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Home My WebLink About2003-P06042 - re-roof c � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06042 Crystal Bay, Minnesota 55323 Permit Type: M�oraiterario� (952) 249-4600 Date Issued: 2iia�2oo3 SITE ADDRESS: 2701 Pence La Fxcelsior,MN55331 PID: 21-117-23-23-0029 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code O/S-Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 128.50 APPLICANT: Daniel Haugen Constr.(see notes) OWNER: Mr.Munstersterhuis 3717 24th.Ave. S 2701 Pence La Minneapolis,MN 55406 Excelsior,MN 55331 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � _ �� , � �. CANT PERM SIGNATURE SUED BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1 t _ Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII.,DING PERNIIT APPLICATIOleT All information must 6e submitted in full before plan review will be started. " (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: o� � C� ��e.,� C� �,� ZIP: NAME OF OWNER: �ti„ � �,,�oQ��j( PHONE: (home) (work) MAILING ADDRESS: — ( � CITY: ZIP:��p � ��i �nl�. � � CONTRACTOR ` PHONE: �;(� 7,2$— �j G�S CONTACT PERSON: ,.� MOBILE/PAGER: r _ G MAII�ING ADDRESSi 3 �E CITY:� ZIP:��G� STATE LICENSE: #��'�� ;Z��3 7� ARCHITECT/ENGINEER: PHONE: MAILING ADDItESS: CITY: ZIP: �TAME: REGISTRATION## 1'YPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration� Land Alteration PROPOSED WORK(describe in detain: ��_ _ �� STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BED OOMS: GARAGE STALLS: ATT. , DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .� SO O 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 ' ac r ith the approved plan. APPLICANT'S SIGNATURE: DATE: ��' 6 NOTE! Parade of Homes events require sep ate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . i Sec.13.04 RIGHTS OF S[J�JECTS OF DaTA Subd. 1. Type of data. The righrs of individual on whom the data is stored or ro be stored shall be as set forth in this secdon. Subd.2. Information req�rired to be givm individual. An individual asked w supply private or confidendal data concerning himself shall be informed of: (a)�he purpose and intended use of the�quested data within the collecting Stau agenCy,polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the cequesud data;(c)any Imown coasequeace arising from his supplying or refusing to svpp(y private or confidenda!data;and(d)the idenary of other persons or enriaes authorized by state or federal law to receive the data. This requirement shall not appty when an individual is asked to supply inves8gaave data,pursuant to secdon 13.82,subdivuion 5,W a law enforcement o�cer. The commissioner of revenue mav place che noace rewircd under this subdivision in the individual income tax or proaertv raz refund instcuctians instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed as public,private or co�dendal. Upon his further request,an individual who is the subject of stoced private or public data on individuals shall be shown the data without any charge to him and;if he desires,shall be informed of the content and meaning of[hat data. After an individual has been shown the private dara and informed of its meaning,the data need not be disclosed to him for siz months thereafur unless a dispute or acdon pursuanc to[his secrion is pending or additional 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 requesang person to pay the actual costs of making,cerdfying,aad compiling the copies. The responsibte au[horiry shall comply immediately,if possible,wich any request made pursuant to this subdivision,or within five days of the date of the request,excluding Samrdays,Sundays and legal holidays,if immediate compliaace is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excludiag Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuracy or completeness of pubiic or private data concerning himself. To ezercise this right,an individual shall notify in wridng the responsibte authoriry describing che nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found m be inaccurate or incomplete and attempt to noafy past recipients of inaccurste or incomplete data,inciuding recipiencc named by the individual;or(b)notifj+the individual thac he believes the data to be correct Data in dispute shall be disctosed only if the individual's statemenc of disagreement is included with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act nladng 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 fumish will be used to detemune 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. Your full name is required to process this application or permit. First Middle Last Address Ciry Srau Zip Phone underst d my ' ts stated above. ignam ✓ DATE TIME CITY OF ORONO CALLED IN �`/�� INSPECTION NO. ICE SCHEDULED �� -�' � _1,�.,�`i"_�C At,� PERMIT NO. � COMPLETED " ti ��°M ADDRESS v�7�I �t� G�7C�� -Lc.fJ-Z. OWNER CONTR. C �✓ . TELEPHONE NO. �� ' � � y � � � DESCRIPTION_i c� ��r � �`� � 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 Z04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. J O � � O � W � Q � 2 W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&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. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnedContractor on site: Inspector. W ite Copyllnspeclor's File Canary Copy/Site Notice V DATE y TIME CITY OF ORONO CALLED IN :�'-�v`�� INSPECTION NOTICE SCHEDULED „��'�� s�� PERMIT N0. ��vD yv� COMPLETED ADDRESS_-::�� =� 7U/ f�t r � <'LQ OWNER CONTR. L�ar7i`C.-� ��-�fi�7�I TELEPHONE NO. �O_S�� :��I� ��'( /Q � DESCRIPTION ,�/� ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FIN 14 SEWER HOOK-UP 06 PROGRESS � -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 10 PLUMBING FINAL /� 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO �`'�'C'�"S'L , C GL j/ � COMMENTS: G�h�'G� I�I S�fC Cu�y�� W a � J O � � O � W � Q � 2 W � W � � � L• d W� �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑COFiRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CA�L INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (952) 249-4600 OwnedContracto�rr�site: Inspector. . White Copyllnspector's File Canary Copy/Site Notice