The URL can be used to link to this page

Home My WebLink About2002-p05693 - re-roof R � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05693 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: ioiai2oo2 SITE ADDRESS: 4415 North Shore Dr MOUND,MN 55364 PID: 07-117-23-43-0017 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Census Code O/S-Building Pernut Class: Building Pernut Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,235.00 State Surcharge Fee: $ 3.65 TOTAL FEE: $ 142.90 APPLICANT: Sela Roofing&Remodeling,Inc. QWNER: F K SETTERLiJND ET AL W/L EST 4100 Excesior Blvd. 4415 NORTH SHORE DR St. Louis Park,MN 55146 MOLJND MN 55364 THE UI�IDERSIGNED 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. �— � - �� .�C'�� APPLICANT(PE ITEE SIGNATURE ` ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 s - Total Fee: $ `��U Date Receive�: ��-`�-o Z- Entered By: ✓�Z- Permit#: ;' ,5�}� ?� CITY OF ORONO - BUILDING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �`-�/� �p,��'1 ��✓�� ZIP: NAME OF OWNER: N�r� c y ��{e�/' �U ✓} � PHONE: (home)`1��-�l�'a-��`� � (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: S� �t" d"�� -� v�c� PHONE: fo/'a-��-3 . �� (_� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: �)�j � �X c � �5 i��; �/v�a CITY: ZIP: STATE LICENSE: # ; C �� 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: �c� t � t/�- � c��`� C�� ^ � i�r <, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMAI'ED CONSTRUCTION VALUATION (excluding land): $ � � 3� 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 permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. r-�—_ �l ( APPLICANT'S SIGNATURE: C? DATE: � (� �`7 -� NOTE! Parade Qf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permilted events will not be allowed. , s Sea 13.04 RIGIITS OF SUB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom�he data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqtirired to be given individual. An individual asked to supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and in[ended use of the requested data within the colleccing'state agency,polidcal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising fmm his supplying or refusing to supply private or confidential data;and(d)the identity of other penons or enddes auchorized by state or fedecal iaw ro receive the data. This requirement shall not apply when an individual is asked to suppty invesrieadve data, pursuan[to seccion 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav piace the norice reauired under this subdivision in the individual income tax or properry tax refund instructions instezd of on those forms. Subd. 3. Access to data by individual. Upon requesc 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 confidenaal. Upon his further request,aa individual who is the subject of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content and meaning of chat data. Aftzr an individual has been shown the private data and informed of ics meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addirional 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 che data. The responsible authoriry may require the requesting person to pay the actual cosu of making, cerrifying, and compiling the copies. The responsible authority shall comply immedia[ely, 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 no[possible. If he cannot comply with the request within that tune,he shall so inform the individual,and may have an addirionai 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 oc private data conceming himself. To exercise this right,an individual shall noafy in writing the responsible authoriry describing rhe nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found ro be inaccunte or incomplete and attempt to notify past recipients of inaccutate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data ro 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 authoriry may be appealed pursuan[ro the provisions of the administradve procedure act reladng 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 pemut 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 Ciry State Zip Phone I understand my ri hts as stated above. � Signa[uce _ DATE TIME� CITY OF ORONO CALLED IN INSPECTION N T�C SCHEDULED PERMIT NO. � COMPLETED ��—� ADDRESS "�� I� St�Of� �V`. OWNER CONTR. TELEPHONE NO. � DESCRIPTION ��-"�'�D� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/VJETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 v 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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 � COMME�ITS: a �i' �Ov c� j l O ' '' � u� � � � J� ✓►1u,s �O W `� l r� � Q � Z � �r��i W j _ �� Z�s�e o� a W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �COflRECT 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. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnedContractor c�n site: Inspector. �� V White Copy/inspector's File Canary Copy/Site Notice � /�� i Nv� `'f' DATE TIME CITY OF ORONO CALIED IN ' -OL INSPECTION NOTICE�� / SCHEDULED /d -ZI --OZ �-% �,5� PERMIT NO. � D �l (i 7 3 COMPLETED ADDRESS ��`5' I�G`�`t.•�! S�'�� 4i /` OWNER -�-��- r CONTR. TELEPHONE N0. 9 �" '' �7 �.. � e3`-3 l� � DESCRIPTION �.L� �/`Lc"� � Ot FOOTING 11 MECHANICA I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �`�F'NAL 14 SEWER HOOK-UP 06 PROGRESS � 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W �' � '�1'�..lf--t-�.,e,'�'�►_;'�-- ��.t�,c�? �. �_�t'_.A�-g �� J � O � . � D�� t � O k W � Q � 2 W � W � � � a W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contracto o site: Inspector. White Copyllnspector's F e Canary CopylSite Notice . � �� /�`�0 ��-'� DATE TI CITY OF ORONO CALLED IN INSPECTION NOTI n SCHEDULED --��_�� PERMIT NO. � � �� f� connP��E� � ADDRESS f I �� / V�Ol�`�� ,��.h�7�� OWNER ' ' CONTR. - l � , 1 TELEPHONE NO. %�-�� 7� � �.—�� DESCRIPTION ' ""`�� ` - � 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PAOGRESS � 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 FOUNDATION/REMOVAL � OWNERICONTRACTOHTOMEEfYOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContract n i : inspector. White Copy/lnspector's File Canary CopylSfte Notice