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Home My WebLink About2001-P03934 - re-side " PERMIT CITY�OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P03934 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 6/14/2001 SITE ADDRESS: 4064 North Shore Dr MOUND,MN 55364 PID: o�-i i�-23-aa-ooss DESCRIPTION: UBc occupancy R3 Proposed Use: tcesidenriai Permit Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s):Building-Re-Side DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.25 Valuation• $ 7,832.00 State 5urchazge Fee: $ 3.95 TOTAL FEE: $ 157.20 APPLICANT• Minnesota Exteriors Inc. OWNER' DAVDI M JONES � 8600 Jefferson Highway � 4064 NORTH SHORE DR Osseo,MN 55369 MOL]ND MN 55364 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE Tf�REAL IMPROVIMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. �, D�c.� �l�i-�a� ISSUED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 06/11/O1 11:08 FAX 6124933689 MINNESOTA EXTERI �001/001 � F •• �./�� -�� i cl � Total Fee: $/'.5��0 �� DateReceived: �__ �� / � � /'� DateApprovedT— Entered By: � 6��>�7'� Permit#: rC �'� %3Lf ; —�� / Q^ ',� �>�� CITY OF %�� PERMIT APPLICATION J�' �-�� " II �� ,�'�'� ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WII.L �� BE STARTED �`' ___r___--_�___ ___"____��"----��-----'--__r___�'___�_________________ _ -�-�-�---- r--��____ �� THE APrLICANI' IS: (circle onc) OWNER OR O^TRACTOR � �1_ 30B SITE ADDRESS: ��,�! • ZIP: 3� � �� . , �,�� NAME OF OWNER: PHONE,: (home) � — � -�' ,,/� ,`,, � � (work) 3 — o �"J MAII.ING ADDRESS: �'U� �'/ �/ll �I CITY: ZIP: ,� ;��.3 ,� CONTR.ACTOR: �� PHONE: ��'��.��f MOBILE PFIONE/PAGER: MAILINGADDRESS: ,r�n� s�lu/u �CITY: �SS�O ZIP: S,3E5 STATE LICENSE: # /-��_ ARCHITECTlENGINEER: PHONE: MAILINGADDRESS: CITY: ZIP: NAME: REGISTRATION #f TYPE OF W ORK: New Addi ' Accessory Structure Move od lteration Land Alteration PROPOSEDWORK(describeindetail � � - STORIES: __� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �0 �01 _ � `� I hereby a�p'ly for a bvilding permit and I acknowledge that the information above is complete and accurate; that the work will be in confozmance with the ordinances and codes of the City and with the SCate 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 ' ccordance with the approved plan APPLICANT'� SIGNATURE: DATE: �r, NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non perniitted events will not be allowed. , `I otal Fee: $ DateReceived: Date Approved: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BESTARTED THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: �� /�(' � � ZIP: �SJ��v NAME OF OWNER: k� � > PHONE: (home) �� — �j�� MAILINGADDRESS: � (Work) �.3 _ �c�go �y' � � �I'/� CITY: ZIP: . �� . �, coNTxACTOR: ,��t.t.� ��- �� rxor�: ��/��.5'/� MOBILE PHONE/PAGER: MAILINGADDRESS: ��:,�,,,, �;� f��CITY: D,S�L� ZIP: .ss.36, STATE LICENSE: # ,!3�' -- �7�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OI' WORK: New Addit' n Accessory Structure Move Remodel/ -Iteration Land Alteration . � PROPOSED WORK(describe indetail)• �� STORIES: _� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��0 Ja� � � I hereby apply for a bu:lding 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 ' ccordance with the approved plan � APPLICANT'S SIGNATURE: � ~ ._/�' DATE: � NOTE! Parade of Homes events reqr�ire separate permit approval by Police Department and City Council 60 days prior to the event. Non-permitted events will not be allowed. n ' . . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shali be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerrung himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply die requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or enades authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgative data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav alace the nodce required under rhis subdivision in the individual income tax or pronertv rax refund instruc6ons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be inforrtted whe[her he is the subject of stored data on individuals,and whether it is classified as pub►ic,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without 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 data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant 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 data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the acmal costs of making,certifying, and compiling the copies. The responsible authoriry shall comply immediately,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 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 coatest[he accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shatl notify in writing d�e responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients 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 shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of rhe responsible authority may be appealed pursuant to the provisions of the administrative 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 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 tha[ 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. 6. Your full name is required to process this application or permit. First Middle Last , Address City State Zip Phone I understand my rights as stated above. Signature V DATE TIME CITY OF ORONO CALIED IN 7�a�`' INSPECTION N ICE SCHEDULED =a-O/ ��3 0 PERMIT NO. O � COMPLETED �� `�r �� ADDRESS O ��. h:/✓�- OWNER CONTR.�/7• TELEPHONE N0. 7�c3-- � �3—�5 °� � � DESCRIPTION � 01 FOOTING 11 ANICAL 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 05 FINA�L 14 SEWER HOOK-UP 06 PFOGRESS � vl0-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 � OWNERICONTRACTORTOMEETYOU:_YES_NO � COMME TS: W �� -'P3�' �/�l �-�- a � J O >. � O � W � Q ti 2 W � W � � � ��ORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: inspector. �'�.�C� G� C� S White Copylinspector's File Canary CopylSite Notice