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Home My WebLink About2003-P06494 - re-roof �ITY` OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po6494 Crystal Bay, IVlinnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: ��i�2oo3 SITE ADDRESS: 996 North Arm Dr Mound,MN 55364 PID: o�-ii�-23-ii-ooi� DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: •1l_a_..T:._____T T__�_�__:a1_1 ..«w...».....b.. .............»...: FEE SUMMARY: Permit Fee: $ 321.25 Valuation• $ 20,000.00 State Surcharge Fee: $ 10.50 TOTAL FEE: $ 331.75 APPLICANT' �'ild River Contracting,LLC OWNER: 7on&7eanne Heidorn � 3301 E-26th Street 996 North Arm Dr Minneapolis,MN 55406 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��'1't G� i? �j /APPLICANT P ITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Re4uired), 1-Avplicant,1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 Total Fee: $ Date Received: w , �ntered By: Permit#: � • 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) OWNER O CONTRACTOR JOB SITE ADDRESS: �� /V_ �/�I �,� Viw/�b ZIP: �� o NAME OF OWNER:�,�yV�� f��t�OrW PHONE: (home)9SZ"��y��o (work) �g4�S-o2t�d NiAII..ING ADDRESS: �•e_ � �� CITY: ZIP: CONTR.ACTOR: C��`��l` �� PHONE: ��-�7�"�ao�i' CONTACT PERSON: i �1'� ' MOBILE/PAGER: �/a- �5"97 MAILING ADDRESS: �� CITY: /71.4 S ZIP: 5��b�o STATE LICENSE: #,�-ZO/7g'7Z3 ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move � Alteration_� Land Alteration PROPOSED WORK(describe in detai�: �� J STORIES: 3 SQ.FEET OF EACH FLOOR: r�x `�� NO. OF BEDROOMS: � GARAGE STALLS: A . �- DET. ESTIlVIAI'ED CONSTRUCTION VALUATION (excluding land): $ �D, GC3� I hereby apply for a building permit and I aclmowledge 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 w in accordance with the approved plan. APPLICANT'S SIGNAT DATE: r l G3 NOTE! Parade Qf Home_s events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. . � . , � Sec.13.04 RIGHTS OF 5'[JBJECTS OF DATA � Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information req�red to be givea individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and inunded use of the requested data within the collecting State agency,poliacal subdivision,or statewide sysum; (b)w6ether he may refuse oY is legally required to supply the requesud data;(c)any�own consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenary of other persons or enaues authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data,pursuaat to secdon 13.82,subdivision 5,to a law enforcement o�ce�. The commissioner of revenue mav alace the nodce rewired under this subdivision in the individual income tax or nropem taz refund insnvcdons inscead of on those forms. Subd.3. Access to data by iadividual. Upon requesc to a responsibie authority,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is class�ed as public,private or confidential. Upon his fucther request,an individual who is the subject of sWred private or public data on individuals shall be shown[he 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 che private data and infonned of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secaon is pending or additional data on the individual has been coltecud or created. The responsible authority shall provide copies of the private or public data upon request by the iadividual subject of the daa. The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant w this subdivision,or within five days of the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the roquest within that time,he shail,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. Procedare when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private data conceming himseif. To exercise this right,an individual shall notify in writing the responsible authority describing rhe nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipients of inaccurate or incomplete dara, including recipients named by[he individual;or(b)notify the individual that he believes the dara to be correct. Data in dispute shall be disclosed only if the individual's statement of disagroement is included with the disctosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administiative procedure act relating w contesud 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 pemut 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: 1. The information you furnish will be used to detemune 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. - , J. �.��1� Fi�� f Mi dle I.ast � '�7a1 � Addro�4'9/7�� S �� 'J `fG�p �!/IQr�J�� Ciry State Zip Phone I� y ' hts as st e above. Signature • . , , . . , "��—"`^m� State of Minnesota Department of Commerce Licensing Division ,��.�� Oepartment of Commerce Telephone: (651)296-6319 �. _• �� 85-7th Place East,Suite 600 E-mail address: licensing.commerce(�state.mn.us ,' St.Paul,MN 55101-3165 Website address: commerce.state.mn.us ,"��*je�d ys� .,�,. . .:ResidentEat Buildin Contractor.l.fcense ��ar N�„e WILD RIVER CONTRAGTING INC susiness$truCfuce DBA , . ., 1 ...:... . . : � : : eQRPow4-r oN ' : Address: 173�0.l./�KE BLVD ,,::.... PO BOX 217 . . . . SHAFER, MN 55074 License IdenGfipUon Number. BC- 20179723 Qualifying Person: JEREMY D VITALIS �icense Expiration Date: 3/31/2004 Continuing Education: 7 Hrs CE due by 3/31/2004 -- __. -- - - - - ._..._ _- - __ -- _ _____ _ _ _ . . _ DATE TIME V CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED �'-7-�� .3%3c� PERMIT NO. � COMPLETED u �� ADDRESS 1�1� �� /�/7'1 �i�' OWNER CONTR. �i��.�iver CG7� TELEPHONE NO. ��2 - 70� �g� � � DESCRIPTION , `� - ��y �/�� '��+��"��Z � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 14 SEWER HOOK-UP 06 PFiOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FI AL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:�YES_NO � COMMENTS: � 7`oitc �lsY� y�i vr- s/Yz�4-7'�1y�C �}rv,r� /Zvsyvt.a �e-<,� O /N S vL. , c. /LvsS c.�E7 /i�f.o�✓ � �'-A .Gt ., �o o a Co fr-n�� v {= >`-� �i� 0 � W � Q � z W � W � J d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION�SSUED ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContrac 'te: Inspecto . White Copyllnspector's File Canary CopylSNe Notfce �� ✓ DATE TIME CITY OF ORONO CALL D IN ��r��2� 0�3 INSPECTION NOTICE scHE�u�eo --=�-�/b�?� PERMIT NO. �N�� COMPLETED ADDRESS �� ' � r IZ OWNER CONTR. �� TELEPHONE NO. �' I " J '� �� DESCRIPTION V'�� J�. � 01 FOOTING 11 MECHANI AL RI EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 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 06 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 � OWNERICONTRACTORTOMEEfYOU:_YES ` NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � O W� O WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 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. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on ite: Inspector. L u °� White Copy/lnspector's Ffle Canary Copy/Site Notice