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HomeMy WebLinkAbout2002-P05723 - re-roof � w PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos�23 Crystal Bay, Minnesota 55323 Pet'mit Type: MinorAlterations (952) 249-4600 Date Issued: io�io�2oo2 SITE ADDRESS: 1535 Highwood La Mound,MN 55364 P I D: 07-117-23-44-0083 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential 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: NOTICE�/REMARKS: FEE SUMMARY: PermitFee: $ 9�.25 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: Huber Construction OWNER: Erick&Laurie Celms 403 E Central 101 1535 Highwood La P.O. Box 403 Mound MN 55364 St. Micheal,MN 55376 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �' C��� �� �// '�� ��� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Sienitures Required), 1-Anvlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 � .. Total Fee: $ Date Received: �G'-/C' -C� ? Entered By: � t�Z� Permit#: N o 5'I�� CITY OF ORONO - BUILDING PERMIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTO JOB SITE ADDRESS: ,���� � [.i0 ZIP: NAME OF OWNER: �/'� � ��/j� S PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR � �D �. PHONE: �'/ �-���y CONTACT PERSON: �a�e ���v n MOBILE/PAGER: 3 �� � MAILING ADDRESS:�� �o.E- �f0.3 CITY: S�,/�`c h�e/ZIP:�ur3� STATE LICENSE: #��/(��(��? ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �G� -�� ;,'���Oa t� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. EST�IIATED CONSTRUCTION VALUATION (excluding land): $ �a��. �� I hereby apply for a building pernut 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 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 acco ance with the approved plan. APPLICANT'S SIGNATURE: ���—� DATE: ���-���D� _ NOTE! Parade Qf Homes events require separate perntit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. .. � Sec.13.04 RIGHTS OF SLIB.TECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. r1n individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'statc agency,political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or co�dencial daca;and(d)the idenriry of other persons or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve dara, pursuant to seccion 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or propertV 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 wherher it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject of stored private or pubtic data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. Afrer an individual has been shown the privace data and informed of its meaning,che data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal 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 authoriry may require the requesting person to pay the acrual cosu of making, certifying,and compiling the copies. The responsible authoriry shall comply immediacely, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Sacurdays,Sundays and lega]holidays,if immediate compliance is not possible. If he cannot comply with the request within that tirne,he shall so inform the individual,and may have an addiaonal 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 concerning himself. To exercise this righ[,an individual shall notify in wridng the responsible authoriry describing�tte nature of the disagreement. The responsible authoriry shatl within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to noafy 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 corcect. 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 authoriry may be appealed pursuant to the provisions of the administrarive procedure act telating 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 reques[ for a pemut or license from the City of Orono or any of its departments u��ay 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 pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut 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 Vtiddle Last Address C�ry State Zip Phone I underst rights as stated above. „// S� atu DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � ___i�,� PERMIT N0. �O � �j�� COMPLETED ADDRESS ��35 t-1iCt�1l�'K�(�L� �� � OWNER CONTR. -�-Il;.�"��� �f11'lS�- , TELEPHONE N0.__ � IIJ�q�I -�U R��_ � DESCRIPTION ��� �� V�1c"3� �"- �-� ������ lL 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTI� Q 5 FW 14 SEWER HOOK-UP 06 PROGRESS �C j � MO-SITE 27 SEPTIC MAINT. 21 COMPI111NT a 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/CONTRACTOqTOMEETYOU:_YES NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEATIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL FETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next i pection 24 hours in advance. (952) 249-46�� OwnerlContracto si e: Inspector. � _ � White Copyllnspector's File Canary Copy/Sfte Notice DATE ME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED %a 'f 'y� PERMIT NO.I�U S �a3 COMPLEfED ADDRESS ��7� /�i�1�1��'�� OWNER CONTR. �lJ�"��� C�O�'1�� TELEPHONE NO.���� .-��� ��v� � DESCRIPTION �>�"� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 SEWER 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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a O � 11 0(� (7 0 a � i � � -- �o P.�ra rtn� fJ v o� W � Q � z W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContrac or�site: Inspector. V White Copyllnspector's File Canary Copy/Site Notice