The URL can be used to link to this page

Home My WebLink About2009-00781 - doors CITY OF ORONO PERMIT NO.: 200�-oo�g1 . 2750 KELLEY PARKWAY � � ORONO,MN 55356- DATE IssuED: i U05/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1370 NORTH ARM DR PIN : 07-117-23-41-0050 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 008 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,108.00 NOTE: REPLACE(3)ENTRY DOORS WITHIN EXISTING OPENINGS.. APPLICANT pERMIT FEE SCHEDULE 118.00 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 2.05 2690 CUMBERLAND PKWY, STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 122.05 Minnesota State License#:20268257 OWNER VILLAFANA,NDE&CARRIE 1370 NORTH ARM DR MOUND,MN 55364 AGREEMENT AND SWOR1�1 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. 1'his 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 goveming this type of work shall be compied with whether or not specified herein.'I'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time afier work has commenced. The app►icant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due causa! c �l�i'��.� �i/�'' / / l l Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOV � 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 all information) THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: � � 7 � /Y 0 f -T� �� Dr ZIP: S�3 L y Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes ❑ NO Ifyes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: l �l f'r! l C� U Cl 5 � PHONE: (home) 4�r ' � Y�'� work) MAILING ADDRESS: � 3 7 U N � r!�) CIT'Y: �l�U Jl (f ZIP;S S3 l. THD At-Home Services Inc. CONTRACTOR: 2690 Curnberland Pkwy, Ste 300 pHONE: U Sa 3y5 � L�Y7 CONTACT PERSON: _ Cumberland Office Park AGER: u tl t 6� �J c j��n, � MAILING ADDRESS: Atlanta, GA 30339-3913 Z�' STATE LICENSE: #_ Lic#20268257 Ph. 763/542-8826 DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeUAlteration(ie: Siding,Windows) — Any earth movement may require MCWD review and permits! PROPOSED W�RK(describe in detain: � �! �-�j`U ��u r /�1 �1 Q f1/rj/�1� <Fl lYrS � � d6� 1 ,) »�?!yl STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 1 b � I hereby apply for a building permit and I acknowledge thaf 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. APPLICANT'S SIGNA �� DATE: �(( 3 r b �f 31 s � Sec.13.04 RIGH'TS 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.Infomiation required to be given individual.An individual asked to supply private or confidential data concerning himself shall be informed oE (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.T'his requirement shall 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 may place the notice required under this subdivision in the individual income tax or propertv 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 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 disdosed 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. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. T'he responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compiiance is noi 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. Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic or private data conceming himsel£To exercise this right,an individual shall notify in writing the responsibfe 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 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 ha�e certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to rocess this application or permit. �/�1 �� 1 jC First M'ddle Last -� � � O .�. �� S�. Address on � ��n Il S� � � City State Zip Phone I understand my rights as stated above. �— Sig ture ��''' 32 � � T TIME ✓ `� ��-�' � i �9 CITY OF ORONO ca� irv INSPECTION NOT E �( SCHEDULED �� ' �%<= PERMIT NO� l V / COMPLETED ADDRESS � �`�r��.l . �4-r rn �� OWNER CONTR.�c�1tl ,��0�� TELEPHONE NO. � � -3 �� / � Jv� � DESCRIPTION � - �(L� �C��- - �� I S � ❑ FOOTING ❑ MECHANICA RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETIANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVA� Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM8ING FINAL _ / ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:4%(YES_NO l � COMMENTS: � W C � J O �/� � �� .� �; 17 � � C � �C./.1 .,�iQ O � W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED '; ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITiONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on sit¢: Inspector. � t� � �� White Copyllnspector's File Canary CopylSite Notice