive the data.This requirement shall not apply wh�an individusl is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement o�cer. The commissioner of�v_�g mev gJ��,notice tecwired under this subdivision in the individual iaco�t�or oropg�j�,tefund inst�ctio�instead of on those forms. Subd.3.Access�o data by individual.Upon request to a responcible authority,an individual sha4 be informed afiether he is the subject of stored data on i�ividuals,and whether it is classified as public,private ot confidemial. Upon his fwiher req�st,an individual wlw is the subject of stored private or pub{ic data on individuals shall be shown the data wit�wut any charge to him and,if he desires,shatl be infomted of the concent and meaning of that data. After an i�ividual has boen shown the private data snd infons�ed of its meaning,ihe data��ecd not be disclosed to him for six monihs thereatier unless a dispuu or action�rsuant W this s�tion is pending or additional data on the individual has bcen coll�or created. The responsible suthority shall provide copies of the private or public data upon request by the individual subjecx of the data 7'he responsible suthority may require the requesting person W pay the sctual costs of making,c�tifying,and compiling the copies. 1'he responsible autlmrity shall corr�ly immediatety,if possible,with any req�made pursuent w this subdivision,or withia five days of the date ofthe request,excluding Saturdays,Sundays and tegal holidays,if immediate compliance is►►ot possible.ift�e cannot connpty with die request within that time,he shall so iciform t6e individual,and may have an additionat five�ys witl►in which to comply with tfie req�st,excluding Sadndays, Sundays and legal holidays. Subd.4.Procedure when data is not accurate or co�lete.M individual�y cattest the�cutac,y or completeaess of public a privaic data concerning himself.To exercise this right,an itodividual sheU notify in writing the responsible authority describing the nature ofthe disagcemenk'Fhe respansible suthaity shall within 30 days eiffier: (a)correct the data found w be inaccurate or i�omplete and attempt to notify past r�ipients of in�curate or i►icompleoe data,including tecipients nart�ed by the individual;or(b)notify the individual tfiat he believes the data to be coaect.I?ata in dispute shall be disclosed only if H�e individual's stateme�n of disagreement is i�luded with the disclosed deta. T'he detetmination of rt�e�esponsiWe authority may be appealed Twrsuant ro the provisions of die adminisuative prooalure act relating to contested cases. IjATA PRIVACY ADVI50RY 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: l. The information you furnish will be used to determine your yualification 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 extem necessary to process the peimit or license. 4. If your requestal permit or lic�►se 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 privste data on yoursetf. 6. Your full name is required to process t}iis application or permit. (�5 l a �_ � �_�.L� ;� First htiddle Lost �.�� .yr�� ,�yP Addr�s (��o�►a �'.� s.�g � �/a 7r8--�'y/L/ Ciry Stste Zip Proae I understsnd my ri�hts as stated abova ^ aa are ' � ResatFo�m 32 �� L� t �o�TE /� TIME V CITY OF ORONO CALLED IN �! � � INSPECTION NOTIC�cE,�^�' SCHEDULED �� PERMIT NO. ��l 1�.f1�"��,.COMPLETED ADDRESS �� OWNER - '�L �L CI CONTR. � TELEPHONE NO. � �� (1 -j '1 `t � � DESCRIPTION I ��,Q ��U r � � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS 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 ❑ S PTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU _YES_NO v�, COMMENTS: �t� � �. � W a �� /� / (,,� y' /� ^�.., �y��l�_I�� [ ��`I� �f �i /t �X � � l �}, ,c� As � - 5 c�s s e c� 0 � C:2P W � Q � 2 W � W � � d W� �'�1lORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on ite: Inspector. l J S White Copyllnspector's File Canary Copy/Site Notke