HomeMy WebLinkAbout1999-01173 - windows ,
PERMIT
4 CITY OF ORONO PERMIT TYPE: F.;UI
2750 Kelley Parkway- P.O. Box 66 Permit Number: 011732
Crystal Bay, Minnesota 55323 Date Issued: - - - - ./ 99
(612) 473-7357
SITE ADDRESS:
680 ORCHARD PK RD
HR
T . N . : 32-118-23-22-0005
DESCRIPTION:
WirsiDOWS
Builciing Permit Type 5.--F-AnD/REMODEL
E;14iirling Work Type FEL-,C E EX! :TIN
Census Code 434 ALT . RFSIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION cl. , A .,
Base Fee $97 . 5
Surcharge11 7
- --
Total Fee d99 . 00
CQNTRACTOR: ... ._ _ .___ - C'.pp 1 i r an t - Si . LIC .OWNER:.,
"7-NIIVII-Ii HY PNUeRtN ' li;o2A777 2004053) WINTER6 — ,,
r6U6LA..7.
350 3RD AVF NE 8 6R0 ORCHARD PK RD
FRIDLEY MN sE,532 ORONO
0;12) 430-72SS A.dg-c.ic,s.7.
THE ONDERcIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
- ... • .- -- - LL WO IN crRICT COMPLIANCE WITH ALL CIT'
SPEcIFIED AND AGREES TO Du A _ __ ,
nRrINO ORDINANCES AND STATE OF MINNESOTA-8UILDINGCODE REQUIREMENTS. , ,L,J
...
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APPLICANT PERMITEE SIGNATURE
,....7 -01-SISUED BY:SIGNATURE
CITY OF ORONO "i ' 6124730510 09/24/96 14:00 :02/03 NO:522
E
Total Fee: $ q°1.Gri7 Date Received:
Entered By: Permit#: ) 73?-
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: (o<6O O(C s . ZIP: • 5535(.0
NAME OF OWNER: ,10 _La d---w1cS PHONE: (home)(o D . 999.95-5
(work)
MAILING ADDRESS: So. C n CITY: p co-n0 ZIP: s53560
CONTRACTOR: RENEWAL BY ANDERSEN moi:
CONTACT PERSON: 350-73RD AVE. NE ER:
MAILING ADDRESS: r 612 , MN 77432 :
_ (612)) 5502-4777ZIP:__ Z
STATE LICENSE: # LICENSE #20130983
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration ,C Land Alteration
PROPOSED WORK(describe in detail): I, • a. - , , A
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
Od
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3,y q 5—
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.
q
APPLICANT'S SIGNATURE: le DATE: , R. c9•9 1
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Racaivpd Timn Can 9A 1 . A )PK 10rin4 min,,, Can OA 1 , ADDIA
TY OF ORONO ID 6124730510 09/24/96 14:00 5 :03/03. N0:522
•
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 es set fordh in this section.
Subd.2. Information required to be giver individual. An Individual asked to supply prima or confidends'data concerning himself shall
be befetmed of: (a)due purpose and intended use of the requested dam within the collecting ante agency.poUdcal subdivision,or statewide system:
(b)whether he may refuse of is legally required to supply the requested data:(c)any known consequence arising from his supplying or refusing to supply
private Orconldendal data;and(d)the Identity of other persons or enddes authorized by sate or federal law to receive die data. This requirement shell
not apply when an individual Is asked to supply investigadve dam.pursuant to secdon 13.82.subdivision S.to a law enforcement officer.
The commissioner of revenue may place the notice moulted under thisjthbdivision in the individual income tax or orooenr ax,rePStrid
jg uucdons ipsmad u[on those fonds.
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 u 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 infonned of the content
and mooning of that data. After en individual has been shown the private dam and infomred of its meaning,the dam need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or addidonal data on the individual has been collected or created.
The respwinde authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may requite the requesting person to pay the actual costs of making.esrdfying.and compiling the copies.
The responsible authorityshall comply immediately,if possible.with any request made pursuant to this subdivision,or within five days of
the date of the requeu.excluding Saturdays.Sundays and legal holidays,If immediate compliance is not possible. Ifbe COMM comply with the request
within that time,he shell so infirm the individual,and may have en additional five days within which to comply with the request.excluding Saturdays.
Sundays and legal holidays.
Subd.4. Proeedur a whin data Is net accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right.an indii'iduel shall notify in wridng 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 end attempt to natty pest recipients of
inaewute or incomplete dem,including recipients named by the Individual;or(b)nodly the individual that he believes the data to be comet Dam
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dad.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases. .
•
• ],IATA PRIVACY A)VISORY .
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.
S. 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.
•
. ' Pint Middle Last.
Address .
•
C1ty Rhea Zip Phone
' 1•understand m r stated above.
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Signature
D... ....] T!. A A. a 1AT7f 71. I T. w w. . .cow.•
DATE TIME
CITY OF ORONO CALLED IN /O -/`/Z� . 0'7
INSPECTION NOTICE SCHEDULED 0--1 ' ' b. o 0
PERMIT NO.//// 7 3L COMPLETED 'AV
ADDRESS &g o J�LGke '#/" , - I� r
OWNER 0,-1-A4;‘-10.1---) CONTR. G � C(J..t. (,e-atv—,
TELEPHONE NO. " `t q- 9 S-S-
fn
DESCRIPTION) t 'UQ.- 5 . /� .iiiLGt-a-c .– J5-t)s,c0
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
12 WATER HOOK-UP 17 SITE INSPECTION
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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
COMMENTS:
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O WORK SATISFACTORY:PROCEED PROJECT COMPLETE
(elW )#
:PROJECT
WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR Li CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73557
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice