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Home My WebLink About2002-P05315 - Re-roof r ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05315 Crystal Bay, Minnesota 55323 Pe►-mit Type: Minor Alterations (952) 249-4600 Date Issued: 6i1��2o02 SITE ADDRESS: 4148 Highwood Rd Mound,MN 55364 P I D: 07-117-23-44-0029 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minar Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,500.00 State Surcharge Fee: $ 2.'75 TOTAL FEE: $ 114.00 APPLICANT: �'�'� F. Smith Construction OWNER: 7anet Eide ' 5975 Lynwood Blvd 4148 Highwood Rd Mound,MN 55364 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. h \� �\ ,! , ' {_- ��- APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Sienitures Required), 1-Applicant 1-Monthlv Reoorts. 1-AssessinQ, 1-Finance Page 1 , � Total Fee: $ Date Received: Cp�' 1�7-L Z Entered By: �,�/j� Pernut#: /� D_5 3 /5 CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ---- --------------------------------------------------------------------- ----- ---------- --------------------- THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR '�' ------- JOB SITE ADDRESS: � � � � C� '�;�� ZIP: �-3� � �-- NAME OF OWNER: t`� �3 �� PHONE: (home) (work) MAILING ADDRESS:��"� CITY: ZIP: CONTRACTOR:��• � . �� , ��;�� PHONE:� S°� - ��- �'S `� t CONTACT PERSON: � �� MOBILE AGER: C� 1 �} -�� , S �t MAILING ADDRESS: � 1 -'1� C..�`r`l�/w�� `�',��r-�CITY: ��"�,1 �'v(} ZIP: �s��c �� STATE LICENSE: # 5 ��j 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�: �� `��" �f� ��-� `��j�' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �D � I hereby apply for a building permit and I acl�owledge 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 acc rda 'th the approved plan. �.. � � j __, _ � � APPLICANT'S SIGNATUR��-' DATE: � NOTE! Parade o�'Homes events require separate pernzit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. r � Sea13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential dara conceming himself shall be informed of: (a)the purpose and inrended use of the requested data within the collecting'state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenriry of o[her persoas or enriaes authorized by state or federai!aw to receive the data. This requirement shall not apply when an individual is asked to supply invesrigaave data, pursuant to section 13.82, subdivision 5, to a law enforcement ofFicer. The commissioner of re�enue mav place the nodce reauirEd under this subdivision in the individual income tax or propertv tax refund instruccions inscead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is ciassified as public, private or confidendal. 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 iu meaning, the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this section is pending or addiUonal data on the individuai 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 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 five days of the date of the request,excluding Sarurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal 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 comp(eteness of public or private data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing rhe nacure of the disagreement. The responsible authoriry shatl within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipienrs named by the individual; or(b)noafy the individual that he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed data. Tlie determinarion of the responsible authoriry may be appealed pursuant to the provisions of the adminiscradve 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 permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you furnish will be used to detemune 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 certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (, Your full name is required to process this applica�n or permit. �/�J l�fi��' `� S `Y`'��-�--� First Middle Last S�i"1 S L-`1 VV LL�� L�� Addre � � � �� b � C� � � `__4�� _.C�� `i�"�v 1�;C� G`� Ciry State Zip Phone. I understand my ri�hts as stated�ov@ �'" �...,-' Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION N /I�CE 2 SCHEDULED -�;��''LI PERMIT N0. �L/ ��J �5 COMPLETED ADDRESS y/��' �;�h�oo ,,��. OWNER CONTR. GC,. �=, S�'rI i�1 TELEPHONENO. �PI� - k�ta7 - 3%/ �7 � DESCRIPTION ��-��'r � � ��— � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 � 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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 C O '�� 1 �. � � O � W � Q � Z W � W � � � � �ORK SATISFACTOflY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContr t on site: Inspector. White Copyllnspector's File Canary CopylSite Notice