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Home My WebLink About2002-P05499 - re-roof � - PERMIT C i TY O F O RO N O Permit ►vum ber: 2750 Kelley Parkway- PO Box 66 P05499 Crystal Bay, Minnesota 55323 Pet'mit Type: MinorAlterations (952) 249-4600 Date Issued: g�i3i2oo2 SITE ADDRESS: 1180 Loma Linda Ave Mound,MN 55364 PID: 08-117-23-23-0002 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 pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,301.00 State Surcharge Fee: $ 3.20 TOTAL FEE: $ 128.45 APPLICANT: Sun Contractors and Home Improvement OWNER: Matthew Burns 2365 Commerce Blvd 1180 Loma Linda Ave Mound,MN 55364 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. t � ' C�l� �11..�,f,.�,�.� � � /j'i� '�*`�J -�i' � l '' .,� ..�- � � .;Pk ��1. �=.'� ��- �PPLICANT PERMITEE SIGNATURE t �[SSUED BY SIGNATURE � Covies: 1-File(Si�nitures Required), 1-Anplicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 . Y a� �S Total Fee: $ Date Received: �-�3-0�- Entered By: Permit#: _ U $ % CITY OF ORONO -BTJII.,DING 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 CONTRACTO / _ , �J JOB SITE ADDRESS: ��SO �.o/YtA �r1Q�D h�l/� ZIPs 5�� NAME OF OWNER: �C�� ,�U�'!?S PHONE: (home) .�-�7,?/.�/� , (work) MAILING ADDRESS: //80�p,�,,nd� ,Qv CITY: �rpir o Z�: S S . ��s�.Z.�c. CONTRACTOR: �r ��s f r e/►'ePHONE: 9S.?-5�7� 3�3� C0�1T'ACT PERSON: ,aD/ �110�-✓c// M BILE/PAGER:_,�e%Z-�(o$S-Slo e o MAILING ADDRESS: a36 S l�t' mme.-ee $/ve,/ CITY:MBurl� ZIP: 5536 STATE LICENSE: # �j1 g�j33S ARCHITECT/ENGINEER: PHONE: � MAII�ING ADDRESS: CITY: ZIP: NANIE: REGISTRATION�# TYPE OF WORK: New Addition Accessory Structure Move RemodeVAlteration Land Alteration PROPOSED WORK(describe in detai�: _��Qr� p� � Ye vp p� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding lancn: $ S„�D�.O d I hereby apply for a building permit and I acknowledge that the infoanation 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 pernut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: / � DATE: �/� -D� NOTE! Parade of Homes events equire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Y ' � Sec.13.04 RIGHTS OF 5'[JBJECTS C)F D:�T� Subd. 1. Type of data. The rig�cs of individual on whom the data is stored or to be stored shall be as set forth in[his secdon. Subd.2. Information required to be given iadividual. An iadividua!uked W supply private or confidendal data concerning himself shall be informcd of: (a) the purpose and intended use of the[equested data within the collecCng State agency,poliucal subdivisioa,or statewide rysum; (b)whe�her he may refuse oY is legally required ro supply che requested data;(c)any Irnown consequence arising from his supplying or refusing to supply priva�e or confidendal data;and(d)[he identiry of ocher persoas or enrioes authorized by state or fedetal law to receive the data. This requircment shall no[apply when an individual is asked co suppiy invesrigadve dam,pursuant to secdon 13.82,subdivision 5, co a law enforcement ofFicer. Thz commissioner of revenue mav place che nodce rewircd under this subdivision in the individual income tax or Dronem taz refund inscructions ins[ead of on those forms. Subd. 3. Access to data by indi�ldual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of scored data on individuals, and wheeher ic is classified as public,private or confidential. Upon his further request,an individual who is the subject of s�ored privace or public da�a on individuals shall be shown the dara wi[hout any charge to him and;if he desues, shall be informed of the coatent and meaning of chat da�a. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed to 6im for six monchs thereaher unless a dispute or acdon pursuanc to this secrion is pending or addiaonal data on the individual has been collected or created. Thz responsible authoriry shall provide copies of�he private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the accual costs of making,cerdfying,and eompiling t6e copies. The responsible au�horiry shall comply immediately,if possible,with any rtquest made purntant to this subdivision,or wi�hin five days of che date of che request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is notpossible. If he cannot comply with the request wichin chat timz,he shall so inform the�ndividual, and may have an additional five days within which to eomply with the reques[,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is oot accurate or complete. M individual may contest the accuracy or comple�eness of public or pri�•ate data conceming himself. To exercise�his righc,an individual shall noafy in writing the responsible authoriry describing[he nature of the disagreement. The responsible au�horiry shall within 30 days zi�her. (a)correct the data found w be inaccurate or incomp(ece and attempt to noufy past recipienu of inaccura[e or incomplece dara, including recipien� namzd by che individual;,or(b)notify the individual that he believes the data to be correc[. Data in dispute shall be disclosed orily if chz individual's s�acemenc of disagreement is included with the disciosed dara. Tlie decerminarion of the rospensiblz au[hority rttay be appealed putsuant to the provisions of the adminisaarive procedure act reladng w contesced cases. DATA PRIVACY ADVISORY In accordance wi�h M.S. 13.04, Subd. 2, "Rights of subjects of data",we would like to inform you that your request for a permi[ or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The informa[ion ,you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse .o supply da�a, but refusal may require that the Ciry deny the permit or license. 3, The information r�iy be shared with other local, state or federal agencies to the extent necessary to process the permit or liceiise. 4. If your requesteL pernut or license requires Council action to approve, some information may become public. 5. You have cenain ri;hts under N1.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required co process this application or permit. First ytiddle Last Address ��y State Zip Phone I underst d my ri;hts as state above. Signa re �/ � DATE TIME CITY OF ORONO - �'�-�` Eo iN —�—��_ INSPECTION N TICE SCHEDULED ��_� PERMIT N0. �S �y COMPLETE ADDRESS �/� .C�'i �&�uL-- � ..�-� OWNER � V�N 5 CONTR. � '�l '�� COi17`�'4c��2S TELEPHONE NO. �� — <3 / �3� � DESCRIPTION ��— � tL 01 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 TREE REMOVAL Z 04 12 WATER HOOK-UP 17 SITE INSPECTION OS FINAL V 14 SEWER HOOK-UP O6 PROGRESS � MO-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 C j _ --� ._� O �. � O � W � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUiRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ Owner r on site: _ Inspector. ' � � ��- _ � Whit py/lnspector's File nary CopylSite Notice �.,___-- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ',� �.�til PERMIT NO. ��;��/4 g COMPLETED ADDRESS__ l l� �r►'i0. L/�n c1�o` OWNER CONTR. cSUJ'� Cd11��a��`• TELEPHONENO. �S_.� U7vZ ��,�a � DESCRIPTION �eG�r d�" �Z/2 � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING Q 02 FRAMING - 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL rife�)�_7�_ n _ 14 SEWER HOOK-UP O6 PROGRESS � EMO �FiLY-`"�1r 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � W a J �f� �� O � � O � W � Q z " �.�z�� --C� !�}��T-�� W � 4i � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE _ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCo ctor o site: Inspector. ~ te Copyllnspector's File Canary CopylSfte Notice