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HomeMy WebLinkAbout2008-P12105 - windows PERMIT CITY' OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P12105 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/29/2008 SITE ADDRESS: 360 Orono Orchard Rd S Unit# Wayzata,MN 55391 PID: 02-117-23-24-0006 DESCRIPTION: Proposed Use: Residential 6 (S Census Code P1I3 Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Windows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 280.25 Valuation: $ 15,789.00 State Surcharge Fee: $ 7.90 Misc.Fee: $ 1.50 TOTAL FEE: $ 289.65 APPLICANT: Pella Windows&Doors OWNER: Bart&Kandi Osborne 15300 25th Ave N. -Suite# 100 360 Orono Orchard Rd Plymouth,MN 55447 Wayzata 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. PE r(A(..„APPLICANTANT PERMITEE SIGNATURE SUED 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 ORCONTRACTOj JOB SITE ADDRESS: 3(0 0 CD Po f) b O f eM f'd ZIP: '5 5 3 ' / fond Soul/) Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes 1-1-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 sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: 8[) `` I C)')bo r 1) PHONE: (home) 4175 - 25' 42 MAILING ADDRESS: 310 b Po n e OntA .At (work) crrY: d!`ono ziP: 55 34/ Pella Windows and Doors CONTRACTOR: 15300-25th Ave. North, Ste. #100 'HONE: 9 52/34 S- -t C Y7 CONTACT PERSON: GER: J od( D E&At Joni ) MAILING ADDRESS:— Plymouth, MN 55447_ License#20165884 ZIP: STATE LICENSE: # 763-745-1400 ATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: J1 j a CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) Any earth movement may` require MCWD review and permits! PROPOSED WQRK(describe in detail): 7 window Pep /I} L► 1r),!f)--r c In 1f( S /1' b Jd>1A STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / 5 i 7 8 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 t tart without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: !v DATE: `J l 3 16 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 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 required 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. 5c First Middle Last /12o .t . 40-f^ Address mil City State Zip Phone I understand my rights as stated. ov . 4‘ure �� • • MINNESOTA DEPT. OF LABOR& INDUSTRY Construction Codes and Licensing Division 443 Lafayette Road N. St. Paul, MN 55155 PELLA WINDOWS AND DOORS TWIN CITIES INC PELLA WINDOWS AND DOORS TURNKEY SALES 15300 25TH AVE N STE 100 PLYMOUTH,MN 55447 tw State of Minnesota Construction Codes and Licensing Division �'� Department of Labor and Industry Telephone: (651) 284-5065 ': t `; 443 Lafayette Road N. E-mail address: dli.Iicense@state.mn.us AI } ;.�?Y < St. Paul, MN 55155 Website address: www.doli.state.mn.us RESIDENTIAL BUILDING CONTRACTOR LICENSE Legal Name: PELLA WINDOWS AND DOORS TWIN CITIES INC Business Structure: DBA: PELLA WINDOWS AND DOORS TURNKEY SALES CORPORATION Address: 15300 25TH AVE N STE 100 PLYMOUTH, MN 55447 License Identification Number: 20165884 Qualifying Person: TERRANCE E°CONNOR License Expiration Date: 03/31/2009 Continuing Education:7 hours clue by 03/31/2009 7 .D5E TIME CITY OF ORONO CALLED IN �� INSPECTION Nig.CE SCHEDULED 7-7-03 iii PERMIT NO. �I'"`'�fat/05 COMPLETED ADDRESS (J ''-% Q/O/W ©/z'ka-cam/ 44 __C-, OWNER ©.fb 11t-' CONTR. 6°P11� X—. TELEPHONE NO. &Of 952 1/75 25 9Z E i,2ds DESCRIPTION tV ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING c 0 FRAMING 0 MECHANICAL FINAL 0 LAKESHORENVETLANDS y 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL • 0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION Q 0 FINAL LI SEWER HOOK-UP 0 PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT v ❑ DEMO-FINAL 0 SEPTIC INSTALL. ❑ FOLLOW-UP ct 0 PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL v 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c0., COMMENTS: cc 14 (..3�IAckoc.~) R��lA��i t � rt O >. kJoTe ^ Nem Cpc-1 Q c k % Ffiee/vp �}_uG- Lu cc -1-1---/t1 I c g 1 +tom TO A 5iemoM•b(' Q i Qu rq 13eJ(C,tet. , A La.r 30/ Li,• /VIVA d x! cl e De rFcc tar r,S fie ,( e� c. (.....) , ti 6r. 16 ' t-''.1of . del'`( (32. Ct3O.1,‘. O � � W4 ❑WORK SATISFACTORY:PROCEED J7�PROJECT COMPLETE W ElCORRECT WORK&PROCEED [7] ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 on s' e: Inspector. l"—' S White Copyllnspector's File Canary Copy/Site Notice