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Home My WebLink About2002-P05399 - re-roof CITY OF ORONO PERMIT Zf/50 Kelley Parkway - PO Box 66 Permit Number: Pos399 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: �iiii2oo2 SITE ADDRESS: 3980 North Shore Dr MOUND,MN 55364 PID: 08-117-23-33-0069 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 114.25 APPLICANT: Sun Contractors and Home Improvement OWIVER: LEAH MARIE VICKERMAN 2365 Commerce Blvd 3980 NORTH SHORE DR Mound,MN 55364 MOiTND 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. _ � � � � � z L � �•�� / /�.-��-��.��d l.� �"1 �� -�� /j%c:��;,�;��/ " APPLICANTPERMITEESIGNATURE �� [SS DBYSIGNATURE ,� . . Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 Total Fee: $ Date Received: � `Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATIOlet All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTOR � JOB SITE ADDRESS: .��J �(,� �. ��n y� ,�r n ZIP: �;�r� r�o , e'n /Ur 5��`�(��/ —j �1 �� NAME OF OWNER: L.E'�.�'l �l CfCyr!)')C�i� PHONE: (home)��`�_;� �'�/-�'�� '� (work) MAILING ADDRESS: �L��, CITY: ZIP: . ��t �"fz''i�� -r�T�r�� t e�z f3. �. CONTRACTOR: .t ' Ct C „ I' ` PHONE: ��5 �. f-1��-3 �3'L CONTACT PERSON: r Vc� P� ' e r��r=�V�OBILE/PAGER: �j,� (�;e�� -�3 s� g g MAILING ADDRESS: erce � �GICITY: �7�, ��r,-�� ZIP: .�'��, �! STATE LICENSE: #�3� - eb�,��j `t�3•3.� 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: �� iE �� : � � STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � E �, ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �'Ci�: , 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 permi� and work is not to start without a permit; and that the work will be in accordance with the approved plan. � APPLICANT'S SIGNATURE � ` � ��rY(.$1��d��-�C.DATE: � G� ,� NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. � Sec.13.04 RIGHT'S OF SUBJECTS�F D�TA 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. Information required to be given individual. An individual asked to supply private or confidendal data concetning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting'state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any imown consequence arising fmm his supplying or tefusing to supply private or confidential data;and(d)the idenriry of ocher persons or enriaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace required under this subdivision in the individual income tax or propertv 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 whe[her it is classified as public, private or confidendal. Upon his 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 hicn and, if he desires, shall be informed of the content and meaning of rhat 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 acrion pursuant to this secdon is pending or addiaonal data on the individual has been collected or created. The responsibie 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 auchority shall comply immediacely, 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 reques[ within that time,he shall so inform the individual,and may have an addidonal five days within wluch 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 himsetf. To exercise[his rieht,an individual shall noafy in writing the responsible authoriry describing rhe 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 nodfy past recipients of inaccurate or incomplete data, including recipienu named by [he individual; or(b)notify the individual that he believes che 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 authority may be appealed pursuanc to the provisions of the administnrive 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 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 pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pemut 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 Middle Last Address � City State Zip Phone I underst d my rights as stated above. ^ � - " ,y�,� � �J��i�(�--��.iG�-C�� , Signatur DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE scHE�u�E� � PERMIT NO. �� COMPLETED ADDRESS � �-- OWNER CONTR. c�-t� ��'1,� • TELEPHONE NO. �5� ' �� ^ �`��Z � DESCRIPTION � � �� T7/�� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-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 PLUMBING FINAL , 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU:_YES NO � COMMENTS: a � � � � --��_ o � � � _�,�c�-t� .�_�1 � �. (lc�� < � Q � z W � W � j d W� L7 WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next ins e ion 24 ho s in dvance. (g52) 249-46�� Own ctor on sit • Inspector. � e Copyllnspeclor's File anary Copy/Site Notice