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Home My WebLink About2007-P11742 - windows PERMIT CITY OF ORONO Permit Number: ?750 Kelley Parkway- PO Box 66 P11742 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 12/13/2007 SITE ADDRESS: 387 Orono Orchard Rd S Unit# Wayzata,MN 55391 PID: 02-117-23-23-0006 DESCRIPTION: Proposed Use: Residential Census Code 434 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: $ 97.25 Valuation: $ 3,169.00 State Surcharge Fee: $ 1.60 Misc.Fee: $ 1.50 TOTAL FEE: $ 100.35 APPLICANT: Pella Windows&Doors OWNER: Timothy&Elizabeth Traff 15300 25th Ave N.-Suite# 100 387 Orono Orchard Rd S 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. 61U.-42.4(Itt,t< APPLICANT PERMITEE SI , •TURE 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: /, l 3/D Entered By: Permit#: /17 f� 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 C(ONTRACTO) JOB SITE ADDRESS: 3 S`7 O ro n 0 6r(hQ r ) Pd S ZIP: 5 S 3 q / Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? FI Yes ❑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: --7! 11. Tr`a -14-g PHONE: (home) L/2[80 S- G 575- (work) lS(work) MAILING ADDRESS: 38 1 otbn o O rC/ RICITy: J)Poll 0 ZIP: 5'5 3 q I CONTRACTOR: Pella Windows and Doors SHONE: Cl S 7 3 y S-L 0 y� CONTACT PERSON: 15300-25th Ave.North, Ste. #100 GER: J bd t to Ffd,r Jou — Plymouth, MN 55447 MAILING ADDRESS: ZIP._ License# 20165884 STATE LICENSE: # 763-745-1400 ►ATE: ARCHITECT/ENGINEER: lPHONE: CITY: MAILING ADDRESS: n C 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 permitp! PROPOSED WQRK(describe in detail): a Lv I n cdi t, rtpinuintain PC t Aer U o ii/Fl9 STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 I 19 q 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 toXart without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: li DATE: 1 /7 / 1/7 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. Tin 5( A.4nt First Middle Last /l C) { gosh S.4 Address fel o NY)(n?dlisn fid) 55L( O QSa f y1s-&o'o City State Zip Phone I understand my rights as stated abov Xnature „ „ ,, 9� � 32 tl, Elder-.J ones vV y 443 Lafayette Road N.• Building Permit Service,Inc. St.Paul,MN 55155.4344 grig oak • PELLA WINDOWS DOORS TWIN CITIES INC PELLA WINDOWS DOORS TURNKEY SALES 15300 25TH AVE N#100 PLYMOUTH,MN 55447 To Whom It May Concern: • Elder-Jones Building Permit Service,Inc.is acting as an agent for Pella Windows and Doors. Please give us a call if there are any questionsSkate of Minnesota Construction Codes and Licensing Division `Xo;' c:r Department of Labor and Industry Telephone:(651)284-5065 +y^ Thank you. a<, •�• 443 Lafayette Road N. E-mail address:dli.contractor@state.mn.us St.Paul,MN 55155-4344 Website address: www.doli.state.mn.us Sincerely, I Residential Building Contractor License Elder-Jones Building Permit Service,Inc. Legal Name: PELLA WINDOWS DOORS TWIN CITIES INC Business Structure: (800)541-0821 DBA: PELLA WINDOWS DOORS TURNKEY SALES CORPORATION (952)345-6047 Address: 15300 25TH AVE N#100 PLYMOUTH,MN 55447 • License Identification Number: 20165884 Qualifying Person: TERRANCE E OCONNOR • License Expiration Date: 3/31/2008 Continuing Education:7.hours due by 3/31/2008 Elder-Jones Building Permit Service, Inc. • : • 1120 East 80th Street•Bloomington,Minnesota 55420-1498 o59.A54-77:154•FAX:952-854-4909 /21it - I` � ATE TIME CITY O ORONO CALLED IN o`'Y,/,�� INSPECTION J OTIC SCHEDULED cel/�/DS� e )°& PERMIT NO. COMPLETED �p ADDRESS Oyte.40 OWNER // CONTR. TELEPHONE NO. ( -qg DESCRIPTION u ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ INSULATION ❑ WOOD BURNER/1`IREPLACE 0 TREE REMOVAL • ❑ WALL BD. 0 WATER HOOK-UP ❑ SITE INSPECTION FINAL ❑ SEWER HOOK-UP ❑ PROGRESS 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J LJPLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YESX NO V)• COMMENTS: CC CC O CC O W W W W W Cc O W� WORK SATISFACTORY:PROCEED ROJECT COMPLETE W 171CORRECT WORK&PROCEED 17ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 111 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952) 249-4600 Owner/Contra n s e Inspector. 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