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Home My WebLink About2003-P06392 - land alteration - + � PERMIT CITY OF ORONO 2750 Kef�ey Parkway - PO Box 66 Permit Number: Po6392 Cry'stal Bay, Minnesota 55323 Permit Type: UserDefined (952) 249-4600 Date Issued: 6i6�2oo3 SITE ADDRESS: 1379 Park Dr Mound,MN 55364 P I D: 07-117-23-42-003 8 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Pernut Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: Level off low area by lake&add NO MORE THAN 1" of new so FEE SUMMARY: PermitFee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: owner/Self OWNER: Edgar&Uta otte � 1379 Park Dr 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 MINNESOTA BUILDING CODE REQUIREMENTS. �� ,. �� APPLICANT PERMITEE SIGNATURE [S ED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Avvlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 �� Total Fee: $ �� Date Received: Entered By: � � Permit#: _ l.% ` CITY OF ORONO � BL��G PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------- THE APPLICAN'T IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � � � '�( ��r�C �r�� ZIP: NAI�ZE OF OWNER: � '� d �'� PHONE: (home) 1�J �g J / l 1� n (work) �J�Z 4'�!`a' 9 � � 3 MAII.INGADDRESS: ��7� J"� �r�L� CITY: C�ru�-�-�•. ZIP: S��J� CO\`TRACTOR - PHOI�TE: CO`�'ACT PERSON: MOBILE/PAGER: 1VLAII.,L�TG ADDRESS: CITY: ZIP: ST�,TE LICENSE: # ARCHITECTlENGINEER: PH0�1E: MAII..I�i tG ADDRESS: CITY: ZIP: NA..1IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure i ✓�y Move Remodel/Alteration Land Alteration�� PROPOSED W �(describe i detai�: p�, �I p� C��f �j Ct,� Gt y�d C� �/1O VV10�f� �-+'�Glv� 1 �� s O i� � '('� au� � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOviS: � GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ 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 Ciry 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 wi�I be in accordance with the approved plan. ,. APPLICAltiT'S SIGNATURE: DA�'E: �L Ca 2 � S NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior o the event. Non permitted events will not be allowed. � � �� C�, 5 , , .�r. . Sec.13.04 RIGHTS OF SLJBdECTS 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 for[h in this secaon. a Subd.2. Informatioa required to be given individual. pn individual asked to supply private or co�dential dara coaceming himself shall be informed of: (a)the purpose and intended use of the requesud da[a within the colkcting state agency,poliaca!subdivision,or statewide system;(b)whe[her he may refuse or is legally required to supply the requesud data;(c)any imown consequence arising from lus suppiying or refusing tn supply private or confidenGal data;az�d(d)the idenaty of other persons or entiaes authorized by state or federa!law to roceive the data. This requirement shall not apply when an individual is asked to supply invesdgative data, pursuant to secaon 13.82, subdivision S, W a law enforeement officer. 'Ihe commissioner of rovenue mav olace the notice rorntired under this��bdivicion in the individual income or orocerrv ra:refund instrucrions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whe[her he is the subject of stored data on individuals,and whether it is classified as public,private or co�denaal. Upon his further reqaest,aa individual who is the subject of stored privau or public dala on individuals shall be shown the data without any charge W him and,if he desires,shall be informed of rhe 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 d'uclosed to him for six months thereafter unless a dispute or acaon punvant to this secuon is pending or addiaonal data on the individual has been collected or creared. The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible auchoriry may require che requesring person to pay the actual cosu 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 wi[hin that time,he shall so inform the individual,and may have an additional 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. An individual may contest the accuracy or completeness of pubGc or privare data co�eming himself. To ezemise this right,an i�ividual shall notify in writing the responsible suthoriry 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 aaempt W nodfy past recipients of inaccurate or i�omplete data,inclucling recipienu named by the individual;or(b)noafy the i�ividual that he believes ihe data to be coaect. Dara in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The derermination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. � DATA PRIVACY ADVI ORY 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 �iry of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 Ciry deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process tlse permit or license. 4. If your requested permit or license requires Council acdon 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 Middie Last Address Ciry State Zip Phone I understand my rights as stated above. Signature 6 r � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. PU(o39 Z CpMPLETED s O ADDRESS /�7 C( ��'1� �<'. OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE �REE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 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 PlUM81NG FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � a � � � o —�' Vl m °t,�S Gl l a � 0 � W � Q � 2 W � W � � a � WORKSATISFACTORI(:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnedConiractor�t : Inspector. ^ White CopyMspector's Ffle Canary CopylSite Notice