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Home My WebLink About2001-P04659 - re-roof � ' PERMIT CITY OF ORONO Permit Number: 275`�Q Kell�y Parkway- PO Box 66 P04659 Crystal B�y, Minnesota 55323 Pe�mit Type: MinorAlterations (952) 249�600 Date Issued: i v26i2ooi SITE ADDRESS: 4149 Highwood Rd MOUND,MN 55364 PID: 07-117-23-44-0018 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 Fee: $ 265.25 Valuation• $ 15,175.00 State Surcharge Fee: $ 7.60 TOTAL FEE: $ 2'72,gg APPLICANT: Tuttle Roofmg OWNER: LARRY W KARKELA 9755 Hamilton Road 4149 HIGHWOOD RD Eden Prairie,MN 55344 MOUND MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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. - �� APPLICANTPERMIT SIGNA RE ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Reauired). 1-Annlicank 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1 + Total Fee: $ ��G� �5 ° Date Received: �! �� -O/ Entered By: Permit#: �0�/!�S�' CITY OF ORONO - BUILDING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR JOB SITE ADDRESS: `71�I�'-/ !/!t�la(.cJ�.� � ZIP: �� NAME OF OWNER: ��'f/� l�c��1{p� PHONE: (home) �I2—Z,Sj�2 Z 1 �/ ! (work) MAII.ING ADDRESS: ��`�-.. CITY: �a wZ� ZIP: �--- 7`+� ��'y� CONTRACTOR: fi(.��le. D `' l/I � PHONE: ��.5,�--�j CONTACT PERSON: C' a� OBILE/PAGER: - MAILING ADDRESS: ' r�c CIT'Y: �cte��cri�r,� ZIP: ��/ STATE LICENSE: # Zo��1 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PR POSED WORK(describe in detai�: �� f/�-�_ �-C ja� 6�-' � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ G � 7 � d� 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 accordance ith the approved plan. APPLICANT'S SIGNATURE: DATE: 2 1�� f 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. a� , r Sec.13.04 RIGIiTS OF S[TBJECTS OF DaTA Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be givea individual. An individual asked W supply private or confidendal dard conceming himself shall be informed of: (a)the purpose and inuaded use of che iequesred data within the collecting State agency,polidcat subdivision,or statewide rysum; (b)whe�er he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply privace or confidendal data;and(d)the idendry of ocher persons or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesdgauve dara,punvant to section 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of re�•enue mav place the nodce rewircd under this subdivision in the individual income tax or propem tax retund instcuctions inscead of on�hose forms. Subd.3. Access to daGz by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher ic is e(assified as public, priva[e or confidendal. Upon his further requesc,an individuai who is the subjecc of stored private or public data on individuals shall be shown the data wi[hout any charge to him and;if he desires,shatl be informed of the content and meaning of chat data. After an individua!has been shown che private dara and informed of its meaning,the data need not be disclosed ro him for siz months dieceafter unless a dispute or acrion punuanc to this secaon is pending or addidonal data on the individual has been collected or created. The respoasible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible audioriry may require the requesdng person to pay the actual cosu of making,cerufying,and compiling the copies. The responsible authoriry shall comply immediacely,if possible,with any request made pursuant to[his subdivision,or within five days of the date of che request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with[he request widtin that time.,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excludiag Saturdays, . Sundays and legal holidays. Subd.4. Procedare when data is aot accurate or complete. An individual may contest the accuracy oc completeness of public or privace data concerning himself. To exercise this righc,an individual shall nodfy in wriring the responsible authoriry describing�he nacure of�e disagreement. The responsible authoriry shall withia 30 days either: (a)correct[he dara found to be inaccurate or incomplete and attempt to nodfy past recipienss of inaccurate or incomplete dara, including recipients named by ehe individual;or(b)nodfy the individual that he believes rhe dara to be correcc. Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The decerminadon of the responsible au[hority may be appealed punuant to the provisions of the adminisuaive procedure act relating to contesmd 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 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 ocher local, state or federal a�encies 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. � ��n� ;n� M,adle Address C��, State Zip Phone I understand my rights as stated above. Signa re DATE TIME CITY OF ORONO CALLED IN INSPECTION T10E � ��- SCHEDULED � 'G� � �%jrfS PERMIT N0. �J `� COMPLETED ADDRESS l '`�� OWNER CONTR. / ,�� TELEPHONE N0. �� /� �5� �� %� � � DESCRIPTION ��G�:-' "�� 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 a � J O >. � O � W � Q � 2 W � W � � � � �VORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-�6�� Owner/Contr tor on site: Inspector. '�� ' � White Copylinspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE ��j SCHEDULED — L�� PERMIT N0. 11"� COMPLETED � ADDRESS ��l y��/�'i/[�UCX�� G=-t� . OWNER CONTR. Tr�1�"� CiiL�l . TELEPHONE NO. `�S� �y� �S 9O � DESCRIPTION - �l�. `T �'�Lc�--�� l� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE 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: � W a � J O � � O � W � Q � 2 W � W � � � y�7/WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContr or on site• Inspector. CG2� � White Copyllnspector's File Canary CopylSite Notfce