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Home My WebLink About2001-P04416 - widows PERMIT CITy OF ORONO 2�50 Kelley Parkway - PO Box 66 Permit Number: Po4416 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: lligi2ooi SITE ADDRESS: 45 Myrtlewood Rd Wayzata, IvIl�I 55391 PID: 36-118-23-33-0015 DESCRIPTION: UBC Occupancy R3 Proposed Use: Kesicientiai Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 9,992.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 186.25 APPLICANT: Window Lite Home Improvements(See C OWNER: Anita Liebscher 8400 89th Avenue N 45 Myrtlewood Rd #460 Wayzata MN 55391 Brooklyn Park,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-� 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. � � �j� �l%�it� /�' -�Jl-!�C� 'ay��-�"'1 C.E � APPLI ANT PERMITEE I N TURE � SUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 � T . t�� 4�►`-� � �� - N Q.�� l (- �I - �-�.eP x.r�.. c�' �Fc� � .� ate Received. �� , ,otal Fee: $ l� �� D � �ntered By: '� Perm.it#: � � �� ! l��"� �� _.. CI'�Y OF ORONO - BUILDING PERIVQ'r APPLICA.TION ` � . . ; .All informa�ion must be submitted in full before plan revie�v �zil be started. . , . (please prini all infornzafion) . �� _ �.(�L�C' ' . . . . � - � - _ I Z`HE APPLICAIr"T IS: � �� (circle one) .� OSVNER OR CONTRACTOR � � . . JOB SIT�E ADDRESS: � !�!y\�_ - � �, ."- `�� '�) ZIP: `�� `� I � � NA11�IE OF Oti'Y�'ER: �1'1��C I e P In�-C�� PHONE: (home),��`l7� � �I'��- oZ3 lc� I . (work) � Nr��;��.nDr�sS: �� Y1��r�t (r t� �;cr �� .` :-, , �L Z�: � � l I, � �r� � ��T�� C�ll�:��, � '. Wi(VDOW UTE Home Improvements P�o�, �-� �.�� .��_,�� CQl`l 1111i.V 1�R:/�...., ..a....... Al...ih Q.�nin�n�+ /�tr # d - • ' Gp�TTACT PER�'�p 460-8400-89th Av� North Ni�B�ElPAGER: �, MAILI\i�G ADDI�Bkl�,rr��'��rk P�Ih�! �5445 C�� STATE LICEiYSE: # ��; : ��1 � `��,� � ARCHTI'ECT�ENG .l�i TEER:� . . � � PHO`�:.� � iVIAILItii'G A.DD�ESS: CTTY: ZIP: � �;A,ME; REGIST'RATION� �'ypE pF '4YORK: New Addition _ Accessory Structure Move � Remodel/Alteration _ Land Alteration PROPOSED ti'STO�tK(describe in detai�: �� ' � Y� ��t' r�" ��1�-� y2� �-� `f 7��1'��u '� � �,� C�� . � r '1 . ; STORIES: SQ.F'EET OF EACH FLOOR: DET. � . • . NO. OF BEDROO�I�IS: GAR.AGE STALI�S: :ATT. — . . - , � : , . . C,i== � iAT'ED CONSTRUCTION VALUATION (exCludina lanc�: $ ��! . ESTIti I hereby apply for a buildina permit and I acknowledge that the information��of the Ciry and ith accurate; that the work will-be ui conformance with the ordina.nces and co the State Build:.n� Code; that I understand this is not a permit a.nd work is not to starc without a permit; anu thac the work will be in accordance with the approved plan. r �� ( . ��/�.- / -��/ APPLICAlti"T'S SIGNAT�TR�� - � r.�-. DATE. � (�1��:�� t _ �S� � � c � � NOTE! �Parade of H� events require separate permit approvaI by Police Deparhnent and � City Councit 60 days prior to tke event. Non permitted events x�i11 not be ailowed. � . . 1 � HP F� Series 900 _ Fa�c History Report for Plain Paper Fa7c/Copier � window lite . ' � � 612-391-6360��- � Sec.13.04 RIGKTS OF SUBJECTS OF D�TA - — - • OCt Ol ZOOI IZ:41pm �S � . e ng c�of iadividual on whom the data is scocod or w De scnc:d sha1I be u sec focch ia this section. ` Sutd.2. Inlormation nqtrired to he giv iadlr.i iadividual uk:d w supplY Privar_or q�� s�.n 6e ia.a��,. (a�rpose�:nded use of • cvithia the coIIecda3 3�t�aB=��Y.�Q��isio� c,o��s�a, (b)whec�e:he:.3y r_:vSe or u_le3alIy r_quir_d to ncppty_che r_c�uer�d da�:(c)any I�awn eaasaqueeca arisia ca his si:ppl iag or re�}�-tc�su� i• privs`p{��:�:d_c� d��( �iCeeary aCoc�4�l��T��es aucyorized by snc�arf:�e_'?_::;�s��e cho d3�. This r_q�Weac�_'! eoc a,�p��r..ea an c.�ivt�"i�a.f u u�;:d co supply invesagadve daca,pursuanc co secaon 13.82.suhdivisioa S,�a!aw eafeccemenr o�cer_ . � 'C�e ee::uaisiioner oC rever.ue mav tace che nadce r_ruird urtder chis sutdivision in the individual ir.corrse tsz or orooem t3z refur.d inmuc��}t<zd of on�hose lorms, SQK - black and white fa.�c ubd.3. Accas to data by indiriduaI. Upon requesc w a czspaasibie auchoriry,us individual shall be informed wha�her he is the subjeu of r.ac:d dsa on individaaLt,aad whecher it is et�ss�ed u pubiic,privam or eoaF.deaa�l. Upaa his furcher r_quesc,aa izdtvidaal who is c�e subjccc af stor_d priva:e or public daca on iadividnals sha11 be showa the dae wichout:ny ch3rge to him u:d;if he du'ues.shaII be infocmed ot the conteac and m:aning of�at data. Ahe�an individual has becn shown che private dacs ar.d iatormcd of ics meaaiag,the daa ne:d noc be d'uclosed to him for siz monc`u�2ser_afcer unlas a dispuee oc acaon pursuant W this secaon is peading or addidoaal dac�on the individuaI h�s been ealIec�d or erea�d. The respeasbie auc2:oriry shallprovide eopies of che privac:orpubtic daca upon requese by the individual subjecc oC�he daa. T¢e respansible auchociry may requir_ the r.qu:sdng penon ro pay che accual cosc�oC making,cerdfying,u.d comp�ling che eapiu. � The responsibfe auchoriry shaIl eampiy imr�ediacety,if possibie,wich aay request s.3de pursuant cn this subdivision,ac wichin five days of � the dam o[the teqaes�ezcluding Saturdays,Sundays and lega.l haiidays,if inrnediace compliacce is not goss3le. If he eanaot eompiy with the requesc � i within that atne,he shali so inform the individual,and may have an addidoaal five days wichia which to comply with the requut,ezcIuding Sacusdays, � Sacsdays and le3aI holidays. . . . ; 5ubd.4. Procedure�rhen daca is not aecuraee oc eamplete. An icdividual may eonc:st[he accurary or eompleceneu oEpublic arpri��ate daca eonceming tiimself. To ezeccise this right,an ir.dividual shall nadfy ia wridag[he respoas�ie auchoriry descnbing the nanire of the d'uagretmeac The res,�ocssible au�horiry shall wichia 30 days eic.4er: (a)correcc dta daca Cound to be inaccurat�or incomptet�and att:mpt to nodfy pisc recipiencs of inaccurace or incompiece data,incIuding recipieacs naraed by che individuai;or(b)coaFy the individual that he believes the daa to be corrnce Da� in dispuce shall be disciosed onIy if the individual's sca�ernent of disagrcemeat is included wi�h th�disclosed dam. The daerminadon of the responsible auchoriry may be appealed pursuant to the provisions of tha admia.isQadve pco<:dure act retaang m eonc�s�d cases. ' . . . • . . DATA PRIVACY ADYISORY � In accordance with M.S. 13.04,Subd.2, "Ri�hcs of subjeccs of data",we would like to inform you that your request for a pemut or license from the Ciry of Orono or any of iu departments may require you to furnish cercain privace or confidential information. You are notified thar. 1. The information you furnish will be used to determine your qualification for the permit orlicense requested. 2. You may refuse to suppiy data, but refusaI may require that the Ciry deny the permit or license. � � 3. The information may be shared wich other local,state or federal a�encies to the ettent necessary to procas the permit or license. ' 4. If your requested pecmit or license requires Council action to approve, some information may become ,� . public, . _ - . � - . . . � �; �5. You have certain ri�hts under M.S. I3.04�(availabie upon request) to review privace data on.yourself. . . 6. Your full name is required to process this applicatioa or permit. Fusc - tifiddle �t • . Addre.ss - -.". _ Ciry Sate Zip PCaae I understand my ri�hts as stated above. �.!7 _�� • 2�� / " �„2�/-`� . �Sigrucure . �� -�,�- �c� - Oct O1 O1 12: 40p window lite 61z-391 -6360 p. l . � t�� ► '� S� �f-a�� - N�� l (-o l - � � � ,�. � .u . � � � � u' -�� ` -> Date Received: r'-_1 - � � �:otal Fee: $ � �`� . l ,.,(f- . �ntered By: %'i_-� - — Perm.it#: ,�� `f�� (,� ��`� �� . CITY OF ORONO - BUIY►DING PERII�IIT APPLICA'I`ION � � .A,ll information must be submitted in full before plan.revietiv�-ill be started. . � . : (please print ail infornzation� . . . . �`� ��` �� Q � . . . . . . _ � , . I T�iE APPLICAlti'T�IS: . �� (circle one)�.� �O�NER OR.CONTRACTOR . �. ° ,� .. . • � � . � �os sr� AnDxEss: 4- �yy-��( ) � z�: 55 3� I � , . �__ . ._ _ . . - - � . NA�IE OF Oti'V�'ERs �y1c� � i o �n cr�`r P$ONE: (home) �`�-Z.�= oZ3�o�j I . � (work) j IYT.AILItii TG ADDF�`SS: f-�-� �1 U Y�`� �n � �r'��C��'� � �IP:_��'� - � I � ' �r ,��YY�I .�J��(r.lC� , � ; WiNDOW L1TE Home ImpTovements P�o�: ��.�-� �3��,�,��y COi�t'i'RA.CTOR: °^^�c � � . C�pectnwn Nnrth R�+..� tr � � CON'TACT PE�LS�,t'!�p 460-840 -�Ave. No��'�OB�E�AGER: MAILli`G A]�Dl�'x89�1�n P�rlc M�( 55445 _CI'i'Y: �:_-__— � STATE LICEti'SE: # ' � � . ARCHITEC'�l�nGT��ER:� � � � PHO��:.� : �. . � ZIP: MAII,I�G�.DD�tFSS: � - CIT Y. �----- . ��ME: REGISTRATION# - TYPE OF tiYORK: New Addition Accessory Struc[ure_________ Move � Remodel/Alteration Land Alteration _ PRQPOSED"4'YORK(describe in detai�: ( �,-�� ,;� n ►� �'ia �� ' � l�%f-t%��-� ) �_ -- STORTES: SQ.FEET OF EACH FLOOR: -- N0. QF BEDROOViS: � GARAGE STALIS: :ATT. DET._ � . � � ... � FST .ni IA.T'ED CO�tSTRUCTYON VALUATIO�I (excludi.n8 lanc�: $ `7`�70? -�� — • I hereby apply for a building pet�mit and I acknowledge tlzat the information ab f�e Cim and a ith accurate;that the work will be in conformance with the ordina.nces aad codes o tY the State Buildi.*�� Code; that I un3erstand this is not a permit and work is not to start withoti.t a permit; and thac the work will loe in accordanee with the approved plan. - � ��ro_ �-�/ _ APPLICA��T'I`'S SIGNA • p�'�' � C'7�3� 3�t �3 i o NOTE! �arade of� me events require separate permit approvai by Police Department ;ind _ _ . �,. .. __�._,.._a ,,.��„��wi11 nnt h2 a110}i�ed.