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Home My WebLink About2008-P11940 - re-roof PERMIT CITY �F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: p11940 Crystal Bay, M�nnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 3/28/2008 SITE ADDRESS: 4470 Forest Lake Landing Unit# Mound, MN 55364 PID: 07-117-23-24-0040 DESCRIPTION: Proposed Usc: 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: $ 295.00 Valuation: $ 16,421.00 State Surcharge Fee: $ g.25 TOTAL FEE: $ 303.25 APPLICANT: Coty Construction Inc. OWNER: Steve&Jeanne Prawer 5716 Glen Ave S 4470 Forest Lake Landing Minnetonka,MN 55345 Mound, MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSfON TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C1TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BU[LDING CODE REQUIREM TS. �� ._ PLICA PE�� EE S ,tiA"CURti ' UGD BY SIGNATURE Copies: 1-File(Sig�iatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-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 information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 4470 Forest Lake Landing Z�: 55364 Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑✓ NO If yes, a specia!event permit is required with Police Department and City Council approvad 60 days prior to the event. Shuttle bus servdce will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: Steve and 7ennie Prawer PHONE: (home) (952)546-5292 (work) (�63)571-4000 MAILING ADDRESS: g313 W.Franklin Ave CITY: St louis Park ZIP� 55426 CQNZ'j�C'j'QR: Coty Construction&Remodeling Pg��i ; (952)934-7600 CONTACT PERSON: Patrick Cory MOBILE/PAGER: (612)599-8387 MAILING ADDRESS: 5716 Glen Ave CITY: Minnetonka ZIp; 55345 STATE LICENSE: # 20431519 EXPIRATION DATE: 03/31/08 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) ✓ PROPOSED WORK(describe in detai�: Reroof-Tear-off - Wood Handsplits Shakes - House&Garage STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 16,a2�.00 I hereby apply for a building permit and I acknowledge that the in rmation above is complete and accurate; that the work will be in conformance with th�ordinances n odes of the City and with the State Building Code;that I understand this is not a permitand work is st rt without a permit;and that the work will be in accordance with the approved plan. _______. � APPLICANT'S SIGNATUR�: � DATE: o3iz�ios "� / \ 31 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 suppty private or confidential data conceming himself shall 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 to receive the data.This requirement shall no[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 or property 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 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 the private data and informed of its meaning the data need not be disclosed 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 cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the 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 addi[ional 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 authoriry describing 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 the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the adminisuative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subj ects 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 Middle Last Address i`' City � �/ State Zip Phone / I understand my rights a ed above. �'__ ___--- ` ` �eset F6rm 32 / �*' � A TIME � CITY OF ORONO CALLED IN INSPECTION N I��(�f"� SCHEDULED � �•�� PERMIT NO. l� i `� COMPLETED ` ADDRESS T`7" D Or�.s� OWNER CONTR. TELEPHONE NO. �O�Z �� -38 � � DESCRIPTION �`��QG — �-"`�'7— � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBI ❑ FOUNDATION/REMOVAL Z OWNER O�CTOR TO MEET YOU:�YES NO � COMMENTS: � W � � ' lt �: t� � 1� ��v I�y 0 '' C nn -��A C� �to� � 0 � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED r�'PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED _\SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REOUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 2Q9-46QQ OwnerlContractor on site• r � . Inspector. '3'-t /� �.5 � White Copyllnspector's File Canary CopylSite Notice