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Home My WebLink About2010-00332 - windows CITY OF ORONO PERMIT NO.: 2010-00332 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 840 NORTH SHORE DR W PIN : 07-117-23-22-0005 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,158.00 NOTE: REPLACE 2 WINDOWS INTO EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 88.50 MINNESOTA RUSCO,INC. STATE SURCHARGE(VALUATION) 1.08 5558 SMETANA DRIVE MINNETONKA,MN 55343- MAIL-IN FEE 2.00 (952)935-9669 TOTAL 91.58 Minnesota State License#:2173 OWNER HATCHETT,JUDY 840 NORTH SHORE DR W MOUND,MN 55364- 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 does not grant permission for additional or related work which requires separate 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 construction 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. /X4,4� Lik l l l l Applicant Permitee Signature Date Issued By Si tore to SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . 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 OR CONTRACTOR JOB SITE ADDRESS: D�U �ok �w l Ue IP: SS� NAME OF OWNER: _ I�1OAAAAy PHONE: (home)qsz' 72'1 7o c (work) �?iZ• 490• �3 / MAILING ADDRESS: CITY:—&A.-Mb ZIP: CONTRACTOR: Al►(,( gyp E -;L- • PHONE: ' 6 • q3 *0 CONTACT PERSON:_/ U �� MOBILE/PAGER: !0!2• ZSO 4005 MAILING ADDRESS: , 8 SIYt;24aAZL t-Nh IUy CITY: �AU'JU bAJGZ ZIP: 56vY3 STATE LICENSE: # ARCHITECT/ENGINEER: .- PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration ,�4 r �• ��_ PROPO D WORK(describe in detail): Z4u aLz,) I,tJI '' 'YEVI Q1r STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ l 58y 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 actor ce with the approved plan. APPLICANT'S SIGNATURE: LL&JO DATE: -5/10 IO NOTE! Parade of Homes events requirl separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 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 T shall be.informed of:.(a)dte 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 required under this subdivision in the individual income tax or vronertv-tax refund instructions instead of on those forms. Subd.3. Access to data by indtyidual. 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 1requesting 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 ashen data is not accurate or complete. An individual may;contest the accuraey 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 -p�st;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. Ri is of subjects of data",we would like to " gh � 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: 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 rights as stated above. Signature 6 A -7 TIME V/ CITY OF ORONO CALLED IN — — INSPECTION Q(OTICE SCHEDULED PERMIT NO.a0VA0—49W-04'—tOMPLETED ADDRESSSAAt / OWNER .TELEPHONE NO� 7 R_J 706 CONTRAC R DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 6z FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT El DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a j O a O U. W ac Q f W W QC Uj ❑WORK SATISFACTORY:PROCEED NEI ROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor ons' e: f Inspector. White CopyMspector's File Canary Copy/Site Notice