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Home My WebLink About2004-P08049 - windows doors t CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P08049 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/8/2004 SITE ADDRESS: 840 North Shore Dr W Mound,MN 55364 PID: 07-117-23-22-0005 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Windows Doors DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 54.00 Valuation: $ 1,500.00 State Surcharge Fee: $ 1.25 TOTAL FEE: $ 55.25 APPLICANT: Owner/Self OWNER: Judy K Hatchet, MN 840 North Shore Dr W 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 MATE OF MINNESOTA BUILDING CODE REQUIREMENTS. P I PERMTTEESIGNATURE ISSUEDBYSIGNATURE Conies: 1-File(Sienitures Reauired). 1-ADDlicant. 1-Monthly Reports. 1-Assessine. 1-Finance Page 1 NI Total Fee: $ Date Received: Entered By: Permit#: P d?NO( 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: �� lUe)4 W `raw ZIP: 5- Will Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ElYes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not -�be allowed. NAME OF OWNER: cJ/� dJ��y > T '�� PHONE: (home) �U /Ut�/L?if ,/� (work)_�/2 -71719 � 330 MAILING ADDRESS: �� - CITY: ,gond ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 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: /��/ 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 as set forth in this section. Subd.2. Information required to be given Individual. An individual asked to supply private or confidential data concerning himself shall 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 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 may place the notice reauired under this subdivision in the Individual income tax or Property 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 disclosed 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.The 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,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 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 of the 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 understand my rbahts as stated above. Signator 1ki SDgZE_ TIME " CITY OF ORONO CALLED IN INSPECTION SCHEDULED 02-06 j SOD PERMIT NO. p� �clq COMPLE FDD AaH-4- 6ADDRESS O T(J1� OWNER ��&�&ko�071CONTR. TELEPHONE NO. SoZ ' �7a n DESCRIPTION Inc/ ✓��'�w-s —' �Od1� W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS LOT Q 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO o COM NTS: a x__ f� z �G t 0 o W CC Q z W W cc Z) d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED G' ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 Owner/Contr site: Inspector. White Copyllnspector's ile Canary Copy/Site Notice V/ DATE /�vi— TIME CITY OF ORONO CALLED IN l INSPECTION NO�ICE SCHEDULED PERMIT NO. C��%4 9 COMPLETED ADDRESS �� / S<1 or-L OWNER ` rh'' ;/QL-kf� _CONTR. TELEPHONE NO. S� 70� —� DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 v 10 PLUMBING FINAL GG 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEETY0 YES_NO COMMENTS: Lw cc J 0 cc S d LL cc Q z W z W cc j d U, ORK SATISFACTORY:PROCEED Ll PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C, CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 Owner/Contr�r _ it Inspector. White Copy/Inspector's File Canary Copy/Site Notice A7 50- DA TIME CITY OF ORONO CALLED IN INSPECTION MIO SCHEDULEDPERMIT NO. kr/MA ADDRESS -7-mo AkI' A SG.tl-2.Q OWNER JIM 404-C.� CONTR. TELEPHONENO. bia-- X91— 33Oj /4(7 TO Z) , DESCRIPTION Fi,�J t� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a O 0 W cc Q z W W d LUQ /_7 ORK SATISFACTORY:PROCEED PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe n xt inspection 24 hours in advance. (952) 249-4600 Owner/wr site: Inspector. White Copyllnspectoes le Canary Copy/Site Notice