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Home My WebLink About2008-P11887 - minor alteration PERMIT CITY.�F ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P11887 Cryst�l Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 2/25/2008 SITE ADDRESS: 4140 North Shore Dr Unit# Mound,MN 55364 PID: 07-117-23-44-0052 DESCRIPTION: Proposed Use: � ��Z�,Q Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): �� DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 295.00 Valuation: $ 17,000.00 State Surcharge Fee: $ 8.50 TOTAL FEE: $ 303.50 APPLICANT: Schroeder Remodeling LLC OWNER: Ted&Carrie Woychick 19773 Everhill Ave. 4140 North Shore Dr Farmington,MN 55024 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 MINNESOT UILDING CODE REQUIREMENTS. PERMITEE SIGNATURE I D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �•`,- � Total Fee: $ Date Re�eived: Entered By: Permit#• CTTY OF ORONO - BUII.DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print ald i�aformation) THE APPLICANT IS: (c�rcle one) OWNER O CONTRACTO JOB SITE ADDRESS' 4140 North Shore Drive �, ss36a Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes Q✓ No If yes,a special event permit is required with Police Department and City Council approval 60 days pr-ior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site par/ring is available. Non permitted events will not be allowec� NAME OF OWNER: �e Woychick pgONE: �IlOTrie� (952)472-4296 (work) . MAILING ADDRESS• 4140 North Shore Dr C�, orono �p. ss36a CONTRACTOR: s�n�aer R�«��ng�.�.c pgp�• (651)503-7385 CONTACT PERSON: Mike Schroeder MOBILE/PAGER (651)503-7385 MAILING ADDRESS: 19773 Everhill Ave Cj�'j�; Farmington �; 55024 STATE LICENSE: # �-20626545 EXPIItATION DATE• o3r�iros ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS• CITY• 7IP• NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeUAlteration(ie: Siding,Windows) ✓ Any earth movement may require MCWD review and permits! PRQPOSED WORK(describe in detail�: Teat-offand replace siding w/James hardi siding STORIES: Z SQ.FEET OF EACH FLOOR NO. OF BEDROOMS: GARAGE STALL5: ATTACHED ✓ DETACHED ESTIlVIATED CON5TRUCTION VALUATION(ezcluding land): $ 17�°�•� I hereby apply for a building pemut 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 'thout a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: ��2�+d� 31 �52 Z�q�6� � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA 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 section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of: (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is Iegally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply pnvate or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a faw enforcement officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income taY or pronertv ta�c 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 whether it is classified as public,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 action pursuant to this section is pending or additional 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 authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [fhe 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 contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the 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 notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he bel ieves 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 the 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.]3.04,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 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. Michael James Schroeder First Middle Last 19773 Everhill Ave Address Farmington MN 55024 (651)503-7385 City State Zip Phone I understand m riig s t bove. � Signat re Reset Form 32 " `�� s` DA TIME � CITY OF ORONO /� /l�8'Z�,oaad�a,�( '� - INSPI=CTION NOTIC SCHEDULED '��-d �� PERMIIT NO. �l�yl� COMPIETED ADDRESS �� /U4`�'`�( QJ�Z�� , OWNE:R �d�/��G� CONTR. TELEPHONE NO. g�Z �7z- �Z�J�O � DESCRIPTION �l�Q'�" '' ��'''�-��'�'� � ❑ FOOTIt�G � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMIt�G ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSUL?,TION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL E'D. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. Q ❑ FOLLOW-UP _ ❑ PLUMBIIVG RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBIPJG FINAL ❑ FOUNDATION/REMOVAL � OWNER/COiNTRACTOR TO MEET YOU:_YES_NO � COMME�VTS: � �_ N� C,-��►a�� o� �. �-P�-+�� J � ��;Se c k- L�K.S �on�.p �c-K — �-�h� � s � '�.;Zy.��c_� G� ��.1 C A��S - � w � � Q Z � ,•1,,.. ' (_ � . ' ' � , W � � d `�! W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ,C SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice