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Home My WebLink About2003-P06892 - chimney ' � ' PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po6892 Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations (952) 249-4600 Date Issued: ioii4�2oo3 SITE ADDRESS: 4675 Creekwood Tr Maple Plain,MN 55359 P I D: 30-118-23-33-0007 DESCRIPTION: Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Pernut Sub-type(s): Chimney DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 195.25 Valuation: $ 10,850.00 State Surcharge Fee: $ 5.95 TOTAL FEE: $ 201.20 APPLICANT: Metro Chimney Masonry Inc. OWNER: D&K Biek 6160 Wood Hill Lane 4675 Creekwood Tr Maple Plain,MN 55359 Maple Plain MN 55359 THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE TI-�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. � ' � .�' ,�,�� t' C��_ �` APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Si�nitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . . Total Fee: $ .��. �� Date Received: ��'-i y-�� Entered By: �._ Permit#: /��tr��r 2 ,�-- CITY OF ORONO - BUILDING PERNIIT 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 CONTRACTOR -- // ��,� ,�. - JOB SITE ADDRESS: ��_�� ,,C�1Znir ��'�� ZIP: �7 ?�-' NAME OF OWNER: �/'v2. , /'G�ic�. PHOivE: (home) Y `T`T�- �Ja.:j� / (worlc) � � �ITY: � �L�LU ZIP: j l�IAII�ING ADDRESS: `��,S 1Z�;��iUd Z�� ----�� CONTRACTOR: 1"/.�� PHO��tE: G .� � _ �. CONTACT PERSON: O ILE/PAGER: .z—.2 MAILING ADDRESS: CITY: ��1 L , ZIP: � STATE LICENSE: # r �� ARCHITECT/ENGI�i IEER: - PHONE: MAILING A.DDRESS: CITI': Z�� rJ�ME; REGISTRATION# � TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED`VORK (describe in detain: ti/'��—f/- �'��'� ��r%!� � � STORIES: � SQ.FEET OF EACH FI.00R: NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. ESTI�I�IATED CONSTRUCTION VALUATION (excluding land): � ��% �7 (� �u I hereby apply for a building pernut 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 Buildin� 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 ac dance with the approved plan. � APPLICAN'T'S SIGNATURE: DATE: l�'�� O�_ ;�� NOTE! Parade of Homes events require separate permit approval by Police Department and , � � _ City Council 60 days prior to the event. Non permitted events will not be allowed. �� ' � . . Sec.13.0�1 RIGH'I'S OF SUBJECTS OF DaT� Subd. 1. T}ge of data. 'Ihe riehcs of u:dividual on whom tha data is stor�or to be scored shall be as set forth in this secdon. Subd.3. Informadon reqirired to be given individual. An iLdividual asYc3 to supply privace or confideadal data concerning himself shall be informed of: (a)che purpose and inrended use of che requesccd dam wi�in the colleccing'state agency,policical subdivision,or sntewide system; (b)whether he may refuse oi is legally required to supply[he requested daa;(c)any Icown coasequence arising fmm his supplying or refusing to supply privace or conndential data;and(d)the idenriry of oeher perso�s or enriri:s z�chorized by s�ate or federal law to receive the data..This requ'uemeoc shall no�apply when an individual is asked to supply invesriearive daci,purn:�ac[o secaoa 13.82,subdivision 5, to a law enforcement officer. The commissioner of re�enue r�av pia�e the nodce reauired ❑rd�r this subdivision in che individual income tax or orooem tax refund inscructions insczad of on those forms. / Subd. 3. �ccess to data b�indi�zdual. Upon request to a rospoasible aet^oriry,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her it is classified as public,priva4 or confid=r.ria1. Upon his further request,an individual who is the subjec[ of scorzd private or public data on individuals shall be shown che da�a wiu ouc any c':iarge to him and,-if he desires, shall be informed of the contenc a.^.d meaning of�hat data. Afrer an individual has been shown the priva��ac�and in:ormed of its meaning.che data need not be disclosed to him for six monchs chereafter unless a dispute or acrion punuan[to chis secaon is c��ding or addirional data on the individual has been collectzd or creaced. The responsible au�horiry shall provide copies of the privace or public daca a�on reques:by[he individual subject of the dara. The responsible authoriry r..ay require rhe requesting person to pay the ac�ual costs of making,ce^:;ing, and compiling the copies. The responsible auchoriry shall comply immediacety, if possib!.,wich an}' rquest made pursuant to this subdivision,or wichin five days of th�date of che request,ezciuding Sanirdays,Sundays and legal holidays,ii ir^..mediate compliance is not possible. If he cannot comply with the request wi�4in thac dme,he shall so inform[he individual,and may have an addice;.al five days wirhin which to comply with the request,ezciuding Sacurdays, Sundays and legal holidays. Subd.4. Procedure when data u not accurate or complete. ?.n individuzl may con[est the accuracy or completeness of public or pri�•ate da[a concerning himself. To exercise this rieht,an individual shall nodEy ia wridng�:=responsible authoriry dzscribing the nature of the disagreement. 'I�e responsible auchoriry shall within 30 days either: (a)correce the dan tcund to be inaccurate or incomple�e and attempt to nodfy past recipiencs of i^accurate or incomplete data, inciuding recipien�s named by thz individL�I;or(b) r_odfy the individual thac he believes the data to be coaect. Data ia dispuce shall be disctosed only if che individual's statemenc of disagr::�=nt is i^.c:::ded with the disclosed data. Ttie de�ecminarion of the rzsponsibte au�horiry may b� appea�=� pursuar.:to the provisions of[he admuiistrarive procedure act relaang to contested cases. DAT� PRIV�CY AD�ZSORY In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you tha[your reauest for a pemut or license from the City of Orono or any of ia deparwents may require you to furnish cenain private or confidential information. You are notified thar. 1. The information you furnish will be used to de:ermine�'our qualification for the pemut or license requested. 2, You may refuse [o supply data, but refusal may require that the City deny the permit or license. 3, The information may be shared wi�h o�her loc�l, stace or federal agencies to the excent necessary to process the permit or license. 4. If your requested permi[ or license requires Council ac[ion to approve, some information may become . public. j. You have certain ri�hts under M.S. 13.04 (available upon request) [o review private data on yourself. 6, Your full name is required to process this application or perm.ic. Firsc �Siddle Lasc Address Ciry State Zip Phone I understand m nQ ts as s ted above. � / Signa[ure � DATE TIM�C� CITY OF ORONO CALLED IN ��3 INSPECTION NOTICE �� SCHEDULEd��' PERMIT N0. ��C�� COMPLETED , ADDRESS ��L7_� ��lc�I� lx.iC1C' C�r l�..A-ff� OWNER CONTR. ��'f/�� fl�iLt,Ce�-1 TELEPHONE NO. �� r � DESCRIPTION //�i"c:�i-� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 J 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 YO YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� Owner/Contrac or ori site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice