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Home My WebLink About2008-P11936 - re-roof PERMIT CITY OF ORONO Permit Number: �750 Kelley Parkway- PO Box 66 P11936 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterarions (952) 249-4600 Date Issued: 3/26/2008 SITE ADDRESS: 4380 North Shore Dr Unit# Mound,MN 55364 PID: 07-117-23-42-0040 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Pernvt Type: Minor Alterarions Pemut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMAR�('�$: FEE SUMMARY: Permit Fee: $ 118.00 valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 120.50 APPLICANT: Home Exteriors Inc OWNER: William Schoening Dale Schlosser Inc 4380 North Shore Dr 7950 Co Rd 26 Mound MN 55364 Minnetrista,MN 55359 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. �� APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) 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) _______—��o ��_____��_ THE APPLICANT IS: (circle one) OWNER CONTRAC JOB STFE ADDRESS: �� I�-�o�f�-I^ s�,r�, �d2 7,Ip; Will this be�Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO Ifyes,a special event permit is required with Police Department and Caty Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates su,f�'icient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �;11 ��,�`�^ PHONE: (home)�$a' �i'�7 0�-�75'3 (work) MAILING ADDRESS: �.` c.ra. r��c�.e� CITY: ZIP: CONTRACTOR: ��wr�c. F��(�-e.�:.-+�`� PHONE:��,?- �17�� .SS� CONTACTPERSON: ��.�� MOBILE/PAGER:��- 2?n- ��+-�'� MAILINGADDRESS: �9�� Co (��l�� CITY: '(�;,,,�,��}.�.ZIP: ��j STATE LICENSE: #�j�s-��-7 EXPIRATION DATE: 3-31�O g AReHITECT/ENGINEER: " PIiONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding,Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: �� ,r�,.� STORIE5: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $_,S,��.� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the woFk will be in conformance with inances and codes of the City and with the Sta.te Building Code;that I understand this is not a pe rt and s not tart without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE. DATE: 3� 6-�� 3] ' r Sec.13.04 RIGHTS OF SUBJECTS OF DATA . Subd.1. Type of data. 1'he 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 confidendal data conceming himself shall 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 legally required to supply the 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 entities authorized by state or federal law to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.$2,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income tax or proQeriy tax refund " instructions mstead 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 af 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 infovned 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 suthority shall provide copies of ffie private or public data upon request by the individual subject of the data. T'he responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority 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 SaUudays, Sundays and legal holidays. Subd.4.Procedure when data is not accivate 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 naWre of the disagreement The responsible authority shall wiUvn 30 days either: (a)correct the data found to be inaccutate or incomplete and attempt to notify past recipients of inaccwate 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. 1'he 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. 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 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. Yow 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. . � �J J��^►,-s.� �� w�C► t��C�Gr'�c�lS Signature "� �:�� R�e��m` � 32 _�� Y,�I ,�2-� ATE � TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED ��:3 PERMIT NO. �.3 COMPLETED ADDRESS �3 � ��'��- ��- ! OWNER CONTR.S��D ��Ir-� TELEPHONE NO. — l4� -✓ ! "!�'-co 7� �� DESCRIPTION .-�R/t-r � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. O FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOFi�?EET YOU:_YES_NO y COMMENTS: � W a j O �. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PRQCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins�ction 24 hours in advance. (g52) 249-46�� OvunerlCantractor qn sit� Inspector: V� WhRe CopyMspector's Flle Cenary CopylSRe Notice �� D T� TIME `� CITY OF ORONO cn' ��eo iN - INSPECTION N TIC SCHEDULED -� _�� PERMIT NO. //�3� COMPLETED �� ADDRESS D lSY OWNER CONTR. � 4�'` TELEPHONE NO. �la ��J� �0 7c�Cv � DESCRIPTION ��l.Q�( — /�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC IfdSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W a � J O �. � O � W � Q � ? W � W � � � ❑WORKSATISFACTORY:PROCEED {IdwROJECTCOMPLEfE W ❑CORRECT WORK&PRQCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDfTION WlTHIN HOWRS. O PHOTO TAKEN IMSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next ins�tion 24 hours irt advance. (952) 249-46�� O�amer/Contractor on site: Inspe�tor. !sV �!�� WhRe CopyMspector's FlIe Canary Copy/SRe Notice