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Home My WebLink About2002-P05523 - re-roof PERMIT CITY ,�JF ORONO Permit Number: 275(�Kelley Parkway- PO Box 66 Poss23 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: si2oi2ooz SITE ADDRESS: 1374 North Arm Rd Mound,MN 55364 PI D: 07-117-23-41-0053 DESCRIPTION: UBc occupancy R3 Proposed Use: Residenrial Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernrits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 97.25 Valuation• $ 4,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 99.75 APPLICANT: Huber Construction OWNER: William Sutherland 403 E Central 101 1374 North Arm Dr P.O.Box 403 Mound MN 55364 St.Micheal,MN 55376 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. � C / APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Covies: 1-File(SiQniZures Required), 1-Auulicant, 1-Monthlv Retwrts, 1-Assessin¢, 1-Finance Page 1 Total Fee: $ Date Received: �ntered By: Permit#: CITY OF ORONO - BIJII.DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all inforn:ation) THE APPLICANT IS: (circle one) OWNER O ONTRACTOR JOB SITE ADDRESs: ��j 7�� o('�� rm ,�r'� zIP: NAME OF OWNER:._..1�✓�/�G rn Sl/Ul ef%ll'lf't PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: e� g PHONE: -�/�f� CONTACT PERSON: q r'e r- vY! MOBILE/PAGER: - MAILING ADDRESS• CITY: ,SL�.�'j;��,�/ZIP:_��, STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRFSS: _ CITY: ZIP: NAME: REGISTRATION� TYPE OF WORK: New Addition Accessory Strueture � Move � Remodel/Alteration� Land Alteration .�- M PROPOSED WORK(describe in detain: f�� "(�f f �� T STORIES: SQ.FEET OF EACH FIAOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlViATED CONSTRUCTION VALUATION(egcluding lancn: $ �(�O, � I hereby apply for a building permit and I ackaowledge 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 accor with the approved plan. APPLICANT'S SIGNATURE: ATE: ��C��Z NOTE! Parade of Homes events require separate pern:it approval by Police Deparbne�rt and � City Council 60 days prior to the event. Non perniitted events will not be allowed. Sec.13.04 RIGH'I'S OF SUBJECTS 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 secdon. Subd.2. Iaformation reqirired to be given individual. An individual asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse ot is legatly required to supply the requested data;(c)any imown consequence arising from his supplyiag or refusing to supply private or confidential data;and(d)the identity of other persons or endties authorized by state or federal law to receive the data. This requ'vement shall not appty when an individual is asked to supply investigadve data,pursuant to secaon 13.82, subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav place the nodce required under this subdivision in the individual income taz or property tax refund instructions instead 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 whetber it is classified as public, private or confidenaal. 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 meazung 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 acdon pursuant to this secdon is pending or additional data on the individual has been collected or created. The responsible authority 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, certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiUonal 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 of public or priva[e data conceming himself. To exercise this right,an individual shall norify in wridng the responsible authoriry describing[he nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy 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 determinadon of the responsible authority may be appealed pursuant[o the provisions of the adminiscca[ive pmcedure act reladng 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 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 pernut 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. First l�.id Last I' Address C��, State Zip Phone I erstand rights as ated above. Si ature DATE TIME CITY OF ORONO CALLED IN ' � n INSPECTION NO SCHEDULED �� '�� PERMIT NO. � �� COMPLETED ADDRESS 1 3 7 � /1�n- G�/�iI t��G� OWNER CONTR. ��-�P�t . CO-v�a.�. . � TELEPHONE N0. 3 `7�� DESCRIPTION ��"'��'��-��- � 01 FOOTING 11 MECHANIC 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREJWETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER NOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO }_.- � COMMENTS: � W • ' a J ,� � 'C� �� O '� / ��y p� �/� �C i7fPe L^-� /7'� O � W �� Q � � �� i�`��. L�( �t�`�-- �L�� z . � � � • �' �-- • W � � � F d � W W K SFACT R : D R JECTCOMPLEfE W _` ECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY o �GORRECT WORK,CALL FOR REINSPECTION TEM PORARY �Y BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlCon or on site: . Inspector. ite C py/lnspector's File Cana opylSite Notice �"�� DATE TIME CITY OF ORONO ✓ CALLED IN INSPECTION TICEY SCHEDULED �y�2-- PERMIT NO. SJ � COMPLETED ADDRESS � q� OWNER CONTR.�-��Q� �-6n-r� TELEPHONE NO. .��li ,� X� ��C�c� � DESCRIPTION � - � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YE _NO � COMMENTS: � W a � i� � �- 0 a � 0 � W � Q � z W � W � j d W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlCon si�: Inspector hite Copylinspector's File ary CopylSite Notice