HomeMy WebLinkAbout2006-P10429 - re-roof „ PERMIT
CI�� OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P10429
Crystal Bay, Mir�nesota 55323 Permit Type: Minor Alterarions
(952)249-4600 Date Issued:
10/6/2006
SITE ADDRESS: 1337 Rest Point Cir Unit#
Mound,MN 55364
P��� 07-117-23-31-0017
DESCRIPTION:
Proposed Use: Residenrial
Census Code O/S-Building
Permit Class: Building
Permit Type:
Minor Alterarions Pemut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 54.00 valuation: $ 1,500.00
State Surchazge Fee: $ 0.75
TOTAL FEE: $ 54.75
APPLICANT: Owner/Self OWNER: Robert Zaun
MN 1337 Rest Pt Cir
Mound MN 55364
THE UNDERSIfuNED HEREBY REQU�STS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES O DO ALL WORK IN$TRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA�LDING CODE REQUIREMENTS.
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APPL ANT PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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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 al[information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �'33 7 Resf Po���r Ci,r�C� z�: �53�
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �NO I.f'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
su�cient on-site parking is available. Non perntitted events will not be allowed.
NAME OF OWNER: l�o�er� 2c1 u h PHONE: (home)g��y 7a'•�6�
�Wo�� �5 a-�ya.^�6o3
MAILINGADDRESS: �33� �eS�nD�'h.��i�'c.k'' CITY: ���in� ZIP: S�'�
CONTRACTOR: (S c.,i�Fr� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie: Siding, Windows) �
Any earth movement may re ire MCWD review and ermits!
PROPOSEDWOR (describeindetai�: �2 y�o�� t�-2 �o�t.5-� ;.�����
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STORIES:� SQ.FEET OF EACH FLOOR: ``-' t� 0O
NO. OF BEDROOMS:�_ GARAGE STALLS: ATTACHED� DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /, �d�
I hereby apply far 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.
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APPLICANT'S SIGNATURE: �� DATE: � � C��
31
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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 i»this section.
Subd.2. Information required to be given individuai. An individual asked to supply private or confidential data concerning himself shall be
infoitned of: (a)the purpose and inOended use of the Tequested data witlun the collecting stace agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required W 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 ecrtities 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 S,to a law enforcement officer.
The couL+n�ssioner of reyenue mayRlace the notice reauired under thia subdivision in t4e individual income tax or�o_pertv tax nefund
inetructiona instead of on those forms.
Subd.3.Access to data by individual.Upon request to a responsible suthoriry,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or conftdenrial. Upon his further request,an individual who is the subjeci of
stored private or public data on individuals shall be shown the data without any c6arge to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual has been shown the ptivate data and informed of its meaning,the data need not be disclosed to him for six
months thereafier unless a dispute or action pursuant to this section is pending or additional data on the irtdividual has been collected or created. The
responsible authority shall provide copies ofthe private or public data upon request by t6e individual subject of the data. The respotuible 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 6ve days of
the date ofthe request,excluding Saturdays,Sundays and legal 6olidays,if immediate campGance 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
conceming himself.To exercise this right,an individual sha(1 notify in wriring the responsible authority descnbing the nature ofthe disagreement T6e
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 detertnination of the responsible authoriry may be appealed putsuant to t6e provisions of the administrative procedure act relapng to
contested cases.
DATA PRIVACX 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 furniah will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data,but refusal may requere 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 yow 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. Yow full name is required to process this application or permit
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Ffrat Middle LsSt
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Address
C��'o r p /`�il`J �5 3� � 95��ti �� ,��6 v
City State Zip Phoee
I unders nd my ri ts as stated above.
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Sig ature
iReset Form 32
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�� `G�-�'�i,C/' i lJ �/tx.� r � �oS3i�� DATE TIME
CITY OF ORONO CALLED IN �D-/7-UClI
INSPECTION NO�ICE SCHEDULED �U-�4-4(0 �OU
PERMIT Na -��d ya� COMPLET
ADDRESS �-� ��� � ` �r
OWNER CONTR. O/•[J/ZG1'�
TELEPHONE N0. �S� �'��02 -`� v� (�'(�
� DESCRIPTION � Of� -�� �`-R lO��
lU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the ext inspection 24 hours in advance. (J52� 249-4600
OwnerlContr ite:
Inspector.
White Copyllnspector's Fil�,\ Canary CopylSite Notice
��`� _�+ ��� DATE TIME �
CITY OF ORONO CALLED IN /� �p��'��
INSPECTION TIC SCHEDULED ���"��"��� f•�3�
PERMIT NO. � ' COMPLETED
ADDRESS �-�--� P�S� o�i.-7� C'ir�-�-�.
OWNER �►c-< � CONTR.
TELEPHONE NO. 7S� f���? ��?(O O
� DESCRIPTION ����s-zc-:1C- c�� /'�0c''�
t� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSUTATiON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-46�0
OwnerlContra�`f�'r site:
Inspector.
White Copyllnspector's Fi Canary Copy/Site Notice