HomeMy WebLinkAbout2009-00339 - replace 3 windows & 1 door CITY OF ORONO PERMIT NO.: 2009-00339
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE Iss[7ED: 06/23/2009
952 249-4600 FAX: 952 249-4616
•ADDRESS : 865 PARTENWOOD RD
PIN : OS-117-23-43-0002
LEGAL DESC : PARTENWOOD
: LOT 001 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 7,807.00
NOTE: REPLACE 3 WINDOWS& I DOOR WITHIN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 162.25
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.90
1920 COUNTY RD C. WEST
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(612)502-4777 TOTAL 168.15
Minnesota State License#:20130983
OWNER
GREENE, HUNT
865 PARTENWOOD RD
LONG LAKE, MN 55356-
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.
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Applicant Permitee Signature Date Issued By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Total Fee: � Date Received: �� � i � I ��l
� Entered By: ��,�� ,�' -� �,�� ,� �.= � i'� Perniit#: �� C ��(c (S f-
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CITY �F ORONO - BUILDING PERMIT APPLICATION ��, �, ��
All inform�.tion must be submitted in full before plan review will be started.
(please print all i�formativn)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: Ol0 S �Gt,���,� �, ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes ❑ r10 lfyes, n special event permrt is required with Police Department ar�d Ctry Council approva!
60 days prior to the event, Shultle bus service will be required r�nless applicant demonstrares
su�cient on-site parking is available. IVon permitted events wi!!not be allowed.
NAME OF OWNER: ��>�- �j�(�-�1(1-�. PHONE: (home)�a'����4�
.� (work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: Renewal By Andersen pHONE•
1920 Coexnty Road "C" West '
CONTACT PERSON: Roseville MN 55113 'AGER:
MAILING ADDRESS: _ License #20130983 ZIP'
STATE LICEN5E: # 651-264-4777 DATE:
__
ARCHITECT/ENGINEER: PHOIVE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: 5iding, Windows)
Any earth rnovement may require MCWD review and permits!
PROPOSED WORK(describe in detai�:
� . ,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
OU/
ESTIMATED CO1�fSTRUCTION VALUATION(excluding land): �� �� !
[hereby apply for a building permit and I acknowled�e that the information above is cornplete and accurate;
that the work will be in conformance with the ordinances and codes of the City and with the State Building
Code;that t underst�nd 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 SIGNATUR.E: DATE: V 1
31
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Sec.l3.N RIGHTS OF SUBJECT3 OF DATA
� Subd. 1, 7ype of dats. The rights of individual.on whoro tha deu is stoned or oo be stored a6s11 be es ett forth in this section.
. Subd.2. IzflSrmetionrequirad�ebegivenindividual. Anindividuslaskedtosupplyprivauorco�daitlaldsteconcemtngh{maelfshallbe
into rtned of (s)the purpose and incendofl use of the requested dm within the collati�state agency,politicel subdiviaioo.or statewide syttem;(b)
whether he may reti�ae oris legally requited to suppy ri�e requested data;(e)any known conuquence ariaing ttom hia supplying e�refusingto auppty
private or confidential data;aed(d)We identiry ofother pe�soos or entitios suthoTized by steoe or fedenl law Io mceive the dea.T'hianquirement ahtll
not apply when an individual is a�lcad to auppiy inve�figative data,pu�suant to seetion 13.82,9ubdivisinn 3,ro e lew enfoccement offieer.
The oommi�inr�er of reven�e may tllaae_the naticc rene�ice� �ndsc thia aLdi 'nion in h 'n�vid�el ine..�ttY o(,p�y,e�y Y M�
inatn�tiQns in9teed of on those tbnns.
S ubd.3.Access to deu by individuel. Upon roqueet to a responsible autharity,an individupl ahel)be iotormod whether he is the enbject of
atored date on individusls,and whether it is clasaified e�pubik,private or conC�denlial. Upon his furthor ieqaest,an individuai who ls the eubject of
atomd privata or public data on individuals 6ha11 be showo t6e dats withoutany chatga W him and,ifhe desires,shsll be infocnKd ofthe¢a►tentand
tneaning of thst date. Afta an individual has beert shown the p�vete data and informed of ite meaning,the datp need not be diecbaed to Mm 1br six
months tl►ereafter unless a dispute or w-tion pursuant to thia section i s pending or additionel duta on the iadividusl has been collected or crated. The
ieaponsible autharity sfiell provide copies of the ptivaie or public dala upon rcAuest by tfie individual subject of du dau. T6e nsponsiWe sntl►arity
may raquin the requesting person ro pay the sctual caots ofmaking,cartitying,and¢ompiling the copies.
The responsible authority shdl cortq�ly immedistely,i f poosible,with ury raquest made pws uent to thia subdivbion,or wilhin five days of
the dete of the cequest;exciuding 3aturdaya,�3undays end le�l holidays,lFinenedisee compliance ia not pos�ible. lfhe cannot con►p1y witl►tl►e reque�t
wit6m tMt time,he shall eo inforrn the individwl,and euy have an additionel five dsya witt�in which to oomply with ths requast,atcludieg Sahudays,
Sundsys sr�legal holidays.
8ubd.4.Procedurewhen�telsnotaecuraleorcomplete.Mindtvidualmnyeonte�thesecnracyorcaeQleoenessofpublicorprivatedeta
conceraing himself.To exaroiee this right,en iodividuel shall notify in writing tlfe reepoosible authority deecribing the netuee ofthe diu�ee�tent. 17�
responai6le autl►oriry ahell wifhin 3a days eid�er: (a)rnRect the date found tu be inaecurete or u�compleh md atternpt b notity paet recipienle of
inaccurate orincomplate data,i�luding recipimts named by the individual;or(b)notify the mdividual thst he believes tbe dets to be wrrect. Data in
dispute ehall be disclosed onty if the individuel'a statement of disagreement is ineluded with the diecloscd data.
TAe deterrninada►of the reeponaible aulhoriry mey be appealed pursuant to the pnavisioea oftha adrrtini�lretive procedure ect rclating to
contested csses.
DATA PA?VACY ADV[SORY
le accordance with M.S. l 3.04,Subd.2,"Rights of subjects of data",we would like to inform you that yourrequest
for a permit or license from the City of Orono or any of its �partments may require you to ftanish certain private or
confidential information.
You are norified that:
1, The informetion you fumish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data,but refusal may nequire that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent neceasary to
procesa the permit or license.
4. If your requested permit or license requires Council ection to approve, some infonnation may beoome
public.
S. You have ceRain righta under M.S. 13.04(available upon request)to review private data on yo�aself.
6. Your flill name is required to process this application or permit.
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[ understend m right!sa atat above.
3igaature
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1� , DATE TIME
CITY OF ORONO 9 CALLED IN
INSPECTION NOTIC SCHEDULED • ' �
PERMIT NO.,�, \ COMPLETED
ADDRESS ���a�fi�' 1 lw"(Q•�r,r,i
OWNER CONTR.�^ ��.j
TELEPHONE NO. � r � �'�� ���'r
� DESCRIPTION � � ����
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS���
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED f�PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on site•
inspector. � � �
White Copyllnspector's File Canary Copy/Site Notice