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Home My WebLink About2004-P07466 - chimney repair � ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07466 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: s�s�2ooa SITE ADDRESS: 1398 Rest Point Rd Mound,MN 55364 P I D: 07-117-23-33-0004 DESCRI PTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pernut Type: Addition/RemodeURepair Pernut Sub-type(s): Chimney Repair DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 69.25 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 70.75 APPLICANT: Mohler Chimney Repair OWNER' Mr. &Mrs.Lyle Johnson 4313 Brooks Ave. S. � 1398 Rest Point Rd St. Louis Park,MN 55424 Mound MN 55364 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 ORDINANCFS AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. AP LICAN PERMITEE NATURE ISSUEDBYS[GNATURE Copies: 1-File(SiQnitures Required), 1-At�nlicant 1-Monthlv Renorts, 1-Assessin�, 1-Finance 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 CONTRACTOR JOB SITE ADDRESS: � � � ZIP: Will this be a Para Homes,Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: PHONE: (home) la g`y��/ � (work) MAILING ADDRESS: � � TY: ZIP: CONTRACTOR: � c PHONE:�� —D� CONTACT PE ON: OBI E/PAGER: MAILING ADDRESS: CITY: � IP��/ STATE LICENSE: # � ` ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition - / Move RemodeVAlteration 1/ ' Land Alteration c PROPOSED WO (describe in detai�: c STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. mo . ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��d�o ' I hereby apply for a building permit and I aclrnowledge 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 wor � t to start without a pernut;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE:c� —U r _ ♦ Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of lndivldual on whom the data Ls stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given iodividual. An indi�idusl uked to supply pri�•ate or contidential data concerning himselishall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdlvision,or statewtde system;(b) whet6er he may refuse or is legally required to supply the requested data;(c)any known consequeuce arising from his supptying or refusing to supply private or conRdential data;and(d)the identlty of other persons or eotioa suthorized by state or federal law to recelve the data. This requirement shall not apply when an individual Is asked to supply investigative data,pursaant to section 13.82,subdi�-isloo 5,to a law enforcement ofticer. The commisstoner of revenue mav ulace the nodce reaulred ander this subdiviston in the individual income tac or orooertv taa refund lnstructions instead of on those forms. Subd.3. Access to data by indlvidual. Upon request to s responsible authority,an indi�idusl shall be lnformed whether he Is the subject of stored data on individuals,and whether it is classifled as public,privau or rnnfidentfal. Upon his furt6er request,an indicidual who is t6e subject of stored private or publlc data on indlviduals shall be shown t6e data withoat any charge to him and,if he desires,shall be informed of t6e content and meaning of t6at data. After an individual 6as been shown the private dita and iniormed of Its meaning,the data need not be dlsclosed to him tor sia months thereafter unless a dispute or actlon pursuant to this section is peading or additionsl data on the individual has becn rnllected or created. T6e responsible suthority shall provide copies otthe prlvste or publ(c data upon request by the individual subJeM of the data. T6e responsible authority may require the requesting person to pay the aMual costs of maldng,certif}iag,sod compiling t6e copies. The responsible authority shall comply immedlately,If possibfa with any request made pursuant to thls subdivision,or within tive days otthe date of the request,excluding Saturdays,Sundays and legal6olidays,if immediate rnmpl(ance is not possible.If he cannot comply with the request within that time,6e s6a11 so inform the Individual,and may hsve an additional fi�-e days within which to compiy with the request,ezduding Saturdays,Sundays and legal holldays. Subd.4. Procedure when data is not accurate or rnmplete. ,�n individual may contest the accuracy or completeoess of publlc or prlvate data concerning himself. To exercise this right,an indlvidual shsll notify ia writing t6e responsible aut6ority describing the nature of the disagreement The responsible authority shall withln 30 days etther: (a)correct the data found to be inaccurate or inrnmplete and attempt to notify past reciplents of inaccurate or incomplete data,including reclpients named by t6e individnal;or(b)aotify the indi��dusl that he believes the data to be rnrrect. Data in dispute shall be dlsclosed only if the indlvidual's statement of disagreemeat ls included with the discfosed data. The determination of the responsible authority may be appeakd pursuant to the provisions ot the administratice procedure act relating to rnntested cases. DATA PRI�:�CY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of svbjects of data",we�-ould like to inform�•ou that your request for a permit or license from the City of Orono or any of iu 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 eztent 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(a�ailable upon request)to review private data on yourself. 6. Your full name is required to process this application or permi� Flrst Mlddle L� Address C�h' State Zip Phooe I understand my rights as stated above. . Slgnature �V v" �-�pATE / TIME V CITY OF ORONO CALLED IN =✓��` t'� INSPECTION NOTICE SCHEDULED � � PERMIT NO. Pl'� �7�� COMPLETED ADDRESS 3 �/.n � �� OWNER � ��ONTR. i��L:Q ��-�'� TELEPHONE N0. a 5� ��- `�� -a.�� -7 � DESCRIPTION C�/�-L�/�'`�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � J � �� O � � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETtJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContract�n �e: Inspector. —�J White Copyllnspector's Fi Canary CopylSite Notice