HomeMy WebLinkAbout2001-P04528 - re-roof ' ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4s2s
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 1oi23i2oo1
SITE ADDRESS: 1415 Cherry Pl
MOUND,MN 55364
P I D: 08-1 17-23-3 3-0021
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai
Buildin Census Code O/S-Building
Permit Class: g
Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 44.85 Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 45.45
APPLICANT: Schmidt,Allen Construction OWNER: E A SCHMIDT&C A SCHMIDT
1415 Cherry Place 1415 CHERRY PL
Mound, MN 55364 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 ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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APPLICANT PGRMITEE I NATURE � ISSLIED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATIOIeT
All information must be submitted in full before plan review will be started.
(please print all information)
-------------------------------------------------------�--=J=--==-------- --------------------------------------
THE APPLICANT IS: (circle one) WNER OR CONTRACTOR
JOB SITE ADDRESS: �`��S G��Q� Y 6'L ZIP: 5 S3 6�
/21��'�,p
NAME OF OWNER: �LL� �..�-!n2��� PHONE: (home)�Z `�71 d t/l3
(work)
MAILING ADDRESS: ����� ����y� � CITY: /'Yt o+r-�r--p ZIP: ;��3 �
CONTRACTOR: �GL ��J �c�t�e i�r ���si PHONE: �7� - �?�1�
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # (+s' Z �
ARCffiTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�{� Land Alteration
PROPOSED WORK(describe in detai�: ��,e ��.�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j�Z.�cs� �
I hereby apply for 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 Ciry 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.
APPLICANT'S SIGNATURE: � - �°--' S�`�--�` DATE: �D �3 O/
NOTE! Parade Qf Homes events require separate pernzit approval by Police Deparhnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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 in this secdon.
Subd.2. Informatioo reqirired to be given individual. �t individual asked to supply private or confidenual data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data wi[hin the collecting'state agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to suppty the requested data;(c)any lmown consequence arising from his supplying or refusing to supply
privace or conridendal data;and(d)the identity of o[her persons or endaes au[horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data b�individual. Upon request to a responsible au[hority,an individual shall be informed whether he is the subject
" of stored data on individuals, and whe[her it is classified as public, privace or confidenaal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the con[ent
and meaning of that data. Afrer an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuant to this secaon is nending or addiaonal data on the individual 6as been coilected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of makine, certifying,and compiling the copies.
The responsible auchoriry sha11 comply immedia�ely, if possible, wi[h any request made pursuant to this subdivision,or within five days of
the date of the requesc,excluding Saturdays,Sundays and legal holidays, if immedia[e compliance 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 conrest the accuracy or completeness of pubiic or priva[e
data concerning himself. To exercise[his right,an individual shall notify in writing the responsible authoriry dzscribing[he nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past reci�iients 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.
Tlte derermination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY 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 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 a?encies to the extent 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 (available upon request) to review private data on yourself.
6, Your full name is required to process this application or permit.
� /-��-G��� S c. rtr�,o�r
First Middie Last
Address
City State Zip Phone
I understand my rights as stated above.
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Signature
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �y SCHEDULED -1�'
PERMIT N0. PD�����X COMPLETED �2 �Q� ^/� �1S
ADDRESS ���� �;�.2�✓!�a /�'��.�t�
OWNER CONTR. ��,���-�-�.-�11%�r�CGi7`,
TELEPHONE N0. � �v� �C�l� -� o /�/
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� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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 HAfiD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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� F�WORK SATISFACTORY:PROCEED �&=PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REiURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnedContrac or on site:
Inspector. � -�s'�� ��
White Copy/lnspector's File Canary CopylSite Notfce