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Home My WebLink About2001-P04357 - re-roof CITY OF ORONO PERMIT 2750 Kelley'I��arkway - PO Box 66 Permit Number: Poa3s� Crystai Bay, Minnesota 55323 Permit Type: 1vlinorAlterations (y52) 249-4600 Date Issued: 9iis�2oot SI�E ADDRESS: 4104 Highwood Rd Mound,MN 55364 PID: o�-i i�-2�-44-o��c DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97�25 Valuation: $ 3,721.00 State Surcharge Fee: $ 1.90 TOTAL FEE: $ 99.15 APPLICANT: Total Home Exteriors OWNER: Glen&Beverly Sauer 2285 123rd Lane 4104 Highwood Rd Coon Rapids, MN 55448 Mound MN 55364 1'F[E 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. ' t��/ ` -�'� - �—1 �;Y'V, �� y-_��. ��r��.ic��r��Rn�a�rrr �icNA�ruRi: fssui.t�ev sot��vn�ruRe Copies: 1-File(Si�r�Ti�ui�es Reat�iredl. I-Aqqlicant. l-Monthlv Reports, 1-Assessint. I-��inance Page I Total Fee: $ Date Received: Entere�i 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 APPLICAI�TT IS: (circle one) OWNER ONTRACTOR � JOB SITE ADDRESS: �,� I�' C i c �j � ZIP: �J NAiv1E OF OWNER (�>�c�%'� ��✓ PHONE: (home) C� y / �WOTk� MAILING ADDRESS: /�� ,�;�% CITY: �r��i ZIP: CONTRACTOR: '�` , G�-� _/-� 1 ; , PHONE: �� 3�b-'- �7�J� CONTACTPERSON: �r� l n MOBILE/PAGER: S�>�f° MAILING ADDRESS: S' /Z 3`" r� CITY:��r.� 2�ZIP: 5�r� STATE LICENSE: # �D�. ��?'� 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 detain: � ,� � �� (�1�� <�� i STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � � . 7 � � �� ESTII�IATED CONSTRUCTION VALUATION (excluding land): $ �j 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 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 nce.yv�Cli ti1 �pproved plan. APPLIC��iT'S SIGNATURE• � ,/� DATE: ��/�?�/ � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � 1 Sec.13.04 RIGHTS OF SiIB.lECTS 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 fonh in this secaon. Subd."_'. Information reqirired to be given individual. �.n individual asked to supply private or confidential data concerning himself shali be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide rystem; (b)whether he may refuse or is legafly required ro supply the requested data;(c)any known consequence arising from his supplying or refusing to supply priva[e or confidential data;and(d)the identiry of o[her persons or enrides au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigaave data, pursuant to section 13.82, subdivision�, to a law enforcement officer. The commissioner of re�enue 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 indi��dual. Upon request to a responsible au[horiry,an individual shall be informed whether he is tbe subject of stored data on individuals,and whe[her it is classified as public, private or confidencial. Upon his further request, an individual who is�he subject of stored private or public data on indi��iduals shall be shown the data wichout any charge to him and, if he dzsires, shall be informed of tk:e content and meaning of that data. Afrer 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 acrion pursuant to this secdon is pending or addiaonal data on the individual has been collected or crea[ed. The responsibfe 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 accual coscs of making, cerafying, and compiling the copies. The responsibfe authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of[he request,exduding Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an additional five days within which to comply with the request,excludine Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest thz accuracy or completeness of public or private data concerning himself. To exercise this rieht,an individual shall notify in wricing the responsible authority describing�he nature of the disaereement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccunte or incomplete and attempt to norify past recipienu of inaccurate or incomplete data, including recipients named by [he individual; or(b)notify the individual that hz believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is includzd with the disclosed data. The de�ermina[ion of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure acc relanng to contested cases. DAT� PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Ri�hts 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 permit 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 pemut or license. 4. If your requested pernut or license requires Council action to approve, some informa[ion 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature DATE TIME CITY{�F ORONO CALLED IN INSPECTION NOl`��E' ' ;.,'� i scHE�u�E� PERMIT N0. '� '� �� c MPLETED �� =a`' ADDRESS I ! O� � ��c� OWNER CONTR. I ��7`�L�� I�1�1 -�-o TELEPHONE N0. � DESCRIPTION��I��0 T� � 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ° COMME TS: � � � �- C�c�'�.� � J O � � O � W � Q � Z W � W � J W�*IWORKSATISFACTORY:PROCEED \ 1 ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED \� ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContract r on site: Inspector.�� _ � � White Copyllnspector's File Canary CopylSite Notice � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /, HEDULED — __.e� PERMIT N0. �`�'��MPLETED � Y�� ADDRESS �O (.�C� � OWNER CONTR. /eJfGc.� T�/h��1�, TELEPHONE N0. �o� `� �� '"�g� � � DESCRIPTION ' � 01 FOOTING 11 MECHA AL 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � J O �. � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED �PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL AETURN ❑CITATION ISSUED ❑STOP OfiDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice