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Home My WebLink About2009-00225 - doors CITY OF ORONO PERMIT NO.: 2009-oo22s ' ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/03/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3105 NORTH SHORE DR PIN : 09-117-23-32-0016 LEGAL DESC : REG. LAND SURVEY NO.06'70 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,066.00 NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENING. APPLICANT pERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.03 1920 COLJNTY RD C.WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 152.53 Minnesota State License#:20130983 OWNER FRAHM,MR.&MRS. 3105 NORTH SHORE DR WAYZATA,MN 55391 AGREEMENT AND SWORN 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. This permit is for only the work described and dces not grant percnission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if wnstruction is suspended for a period of 180 days at any time after work has commenced. The applicant 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 cause. / / / / Applicant Permitee Signature Date Issued By Si ature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . ' ��I �� p(� a - �� /„� Total Fee: $ Date Received: � Entered B 1 - y: Permit#: CITY �F ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICAN7' IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: L�I O � �� J�O'��..�� I �=Q ZIP: � Will this be a Paracle 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 suffrcient on-site parking is available. Non-permitted events will not be allowed. �- ` NAME OF OWNEIft: � C�I�Y1 �C�-�'1YY1 PHONE: (home)��o�-y��—�(��p (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: Renewal By Andersen 1920 County Road "C" West _PHONE: CONTACT PERSON: Roseville, MN 55113 AGER: MAILING ADDRF:SS: _ License #20130983 ZIP: STATE LICENSE: # 651-264-4777 DATE: ARCHITECT/ENC.INEER: PHONE: MAILING ADDRF:SS: 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 revi w and permits! PROPOSED WORK(describ in detai�: �p�(J�Q`� � ,� ��(' C��r � STORIES: SQ.FEET OF EACH FL R: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED COI�STRUCTION VALUATION(excluding land): $ �� U lU(U � 1 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 SIC:NATURE: '''`)��SC�ATE• 31 N 1 Sec.13.04 RIGHTS OF Sl'BJECTS 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 himselfshall be inYormed 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 Iegally 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 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav piace the notice required under this subdivision in the individual income tax or oropertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual sha11 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 ofthe 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 thereafter unless a dispute or action pursuant ro 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. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal hotidays,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 of public or private data concerning himself. 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 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 fi-om 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 have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to pr ss this application or permit. Co� �,n�C�n Fir� �� _u;�I�ddle Last � �� -�-( -�-� ddress s �a�� m� ��, C�tY State Zip Phone I unders d my rights as st ed ove. Signature Reset Form 32 � / V �I D�J�,,, TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED _L� �-� PERMIT NOl�DDJn-G�A�a� COMPLETED ADDRESS 3l DS �,� OWNER CONTR. 9aC?.G�"� TELEPHONE NO. lo J�� 2-�� .'��/l� � DESCRIPTION OGL-�'ZD �c1+�z � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING p MECHANICAL FINAL ❑ LAKESHORE/WEfLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO v�, COMMENTS: � W a J O �. � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED ,. PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTtO1J TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner►Contractor on site: Inspector. - � White Copyllnspector's File Canary CopylSite Notice