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Home My WebLink About2002-P05219 - re-roof CITY �F R N PERMIT � � � Permit Number: 2750 f�elley Parkway- PO Box 66 P05219 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: 5/24/2002 SITE ADDRESS: 1442 Park Dr Mound,MN 55364 P I D: 07-117-23-42-0014 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Census Code O/S-Building Permit Class: � Building Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 125.25 Valuation• $ 5,405.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 128.50 APPLICANT: Huber Construction OWNER: G Schultz 403 E Central 101 1442 Park Dr P.O.Box 403 Mound MN 55364 St.Micheal,MN 55376 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. Z� �Q� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE ��/// Covies: 1-File(SiQnitures Required). 1-Aunlicant 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1 TotaLFee: $ Date Received: �Ente�ed By: Permit#: CITY OF ORONO - BUII.DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR NTRACTOR JOB SITE ADDRESS: � `t�a �C(``L �R► �R� Zip: NAME OF OWNER: � �c��...I PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: �1�V`� W�aC C-O PHONE: 7�3�7-- ��t- CONTACT PERSON: �c� .��.�� MOBILE/PAGER: 7�3�a-�lp—p S t� MAILING ADDRESS:PO 4p3 CITY: �;1�1� �Q' ZIP: �`3Z lQ STATE LICENSE: # c��p I�a.�oQ,`1 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1�IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration .--. PROPOSED WORK(describe in detain: ___ ��-�crp� f�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED 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 City and with the State Building Code; that I understand this is not a permit and work is not to start without a pemut; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � DATE: � c�4' O� NOTE! Parade of Flomes events ire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF S[IB.TECTS OF D2�T�► 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 secaon. Subd.2. Informadon req�red to be given individual. An individual asked to supply private or confidential data conceraing himself shall be informed of: (a)the purpose and intended use of the requesred data wichin the collecting 3tate agency,potiacal subdivision,or srauwide rysum; (b)whe[her he may refuse oY is legally required to supply the requesud data:(c)any Irnown consequence arising from his supplying or refusing W suppty private or confidenaal data;and(d)the idenriry of other persons or enrides auchorized by stau or federal law to receive the dara. This requirement shall not app�y when an individual is asked to supply investigadve data,pursuant to secaon 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the noace reauirrd under this subdivision in the individual income tax or oropertv taz refund instructions insuad of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whe[her he is the subject of stored data on individuals,aad whecher it is clusified as pubiic,private or confidential. Upon his fur[her request,an individual who is the subject of stored private or public data on individuals shall be shown the data wirhout any charge W him and;if he desires,shall be informed of the con[ent and meaning of[hat data. Aher an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for suc monchs thereaher untess a dispute or action pursuanc to [his secdon is pending or addidonal 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 the data. The responsible authoriry may require the requesting person ta pay the actual cosu of making,cerdfying,and compiling the copies. The responsible authoriry shatl comply immediately,if possible,with any request made pursuant to rhis subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infocm the individual,and may have an addiaonal five days within which to comply with the requesc,excludiag Saturdays, Sundays and legal hotidays. Subd.4. Procedure when data is not accurate or complete. An individnal may contest the accuracy or comple[eness of public or private data concerning himself. To exercise this right,an individual shail nodfy in wri[ing the responsible authoriry describing che nature of the disagreement. The responsible auihoriry shall withia 30 days either: (a)correcc che data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data,including recipients named by the individual„or(b)nodfy 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. The determinadon of the rosponsible auchoriry may be appealed pursuant to[he provisions of the adminisaarive procedure act relacing to contesred 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 fumish certain private or confidential information. You are notified that: 1. The information you fumish will be used to detemune your qualification for the permit or iicense 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 shazed with other local, state or federal a�encies 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. Your full name is required to process this application or permit. p�n� Middle Last Address . Ciry State Zip Phone I understand my righu as stated above. Signature ✓ / � � fJ�S 5 � j�L:�, C��i�� / ATE TIME CITY OF ORONO � CALLED IN INSPECTION T E SCHEDULED - PERMIT NO. " �� q COMP ETED "- '�Y � � ADDRESS P `r� �� -- OWNER CONTR. �� TELEPHONE NO. / � 3 �— �� — � ` � DESCRIPTION t� 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL / V 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:�(YES�rvO � � COMMENTS: . � W � � � O � � O � W � Q � Z W � W � � � �'�N�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedCont,r r on site- Inspector. � White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION ICE SCHEDULED —�� PERMIT NO.� r l COMPLET � '� �^�� ADDRESS �'•�^�� OWNER � =� CONTR. � TELEPHONE NO. ,�� DESCRIPTION � 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/FIREPLACE 34 TREE REMOVAL Z 04 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � EMO-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 a � � O � � O � W � Q � 2 W � W � � � � �NORK SATISFACTORY:PROCEED �ROJECT COMPLETE W G❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-Q6QQ OwnerlCon ractor on site: Inspector��l�"�� White Copyllnspector's Ffle Canary Copy/Site Notice