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Home My WebLink About2002-P05685 - re-roof � PERMIT CITY OF ORONO permit ►vumber: 2750 Kelley Parkway- PO Box 66 P05685 Crystal Bay, Minnesota 55323 Pe�mit Type: Minor Alterations (952) 249-4600 Date Issued: lo�i�2oo2 SITE ADDRESS: 4700 North Arm Dr W MOUND,MN 55364 PID: 06-117-23-23-0007 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Pemut Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation• $ 6,500.00 State Surcharge Fee: $ 3.75 TOTAL FEE: $ 143.00 APPLICANT: Eds Home Maintenance Repair Service OWNER' R&D MAIJALA 12254 92nd Avenue North � 4700 NORTH ARM DR W Maple Grove,MN 55369 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. G��,�y, APPLICAN ERMITEE SIGNATURE I SUE Y SIGNATURE Couies: 1-File(Sir;nitures Required), 1-Atmlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 . Total Fee: $ ��3- �'�� Date Received: Entered By: {'12�J Pernut#: o ; (�, � r CITY OF ORONO - BUILDING PERMIT APPLICATIOIeT All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------- - --_____ ----------------`------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOB� ,_� JOB SITE ADDRESS: �l04 /�l�/� f-1� ,E�;;'�� - �� ZIP: NAME OF OWNER: ��l��iL11�-i�'�L�t PHONE: (home) ��Z- �}��z �`5�'�' (work) MAILING ADDRESS: t�� CITY:�� ;� d ZIP: CONTRACTOR: �� I-�wt t �v,>�:r: •� ,�'eF's�,c�; PHONE: ��3 �/�:3 �y�' "3 CONTACT PERSON: MQ��/PAGER �l'Z b''�5` ��3 �� t�_ MAILING ADDRESS:� �� r�,��Y � .,; CITY:�,�., �.F��y;,,�,,.: ,: ZIP: � ,�.,� SS 3�� STATE LICENSE: #�,��.�o � I �S�' ARCHITECT/ENGINEER: PHOl�'E: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: •��/�-,� C 1`f� 71�� ( f`) � �F—L i L L �I t'- c L� ��G��.'� ��L�7C .� O S� S STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� -��" - �-�' 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 Ciry 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: ��!�� DATE: �� -t � c 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 SUBJECTS OF D:�TA Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to suppiy private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara wi[hin the co(lecting'state agency, political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising fmm his supplying or refusing to supply priva[e or confidenriai data;and(d)the idenriry of o[her persons or enrines authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invescigadve dara,punuant to secdon 13.82,subdivision 5, to a law enfoccement officer. The commissioner of re enue mav place the noace reauired under this subdivision in the individual income tax or proper[v tax refund instructions instead of on those forms. Subd. 3. Access to data by individuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or confidendal. Upon tils further request,an individual who is the subject of stored private or public data on individuals shall be shown[he data without any charge to hun and,�if he desires, shall be informed of the content and meaning of rhat data. Afrer an individuai has been shown the private data and iqformed of iu meaning, the data need not be disclosed to hicn for six months thereafter unless a dispute or acdon pursuant to this secrion is pending or addidonal 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 authority may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The 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,excluding Sacurdays,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 addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or camplete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individua(shall notify in wriang the responsible authoriry describing[he nature of the disagreement. T'he responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplece 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 determinarion of the responsible authoriry may be appealed pursuanc to che provisions of the administrarive procedure act relaang 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 pernut or license from the City of Orono or any of its deparcments may require you to fumish certain private or confidential information. You are notified that: 1, The information you furnish will be used to determine your qualification for the pemut 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 ri�hts 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 Middle Last Address C�ty State Zip Phone I understand my rights as stated above. .a� .-, ��`' �c�� ,>�� Signature ' oP��✓ �, DATE TIME CITY OF ORONO ALLED IN INSPECTION N T CE r- SCHEDULED � -n PERMIT N0. 5 COMPLEfED ADDRESS 4 7�d /�O . Q�� .�l.c.�2 K/� OWNER CONTR. �-.� �+�„��- TELEPHONE NO. 7�o.3 —� �� --r�� I � � � DESCRIPTION — � 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD 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 r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W /' a j � O a � O � W � Q � 2 W � W � j d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑�SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice , / DATE TIME CITY OF ORONO ��CALLED IN INSPECTION NO E SCHEDULED /D-� � PERMIT NO. J COMPLETED ADDRESS � 7 46 �O/2T�I��N� l�� OWNER CONTR. �4IY�p rG��%• TELEPHONE NO. ��o � �9� �g 9� � DESCRIPTION �l �� 01 FOOTING 11 MECHANICAL RI 16 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAI FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER7FIREPLACE 34 TREE REMOVAL Z 04 WALL BD• 72 WATER HOOK-UP 17 SITE INSPECTION Q INAL 14 SEWER HOOK-UP O6 PROGRESS � O-SITE 27 SEPTIC AAAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL ,� 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_�' NO ti COMMENTS: o� W C J O � O � W � Q � W � W � � O W� WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContra o ite: Inspector. - Whita CopyAnspectors File Canary CopylSite Notice