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Home My WebLink About2006-P09820 - re-roof PERMIT CITY Q�F ORONO 2750 k�eliey Parkway- PO Box 66 Permit Number: Po9820 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 5/1/2006 SITE ADDRESS: 510 Deborah Dr Unit# Maple Plain,MN 55359 PID: 31-118-23-23-0006 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: � ` NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 3��•25 Valuation: $ 23,600.00 State Surcharge Fee: $ 11.80 TOTAL FEE: $ 389.05 APPLICANT: Minnesota Country Builders Remode OWNER: Chris&Patricia Welty 21101 Oakedale Dr. 510 Deborah Dr Rogers,MN 55374 Maple Plain,MN 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 BUILDING CODE REQUIREMENTS. �_,� �_�..( �a.,�-� �� " APPLICANT PERMITEE SIGNA7URE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) 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 inforniation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circ(e o�ze) OWNER O CONTRACTOR JOB SITE ADDRESS: �/O ,D.e 13n-/� �/� � ZIP: 5^.S^3� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO If yes, a specia/event perrnit is reguired lvith Police Departn�ent and Ciry Counci!approval 60 days prior•to tlze event. Shirttle biis service�vill be r•egarired unless applicant dernonstr•ates sc fficient on-sile pnrkrng is available. R�on-perrnitted events ivill not be allowecl. NAME OF OWNER: C�r� S 4�c�TR��/� W�.L� PHONE: (home) (work) MAILINGADDRESS: S�v ,(�T3n./� LA- . CITY: p2�� ZIP: CONTRACTOR: tul�, e�u.rn<., ��-b g�e►n�d.e�c�-�i`�iONE: 7�3"�ZU-��5 l CONTACT PERSON: �� MOBILE/PAGER: (� 12- y 4� - 5 6 7 2� MAILINGADDRESS: Zilo ( o�kD�+c*� �- CITY: �uq�n,S ZIP: S"S 37y STATE LICENSE: # J a'� / , EYPIRATION DATE: 3�3 /f o� ARCHITEC�'7��1 . . MAILING ADDRES • ITY: ZIP: NAME• REGIS : # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in cletain: f�� 2�o F !4 ov SS� � �'`,�� 4. STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED w ESTIMATED CONSTRUCTION VALUATION(excluding land): $ v2�j �c 00 I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; that the work will be in conformance with the ordinances and codes ofthe City and with the State Building Code;that[ understand this is not a pennit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � DATE: S l b� 31 Scc13.04 RIGF[TS OF SUBJECTS OF DATA Subd. 1. "Cype of data. The rights oti individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. [nfonnation required to be given individual. An individual asked to supply private or confidential data concerning himselfshall be infonned of: (a)the purpose and intended use ofthe requested da[a within the collecting state aeency,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply d1e 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 entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply im�estieative da[a,pursuant to section 13.82,subdivision 5,to a la�v enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income t1x or orooertv tax refund instructions instead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classitied as public,private or contidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned ofthe content and meaning of that dafa. After an individual has been shoevn the private data and informed of its meaning,the data need not be disclosed to him for sis months thereafter unless a dispute or action pursuant to this section is pending or addi[ional data on the individual has been collected or created. The responsible authority shall provide copies of die 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 making,certifying,and compiling[he copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days ot the date ofthe request,eecluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that tiine,he shall so inform the individual,and may have an additional five days within�vhich to comply with the request,ezcluding 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 concerning himself. To exercise[his right,an individual shall notity in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eidier. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,includin�recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data�n dispute shall be disclosed only if the individual's statement of disa�reement is included with the disclosed data. The detennination of the responsible authority may be appealed pursuant to the provisiais 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 inforn�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: l. The information you furnish will be used to detern�ine 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 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 youcself. 6. Your full name is required to process this application or permit. First 1'liddle Last Address Cih� State Zip Phone I understand my rights as stated above. U Si�natur Reset Form �� DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION N TICE SCHEDULED PERMIT NO. D I8� COMPL TED ADDRESS 5 v �� •- OWNER CONTR. TE�EPHONE NO. � DESCRIPTION ��d � 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 � ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 NAL 14 SEWER HOOK-UP 06 PROGRESS � 7 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 a � � O >. � O � W � Q � Z W � W � j d W� WORKSATISFACTORY:PROCEED , PROJECTCOMPLEfE W ❑ CORRECT WORK 8 PROCEED _i ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pH0T0 TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION flE�U1RED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (J52� 249-46�� OwnerlContr te: Inspector. White Copyllnspector's Fil Canary CopylSite Notice