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Home My WebLink About2006-P09704 - re-roof PERMIT CITY �F ORONO Permit Number: 275C�Kelley Parkway- PO Box 66 P09704 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 3/29/2006 SITE ADDRESS: 1240 Garden Ct Unit# Mound, MN 55364 P�� 07-117-23-32-0046 DESCRIPTION: Proposcd Usc: Residential Census Code O/S -Building Permit Class: Building Pcrmit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,800.00 State Surcharge Fee: $ 3.90 TOTAL FEE: $ 157.15 APPLICANT: Owner/Self OWNER: Dean&Susan Trongard MN 1240 Garden Ct 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 BUILDING CODE REQUIREMENTS. APNI.ICANT PI RMITF,Ii SIGNATURE S CLD!3Y SIGtiATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly 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 pri�it all informatio�t) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle oize OWNER O CONTRACTOR JOB SITE ADDRESS: �Z-�� jc�.(��e,� C4v.f�- �Gr�-� ZIP: SS3(p�- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a specia!event per•mit is re�ciir•ed tivith Police Department aysd City Coirncil approval 60 days prior to the event. ShTrtlle bus ser•vice�vi1l be reguirect zrnless applicant den7onstr•ates si fficient on-sile parking is available. Non-pernritted events will not be allowed NAME OF OWNER: � \ �� PHONE: (home)�S�Z- ��2-Cj�S� (work> -1 Z- � Z- 1 b� b MAILING ADDRESS: ��a� ��,� �� CITY: �c o�� ZIP: -�� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: NMA i�.ii��A�DRLSS: CI'i_'�': ZIP: NAM�: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detcri�: A�a� c,�- �,��_ �L-��,� — `e - 5��.�c� STORIES: Z SQ.FEET OF EACH FLOOR: Q �,� \Z v� S F NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED �Z ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� U� rv��l,�..\��o,�;� I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will be in conformanc with the ordinances nd codes of tl�e City and with the State Building Code;that I understand this is not a p r�nit an work is not start without a permit;and that the work will be in accordance with the approved plan. '�. APPLICANT'S SIGNATURE: �� -- � DATE: � � Z �-C�Cv 3t . Scc.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. 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. [nformation required to be given individual. An individual asked to supply private or contidential dataconcerning himseifshall be informed of: (a)the purpose and intended use of the requested data widlin the collecting state agency,political subdivision,or statewide system;(b) whether he may re fuse 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 identiry of odier persons or entities authorized by state or federal law to receive the da[a. This requirement shal I not apply when an individual is asked[o supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income tax or properri tax refund instructions instead of on those fonns. 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�vhether it is classitied as public,private or contidential. Upon his further request,an individual�i�ho 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 ofthe 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 disdosed to him for sir 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 authoriry shall provide copies ofthe private or public data upon request by the individuaf subject ofthe data. The responsible authoriry may require the requesting person to pay d1e actual costs 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 tive days of the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,e�cluding 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��riting the responsible authoriry 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 diat he believes d�e 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 adminisvative 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 pennit 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. Your full name is required to process this application or permit. �Qc�r� ��r� \ `tC�(�c i� First Middly Last � �2-`�O �Qs��-� �� A dress �C�� ,�/ SS3�� S � _ � ?2 -��Sk� City State Zip Phonc I rstand my ights as stat d bove. � � Signature Reset Form .?� � (yr �-'"- I7 ' � DAT TIME � CITY OF ORONO a��Eo iN � - �'l�' INSPECTION N TIC --7 (� SCHEDULED ' PERMIT NO. � / �� J COMPLETED � ..� (�'G-' �� r �% ADDRESS ��'y �' �7c�;'c�(._ �� OWNER ,��-eC'.�✓� �/'�i-�cZLc�iCONTR. TELEPHONE NO. G� � a-�� a - �L� ��' � DESCRIPTION �,--� �'4 - ( �J� � 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLWG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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-F�NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: /'�' t', �'Yl [ f %/� V l (.v_i Q � -T -�T._ y '1 c^ j �L: 0 a � ° I Z � -- �� ; /- �C - w � � Q � z w � W � � d , ` W� ��oRK SATISFACTORY:PROCEED f l PROJECT COMPLETE . � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CA�L INSPECTOR �� CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-460� OwnerlContractor o site: Inspector. � . �/ � �� White Copyllnspector's File Canary CopylSite Notice