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Home My WebLink About2002-P04982 - re-side � � CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po49s2 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 3i2si2oo2 SITE ADDRESS: 1179 North Arm Dr MOUND,MN 55364 P I D: 07-117-23-14-0054 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pemut Class: Building Census Code O/S-Building Permit Type: Minar Alterarions Permit Sub-type(s): Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: � 125.25 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 128.25 APPLICANT: �'issota Siding Windows OWNER: SCOTT L CHRISTIANSON ET AL 4816 lOSth Lane NE 1179 NORTH ARM DR Circle Pines,MN 55014 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. , � /; ��'�C..� C-� r- , �� -�� `�1�� /� �J f� � � � � A ICAN'1'PI;RMITE SIGNA"IURE ' ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 � } /�": � a � �� "i Total Fee: $ �- � Date Received: 3 -��-��'i':-� Entered By: �. -��; Permit#: ' �/i��- CITY OF ORONO - BUILDING PERNIIT APPLICATIOI� 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: �� .7 � �/O�� /.�v� O/', ZIP: 5 53� y NAME OF OWNER: �CD � �� a w��' �?r�5� PHONE: (home) I Sa��j S 1�/� (work) MAILING ADDRESS: /� 7� `v�f!f� %r,� ,t�r;. CITY: Oro�c ZIP• �5S 3��/ CONTRACTOR: ��S�o�ti S,d%,� f w;%�a�wS' ,T��C, PHONE�7�3� 7S0-`��SU � CONTACT PERSON: G,r,v� �a�P/Sc'�%` MOBILE/PAGER: L�3 3loG' f/o? / MAII.ING ADDRESS: 1-�g/�o ia Sf`' ��,. N/,�� CITY: C`;�c% f�i��e% ZIP: ,So/� STATE LICENSE: # �C� -ao a� �g�; ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�C_ Land Alteration PROPOSED WORK(describe in detai�: ,�,e S�o�e- �fd�� t S��5�� __ STORIES: / SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �r o�l� I hereby apply for a building pernut 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 with the approved plan. APPLICANT'S SIGNATURE�.I�n <.6`- ,�21��1�i�2c� DATE: ��S�O � NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Couneil 60 days prior to the event. Non permitted events will not be allowed. • 1 Sec.13.04 RIGIiTS OF SCTBJECTS 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 reqirired to be givea individual. An individual asked to suppiy private or confidential data concerning himself s6a11 be informed of: (a)the purpose and intended use of the requesud data within the collecang�tate agency,political subdivision,or statewide sysum; (b)whether he may refuse oY is legaily required to supply the cequested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenriry of other persons or enuries authorized by state or federal law to receive the data. This requirement s6all not apply when an individual is asked to supply invesdgadve dara,punuanc to secdon 13.82,subdivision 5,w a law enforcement officer. The commissioner of re�enue mav place the noace required under this subdivision in the individual income tax or propertY_taz refund instcucdons instead of on[hose forms. Subd.3. Access to data by iadividuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and.vhether it is classified as public, 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 dara without any charge to him and:if he desires,shall be informed of the content and meaning of fiat data. After an individual has been shown the private dara and informed of its meaniag,the data need not be disclosed ro him for six months thereafur unless a dispute or action pursuant to this secdon is pending or addiaonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,ceroifying,and compiling the copies. 17te responsible authority shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the roquest within that tune,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legat hotidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compieteness of public or private dara concerning himself. To exercise this right,an individual shall noafy in writing the responsible authoriry describing�he nature of ihe disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found m be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including 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 determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating to contested 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 furnish 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 permit or license. 3, The information may be shared with other local, state or federal agencies to the eztent 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. p�,�:,� S�� .��s« First Middle Last G/��lo /D.SZ� G rr • il/.� Address � ,I � �-_�/L/ ��?>-��it,�`�� ';�'i'�e �%� C 5 �7i .�i v s� Ciry State Z�p ��6one. I understand my rights as stated above. Signaturo DATE TIME CITY OF ORONO CALIED IN y INSPECTION NOT CE//n SCHEDULED y-t�CD c7� PERMIT N0. �U'f 7�� COMPLETED ADDRESS lf 7� �02T�-/ i��Z� oO� OWNER CONTR. Ii�/�S`S�� .S�i�cli'�tF-�,�.�) TELEPHONE N0. �� ,3/0 o i �a / � DESCRIPTION O� � 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 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 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO /r1�$'�ti�Q�'j e�/'JJ � COMMENTS: ��- cC 77J l��/�a l�oar a N ��T�r s,'a�e��/lcs � 0 a � 0 � _ W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN iNSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours' advance. (g52) 249-4600 OwnerlContractor on si : Inspector. � te Copyll�apector's File Canary Copy/SNe Notice