HomeMy WebLinkAbout2007-P11236 - windows PERMIT
CIT,ik C�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11236
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 7/20/2007
SITE ADDRESS: 2710 Pence La Unit#
Excelsior, MN 55331
P��� 21-117-23-23-0046
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type:
Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 391.25 valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 403.75
APPLICANT: Wuensch Construction,Inc. OWNER: D &H Haberman
90 Brentwood Ave 2710 Pence La
Tonka Bay,MN 55331 Excelsior MN 55331
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.
�w
- �--�=-.� ��--� �,�,-�-� �� �-, �_�
LIC T RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�
Sec.13.04 RIGHTS OF SUBJECfS OF DATA
Subd.1. Type of data. 'Ihe rights of iadividual on whom the data is atored or to be stored shall be as set foith in tlus section.
Subd.2. Infomrnation required to be given individual.An individual asked to supply private or confide�ial da�a conceming himaelf ahall be
informed of: (a)the puipose and iatended use of the requested data witlun ihe collecting state age�y,pofitical aubdivisioa,or atatewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known conaequence arising&om his supplying or refusing to supply
privade or confidential data;and(d)the identity of other persous or entities sutho�ized by state or federal law to receive the data.'Ibis rayuirement shall
not apply when an individual is asked to supply inveatigative data,pursuant to section 13.82,subdivision 5,to a law enforcemecrt officer.
The commissioner of revenue may place the n�ice reagired under this subdivision in the individual income tax or nrooettv tax refund
inshuctions instead of on those fmms.
Subd.3. Access to data by individual. Upan request to a responsib(e authority,aa individual shall be infonned whe�her t�e is the subject of
stored data on individuals,and whether it ia class�ed as pubGc,private or confidential. Upon tus fiuther requeat,an individual who is the subject of
storod private or public data on individuals shall be shown the data without any charge to him and,if he desires,ahall be infom�ed of the cmrteN and
meaning of that data After an individual has been shown the private data and infoTmed of its meaning,the data need not be diaclosed to him for s'vc
monihs theseafter unless a dispute or�tion purauant to tlus section is pending or additionai dats on ihe individual has been collected or cteated. The
responsible suthority s6all provide copies of the private or public data upon request by the individual subject of thc dafa. The responsible authority
may requtte the requestinB Pe�son to pay the acd►al costs of making,ceRifying,and compiling the copies.
'Ihe responsible suthority shall comply immediately,if possible,with any requeat made pursuant to tlus subdivision,or within five days of
the date of the request,excluding Sawrdays,Sundays and legal holidays,if immediate compliance is not possible.If�caanot comply withthe req�st
within t6at time,he shall so inform the individual,and may have an additional five days within wluch to comply with the request,excluding Saturdays,
Sundays and legal lalidays.
Subd.4. Procedure when data is�t accurate or complete. An individual may co�est the accw�acy or complete�ess of public�private data
conceming himaelf. To exercise tlris right,an i�ividual shall�tify in writing the responsible authority desc.'ribingthe naRure ofthe disagreement.�he
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or u►complete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual thaait he believes the da2ato be comct Da2a in
dispute shall be disclosed only if tbe individual's statement of disagreement is included with the disclosed data.
The detemiination of the responsible autharity may be appealed pu�auant to the provisio�of the adminisirative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subj ects of data",we would like to inform you that your request
for a peimit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential infomiation.
You are notif�ied that:
1. The infonnation 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 pernrit 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 mm�e is required to process this application or permit.
Ft�st Middte �
�--•
�q � �
Addreas
�, State 7ip Phone
I anderstand my right stated above.
s�
�,�. ��.:
� '
�
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 O ONTRACT
JOB SITE ADDRESS: 2 7�o Peh cG l c z�: S�3 3 /
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes �NO If yes,a special event permit is required with Police Department and City Council appraval
60 days prior to the event. Shuttle bus service wil[be required unless applicant demonstrates
sufficient on site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: />'1 r f/YI r s ��b�.v n.4.n PHONE: (home) 9'S'Z- y 71' S�'�G
��'�)
MAILING ADDRESS: 2 7 I D /-e h f t L4h c CITY: C� Yo�-►-0 Z�� SS.�3 I
CONTRACTOR: (,,�ucti s�� L-OkSTNc.�+'a�. �►� - PHONE: 952-47N-G �73
CONTACT PERSON: T��-F l.✓�k h���,, MOBILE/PAGER 9 S 2-Z 9�-Z S 9 2
MAILING ADDRESS: 90 13r�kf+-�cb� /�/�C CITY� �X�c�J�u r ZIP: SS 3
STATE LICENSE: # 3 S 3 _ _ EXPIRATION DATE: 3-3/-Z o e g'
ARCffiTECT/ENGINEER: PHONE:
MAILING ADDRESS: C�� Z��
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!
P OPOSED WORK(deseribe i�t detai�: -�- S•2 c w r.�olo wS 4' �S � "
w,•..d ..i � g d' �.�:o Do o r ,:. ,- �-��1 h•�.I� hqC„x}ia7�+c�,
''� oP — �1 sk►�,
STORIES: SQ.FEET OF EAC`H FLOOR
NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
aD
ESTIlViATED CONSTRUCTION VALUATION(eacluding land): $�4'AQ:�"l�
I hereby apply for a building permit and I acknowledge that the information above is complete and ac�urate;
that the work will be in conformance with the ordinances and codes of the City and with the State Building
Code;t�►at I understand this is not a permit and work is not to start without a pernut;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATITRE: W ATE: 7� 2 d� Q �
� �O ��J DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDUIED � �
PERMIT NO. iia3� COMPLETED
ADDRESS �7�� D�C,Q- �-�/
OWNER CONTR. ��
TELEPHONE NO. 95a �a �s4�.
� DESCRIPTION ��n�� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-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
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
j
O
�.
�
O
�
W
�
Q
ti
2
W
�
W
�
�
O
W ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORREC7UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for t ne inspection 24 hours in advance. (g52) 249-4600
OwnerlContr on i :
Inspector. �
White Copyllnspector's File Canary CopylSite Notiee