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Home My WebLink About2001-P03885 - re-roof ` GITY OF R N PERMIT O O O Permit Number: 2750 Kelle y Parkwa y - PO Box 66 P03885 Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations (952) 249-4600 Date Issued: 6i4i2ooi SITE ADDRESS: 1369 North Arm Dr MOUND,MN 55364 P I D: 07-117-23-41-0064 DESCRIPTION: USC Occupancy x3 Proposed Use: Kesicientiai Census Code •-�� f%f� �� Permit Class: Building -' `�� IC>�� Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof- DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 44.85 Valuation: $ 1,200.00 State Surcharge Fee: $ 0.60 TOTAL FEE: $ 45.45 APPLICANT: Dominic Wharram OWNER: Dominic Wharram 1369 North Arm Dr 1369 North Arm Dr Orono,MN 55364 Orono,MN 55364 TI�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�?�r�c� �'G'-------�. / (i`� /�� ;L- �*1--C.'� APPLICANT PERM[TEE SI NATURE SSUED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII�DING PERNIIT A,PPLICATION 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 � � � �w.. �t��_ Z1i : f�� CO JOB SITE ADDRESS: ��C -\ �.�� < NAME OF OWNER: 1_-��.;..�...,..�c.� ��;� �u�-�PHONE: (home) `'1J� -`��-j2�4� (work) l�IA.IL.Pi IG ADDRESS: `��1�`\ 1!k- ,��•,•.`�: CITY: <� �;-�.•�-� ZIP: �-; 1 3� y CONTRACTOR: " PHO�'E: CON'TACT PERSON: �IOBILE/PAGER: MAILING ADDRESS• CITY: ZIP: STATE LICENSE: # ARCHIT`ECT/ENGINEER: PHO\TE: NIAIL�'G ADDRESS: CITY: Z�: N��: REGIS'IRATION# ' TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �/ Land Alteration PROPOSED tiVORK (describe in detai�: �,� �� =�-` ��'�- �-`� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF B�DROOMS: � GARAGE STALLS: ATT. ✓� DET. � - -� - ESTliVLA.TED CONSTRUCTION VALUATIOti (excluding land): S }��C I hereby apply for a buildin? permit and I acknowled;e that the information above is complete and accurate; that the work will be in conformance wich the ordinances and codes of the Ciry and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work wil e in accordance witli,the approved plan. � �:� c�t�� --DATE: J ti�.r,� � �� A.PPLICANT S SIGNATURE: �-_ ��,_�^.. 1�'OTE! Parade o Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events wi11 not be allowed. . ` Sec.13.0-1 RIGHTS OF SUBJECTS OF D:�T?, Subd. 1. T}�pe of data. The righ�s of individual on whom�e data is stD:�or[o be s�ored shall be as sec for[h in this secdon. Subd.2. Information reqirired to be given indiridual. P.n iLdi�'idual asY�co supply privace or confideorial dara conceming himself sha]I be informed of: (a) the purpose and in[ended use of the requesud daca v.:�in the eollecdng"stace agency,poliacal subdivisioa,or statewide rysum; (b)whecher he may refuse oT is legally required to supply the requested data:(c)any l�own eoasequeace arising from his supplying or refusing to supply pcivace or connd:ne:1 da:a;and(d)the idenriry of other persoas or eadees an�horizr_d by s�ate or federal law ro receive the data..This requ'uement shall not apply when an individual is asked to supply invesdearive dara,purn:�^�to secaoa 13.82, subdivision 5, to a law enforcemenc officer. The comrniss�oner of re�•enue riav place the norice rauired Lrd-r this subdivision in the individual u:come tax or pro�e_m tax refund ins�ruuions irsce=d of on�hose forms. Subd.3. �,ccess to data by indi�idual. Upon requesc to a r_s�oasiblz ae�.^..oriry,an individual shall be informed whether he is the subject of scored data or.ir.dividuals,and whecher it is classified as public,priva�,or conFid=r.ria1. Upon his further request,an individual who is the subjec� of srorzd privace or public data on individuals shali be shown the data w•i�ouc any c�a*roe to him and;if he desues, shall 6e informed of the concenc ar.d meaning of L':ac da�. Aher an individual has been shown the priva��ac�and iL;ormed of i�s meaniag,the dara need not be disclosed to him for six mon�hs �1:ereaner u:less a dispute or acdon pursuanc co this secdon is�elding or zddiaonal data on the individual has been collected or crea�d. The responsibl�auchori:�shall provide copies of the private or public data i:�on reqs:s:by the individual subject of[he data. The responsibie authoricy may requir� rhe reques�ng penon to pay the actual coscs of makine,cer.;:ing, and compiling che copies. 