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Home My WebLink About2001-P03964 - re-roof PERMIT G�TI�` OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po396a Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6i2ii2ooi �ITE ADDRESS: 4150 Highwood Rd Mound,MN 55364 P I D: 07-117-23-44-0028 DESCRIPTION: UBC Occupancy R3 Proposed Use: ftesicientiai Census Code O/S General Permit Class: 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: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: Kallerup Erick N Construction OWNER: Jon&Sheilah Bakke-Glynn 1602 Archwood Rd 4150 Highwood Rd Minnetonka,MN 55305 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 MINNESOTA BUILDING CODE REQUIREMENTS. _ �;.1. �'��i_ C');'��z�� f�"' APPL AN TEE I NA URE ISSLTED BY SIGNATURE � Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 f Tot�.l Fee: $ Date Received: Entered By: Permit#: CITY 4F ORONO - BUII.DING PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. ' (please print a11 information) . ------------- ----------------------------------------- - -� --�_---- ---------------- THE AFPLICANT IS: (circle one) OWNER O NTRA.CTO � JOB SITE ADDRESS: �//�� ,�/,ri� ,,�ool� � — Z�� NAME OF OWNER: PHONE: (home) (work) 1�IATI.ING ADDRESS: . CI1'Y: ZIP: CONTRACTOR: ' [GL� �LLL- c, PHO�IE: �o I�'7O I��$�I� COi�I'I'ACTPERSON: /�'16��2K l� 1�IOBILE/PAGER: �( /�.-1a70- 2�oY^? MAILING ADDRESS: /�D� �(1C(�� __ CITY:�/'t,�vE,��` ZIP:��3d� STATE LICENSE: # C-` ��`I I ARCHITECT/ENGPi IEER: PH0�1E: . RZA.IL�G ADDRESS: CITY: ZIP: Nr�,ME; REGISTRATION# � TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe in detain: �� O�f 2�'D l �' Srt�� _ STORIES: �_ SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS:� GAR.AGE STALLS: ATT: - DET. , - -�•.:.-� _ a- ESTLI�ATED CONSTRUCTION VALUATIO\(exclud.ing land): S �l/�� I hereby apply for a building permit and I acknowled?e that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with the State Building Code; that I understand this is not a perm.it and work is not to start without a permit; and that the work will be in accordance ith the approved plan. APPLICANT'S SIGNATURE: � DAZ'E:� ��D / - NOTE! �'arade of Fiomes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. r �L Sec.13.0.t RIGHTS OF StTBJECTS OF D�Ta Subd. i. Type of data. 'Ihe righrs of individual on whom t�e data is stor_3 or to be atored shall be as set forth ia this secaon. Subd.2. Information reqirired to be given individual. r1n ir.di�idual asYed w supply privace or confidendal dara concerning himself shall be informed of: (a)the purpose and iatended use of the requesud data wi�ia the eollocdng§tate agency.paliacai subdivision,or sratewide rysum; (b)whecher he may refuse oY is legally required to supply[he requested dat+:(c)any 1^aowa eonsequeace arising from his supplying or refusing to supply priva�e or conndendal data;and(d)the idendry.of ocher persons or enddes aechorized by srate or federnl law to roceive the data..This requiremen�shaIl noc apply whan an individual is asked to supplv invescigadve dara,pursu+^t co secaoa 13.8?,subdivision 5,co a law enfoccemeat o�cer. The commissioner of revenue mav alace the norice R011IRd L'CC�-r this subdivision in the individual 'v:come tax or propem tax refund instructions inscead of on chose forms. Subd.3. ?.ccess to data by indirzdual. Upon requcsc to a rssroasibk aechoriry,an individual shall be informed whether he is rhe subject of stored data on individuals,and wheche�it is classificd as public,privac:or confidecrial. Upan his further request,an individual who is the subject of score�i privace or public dara on individuals shall be shown[he data wi:�.out any c'n�*;e to him and;if he dasires,shall be informed of[he contenc and meaning of chac data. Aftzr an individual has been shown the priva�Can and ic:ormed of ics meaning.the dara need not be disclosed to him for six months thereafcer unless a dispute or acdon pursuanc to this secdon is��nding or addidonal data on the individual has beon collecced or creaced. The responsible authoriry shall provide copies of the private or public dac�a:on requ�:by che individual subject of che dara. The responsible auchoriry may requir�rhe requesdng person to pay the actual cosc�of makin¢,ce,=:;ing,and eompiling the copies. The responsible auchoriry shall comply immediacely,if possib!_.wich any r_quest made pursuant to[his subdivision,o�wichin five days of the date of che requesc,exciuding Saturdays,Sundays and tegal holidays,ii ir..mediace eompliance is not passible. If he cannot comply with the request wi�hin chac time,he shall so inform the individual,and may have an addice:.al five days wict►in wtuch to comply wich�he request,excluding Saturdays, Sundays and legat holidays. Subd.4. Procedure when data is not accurate or complete. An indiviZual may contest the accuracy or completeness oF public or pri�ate dara concerning tiunself. To exercise chis righ�,an individual shall norify ia wriang d;e responsible authoriry describing�he nature of the disagreemeac. The responsible auchoriry shall wichin 30 days either: (a)correct�he daa icvnd to ba inaccucate or incomplece and aaempt to noafy pasc recipien�t of inaccurate or incomplete data,including recipients named by the individi:al;or(b)eodfy the individual thac he believes the data to be cacrecc. Da[a in dispuce shall be disclosed only if the individual's sta�emen�of disagree�enc is ir.clndad wi[h the d'uclosed dara. The decerminarion of the rtsponsible authoriry may ba appea:cd pursuact to che provisions of tht adminisaarive procedure act nlaang to contes�ed cases. . � . � DATA PRIV:�CY AD�'ISORY In accordance wich M.S. 13.04,Subd.2, "Rights of subjects oi c�ata", we would like to inform.you that your reauesc for a permic or license from the Ciry of Orono or any of ia deparWents may require you to furnish certain private or confidencial information. You are notified that: 1, The information you fumish will be used to de:emune�'our qualification for the permit or license requested. Z, You may refuse to supply data, but refusal nay require that the City deny the permit or license. 3, The information may be shared wich ocher loczl, state or federal a�encies to the excent necessary to process the permit or license. 4. If your requested permit or license requires Council accion to approve, some information may become . . public. j, You have certain ri;hts under M.S. 13.04 (a�ailable upon reques[) to review private data on yourself. (, Your full name is required to process this aoplicacion or permic. � Firsc �fiddle �� Address • Ciry Scate Zip Phone . I understand my ri�hts as stated above. � Signacure DAT TIME CITY OF ORONO CALLED IN � Z� 0 I INSPECTION NOTIC �y SCHEDULED Z/ � PERMIT N0. < � COMPLETED �2' � �-� ADDRESS G�/�i � T`��ci/I(,l,7CGD OWNER CONTR. �� I I-�i2�1' �Dr1S�` . TELEPHONE N0. _ �C fr� � �� I ` �� ` L��o� `��`��'�I� l __� �� DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLIN Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNERlFIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � 2 W � W � � d W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContr tor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice