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Home My WebLink About2000-P02248 - re-roof PERMIT �I� O F O RO N O permit Number: 2750 Kelley Parkway- PO Box 66 Po22as Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (612) 249-4600 Date Issued: 3i2�i2oo � SITE ADDRESS: 1230 Spruce Pl MOUND,MN 55364 P I D: 07-1 l 7-23-41-0092 DESCRIPTION: Proposed Use: Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: r Separate permiu required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 9�•25 Valuation: $ 3,500.00 State Surchazge Fee: $ 1.75 TOTAL FEE: $ 99.00 APPLICANT: WF. SMITH CONSTRUCTION OWNER: W�ATT&NANCY S MOE 5985 LYNWOOD BLVD 1220 LOMA LINDA AVE MOIJND,MN 55364 MOLJND MN 55364 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TOMAKE THE REAL IMPROVEMENTS SPECIFIED A'�D AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF�IINNESOTA BUII.DING CODE REQUIREMENTS. 1� � � �. I I D BY SIGNATURE Copies:Cin,Applicant,Assessor,Finance Page 1 � Total Fee: $ `/J D?� Date Received: :� -��'��' Entered By: _ Permit#: f}-p � �,�,i( CITY OF ORONO - BUII..DING PERIVIIT 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_ ONTRACTOR JOB SITE ADDRESS: l��G�` ��l-- -S-� ZIP: S �� NA:'�iE OF OWNER: ��J y�� '�� -- PHOi�TE: (home) �7/-7G''� � (work) 1�L�,II..Pi iG ADDRESS: 1 Z,�U S�� c.�.�.R--- S-� CITY: �r�z-.-�, ZIP: _�� COr"TRACTOR: (ti/ f% �z, �-�-�-� �� S'i- PHONE: �/�7 2 �G� � � � C0�1'TACTPERSON: ��,, a S'1�.. t T'� MOBILE/PAGER: �� 7-- � %� "7 . I�L�iII.I�i 1G ADDRESS: ��51��-y .� S �' . �� «� �� CL1 1: /V��Gi!'vr.t - Z1C: � J �`�. F - STATE LICENSE: # S �v I ARCHITECT/ENGINEER: PHOi�tE: ZL�II.ING ADDRESS: CITY: ZIP: �,��,�: REGISTRATION# 'T�-PE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: �'.�;��7 '� �� y�" �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. EST�IAT'ED CONST'RUCTION VALUATION (excluding land): $ � �Zv � �`� I hereby apply for a buildin�pemut and I acknowledge that the information above is complete and accurate; �hat 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 per�~it; and that the work will be in accordance with the approved plan. � APPLICANT'S SIGNATURE: �C�C�.�—��— DATE: �' � 7 --� � 11�'OTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non pernzitted events will not be allowed. ` " � Sea13.04 RIGI�iTS OF SUBJECTS OF DATa Subd. 1. Type of data. The righcs of icdividual on whom[he data is stored or w be stored shall be as set forth in this secrion. Subd.'_. Information reqirired to be�ven individual. An individual asked to supply privace or confidenrial dard concerning himself shall be iaformed of: (a)the purpose and inteaded use of che requested data wichin[he collecdng"state agency,politica!subdivision,or sracewide rystem; (b)whecher he may tefuse oY is legatly tequired to sl:npty[he requested data;(c)any Imown coastquencc arising from his supplying or refusing to suppty privace or conndenaal dara;and(d)the idendty of ocher persoas or enudes au[horiz=d by sram or fedzral law to receive[he dara. 'Ihis requiremen�shall not apply whzn an individual is asked to svppty incesu¢arive dan, pursuanc ro secaon 13.82, subdivision 5, to a law enforeement ofFicer. 'Ihe commissioner of re�enu r�av pla- ch nodce reauired under chis subdivision in �he individual income rax or propem taz refur.d instrucdons u:scead of on chose forms. Subd. 3. access to data b�individuaI. lipon requesc to a responsible authoriry,an individual shall be informed whether he is[he subjecc of s�or_d da[a on individuals,and whecher ic is cl�csified as public, private or confidendal. lipon his fur�her requesc, an individual who is the subje:c of stor:d priva�e or pubiic dan on individuals shall be shown[he dara wi�houc any char3e tD him and:if he desires, shall be informed of[he con�enc and meaniag of chat data. After an individual h�s be:n shown che privace data and informed oI ics meaning,the data need not be disclosed to him for siz monfis ;hereaiter unless a dispute or acdon pursuanc co ehis secrion is pending or addiaooal dara on the individua!has beea collected or ezeaced. The responsible auchoriry shali provide copies of die privace or public data upon requesc by ehe individual subject of�he dara. Tne responsible authoriry may require[he requesting person to pay the acnlal costs of making.cerrifying,and compiling [he copies. The responsible auchoriry shall compiy immedia[ely, if possible, wi�h any request made pursuant to this subdivision,or within five days oi the da�e of the requesc,excluding Saturdays.Sundays and legal holidays,if immediace compliance is not possible. If he cannoc comply with the request wi[hin thac time,he shall so inform[he individual,and may have an addiuonal five days wichin which to comply wich�he request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may contest che accuracy or complzceness of public or private ' dara conceming himself. To exercise[his righc,an individual shall noafy in wricing�he respoosible au[horiry describing�he nacu:e of the disagreemeat. . The responsible auchoriry shail within 30 days ei4`:er: (a)correcc the data found[o be inaccurdte or incomplete and attempt to noafy past recipienu oi inaccurac�or incomplete da[a, inctuding recipiencs named by [he individual;or(b)nodfy tt:e individual tha�he believes[he dara to be correct. Data in dispuce shall be disc!osed only if[he individual's sracemenc of disagreemenc is ir.cluded wirh�he disclosed data. The decerminarion of ehe responsibte auchoriry may be appealed pursuanc to the provisions of[he administcarive procedure act reladng to contes:ed cases. DAT�, PRNACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your reauest for a permit or license from the City of Orono or any of its deparcments may require you to fumish certain private or confiden[ial information. You are notified that: 1, The information you furnish will be used to determine your qualification for the permit or license requested. ?. You may refuse to supply data, buc refusal may require thac the Ciry deny the perm.it or license. 3. The information may be shared with ocher local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested permic or license requires Council action to approve, some information may become public. �, You have certain riQhts under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process [his applicacion or perm.it. First �tiddle Last Address Ciry Stace Zip Phone I understand my ri�hts as stated above. i��'' � c�z Signa[ure DATE TIME CITY OF ORONO CALLED IN INSPECTION N TI�E �g SCHEDULED „-�� PERMIT NO. �a-�- COMPLETED �_��_ �� 3�� ADDRESS � �� l�C� OWNER �'� 3 �' CONTR. c.l� .F.,�l'Y)1 � Cq� TELEPHONENO. �� f`G� � DESCRIPTION �c�� =��.►�� lV 01 FO NG 11 MECNANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION 05�FI 14 SEWER HOOK-UP O6 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C�J MENTS: �� b °� ^ �� . . �,� . ,� Q �� 5 vt�ac�P rop� L��cc � � � o?� �P �-ec�. e t�'i l / � ' �d� 5 � � � �'� W / Q .�� L✓� Y i P �.- G l 4 S �I�- z ��_,1�`P L- L-�� W � W � � d W j�jWORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W� ❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ' CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL RETURN : STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector.!//��L�-�� White Copylinspector's File Canary CopylSite Notice