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Home My WebLink About2001-P04152 - re-roof + � - PERMIT .. _ C I TY O F O RO N O permit Number: 2750 Kelley Parkway - PO Box 66 Po4is2 Crystal Bay, Minnesota 55323 Per-mit Type: Minor Alterations (952) 249-4600 Date Issued: si2i2ooi SITE ADDRESS: 1305 Elmwood Ave MOLJND,MN 55364 P I D: 07-117-2 3-41-0 03 0 DESCRIPTION: UBC Occupancy x3 Proposed Use: Kesidentiai Permit Class: Building Census Code O/S- Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: � ,�� FEE SUMMARY: Permit Fee: $ 29.60 Valuation: $ 700.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 30.10 APPLICANT: CHARLES E CARLSON OWNER: CHARLES E CARLSON 1305 ELMWOOD AVE 1305 ELMWOOD AVE MOUND MN 55364 MOUND MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TNE 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. � .2�� ' �� G� "� �-��-��_ LI ANT RMI :E SI NATURE 'ISSUED BY SIGNATURE Copies: 1-File(Signitures Required),1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 , ,,, I � � Total F'ee: $ �C}�,�� Date Received: c�5 ��--�) Entered By: �rn.�. Permit#: pp �{ l 5� 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: � ,�� S ��f� � �jl�/, ZIP: S_5.��% NAME OF OWNER ��4�7/�S ��y� PHONE: (home) �,Z-'1-� ��7� % (work) MAILING ADDRESS:S,q�� CITY: (�n y� p ZIP: ,S CONTRACTOR: �e1�' Gli(/!'I P�1� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAiVIE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK (describe in detai�: - STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��b_ oa I hereby apply for a building permit 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 Ciry 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: 8-�—Z�l NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. � ,.....��., � . - ' Sec.13.04 RIGHTS OF SUBJECTS OF D�TA 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 secrion. Subd.'_'. Information reqtirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be inforzned of: (a)the purpose and incended use of the requested dara within the collecting'state agency, poliacal subdivision,or statewide system; (b)whether he may refuse or is legafly required to supply the reques[ed data:(c)any lrnown consequence arising fmm his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or ennaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesoeaave dact, pursuant to secaon 13.82, subdivision�, to a law enforcement officer. The commissioner of re��enue mav place che notice reauired under this subdivision in the individual income tax or propem tax refund instruc�ions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsibfe authority,an individual shall be informed whether he is the subject of stored data on individuals, and wherher it is classified as public, privace or confidenaal. Upon his funher request, an individual who is the subjecc of stored private or public data on indiciduals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the conten[ and meaning uf�hat da[a. After an individual has been shown the priva[e data and informed of iu meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or acrion pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsibie authoriry shal!provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require che reques[ing person to pay the accual cosu of making, certifying, and compiling the copies. The responsibte au[horiry shall comply immediately, if possible, wi[h any request made pursuant to this subdivision,or within five days of the date of the request,excluding 5acurdays,Sundays and leeal holidays,if immediate compliance is not possible. If he cannot comply wi[h the request wi[hin that time,he shall so inform[he individual,and may have an addidonai five days within which to comply with the request,excluding Saturdays, Sundays and legai holidays. Subd.4. Procedure w�hen data is not accurate or complete. An individual may contest the accuracy or completeness of public or pricate data concerning himself. To exercise this rieht,an individual shall nonfy in writing the responsible au[hority describing[he nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to norify past recipienu 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 dispu[e shall be disclosed only if the individual's statement of disagreement is included with the disc(osed data. Tlie determinacion of the rzsponsible auehoriry may be appealed pursuant to the provisions of the administradve 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 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. ? You may refuse to supply data, but refusal may require that the City deny the pemlit or license. 3. The information may be shared with other local, state or federal a�encies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. �. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. First Vtiddle Last :�ddress Ciry State Zip Phone I understand my rights as stated above. Signamre /�� DATE TIME CITY OF ORONO '� CALLED IN INSPECTION NOTICE SCHEDULED 3 !U' b /�( PERMIT NO. PO yl5a COMPIETED '^ / �'%3a ADDRESS ,�,�� C�is�Gc�(�C�� E� OWNER �iGr:I,�S ��r�S�� CONTR. !`1<�1 C�`��-�"' TELEPHONE NO.__`�5 � ��I7o� 'B�79 � DESCRIPTION �QCL-� d�� d'� � -/��io� tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 SEV�IER HOOK-UP O6 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 � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q ti 2 W � W � � d W� �1IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlConUa on site: Inspector. -� White Copyllnspector's File Canary Copy/Site Notice