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Home My WebLink About2007-P11542 - re-roof PERMIT CITY OF ORONO 2750 Ksii�y Parkway- PO Box 66 Permit Number: p11542 Cry'stal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 10/8/2007 SITE ADDRESS: 1135 Loma Linda Ave Unit# Mound,MN 55364 PID: 08-117-23-23-0019 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building 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: PermitFee: $ 125.25 valuation: $ 5,150.00 State Surcharge Fee: $ 2.60 TOTAL FEE: $ 127.85 APPLICANT: W.F. Smith Construction OWNER: Mr. &Mrs. Mark Thurlo 6585 So. Saunders Lake Dr. 1135 Loma Linda Ave Minnetrista,MN 55364 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. � / �� APPLICANT PE ITEE SIGNAT ISSU D BY SIGNATURE � �� Copies: ]-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page l Total Fee: $ Date Received: Entered 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 APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � � � J l�.�l� (�-1 N�E� ZIP: �S��G Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a special event permit is required ivith Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: N'l.�'rL(� ��•�p PHONE: (home) (wark) MAILING ADDRESS: CITY: ZIP: CONTRACTOR:�f J,F. C��(�-� L��- PHONE: 5 S� -4 7�-- (,S �y CONTACT PERSON: 13 �-� MOBILE/PAGER: �I J--$6 7-3l t -7 MAILING ADDRESS:Id��S�S��Si4��,,,�,,,-,.��- �_j� p,-. CITY: �1� �vtv��i^�S(�ZIP: SS��y STATE LICENSE: # S-�,.%�� EXPIRATION DATE: y - D �3 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK describe in detai : S'��, Y �} � � n j t-�`�ti ;�- ��J�j4 vr, -t- ��,�;=2,� ��"" STORIES: SQ.FEET OF EACA FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED J`> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, ( � v I hereby apply for a building permit and 1 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 tart without a permit;and that the work will be in accordance with the approved pla APPLICANT'S SIGNATURE: DATE: �`� � � �`� � 31 Sec.13.04 RIGHTS OF SLIBJECTS OF DATA • Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himselfshall be informed of. (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known conscquence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or property tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as pubiic,private or confidential. 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 its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. If he cannot comply with the request within that time,he shall so inform the 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 not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienks of inaccurate or incomplete data,incl uding recipients named by the 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 statement of disagreement is included with the disclosed data. The determination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADV150RY 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 furnish certain private or confidential information. You are notified that: l. 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 permit or license. 3. The information may be shared with other local, state or federal agencies 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. �v� rz.►�--��-' �=� S'i`�-, 1C.�G� First Middle Last (� S-;'SS' �v �/�--1 ,tin r-7Z�"' �%G- �i� , Address ��;�ti-��,�� ,�-1 s s��y ��-� - �� 7a -�s3 i C��>' State Zip Phone I un erstand my rights as st ted above. Signature Reset Form 32 � �/ � T TIME V CITY OF ORONO � CALLED IN �" � INSPECTION OTIC f�� SCHEDULED — — �• � PERMIT NO. lJ� COMPLETED ADDRESS l 3 7 L��'Yli�d�- (�[�LG�2, OWNER � T EPH NE N015a- a ' �3 CONTRACTOR �a �� - �; DESCRIPTION � - � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING QI��CE.CHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a l' • 1". 1�1 b`X�l ,OQ ✓ V✓lle✓l ll'I 4l ZL<i.�P,� � a ,�/�G��S _ a � � � ►�uo� k �vx.��2Z�e W � Q -. � z ,�e�`►�t�� t�l-�� W � W � � � ❑WORK SATISFACTORY:PROCEED �,�$p1ECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTOARRANGE ACCESS. il for the next inspection 24 hours in advance. �952� 249-46QQ Ownerl tractor on site: rn`C� 5t�i u✓'�l� Inspector. �f r--�- �- White Copyllnspector's File Canary CopylSite Notice / ATE , TIME ✓ CITY OF ORONO LLED IN (D -z� __�� INSPECTION NOTIC SCHEDULED 7' —/ PERMIT NO -�� COMPLETED ADDRESS ��S O � -L� OWNER - HO E NO. CI S�"�7a�t�'!� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUM G FINAL ❑ EXCA /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: o� W a � J O >. � O � W � Q � 2 W � W � � J d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z QQ OwnerlContractor on site: Inspector. White Copyllnspector's File nary CopylSite N ice , ✓ CITY OF ORONO CALLED IN �� TIME INSPECTION N TICE SCHEDULED 7 PERMIT NO. C COMPLETED T_ ADDRESS�` � �� ^�� , OWNER � CONTR. � �d,!�Z�� TELEPHONE N0. � �=�`� J� � DESCRIPTION r�� ❑ FOOTING ❑ MECHANICAL RI ' ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the n t inspection 24 hours in advance. (952� 249-4600 Owner/Cont ite: Inspector. � White Copyllnspector's ile Canary Copy/Site Notice