HomeMy WebLinkAbout2005-P09311 - windows PERMIT
CITY-OF ORONO
27!JO Kelley Parkway- PO Box 66 Permit Number: P09311
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 10/17/2005
SITE ADDRESS: 4705 North Shore Dr Unit#
Mound,MN 55364
PID: 07-117-23-32-0058
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:
Double Fee Work Started W/O Permit] Replacing 2 Picture Windows
FEE SUMMARY: Permit Fee: $ 111.25 valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
Misc.Fee: $ 111.25
TOTAL FEE: $ 225.00
APPLICANT: CAM Construction OWNER: Andrew&Nancy Rascher
403 Whiskey Road 4705 North Shore Dr
Isanti,MN 55040 Mound MN 55364
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.
x 30 LA-,*-)
APP PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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 R CONTRACTOR
JOB SITE ADDRESS: -: O S Nw'f, (4� A► ZIP: t) S 3� L,
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes o 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
suff/i�cien-t on-site parking is available. Non-permitted d.
ermitted events will not be allowed.
NAME OF OWNER: T�►��� -✓ '� ��'°� ��5 ` ' HONE: (home) -6
(work)
MAILING ADDRESS: CITY:CTS ZIP: _S532
CONTRACTOR: C4 '✓l S Ck,, PHONE:
CONTACT PERSON: CSL F MOBILE/PAGER:
MAILING ADDRESS: Li 0 l*�s I Lj CITY:.Sck' ZIP: V
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home RemodeV teratio k)i'-Icklo ,
PROPOSED WORK(describe in detail): L- P� C.'�-�^�-�e .✓>� F,s.,�S
l�lo Cka'
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: 'Dcalel amt DATE: / e ! os-
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 asset forth in this section.
_.._...__.__...__.._._ ,given.individuaL A litutixidual_asked to supply private_pr rnnfidrntial data—nceming-himgelfshal[Lbe—
informed of: (a)the purpose and inteni led use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally reqi ired 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 Z supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav nlace the notice reguired under this subdivision in the individual income or propgjy tax refund
instructions instead of on those forms.
Subd.3.Access to data by ndividual.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 indivic uals 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 individ ial 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 ora tion 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 The responsible authority
may require the requesting person to ay 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 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 ata is not accurate or complete.An individual may contest the accuracy or completeness of public or private data
concerning himself.To exercise this r ght,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 Jays either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,includii ig 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 ndividual's statement of disagreement is included with the disclosed data
The determination of the r sponsible 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 informati n you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refu a to supply data,but refusal may require that the City deny the permit or license.
3. The informati n may be shared with other local, state or federal agencies to the extent necessary to
process the peit or license.
4. If your reques>,d permit or license requires Council action to approve,some information may become
public.
5. You havecertin rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full nam is required to process this application or permit.
First Middle Last
Address
City State Zip Phone
I understand my rights as Mated above.
Signature
32
CITY OF ORONO CALLED IN ATE TIME TI
INSPECTION NO ICE SCHEDULED
PERMIT NO. 3 gETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
t
DESCRIPTION �f�'� m
4 01 FOOTING 11 M CHANICAL RI 18 EXCAV(GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
co COMMENTS:
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tm ❑WORK SATISFACTORY:PROCEED 1:1PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra r site:
Inspector.
White Copy/Inspectoes File Canary Copy/Site Notice
DATIME V
4 CITY OF ORONO CLE
INSPECTION N SCHEDULED
PERMIT NO. IC 3// COMPLETEDD
ADDRESS X7,0 wz�
OWNER CONTR.!lash- ' _
TELEPHONE NO. 9�"2- "" X 72. Z 1P�0
DESCRIPTION
401 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES—NO
a COMMENTS:
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tum WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN 11 CITATION ISSUED
11STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for then t inspection 24 hours in advance. (952) 249-4600
Owner/Con or a
Inspector. f
White Copynnspector's FII Canary Copy/Site Notice