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Home My WebLink About2005-P08473 - re-roof PERMIT CIT`� OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P08473 Crystal Bay, Minnesota 55323 Per-mit Type: MinorAlterations (952) 249-4600 Date Issued: 2i28i2oos SITE ADDRESS: 4400 Deering Island Mound,MN 55364 P I D: 18-117-23-31-0001 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Sub-type(s): Building-Re-Roof Pernut Type: Minor Alterations DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 97.25 Valuation: $ 3,500.00 State Surcharge Fee: $ 2.25 TOTAL FEE: $ 99.50 APPLICANT: Owner/Self OWNER: Donald Driggs � 2925 Casco Point Rd Wayzata, MN 55391 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. , `-�-L c �� ,� /�� APPLICANT P_ M[TEE SIGNATURE ISSUED BY S[GNATURE Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Tittal Fee: $ Date Reccived: ' Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all iizforniation) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNF.R OR CONTRACTOR JOB SITE ADDRESS: �'��O� � � �1��;�1,� � ��'-� ..a-� � ZIP: _�5 -�j�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event peYmit is requirecl with Police Department ancl City Council approva160 days prior to the event. Non permitte�l events will not be allowed. NAME OF OWNER�p�,� �� !JIZ� ��f PHONE: (home)�S�- ��J/— ��Ov (work) MAILING ADDRESS:�C: � ��"1 CITY: L�I�.1,J„��%,� ZIP: �� 2 CONTRACTOR�� l� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER:� � � PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure Addition li'Iove Remodel/Alteration Land Alteration PROPOSED WORK(describe iiz detczi�: ��'. l'�-r�c;'� STORIES: _L_ SQ. FEET OF EACH FLOOR: i Zv� NO. OF BEDROOMS: 2-- GARAGE STALLS: ATT.� DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $3.5 Uv 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 work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �' DATE: J fz�� Sec.13.04 RIGHTS OF SUBJECTS OF DATA ` Subd.1. Type of data. Thc rights of individual on whom thc data is stored or to bc stored shall bc as set forth in this section. ` Subd.2. Intormation required to be given individual. An individual askcd to supply private or confidentiai data concerning himsclf shall bc informed of: (a)the purpose and intended use of the requested data within the co►�ecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is Icgally required to suppiy the requested data;(c)any known consequence arising trom his suppiying 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 reyuirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of rcvenuc mav placc thc notice required undcr this subdivision in the individual income taz or propertV tax refund instructions instcad of on thosc forms. Subd.3. Access to data by individual. lipon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classificd as public,private or conGdentiaL Upon his[urther 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 informed of the content and meaning of that data. After an individual has been shown thc private data and informed of its meaning,thc data nced not be discloscd to him for six months thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copics. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within fivc days of the date of thc request,excluding Satw•days,Sundays and legal holidays,if immediate wmptiance is not possible.If he cannot comply with the reyuest 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 contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature o(the disagreemenL The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt fo notify past recipients of inaccurate or i�complete data,including recipients named by the individual;or(b)notify tl�e individual that he bclieves the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagrcement is included with the disclosed data. The determination of the responsible authority may be appcaled pursuant to the provisions of the administrative procedure act relating to contestcd cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Riglits 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 con�dential information. You are notified that: 1. The information you furnish will be used to deternune 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 pernut 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 pernut. �� .oa-(�t (,�,- i/��l CoG-� First Middle Last � �� `") Address ��1 V�,t.�,�Ir 1�C/ �'��.'( J� � l Z G)� Z. — 7 7�— �� i' City State Zip Phone I understan 'ghts as�tated above. � Signature _� DATE TIM�, CITY OF ORONO CALLED IN INSPECTION NOTICE , �j � scHe�u�E� � PERMIT NO. � �-'�'`� ' coMP�ErE� 3- /`-f` "S Z�l� ADDRESS �'�'�� =��'�`�S �sc�-•�-� � OWNER CONTR. TELEPHONE NO. � DESCRIPTION�� G` %G'7�- �i�= t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q � Z W � W � � d W� �lORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W`�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL PETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContract s' e- Inspector. White Copy/lnspector's File Canary CopylSNe Notice