HomeMy WebLinkAbout2007-P11688 - windows PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley '�arkway- PO Box 66 P11688
Crystal'�ay, Minnesota 55323 Permit Type: Minor Alterarions
(952) 249-4600 Date Issued: •
11/27/2007
SITE ADDRESS: 1370 North Arm Dr Unit#
Mound,MN 55364
PID: 07-117-23-41-0050
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type:
Minor Alterarions Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
11 Porch Window Replacements& 1 LR Window In Existing Openings
FEE SUMMARY: Pernut Fee: $ 111.25 Valuation: $ 4,295.00
State Surcharge Fee: $ 2.15
TOTAL FEE: $ 113.40
APPLICANT: The Home Depot A.H.S. OWNER: Jude&Carrie Villafana
Home Depot Installed Sales 1370 North Arm Dr
3200 Cobb Galleria Pkwy Mound,MN 55364
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 SIGNATU ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: $ i�,� � �C DateReceived: /�� ����_
Entered By: _ �r_� Permit#: /�� i��=�—�
�'I�'Y iv� Q�I�GPv� - �u IL�iI�1cT r�,R�i 1 APP�.I�A 1 IGIv
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
Jos siTE ann�ss: 13 7 u IVc�S'-��1 {��m �'r Ue z�: �'S3 ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �O Ifyes, a special event permit is reguired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER J U �Q, V 1 ` �Q`T`Q �D� PHONE: (home) y S�!�� I '0�l�{
(work)
MAILING ADDRESS: � 3�O �. �f!� J�� CITY: �D U Sl� ZII': �$''S3 ��/
CONTRACTOR• THD At-Home Services, Inc. PHO�• �S� �S„ • G0�7
CONTACT PERSON: Dba The Home Depot At-Home Services AGER: JU C� i N �1 C�l(` 0/U. �
MAILING ADDRESS:— 3200 Cobb Galleria, Suite #200 ZIP:
STATE LICENSE: # - Atlanta, GA 30339 DATE•
— License#20268257 - 763-542-8826
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: — 1� CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding, Windows) -
Any earth movement may require MCWD review and permits!
PROPOS D WORK(describe in cletai : � or c h �� CfOl,v �� �� ���
^ �V/�l!' /�0 vi'� �� �
d�� n���
STO ES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -1', �� �
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 permit;and that the work will be
in accordance with the approved plan.
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APPLICANT'S SIGNATURE:� DATE: �j I� �
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. 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 required to be given individual.An individual asked to supply private or confidential data conceming himself shall 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 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 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]3.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mayplace the notice reguired under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd.3.Access to data by individual.Upon request to a responsible authority,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 chazge 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 six
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. T'he
responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authoriry
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
T'he responsible authority shall comply immediately,ifpossible,with any request 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 compfy with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4.Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness of public or private data
conceming himselE To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients 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 authority may be appealed pursuant to the provisions of the adminislrative 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 infor►nation.
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.
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From:ELDER JONES INC 952 854 4909 11I15I2007 16�57 #937 P.001I002
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1120 Eaat 80�'StroOl,5�0.�R211;Bloominghon,MN b64Z0 � . �
9523d5.60d7—Uired 952�-Fsx
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Tb: Orono, Clly of Atln: Bidg. Dcpt Proe+d
F� 952 249-4610 Pae�
phor�se gS2 249.4600 Datee �
R� 8uilding Pem'�it(s) CGs •
�Yreent � �er R�w 0 Plo�so Comme� X Pl�awo RoP4l �P�R�ydo
� •Co11YtMnts:
Please cali when the perm�t fee(s)have been f�qu�. So I can cut a check and vome fio the dty to pidc
up tt�e permit(s). .
Thank You, '
952-345-6047
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/_ pgRE��� TIME
CITY OF ORONO CALLED IN ��
INSPECTION NO'�jIC /�, �j SCHEDULED / l D� �
PERMIT NO. /`�w�U COMPLETED
ADDRESS `� ~ID �/1���� L�l�1�1
OWNER CONTR.
TELEPHONE NO. �C�/J� " �5� ��5�-�
� DESCRIPTION � �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILUNG
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q �"FtNAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL{NSPECTOR
❑ INSPECTIOtJ RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlContr site:
Inspector.
White Copyllnspector's F e Canary Copy/Site Notice