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Home My WebLink About2006-P10064 - re-roof PERMIT C�TY OF ORONO 2'50 Kelley Parkway- PO Box 66 Permit Number: p1oo64 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 7/5/2006 SITE ADDRESS: 1295 Elmwood Ave Unit# Mound,MN 55364 P�� 07-117-23-41-0018 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: $ 139.25 Valuation: $ 6,250.00 State Surcharge Fee: $ 3.15 TOTAL FEE: $ 142.40 APPLICANT: Todays Exteriors Inc. OWNER: J&L Theisen 2621 Xerxes Ave.N 1295 Elmwood Ave Robbinsdale,MN 55422 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 BU[LDING CODE REQUIREMENTS. � � � �� .:� =-�- ��-� Q,��`,; _ , , _ ,-� _, f- ��--� APPLICANT PGRMITEE SIGNATURE ISSUED IIY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Mo�thly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �� I . 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 information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR ) _� JOB SITE ADDRESS: /Z�'!f �(w�c.�o� � �`'�-- ZIP: Will this be a Parade f Homes, Remodelers Showcase Home or other Display Home? ❑ YCS o If yes, a special event pernzit is��eguired with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus se�-vice will be requiretl unless applicant demonstrates sufficient on-site parking is available. Non-pe��nitted events will not be allowed NAME OF OWNER: �;.�. � � �t S C � PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: �-��y�S ��C{e1�'ur'S �i c. PHONE: �r Z 6YY " � 2-� � CONTACTPERSON: a�zo� MOBILE/PAGER: ��rL� �c�-f�I ' p23 6 MAILING ADDRESS: Z62 ( XFr27c S',f �.��. CITY: �e�,�.'�s.•�-�ZIP: �_'�°L Z_ STATE LICENSE: # �0,3 0�Y S( EXPIRATION DATE: �/,3//� � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) tf Any earth movement may require MCWD r view and permits ! PROPOSED WORK(describe in detain: -7�.i.t- - o � /'� � 2C� -/�o� � �O�S E ��C.!'� C STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (p Z� , �,o I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confarmance witl�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: T � c,G �� 31 �� , �� I �I ( , 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 section. Subd.2. Information required to be given individuaL An individual asked to supply private or confidential dataconceming himselfshall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the 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[o receive the data. This requirement shal I 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 revenue mayplace the notice required under this subdivision in the individual income tax orpropertv tax refund instructions instead of on those forms. 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 classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or puUlic data on individuals shall be show�the data��ithout any charge to him a��d,if he desires,shall be informed of the content and meaning of that data. ARer an individual has been shown the private data and informed of its meaning,the data need not be disdosed to him for six months thereafter 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 ofmaking,certifying and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate 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 contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the naTure ofthe 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 bel ieves 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. The determination of the responsib]e authority may be appealed pursuant to the provisions of the administrative procedure act relatine 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 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 yourself. 6. Your full name is required to process this application or permit. First 111iddlc Last Address City State Zip Phonc I understand my rights as stat e. Signature Reset Form 32 ;� DAT TI M�� -'�ITY OF ORONO CALLED IN r WSPECTION NOTICE SCHEDULED �� PERMIT NO. ��l��Y��L��1 COMPLETED ADDRESS �� GcJ Ci cl:�c1� � OWNER CONTR. T�CX'�GC�/S � ��, TELEPHONE NO. f� I� - (�%ZI� ' U� �!r% ��rL1 � DESCRIPTION f^�(7;L � lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION ¢ OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 0 O-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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q ti Z W � W � � d W i WORKSATISFACTORY:PROCEED _� PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED !, ISSUE CERTIFICATE OF OCCUPANCY W � �� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN �=i CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for ihe ext inspection 24 hours in advance. (952� 249-4600 OwnerlCon site: Inspector. White Copyllnspector's ile Canary CopylSite Notice