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Home My WebLink About2001-P04358- re-roof CITY C�F �RONO PERMIT 2750 Kelley�'arkway- PO Box 66 Permit Number: Po43ss Crystal Bay, Minnesota 55323 Permit Type: Minor alterations (952) 249-4600 Date Issued: 9ilsi2ooi SITE ADDRESS: 4079 Highwood Rd Mound,MN 55364 PID: 07-117-23-44-0010 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: NOTICES/REMARKS: FEE SUMMARY: Permit F'ee: $ 54.00 Valuation: � 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 54.75 AP�LICANT: Total Home Exteriors OWNER: John Sanborn 2285 123rd Lane 4079 Highwood Rd Coon Rapids, MN 55448 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 Iv1INNESOTA BUILDING CODE REQUIREMENTS. �/ ,L�'r t ,,� �- . � � �� . ._�-�Z APPI,ICAN'I PERM17'EESIGN�1'CURE I�,UEDBYSIGNATURE Covies: I-File(Sienitures Repu�redl. 1-Applicant. 1-Monthlv Re�orts, 1-Assessin�, I-Finance Page 1 Total Fee: $ Date Received: Ente �d RyY 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: L/� �C� �i��1��cx��. ZIP: NAME OF OWNER: � �CC� �%�7/�'�n PHONE: (home) (work) MAILING ADDRESS: G?=��- CITY: ZIP: CONTRACTOR: �� i�/�/� �j�j4�'. ��-'r3" PHONE: `/�` 3G%'�7`7-1�+'� CONTACT PERSON: MOBILE/PAGER: �G►n� '.VIAILING ADDRESS: ?3S- i�Z�'L //� CITY�� , ZIP: i�� STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: 1��IAILING ADDRESS: CITY: ZIP: �r��II:: RFC'fI�TI:��'T(>\ �" TI'PE OF ��OR�: Ne�v rld�iition r�cces�oi�� Structure Move Remodel/Alteration ;/ Land Alteration PROPOSED`VORK (describe in detai�: �C.,�� .�� C�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. C�� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / ��i � I hereby agply 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 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 SIGNAT �'� ' �' G �-/ DATE: �/—��/ < NOTE! Parade of Homes events require separate permit approval by Poliee Department and City Couneil 60 days prior to the event. Non permitted events will not be allowed. � r Sec.13.04 RIGHTS OF SLTB.TECTS OF D�TA • � Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd."_'. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning hitnself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting"state agency, polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requesred data;(c)any known consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of other penons or enaaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investi¢arive data, pursuant to secrion 13.82, subdivision�, to a law enforcement o�cer. The commissioner of re�enue mav pla�e the nodce reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Aecess to data by individual. Upon requesc to a responsibte au[horiry,an individual shall be infocmed whe[her he is the subject of stored data on individuals, and whe[her 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[he data wichout any charge to hirn and, if he desires, shall be informed of rhe conren[ and meaning uY that data. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed ro hun for six months thereafrer unless a dispute or acrion pursuant to this secaon is pending or addidonal data on the individual 6as been collected or crea[ed. The responsibie aurhority shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible au[horiry may require[he requesting person to pay the acnial cosu of makine,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[he 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�ot accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this ri¢ht,an individual shall nodfy in writing che responsible authoricy dzscribing[he nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incompfete data, including recipients named by che 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 statemertt of disagreement is included with the disclosed data. The de[erminadon of the responsible auchoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Riahts of subjects of data", we would like to inform you that your reauest 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 pemut 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 pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have cenain 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 Ciry State Zip Phone I understand my rijhts as stated above. Signature DATE TIME CITY OF ORONO �� CALLED IN INSPECTION NOTI ,t ��,; SCHEDULED � PERMIT NO. � �' ' COMPLETED C — �-0 �" ADDRESS d7� � �� OWNER CONTR. ✓ � ' f 1J TELEPHONE NO. � 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SiTE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNEH/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � /� O � ('��'�l/ � � O � W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnedContr ctor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice /G� � �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE�/ SCHEDULED � PERMIT N0. PO Y �J� COMPLETED �� ' -�'-_-�� `, -/ ADDRESS `�� 7 9' ��C�t c�XX�� OWNER CONTR. —TG��GL I �I/YI F�T TELEPHONE N0. �� 7� � DESCRIPTION /��`' f //?� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTHACTOR TO MEET YOU:_YES�NO o COMMENTS: � w a � � O 7. � O ti W � Q � Z W � W � j GW �RKSATISFACTORY:PROCEED OJECTCOMPLETE � ❑CORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR �. INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-46�� OwnerlContract n site: Inspector. White Copyllnspector's File Canary CopylSite Notice