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Home My WebLink About2003-P06979 - re-roof �- IT�( OF ORON PERMIT � Permit Number: 2750 Kelley Parkway- PO Box 66 P06979 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions (952) 249-4600 Date Issued: ii�si2oo3 SITE ADDRESS: 3860 North Shore Drive Mound,MN 55364 PID: 08-117-23-33-0095 DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernrit Fee: $ 83.25 Valuation: $ 2,500.00 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 85.00 APPLICANT: WF.Smith Construction OWNER: D Handlin&N Krause 5975 Lynwood 3860 North Shore Drive Mound,MN Mound,MN 55364 TT3E UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN Sf RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF NIINNESOTA BUILDING CODE REQUIREMII�ITS. , ; APPLICA T PE E SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required),1-Aunlicant,1-Monthlv Reuorts, 1-Assessin�, 1-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) THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR �� JOB SITE ADDRESS: 3�� d N. Sl�ZsrL�L�- : ZIp; Will this be a P rade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: t��/� �� L�'r'� PHONE: (home) �.. (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR4/V�F• S� � 7"�� • PHONE: C��a. -�G �—3� � � CONTACT PERSON: v p MOBILE/PAGER: MAILING ADDRESS: S�/ 7S" Lii'!r��.�-�doc� � �G(_�CITY: �-�-r l� ZIP: �f'� � �/ STATE LICENSE: # ,�'�� ; ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeUAlteration J� Land Alteration ��— PROPOSED WORK(describe in detai�: %�-�- o� ¢ �i � A�/d-�2 . STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. C�� ESTIMATED CONSTRUCTION VALUATION (excluding land): $�c�,�� I hereby apply for a building permit and I aclrnowledge 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 pernut and work is not to start wi ut a permit;and that the work will be in accordance with the approved plan. 1 � -- � �� APPLICANT'S SIGNATURE: DATE: Sec.13.04 RIGHTS OF SUBJECTS OF DATA ' Subd 1. T��pe of data. T6e rights of indlvidual on whom the data is stored or to be stored shall be as set torth ln this section. Subd.2. Information required to be given individuaL ?►n individual asked to supply private or rnnfidential data concerning hlmsel[shall be intormed o[: (a)the parpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he ma�refuse or is legally required to supply the requested data;(c)sny knowo rnnsequence arlsiag from his supplying or refusing to supply private or confidential data;and(d)the identity of ot6er persons or entities authorized by state or tederal law to receive the data. T6is requiremeot shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to s law enforcement officer. The commLssioner of revenue msv olace the notice reaaired under this subdiviston In the individusl income tax or orooertv taa refund instruMions instead of on those forms. Subd.3. Aceess to data by individual. Upon request w a responsible aut6ority,an ind(vidual shall be informed whether he is t6e subject of stored data on individoals,and whether it is classitied as public,private or confidential. Upon his further request,an individual who is the subject of stored private or pubGc data on indlviduals shall be shown t6e data without any charge to him and,if he desires,shall be Informed of t6e coutent and meaning of t6at data After an individual has been shown the private data and Informed of its meanieg,the data need not be disclosed to 6im for sia months thereafter uuless a dispute or action pursuant to t6is section is pending or additional data on t6e individual has been collected or crested. T6e responsible authorlty shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authorlty may require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. The responsible authority shall comply Immediatety,if possible,with any request made pursuant to this subdlvision,or within five days of the date of the request,eaduding Saturdays,Sundsys and legal holida�s,it 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 additional tive days within whlch to comply with t6e request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or rnmplete. An lndlvidual may contest the accuracy or rnmpleteness of public or prlvate data concerning himcelt To eaerclse this right,an individual shall notify In writing the responsible authority descrlbing the nature of the disagreemenG The responsible authority shall within 30 days either: (a)rnrrect the data found to be inaccurate or Incomplete and attempt to notify past recipients of inaccurate or inrnmplete data,lncluding recipients named by the individual;or(b)notify the individual that he belteves the data to be rnrrect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with t6e disclosed data. The determInation o[the responsible authority may be appealed pursuant to the provisions of the administrative procedure aM 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 permit or license from the City of Orono or an�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 eatent necessary to process the permit or license. 4. If�our 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 applicatio or permit. \ 1 � � 1..1./ �"�'�--�� First Middle Last ��'�S� � �ltiv��s� � Z/�!� Address � I�'16v,Nv� ''� r� �-�b � y-�a- -6s�'�l C�tY State Zip Phone I understand my rig s a stated ab ve. � Sigaature ��P� � � DAT TIME CITY OF ORONO CALLED IN ��' INSPECTION TICE SCHEDULED !/-�-a 3 PERMIT N0. �7� COMPLETED ADDRESS �8�0 N•��R �� OWNER CONTR. �� TELEPHONE NO. � DESCRIPTION �'e�L v ( J � �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SRE 27 SEPTIC MAINL 21 COMpLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a j ` O � � O � W �C Q � W W � � d W� WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECAVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the n t inspection 24 hours in advance. (g52) 249-4600 OwnedContr 'te: Inspector. � WhNe CopyMspector's Ffle Canary CopylSite Notice