HomeMy WebLinkAbout2006-P09891 - siding . PERMIT
CITY OF ORONO
�750 Kelley Parkway- PO Box 66 Permit Number: P09891
Crystal Bay, Minnesota 55323 Permit Type:
Minor Alterations
(952) 249-4600 Date Issued:
6/2/2006
SITE ADDRESS: 669 Minnetonka Hgld La Unit#
Long Lake,MN 55356
PID: 06-117-23-44-0007
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Siding
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 265.25 Valuation: $ 15,918.00
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 273.25
APPLICANT: The Home Depot A.H.S. OWNER: Mr. &Mrs. Humphrey
Home Depot Installed Sales 669 Minnetonka Highland Ln
3200 Cobb Galleria Pkwy Long Lake MN 55356
Suite 200
Atlanta,GA 30339
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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE "/
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
May. 23. 2006 5: 28AM Elder Jones Permitti �g No, 5089 P, 2
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Total Fee: $ >-��7�. � `' Date Received: -1%J,= ? C%C:-
Entered By: �/>, Permrt#• -'%;-��� �������
CITY OF ORONO —BUrLDING PERNIIT APPLICATION
All information must be submitted in full befoxe plan re�view will be started. -
(please print all informution)
T�[E APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOBSITEADDRESS: 66� . M,nryEr�r,cv ia�6yc.�r,rOs (.n�� �p; 553Sb _ .
Will this be a P�rade of Homes,l2emodelers Showc�se$vme or other Display Home?
❑Yes �✓ NO lfyes,a special event permit Gv requned with Pollce Depmtment and City Council approva!
60days,p�ior to the event. Shuttle bus service will be te�uired urrless appllcantdemonstrates
su„�clen!on-site parking is avaiJable. Non-perm�tted evenls will not 8e ullawed
NAME OF OWNE1t: (�0(3 l-�1M�1+�^. P$O1VE: (home) qS2. 47b•1�'��.
� (work) �
MAn.IlV�G�DRESS: 66 q �n�rrN�t'a,�a N►c�+vi,ro�s�zT y: o�and z�: �sb • .
C4NTRACx'OR: ��t-�iome Services,Inc.
Dba Tlae�iome Depot At-Home Sesvices PH��'
CONTACT PERSON: _ 3200 Cobb Galleria, Suite#200 , AGER: .
MAxLINGADARESS: _ A��� GA 30339 �'
5'I'ATE LICENSE: # License#20268257-763-542-8826 DATE:
ARCHl,'I'ECT/ENGYNEER: �`( PHONE:
MAYL.ING A,DDRESS• ��y �p.
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Acce ory Structure
Move I�ome RemodeUAlteration (ie idin VJiudows)
Any ear�h movemen� may require MCPTD re and permita!� _
PROPOSED WORK(describe in detai�: —Pv��C St A� F /�N� sa� F- �r'U.�
/35G1/� �50 Flr i f .
STORIES: SQ.�'EET OF EACH FLOOR: .
NO. OF BEDROOIVIS: GARAGE STALLS: ATTA�SED DETAC$ED �
ESTIME�'�'ED CONSTRUCTION'VALUATION(ezcluding land): S (5 I �,`�'
I hexeby apply fot a building peimit aud I ac�owledge that the information above is coxnplete and accurate;
that the work will be in conforrt�ance with the ordinances at�d codes of the City and with the State Building
Code;that I understand this is not a pezmit and work is not to start w�ithout a pernlit;and that the wor�C will be
in accordance with the approved plan.
APPLICAIVT'S SIGNATURE: v- �s� . S Z3�
)ATE. K
31
May. 23, 2006 5; 28AM Elder Jones Permitting No. 5089 P. 1
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If yon,�a�ve tronble rec�iving this fa�,please�cag me as soon as possihle.
5cc.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. Type of data. The rights of individual on whom the data is stored or to Ue stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or contidential dataconcerning himselfshail be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legal ly required ro supply the requested data;(c)any known consequence arising from his Supplyi��g of 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 shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.32,subdivision 5,to a law enforcement ofticer.
The commissioner of revenue mav olace the notice required under diis subdivision in the individual income tax or orooertv ta�refund
instructions instead of on those fonns.
Subd.3. Access to data by individual. Upon requestto a responsible authorih�,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or contidential. Upon his fuRher 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 of the 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 si�
months thereafler unless a dispute or action pursuant to this section is pending or additional data on the individuai 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 authoriry
may require the requesting person to pay the actual costs of making,certitying,and compilin�the copies.
The responsible authority shal I comply immediately,if possible,with any request rnade pursuant to this subdivision,or within tive days of
the date of the request,e�cluding Saturdays,Sundays and fegal 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 Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is no[accurate or complefe. An individual may contest the accuracy or completeness of public or private data
concerning himself. To e�ercise this right,an individual shall notih�in writing the responsible authority describing the nature of die disagreement. The
responsible authority shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt m notify past recipients of
inaccurate or incomple[e data,including recipients named by the individual;or(b)notity the individual that he believes the d�ta co be correct. Data in
disput�shal!be disci�sed only if the individual's statement of disagreement is induded with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions ofthe administra[ive procedure act relating to
contested cases.
DATA PRIVACY ADViSORX
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infonn 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 refival 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(icense requires Council action to approve, some infom�ation may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yo�u•self,
6. Your full name is required to process this application or permit.
First Nliddle Last
Address
Cih� State Zip Phone
I vndc,s.and^:y rights as starec�,�a�ov
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Signaturc
Reset Form �'
�� �' DATE TIME "
CITY OF ORONO C LLED IN " Zg
INSPECTION NOTIC���� �� LED �� �
PERMIT N0. pD486� �o��tt�
ADDRESS /n�4'nK,a- /�1 !l.nd.f �
OWNER CONTR.
TELEPHONENO. 7G.lr��Z "l(>S/
� DESCRIPTION ��� S�dl�� � ����WS
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z0 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 1 AL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
c�., CO MENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
OwnerlCon o 'te:
Inspector.
White Copylinspector's File Canary CopylSite Notice