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HomeMy WebLinkAbout2005-P09158 - windows - PERMIT CITY OF ORONO permit Number: 2750 Ketley Parkway- PO Box 66 P09158 Crystal Bay, Minnesota 55323 Permit Type: (952)249-4600 Minor Alterarions Date Issued: 9/15/2005 SITE ADDRESS: 3520 North Shore Dr Unit# Wayzata,MN 55391 PID: 08-117-23-43-0009 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replacement Windows FEE SUMMARY: Pernut Fee: $ 9�•25 valuation: $ 3,281.00 State Surcharge Fee: $ 1.65 Misc.Fee: $ 1.50 TOTAL FEE: $ 100.40 APPLICANT: Window Concepts of MN OWNER: Mr. &Mrs. Swenson 990 Lone Oak Rd. 3520 North Shore Dr Eagan,MN 55121 Wazyata,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. `i���,�.c� (�t. APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , Tota1 Fee: $ ��•T�/ DateReceived: 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 O ONTRACTOR JOB SITE ADDRESS:�J.�o3�J �D, -J ��"'� I"�/Y' ZIP: ��-39� /��/ti'l tT' Will this be�rade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,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 9�- �.�IYl�_/1�,_PHONE: (home) ���7i7—li��� n (�/,, (work) MAILING ADDRESS:-3�dG / ! . J// . CITY: � ZIP: / CONTRACTOR: � / �/� PHONE: �Ja��`�'�o7�lp�p�f CONTACT PERSON: MOBILE/P GER: MAILING ADDRESS: CITY: ZIP: .2-� STATE LICENSE: # EXPIRATION D TE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detain: STORIES: SQ.FEET OF EACH FLOOR: NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���/ � 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: DATE: .;3 � � ..�, 1�p�' 31 4 � ♦ • ', - , . �.: • • ✓' ... � .� . �• �`� � � ������V� � �� . �l. ���� �s . ay . .s�h_ , � r r , ��� �' - . � m� � � � � �� ��� �- � h� a� w. �,m.' �y � � m�., f6'' y � ' �.. • ,�. ��s _ ��. • x '�'. � � � � � �R.�_ � y^^ � ` �� �� �, �� a" m ��� � � ��' � m "iT�: p o�. � � , d ��,�. � � m : �� �\ ': � � � �� . � ,'��� �Q � C� �. FFF �: --��'a��N a � � '(/�' � �. -� o* ,� � ; � �fl) :� � °�, '`�`°�u � � �.� � ����� w�����,��� _ .�., ' ` :�.: � � : . � � '- �.:� �� < � ���� /Rc�S.' '� - - ; c:�p~ �'"�� �# _' t`'f ''�� � C.^�`F � �� � t � . itts ,�� �'��" ,-�` a a��# :� ��,Sa- � - `i _ � � : ♦ � _� �M� � ° 'CLx p� .� �,�:_' �� -� ;G� � � — : �. , � ti _ ,, - � � � . � . -x � �� � ���,� -��'�?"`^��� �� ���� ��� �..��aY� � �': /�- _ '3 �,'�� ��to. �M,� „ ��. �� ��� ��^'� -,�;= p.�, -�v'GT: � � �� �4�; �`��' _ �, .��LU`' •,�C��. . :�+++�q.�. .. �" �Y � . 's.��'�x��..vtr'�-'t�i ;k �� ��� - ��'' � �� � ��; � � �.. :� � �;��m�. .,�� .�= �: ���. ��; � �qv m��„,�� � �� ��`; ��� �,� 't �',�_,�`� �.*„; ^����'UY�, � ���„� � L. �~ " ��'Y �� ��`£' ��4 � 3 ` r: ���,,�v�: �� � �- i-'r�+ h�R.. . ���^-�.,d. E �v +C'.�, � . E� k;, '"�"�+ � ? a; �ar " �„ ; a 9= �� p . �. , ,V. �r � .�.a � ��; �� � , �,C� �; ����.�� �-� �' '���";�: � � � � �� ,,� m a �a.•� .- . -�,:•,. �,i,u b t��� . �� "E,. J��:a,: j ..,- c_� 1. �.c, f,'.'.' �:�t' 'k �: . � "' ��-�G. $ ,� , - � ..� �,�,,n � �," � .y.� ��,. ��.�a: �'�', . J _"`�ie x�° � .:t�-2 a��a X'. s- _ .�.^;� a a-Y',-.-,.. ., Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.I. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set foRh in this section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himselfshall 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 ofother 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 may place the notice reauired under this subdivision in the individual income tax or pronertv 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 whetherhe is the subjectof 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 individuai has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereatter unless a dispute or action pu�suant to this seetion 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 suthority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,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.Ifhe cannot comply with the request within that time,he shall so infortn 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 concerning himself.To exercise this right,an individual shall notify in writing the responsible authoriry 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 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 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. First Middle Last Address City State Zip Phone I und t nd my rights as stated abo ' 9 �3 DS Signature 32 �� ODAT� TIME � CITY OF ORONO CALLED IN � l INSPECTION N TICE SCHEDULED /O -/�.OS �;trO PERMIT NO. � COMPLETED ADDRESS 3sZ� /(�QY� S,�lJL� bC� OWNER CONTR.�.(,/ J [J��G��A'1/C TELEPHONE NO.____ _7SZ �7/ l��� � DESCRIPTION ����'�`�-� ���`!� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J BING FINAL 36 FOUNDATION/REMOVAL OWNER/ ONTRACTOR TO MEET YOU:_Y S X NO � MMENTS: ' i � a � � - � O a � O � W � Q � Z w � W � j d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE V � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the n xt inspection 24 hours in advance. (g52) 249-46�0 OwnerlCont r site: Inspector. White Copyllnspector' File Canary CopylSite Notice