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Home My WebLink About2002-P05124 - re-roof CITY OF ORONO PERMIT �•75G i�elley Parkway - PO Box 66 Permit Number: Posi2a Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: s�i�2oo2 SITE ADDRESS: 215 North Arm La MOUND,MN 55364 PID: 06-117-23-24-0001 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Buildin Census Code O/S-Building Pernut Class: g Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 153.25 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.50 TOTAL FEE: $ 157.75 APPLICANT: Owner/self OWNER: C A PASS ET AL TRUSTEES � 38 ADDRESS UI�ZASSIGNED MN 00000 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. ,� �. : -, �, r� s G _ Z/�`-'�L�� i�� i� A ICAN PERMI ESIGNATURE ISSUEDB '[GNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1 Total Fee: $ Date Received: �� '� t �ntered By: Pernut#: 'o /�� 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 OR CONTRACTOR JOB SITE ADDRESS: �I.� /lj,.,,r7k !�✓t�r �o,,� r�. ZIP: NAME OF OWNER: �rctcQ �' �'a,-�� /�`�SS PHONE: (home) �C iz- 721.45 09 (work) MAII.ING ADDRESS: 2S 3� �8"� ��..e- S CITY: I�`'1 n I9 ZIP:; �o CONTRACTOR: �,QoQ ��S PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: 1VIAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New �U Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: /��T��Q�� y�,o� �,.� �,v-,.�� T�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �� ESTIMATED CONSTRUCTION VALUATION (excluding land): $�%�D 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 acc anc ' the pproved plan. APPLICANT'S SIGNATURE: DATE: � /' /b 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. . . s Sec.13.04 RIGHTS OF S[JBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set forth in dus section. Subd.2. Information req�ric�ed to be given individual. An individual asked to supply private or confidential data coacerning himself shall be informed of: (a)the purpose and intended use of the requesud dara within the collecting§tate agency,poliacal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requesud data:(c)any lmowa consequence arising from his supptying or refusing to supply private or confidential data;and(d)the idenary of other per5ons or endaes autharized by state or federal law to receive the data. This requiremenc shall not apply when an individual is asked to suppty invesrigadve dara,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer. The commissioner of re�enue mav piace the nodce reauired under this subdivision in the individual income taz or nroDertv taz refund instrucdons 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 sWred data on individuals,and whether it is class�ed as public,priva[e or confidendal. Upon Iris fucther request,an individual who is the subject of storod private or public dara on individuals shatl be shown the data wi[hout any charge to him and,-if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private dara and informed of ics meaning,tha data need not be disclosed to him for six months thereafter unless a dispute or action pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediatety,if possible,with any request made pursuant to this subdivision,or within five days of the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an addiaonal five days within which w comply with the�equest,ezcluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may conust the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing che nature of the disagreement. The responsible authority shall within 30 days either: (a)correcc the data found to be inaccurau or incomplete and attempt W nodfy past recipienu of inaccurate or incomptete data, inciuding recipients named by the individuai;or(b)notify the individual that he believes the dara to be correct Data in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible au[horiry may be appealed pursuant to the provisions of the administrarive procedure act reladng to contesud 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 shazed 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. 6, Your full name is required to process this application or permit. `� �Ss First Middle �t . z s3� /�� ,�� Address �fQ /s /_/ � S',j� �/2 72� "�' �� City �( ( State Z►p Phone_ I understand my rights as ed a ve. Signacu DATE TIME CITY OF ORONO CALLED IN INSPECTION TICLE� SCHEDULED �� _�. � � PERM17 N0. �7 ' COMPLETED ADDRESS r` G' �� OWNER �� CONTR. TELEPHONE NQ. � ��— ��— � G� / � DESCRIPTION �� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADINGIFILLING 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 05 FINAL 14 SEWER HOOK-UP O6 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 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET U:_YES_NO � COM ENTS: a �� -� . � � 0 � � � O f � � � Q l � .__-� . � Z � � � � � W - � j d W OFiKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETUFN ❑CITATION ISSUED ❑STOP OFDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� ZQ9-46�� Ownerl ractor on ite: �l,c�i ��Lyyr-��-rc a_ � Inspector. e Copyllnspector's File Canary Copy/Slte Notfce