HomeMy WebLinkAbout2001-P03790 - re-roof � '� � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03790
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: si9i2ooi
SITE ADDRESS: 4300 North Shore Dr
MOUND,MN 55364
PID: 07-117-23-42-0023
DESCRIPTION:
Proposed Use: Kesidentiai
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 69.25
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 70.25
APPLICANT: STEPHEN&JENNIFER PAIDOSH OWNER: STEPHEN&JENNIFER PAIDOSH
4300 NORTH SHORE DR 4300 NORTH SHORE DR
MOLJND, MN 55364 MOUND,MN 55364
THE UNDERSIGNED I�REBY 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.
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APPLI PERMITE SI NATURE ISSUED BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page 1
. � .
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII..DING PERIVIIT APPLICATION
All xnformation must be submitted in full before plan review will be started.
� (please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �{�c;��, ;,� s�(�2 t= p (Z ZIP: S s-3�C��
NAME OF OWNER: ��C[-� p H t-%N �R 1 1���� PHONE: (home) ��d-�f?� _ y a! �
(work) 7<�:; �� �`� 'i - _��!�3
�IAILING ADDRESS: 4 3 v� �`) � �vl��1- G fZ . CITY: G r'.�`hv� ZIP: s � 3��/
CONTRACTOR: " � i 1�l��kL��(l,� I��f `�v5 ft PHONE: -76 �-�l��-/-S��f33
C0�ITACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHO\'E:
NIAILING ADDRESS: CITY: ZIP:
N�,ME; REGISTRATION# �
TYPE OF WORK: New Addition � / Accessory Structure
Move Remodel/Alteration v Land Alteration
PROPOSED WORK(describe i�detain: j,�e�,� � c� J� �� fu'-�'L�'�-
�' ae �rr,�'
�... ��"�� C�.r-['�� /}�',�s� ,
STORIES: 1 SQ.FEET OF EACH F'LOOR:
NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. � DET.
ESTLVIATED CONSTRUCTION VALUATION (exclud.ing land): ��,,oc�. � ��
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 Buildino Code; that I understand this is not a perm.it and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: `'� ���`� DATE: �--�- O%
NOTE! Parade o Homes events require separate permit approval by Police Department arad
City Council 60 days prior to the event. Non permitted events will not be allowed.
.� ,
Sec.13.0-1 RIGHTS OF SUBJECTS OF D:�Ta
Subd. 1. Type of data. The ri¢h�s of individual on whom t�a data is sto:�or co be scored shall be as set forth in this secdon.
Subd.2. Information reqirired ro be given individual. An izdividual asdc3 to supply privace or confidenaal data concerning himself shall
be informed of: (a) �he purpose and in[ended use of the requesced dam w:�in the collecang'state ageacy, polidcal subdivision,or statewide rysum;
(b)whecher he may refuse or is legally required�o supply the requesced dan:(c)any l�own consequence arising from his supplying or refusing to supply
privace or conndenaal data;and(d)the idendry of other persoas or enanes a�chorized by scate or federal law to receive the data..This requiremeac shall
noc apply when an individual is asked to supply investieadve daa, purs�^.�to secaoa 13.82, subdivision 5, to a law enforcemenc o�cer.
'Ihz commissioner of re�enua r-iav place the nodce reauired erd�r[his subdivision in che individual u:come tax or propertv tax refund
instructions inscead of on chose forms.
Subd.3. Access to data by indi�idual. Upon request to a reswasibie ae�:oriry,an individual shall be informed whether he is the subject
of scored data on individuals,and whe�her it is classified as public, priva�or confider.rial. Upon his further reques�an individual who is the subjecc
of scored private or public data on individuals shalt be shown che data w•iu.ou[any ch,=e to him and,-if he desires, shall be informed of[he conten�
and meaning of[hat data. Aftzr an individual has been shown[he priva::�a�and ic:ormed of ics meaning,the dara need not be disclosed to ti�rn for
six mon�hs �}:ereatter unless a dispute or ac6on pursuan�to [his secdon is�:nding or addiaonal data on the individual has been col[ected or creaced.
The responsible auchoriry shall provide copies of the private or public da�n�on requ�s:by che individual subject of[he data. The responsible authoriry
may require che requesring per5on to pay the actual costs of makin¢,ce^:;ing, ar.d compiling the copies.
'll�e responsible authoriry shall comply immedia�ety, if possib?=.Wi�h any r`quest made pursuant to this subdivision, or within five days of
the date of[hz request,excluding Saturdays,Sundays and legal holidays,ii ir..medi2�e compliance is not possible. If he cannot comply with the request
wichin tha�dme,he shall so inform the individual,and may have an addi�or.al five days within which to comply with the request,excluding Samrdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. �n individual may contest the accuracy or completeness of public or pri�•ate
data conceming himself. To exercise[his rieht,an individual shall noriF�i.�wridng c�responsible authoriry dzscribing che nacure of the disagreemeac.
The responsible au�horiry shall wichin 30 days either: (a)correct the dae icund to be inaccurate or incomplece and attemp�to norify past recipiencs of
inaccurate or incomplete data, including recipien�s named by rhe individL�l;or(b) codfy the individual thac he bzlieves the data to be coaecc. Data
in dispuce shall be disclosed only if ehe individuai's statemenc of disagr:��-nt is i.c:sded with the disclosed data.
The de�erminarion of the responsible authoriry may be appzal:d pursuac�to the provisions of che adauniscrarive procedure act relaang to
contested cases.
DATA PRIV�CY AD�'ISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects oi data' , we would like to inform you that your reauest
for a permit or license from the Ciry of Orono or any ot ia deparments may require you to furnish certain privace or
confiden[ial information.
You are notified that:
1, 'Ihe informacion you furnish will be used to de:ermine�'our qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the pemut or license.
3, The information may be shared with ocher loczl, scate or federal a�encies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
. public.
�, You have cenain righcs under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this applicacion or permi�.
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I understand my ri�hts as stated above. .
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Signanire _
' / �^D� TIME
CITY OF ORONO V CALLED IN J
INSPECTION NOTI q SCHEDULED 3 l �I�,
PERMIT NO. ��"O COMPLETED �� >���
ADDRESS �J�O� �° S�ar� �(L.
OWNER ���e. �_."�oJ�- CONTR. �.k,.. ow�^
TELEPHONE NO. ��/n ���1� �5�.3 �
� DESCRIPTION f'�/V�4(- — !�-E IZGc��
� 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/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��VORK SATISFACTORY:PROCEED �PROJECT COMPLETE
�❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
Inspector.����l�G(�.�;��/1�.���
White Copyllnspector's File Canary CopylSite Notice
� A TIM E
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED 5- �
PERMIT N0. ���7�Z�' COMPLETED '�- ^d ___�'%��
ADDRESS ��� �� ���- �� -
OWNER �t�k- �.i��1�o��t CONTR.
TELEPHONE NO. ��0 3 ��I�( S�/:� 3 �(�K �
�-Q � �S2 y7Z -yz,7 Cr-G,�•. .
� DESCRIPTION �`�-�-k-� �'�-q � �t, F"cc (—
� 01 FOOTING 11 MECHA�CAL 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContrac or on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice