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Home My WebLink About2000-P02672 - re-roof PERMIT '�I OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po26�2 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (612) 249-4600 Date Issued: �ii�i2oo SITE ADDRESS: 2675 Pheasant Rd EXCEIS IOR,MN 5 53 31 P I D: 21-117-23-23-0010 DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Roof DETAILS: Approved per resolution#: Sepazate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 Valuation• $ 3,900.00 State Surcharge Fee: $ 1.95 TOTAL FEE: $ 99.20 APPLICANT: OWNER: s w s��&J s s�� 2675 PHEASANT RD EXCELSIOR MN 55331 TI-�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MI SOTA BUII,DING CODE REQUIREMENTS. ��;�� I D BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 �, " ' Total Fee: $ `�'�-�-° Date Received: ��7- �� Entered By: h'l� Permit#: d�� 7a.. CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------- -a----- - ---------- ------------------ THE APPLICANT IS: (circle one) OWNER CONTRACTO JOB SITE ADDRESS: ��.�/��SG.,�rT �L ZIP: NAME OF OWNER: �'9�,1� J/�Q_�� PHONE: (home) �7�- /��S-y (work) MAII.ING ADDRESS: CITY: ZIP: CONTRACTOR: -�nc � ; PHONE: `l�/- 9�065� CONTACT PERSON: ' � . MOBILE/PAGER: - �Z_ MAII.ING AD)RESS: p��iS �,�'c.� �,1�2Z CITY: .S �,1 ZIP: � ,-�--� l STATE LICENSE: # ,2 DJ,�'9�1��/" ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NANME; REGISTRATION�# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: �2Qa�' d�� lS� 11� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. , — ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �CQ 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 pernut and work is not to start without a permit; and that the work will be ' acc ance ith e a rove plan. APPLICANT'S SIGNATURE: DATE: � NOTE! Parade o Homes events require 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[JBJECTS OF D?�TA Subd. i. Type of data. 'Ihe righ[s of individual on whom the data is stored or co be stored shall be as set foRh in this section. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and intended use of t6e mquesud dara wichin the collecting 3tate agency,polidcal subdivision,or statewide sysum: (b)whether he may refuse o'r is legally required to supply rhe requesud data;(c)any lrnown consequence arising from ivs supplying or refusing co supply privace or confidential data;and(d)the idenriry of ocher persons or enrides aurhorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve dara, pursuanc to secdon 13.82, subdivision 5, co a law enforcemenc o�cer. The commissioner of re�enue mav place the nodce reouired under this subdivision in the individual income tax or propertv tax refund instruccions inscead of on chose forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, privace or confidenaal. Upon his further request,an individual who is the subjecc of stored private or public data on individuals shall be shown the dara wirhout any charge to him and,-if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuanc to this section is pending or addidonal data on the individuai 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 da[a. The responsible authority may require the requesang person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with anY request made pursuant to this subdivision,or within five days of the date of[he requesc,exciuding Saturdays,Sundays and legal holidays,if immediace compliance is not possibie. If he cannot comply with the request wi[hin that time,he shail so inform the individual,and may have an additional five days within which to comply wi[h 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 or private data concerning himself. To exercise this right,an individual shal!nodfy in wridng the responsible authority describing�he naatre of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplece and attempc to nodfy pasc recipients of inaccurate or incomplete data, inclyding recipients named by the individual;or(b)notify the individual thac 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 decermination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating to contested cases. DATA PRNACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your reauest 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 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. (, Your full name is required to process this application or permit. � S �� , ��z� . First ;vliddle �/�r� Last z ��'` Address � 3� / � ��0'�� / ��ry State Zip Phone I understand y righ stated above. Signature DATE IME CITY OF ORONO CALLED IN = � `-Od ,-(� INSPECTION N�TICE SCHEDULED 6 0 ��a � PERMIT NO. d oZ�7�coMP�erE� � �� v ADDRESS ��P S OWNER CONTR. TELEPHONE NO. � DESCFtiPTION ../��-- � ly 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAI. 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z'04 D. 12 WATER HOOK-UP 17 SITE INSPECTION �05 FIN L 14 SEWER HOOK-UP 06 PROGRESS � O-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W Sc W � � ��ORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WOFtK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP OFIDER POSTED.CALL INSPECTOR ❑INSPECTION RE(]UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContra r on site: Inspector. White Copyllnspector's File Canary CopylSite Notice