HomeMy WebLinkAbout2000-P02517 - re-roof . � PERMIT
" CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s1�
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: 6i2ioo
SITE ADDRESS: 1435 Park Dr
MOUND,MN 55364
P I D: 07-117-2 3-42-0020
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 54.00 Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 54.75
APPLICANT: MICHAEL KELLEN OWNER: MICHAEL JOHN KELLEN
1435 PARK DR 1435 PARK DR
MOUND, MN 55364 MOUND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� 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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APPLICANT IT SIGNATURE SLTED BY SIGNATiJRE '
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Copies: City,Applicant,Assessor,Finance Page 1
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� Total Fee: $ Date Received:
Entered By: Perm.it#:
CITY OF ORONO - BLTII�DING PERII�IIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
T�I� APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: i`7"�� ����� �%�1��- ZIP: �S3��
NAl�IE OF OtiVNER: �►��/��L �I� �l��.t( PH0�1E: (home) � �' ' ' O�
(work) ��n2�'
l�IAII�ING ADDRESS: l ��S I�/�'i2/� D�2t c� , CTTY: �r��t' ZIP: 5.�.3��
C0�1'I'RA.CTOR: PH0�1E:
CON'T'ACT PERSO : MOBILE/PAGER: .
M�iII.I�i iG ADDRESS: CI'TY: ZIP: � .
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
l�1AILING ADDRESS: CTTY: ZIP:
N�y�: REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration ✓ Land Alteration
PROPOSED WORK(describe in detain: ��'!.U' <51��i�£C ou 1�c��,
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOI�IS: � GARAGE STALLS: ATT. _� DET.
ESTI�i IATED CONSTRUCTION VALUATION (exclud.i.ng land): $ �5'l4� a�
I hereby apply for a buildin�perm.it and I acknowled�e that the information above is complete and
accurate; �hat 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 ccordance with the approved plan.
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APPLICANT'S SIGNAT'URE: � DATE: � � O
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0-i RIGHTS OF SliB.TECTS OF DaT.a
Subd. 1. Tvpe of data. 'I�e righcs oi icdividual on whom[he daca is stored ot m be scorcd shali be bs set forth in this secrion.
Subd.2. Information reqtrirrd to be�ven individual. ?.n ir.dividual asked to supply privart ar confidendal dard conceraing himself shall
be informed of: (a)the purQase and ir.rnded use of�he tequested dara within[he collecdng 3vre agency,polidcal subdivisioo,or sracewide rystem:
(b)whether he may refuse or is legally rer,uired ro suppty tbe requested daca:(c)any Imown coasequeace arising from his supplying or refusing co supply
privace or conr.dendal dara;ar.d(d)the ideadcy of ocher persoas or enrides auchorized by su[-or fedzral law to receive the dara. This requiremenc shall
noc app(y when an individual is asked to svpply ia�esri¢adve data, pursuaac�o secdon 13.82,subdivision 5, to a law enforcemeac o�cer.
"Ihe commissioner of r L nav pla'��he noer r�uired under chis subdivision in the individua! income etx or_prooem raz rofur.d
instrucaons inst�ad of on�hose forms.
Subd. 3. Access to data b�individual. lipon request to a responsible auchoriry,an individual shall be informed�vhe[her he is che subjecc
of scnr_d data on individuals,and whe:her it is clusified as pubiic, privau:or confidendal. lipon tus funher reques�,aa individual who is the subjecc
of stord privace or public daa on ir:dividuals shall be shown�he dam wict:out any cha�3e[n him and;if he desires, shall be iniormed of[he concenc
and meaning oi[hac dara_ Aher an individual has be:n shown che privare dara and informed oi ics meaning,[he data need not be disclosed co him for
six mon�hs cherafur uriless a d'upute o�acrion pursuanc[o �his secdon is pending or addidonal daci on the individual has been collected or creared.
The rosponsibla authoriry shall provide copies of cha private or public dara upon requ�sc by the individua!subject of ihe da[a. T'ne tesponsible auchoriry
may rzquire[he requesring penon ro pay che acaial coscs of making,cerafying,and compiling the copies.
The responsibla auchoriry shall comply immedia[ely, if possible, wich any request made punuant co this subdivision,or within five days oi
the dacr of the requesc,e�ciuding Saturdays,Sundays and legal holidays, if immediace compliance is no�possible. If he cannoc comply wi[h the requesc
wi[hin rha[dme,he shall so inform che individual,and may have an addiaonal Five days wirhin which to comply wi[h[he request,exciuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may concest the accuracy or compleceness oF public or pri�•ate -
data conceming himself. To exerise c�is righ[,an individual shall nodfy in wricing che respoasib(e auchoriry describing[he nanire of the disagreemeac. ..
The responsible aurhoriry shall wichia:0 days ei��:r: (a)correct[he dara found to be inac:urate or incomplete and attempc to nodfy past recipiencs of
inaccurar or incomplete dac�, inciuding recipiena aamed by [he individual: or(b)aorify [he individua!thac he believes the dara to be correct. Data
in dispuce shall be dise!osed only if tt:e individual's sntemenc of disagreemenc is included wich the disclosed da[a.
"Ihe decerminauon of che r�sponsible au�horiry may be appealed pursuanc to the provisions of cha adminisaadve pro:edure act reladng to
contested cases.
DAT�, PRIV�,CY ADVISORY
In accordance wich�I.S. 13.04, Subd.2, "RiQhts of subjeccs of data", we would like to inform you tha[your request
for a permit or license from the Ciry of Orono or any of i[s depanments may require you to fumish certain private or
confidential information.
You are notified that:
1, The informa[ion you furnish will be used to determine your qualification for the pecmit or license requested.
?. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license.
;. The information may be shared with ocher local, stace or federal a�encies to the extent necessary to process
the permit or license.
.�. If your requested perm.it or license requires Council action to approve, some information may become
public.
5. You have cenaia riQhts under M.S. 13.04 (availabie upon request) to review private data on yourself.
(, Your full name is required to process chis applica[ion or permit.
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I understand my ri;hcs �s staced above.
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Signacuce
DATE l TIME
CITY OF ORONO CALLED W ' j �'"G"�U -���'-S/
INSPECTION NOTICE�5 r � SCHEDULED � — �`� z�'
PERMIT NO. /�p COMPLETED �
ADDRESS� � 3 5 / �' ��'�
OWNER I�ZC.��-e- �CONTR.
TELEPHONE NO. 4 �`'� � S'�''�S'
� DESCRIPTION � �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 MECHANICAL FINA 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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a�K SATISFACTORY:PROCEED C i PROJECT COMPLETE
W ❑ C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CiTATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContra o o ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CAL�ED IN a3/o�
INSPECTION NOTICE SCHEDULED c� /��3a
PERMIT N0. ���^�� � COMPLETED "��� � r 3 v
ADDRESS /'`�� �t/�.�
OWNER �-eX��<-✓ CONTR.
TELEPHONE NO. ��-Z ��CpCv S
� DESCRIPTION �.�1��r�
l� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 5 INAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Q OWNERICONTRACTOR TO MEEf YOU:_YES�NO
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W
O C7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITION WITHIN HOURS. _, pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContract on site:
Inspector.���'��2-�C�-L'1�
White Copyllnspector's File Canary CopylSite Notice