The URL can be used to link to this page

Home My WebLink About2005-P09500 - re-roof PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P0950o Crystal Ba�, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 12/22/2005 SITE ADDRESS: 3926 Cherry Ave unit# MOUND, MN 55364 P�� 08-117-23-33-0019 DESCRIPTION: Proposed Use: Residential Census Code O/S -Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approvcd per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernlit Fee: $ 139.25 Valuation: $ 6,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 142.50 APPLICANT: Western Roofing OWNER: Tony Purven 9700 13th Avenue N MN Plymouth,MN 55441 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. �/� � ` (� ��f � .�'�% �,� :�_ � i (,i"�,"'� C�i� <"? APPLICANT PGRMITEE SIG��' U . ISSUED E3Y SIGNATURE Copies: 1-File(Sig�iaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICA'TION All information must be submitted in full before plan review will be startecl. (please pri�tt all iizfof�ntatio�z) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �"' C� �; - i ' ' i/ JOB SITE ADDRESS: �; /�� "f 1�'t '" ,f`"��'f ZIP: `-� �-'�`7` Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO If ye,s, a special evey�i permit is rec�irired ivith Po[ice Depnr�tiney�t ai�d Ciiy Cozn7cil approval 60 dal�s prior•to the event. Shtittle busservice tivill be required unless applica�zt dernonstrates szr�cient on-site pnrking rs availnble. No�7-pei•r�rrtted events lvill��ot be n!lo��vecf i NAME OF OWNER: n J�i' �a,�"��-r-'�`�� PHONE: (home) � �`'" �' �� y?�`�`�, _ (worlc) MAILING ADDRESS: %f-'/�' f CITY: ,_'),!='^/'.�_� ZIP: -�:i J��' CONTRACTOR: -'�.� ` �-�i -�'l PHONE: ;��'—�-y/`�3� � CONTACT PERSON: � ��/ MOBIL,E/PAGER: MAILINGADDRESS: �'�"'�'CS- , =� ,,�-Y^� CITY �i�, :�� ZI�'. %'�H'� STATE LICENSE: # �r; :�;.� ; '��,�"! EXPIRATION DATE: -��=' ��: ARCHI'I'ECT/ENGINEER: PHONE: 1'vIAILING ADDRESS: CIT�': ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure _ Move Home Remodel/Alteration PROPOSED WORK(describe in cfetain: �r %/Y�='��":� STOI�IES: 5Q, FIEE'T OF'E�1C�-I FLO�1�: NO. OF BED1200R�IS: GARAGE S'TA�,I,�: A'I"I'ACHED ��'I'A��E� �S"TIIViA'I ED COI�1S'TI��TC�'ION VP�I,UA'I'ION(excluding land): $ v� j C�Q I hereby apply for a building permit and I achnowledge that the information above is complete and accurate; that the work�vill be in conformance with the ordinances and codes ofthe City and with the State Buildin� Code;Cl1at I �inderstand this is not a permit and work is not to start witl�out a permit;and tl�at the work will be in accordance with the approved plan. � �. ' �� ,,,�:%' �� ,.�� ,;+� ' APPLICANT S SIGNA'I'L'I2E: �� .-<_��' DA'I'E: � �,-'�:�� . ,�._ �-�. _.. C;�`, 3l Sec.13.04 RIGHTS OF SIJBJECTS OF DATA Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Intonnation required to be given individuai. An individual asked to supply private or contidential data conceming himself shall be informed ofl. (a)the purpose and intended use of the requested data within d�e collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is le�ally required to supplr'the requested data;(c)any known consequence arisine from his supplying or refusing to supply � private or confidential data,and(d)the identity of ocher persons or entities aud�orized by state or tederal law to receive the data. This requirement shall not apply when an individual is asked ro supp(y im-estigative data.pursuant to section 13.82,subdivision 5,to a law enforcement officer. Tlte commissioner of revenue ma�place the notice reguired under this subdivision in d�e individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access ro data by individual. Upon request to a responsible authority,an individual shall be infonned whe[her he is the subject of stored data on individuals,and��hether it is dassified as public,private or confidential. Upon his further request,an individual who is the subject ot stored private or public data on individuals shall be shown the da[a without any char�e to him and,if he desires,shall be informed of[he content and meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him tbr six months dlereafter w�less a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 makin�,ceRift�ing,and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or�i ithin five days of [he date of the request,escludine Saturdays,Sundays and legal holidays,if immediate compliance is not possible. It he cannot comply widi the reques[ within that time,he shall so intbrm the individual.and may have an additional five days�vithin�vhich to comply�vith the request,excluding Saturdays, Sundays and legal holidays. Subd.a. Procedure when data is not accurate or complete. An individua!may contes[the accuracy or completeness of public or private data concerning himself. To eaercise this right,an individual shall noti'ty in writing[he responsible authority describine the nature of the disagreement. The responsible authority shall within 30 days either (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients 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 tlie individual's statement ot disagreement is induded�vith the disclosed data. The determination ot the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating ro con[ested 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 infonnation you furnish will be used to determine your qualification for the permit or license requested. ?. 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 pennit or license requires Council action to approve, some information may become public. 5. You have certain rights under NLS. 13.04(available upon request)to review private data on yourself. 6. Your full name is rec�uired to process this application or permit. Pirst �Iiddle Last Address C�ry Sr.�tc "J,ip �'hone � understand my rights as stated above. . !�� .� Si�nature �� r DATE TIME ✓ J� CITY OF ORONO CALLED IN �"=�U � INSPECTION NOTICE SCHEDULED "�/'U 3 U / PERMIT NO. �U�,7�iU COMPLETE ADDRESS 'S��G C ��/ � 'z OWNER CONTR.��5 j�'v��✓� TELEPHONE NO. ��" � S� � �'� '�'`� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 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 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED _ PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REDUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. �95Z� 249-46QQ OwnerlContra or s Inspector. White Copylinspector's File Canary CopylSite Notice