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PERMIT CiTY OF ORONO • 2750 Kelley Parkway- PO Box 66 Permit Number: p1o927 Crystal Bay, Minnesota 55323 Permit Type: , Minor Alterarions (952)249-4600 Date Issued: 5/1/2007 SITE ADDRESS: 3090 North Shore Dr Unit# Wayzata,MN 55391 PID: 09-117-23-32-0006 DESCRIPTION: Proposed Use: Residenrial Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Pernut Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replace 10 windows in existing openings FEE SUMMARY: Pern►it Fee: $ 335.25 Valuation: $ 20,277.16 State Surcharge Fee: $ 10.15 Misc.Fee: $ 1.50 TOTAL FEE: $ 346.90 APPLICANT: Pella Windows&Doors OWNER: Dan McGlynn 15300 25th Ave N.-Suite# 100 3090 North Shore Dr Plymouth,MN 55447 Wayzata MN 55391 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. C li��'(.Gz.�vf �/1�� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . - . Total Fee: $ Date Received: y-Z� '�7 Entered By: Permit#: ,� /D9a.7 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 CONTRACTOR JOB SITE ADDRESS: 3090 rrorth shore Dr��e ZIP. 55391 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � NO Ifyes, a s•pecial evenl per�rzit is reyuired with Pol�ce Departrnerit and Ciiy Counci!appr•oval 60 days prior to the event. Shuttle bus service will be reguired unless app[icant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: M�ciy�,n,Dan and Deb PHONE: (home) (952)471-0364 (work) (952)471-0816 MAILING ADDRESS: 3090 North Shore Drive CITY: or°°o ZIp; 55391 CONTRACTOR: Pella Windows and Doors TWTC PHONE: ��63)745-1420 CONTACT PERSON: 7oyce Nazario MOBILE/PAGER: MAILING ADDRESS: 15300 25th Ave,sU�ce ioo CITY: P�ymouth ZIp; 55447 STATE LICENSE: # 20165884 EXPIRATION DATE: 03/31/08 ARCHITECT/ENGINEER: N�A PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) ✓ PROPOSED WORK(deseribe in detai�: Replace 10 windows-same size openings STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Zo,2��.t6 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. APPLICANT'S SIGNATURE: �G P{k'�a DATE: 04/26/07 � 31 : - � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righ[s 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 orconfidential data conceming himselfshall be informed of. (a)the purpose and intended use ofthe 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 s[ate or federal law to receive the data. This requirement shal I 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 mayplace the notice required under this subdivision in the individual income tax orpropertv 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 Ihe data without any charge[o 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 ro him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collec[ed 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 authority may require the requesting person to pay[he actual costs of making,ceRifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any reques[made pursuant to this subdivision,or within five days of the date of the 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 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 ofpubl ic or private data concerning himself. To exercise[his right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry 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 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: L 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 Councii action to app;o�e, som;; info�rnatier, may beco:r.e 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. Pella Windows an Doors TWTG First Middle Last 15300 25th Ave,Suite 100 Address Plymouth MN 55447 (763)745-1420 City State Zip Phone I understand my rights as stated above. � �� Sig ture Reset Form� � � 32 MiNNESOTA DEPT.OF LABOR� INDUSTRY . Cqns[ruction Codes and Licensing Division 443 Lafayette Road N. � St. Paul, MN 55155�d344 PELLA WINDOWS DOORS TWIN CITIES INC PELLA WINDOWS DOORS TURNKEY SALES 15300 25TH AVE N#100 PLYMOUTH,MN 55447 fi�"�-��=4., : State of M9nnesota Construction Codes and Licensing Division � •.. �� '�- Department of Labor and Industry Telephone: (651)2845065 443 Lafayette Road N. E-mail address:dli.contractor�state.mn.us - St. Paul, MN 55155-4344 Website address: www.doli.state.mn.us ,��. Residential �uilding Contractor License Legal Name: PELLA WINDOWS QOORS TWIN CITIES{NC Busines"s Structure: dgA� P�LLA WINDOWS D�ORS TURNKEY SALES CORPC�RATION Address: 15300 25TH AVE N#100 PLYMDUTH,MN 55447 License Identification Number: 20165884 Qualifying Persan: TERRANCE E OCONNOR License Expiration Date: 3/31/2008 Continuing Education:7 hours due by 3/31/2008 � � �AT TIME ✓- CITY OF ORONO CALLED IN 'i INSPECTION I SCHEDULED 'D —/�� PERMIT NO. COMPLETED ADDRESS ��U ,�1�'Y``�'I�. 1�,�� dd'L/ OWNER CONTR. � TELEPHONE NO. � �0�� G� � DESCRIPTION rf V�� S � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 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 AI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL�NSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t spection 24 hours in advance. (J52) 249-46�� OwnerlCon n s t - Inspector. J White Copylinspector's File Canary CopylSite Notice