HomeMy WebLinkAbout2000-P02746 - re-roof PERMIT
GITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2�46
Crystal Bay, Minnesota 55323 Permit Type: Minor Aiterations
(612) 249-4600 Date Issued: �i2si2oo
SITE ADDRESS: 1505 North Arm Dr
MOUND,MN 55364
P I D: 07-117-2 3-44-0067
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Type: Minar Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38.75
Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 39.25
APPLICANT: CHARLES PETERSON OWNER: C& R PETERSON
1505 NORTH ARM DRIVE 1505 NORTH ARM DR
ORONO,MN 55364 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.
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APPLICAN'f PERM[TEE IGNATURE ISSUED BY SIGNAT[JRE
Copies: City,Applicant,Assessor,Finance Page 1
• Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: /��S D��v-�-� ��'rn �v-, ZIP: S�S� 3�`f
NAME OF OWNER: � ��,�,,�I�S � �..2+��SD� PHONE: (home) �j7a 3�O`1�j`
(work)
MAILINGADDRESS: S F�� � �,�o�e CITY: C�Uon�o ZIP: 5r5"3�
CONTRACTOR: ,� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: 1J e� �'o o.�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ �l9�'�
I hereby apply for a building permit 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 ac ordance with the approved plan.
APPLICANT'S SIGNATURE: : � ��d z���
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGHTS OF S[JBJECTS OF D�TA
Subd. 1. Type of data. The righrs of individual on whom rhe data is stored or to be stored shall be as set forth in this section.
Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requesud data withia the collecting�tatc agency,political subdivision,or sracewide sysum;
(b)whe[her he may refuse oY is legally required to supply the requested data;(c)any irnown consequence arising from his supplying or refusing to supply
privace or confidendal data;and(d)the idenury of other penons or enrides authorized by state or federa!law to receive the data. 'I'his requirement shall
nat appiy when an individual is asked to suppiy invesrigadve dara,pursuant to secdon 13.82,subdivision 5, co a law enforcemenc officer.
'The commissioner of re�enue mav ptace the nodce rewired under this subdivision in the individual income rax or aropem tax refund
instructions instead of on those forms.
Subd.3. Access to data by iadividuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is class�ed as public, privace or confidendal. Upon his further request,an individual who is the subject
of stored private or pubtic dara on individuals shall be shown the data wichout any charge to him and;if he desires,shall be informed of the content
and meaning of chat dara. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months theroafter unless a dispute or acdon pursuanc to this secrion is pending or additional data on the individual has been collected or created.
The responsible au[horiry 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 immediacely,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saairdays,Sundays and legal holidays,if immediace compiiance is not possible. If he cannot compty with the request
within that time,he shall 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. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himseif. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing the nature of the disagreement.
The responsibte authority shall within 30 days either: (a)correct rhe dara found to be inaccurau or incomplece and aaempt to nodfy past recipienu 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 shail 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 pursuanc 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 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 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 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.
(, Your full name is required to process this application or permit.
First Middle Last
Address
City State Zip Phone
I unders d rights sta d above. .
Signature
DATE TIME
CITY OF ORONO CALLED IN S�'-/��v C�
INSPECTION NOTICE SCHEDULED .����� ��'J2 �)
PERMIT NO. �0�.�7y� COMPLETED � J `�'
ADDRESS 1 SO S �(�. .Q r,�—� ��'
OWNER C����•,r�� � CONTR.
TELEPHONE NO. �/7 Z- %�`�'���
� DESCRIPTION r'� ��'�t�-���-�� - �c°�. ����C�' �
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d ORK SATISFACTORY:PROCEED C: PROJECT COMPLETE
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� ❑CORRECT WORK 8 PflOCEED i^� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
I CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra r on site:
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Inspector.
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