'Ihe respons:ole authoriry shall comply immedia[zty, if possib!=,wi�h any r_quesc made pursuant to this subdivision, or wichin five days of th�da�e of the reGuesc,ezctuding Sacurdays,Sundays and legal holidays,ir ir..mediace compliance is no�possible. If he cannot comply with the requesc wirhin�ha�ame,he shail so inform che individual,and may have an addi�e-.al Five da�s wichin which to comply with the reques�,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. �n individuzl may concest the accuracy or completeness of public or pri�•ate daca concerning himseif. To exercise this right,an individual shall norify ia wriang ce responsible authoriry describing�he nacure of the disa;reemeac. The responsiblz au�hor..y shall wi�hin 30 days either: (a)correct che dae icund to be inaccurate or incompiece and attempc to nodfy past recipiencs of inaccunce or ir.compte�data, including recipients named by�he individL�l;or(b) �odfy the individual tha�he balizves the data to be correct. Daca in dispu�e shall be disclosed only if[he individual's stacemenc of disagret�=nc is irc!nded with the disclosed da�a. 'I'ile��;e:mi^arion of the rosponsible au�horiry may be appea�aa pursuac:to the provisions of[he admuuscrarive procedure acc relaring to concesced eases. DATA PRIV�,CY AD�ZSORY In acco:dance with M.S. 13.04, Subd.2, "RiQhts of subjects oi data", we would like to inform you that your reauest for a permit or license from the City of Orono or any o[i� depar.L.ents may require you to furnish certain private or confidenci2l infornation. You a.*e noti;ied that: 1, The informacion you fumish will be used to de:ermine�'our qualification for the permit or license requested. ?, You may refuse to supply data, but refusal nay require that the Ciry deny the permit or license. 3, The information may be shared wich o[her locz, 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. j. You have certain riQhts under N1.S. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process this applicacion or perm.ic. � �� ' . �� v ��-r��.� Firsc �fiddle Last 1 ��` �.\Ur� ��V''�- �T Address � �� l�,.r.. '� �i�'\1--� �5-�� `� ! � Ciry State Zip Phone understand my ri;hts as st d above. � _ �� w��.��---� _ Signacure DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. c MPLETED -4� ��t �DDRESS � OWNER�G ONTR. TELEPHONE NO. _ ��Z ' �� ;�D�� DESCRIPTION�«''D� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�!/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOO BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a � J O � � � � � � fl h W � Q � 2 W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑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 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector.�� White Copyllnspector's File Canary CopylSite Notice ✓ DA,T`E TIME CITY OF ORONO CALLED IN �'� '7'—�` INSPECTION NOTICE SCHEDULED L�"�' sZ %3� PERMIT NO. P �� 3�� COMPLETED � � �� ADDRESS ! �i � �1 �`'"�� '`�y� �'� OWNER tir�uY�. G[1�ia-�� CONTR. TELEPHONE NO. gs `� � �7'� � � �'g�" � DESCRIPTION �� " �r� ly� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q INAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � a �-�c� � �r.1' �-n r�G�r�rr�¢c.� — o ��Zi�-�L�iv , ` ' Lr71 � ,Y'L U`-TiL/-7'LC�]/� t-Gc� ..iL-c.� � � �l�.et��-� ��c _�D�--o�-e__� W " � Q � z w � W � � d�f'WORK SATISFACTORY:PROCEED L PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN r°, CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. 249-46�0 OwnerlContract n si Inspector. White Copyllnspector's File Canary CopylSife Notice