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Home My WebLink About2002-P05357 - re-roof � � PERMIT C�ITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Pos3s� Crystal Bay, Minnesota 55323 Permit Type: M�nor Aicerac�ons (952) 249-4600 Date Issued: 6�2�i2oo2 SITE ADDRESS: 800 Forest Arms La Mound,MN 55364 P I D: 07-117-23-12-0004 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit 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: $ 167.25 Valuation: $ 8,500.00 State Surcharge Fee: $ 4.75 TOTAL FEE: $ 172.00 APPLICANT: Gilbert Riehm Construction OWNER: Robert&7anice Bonnema 1200 Lonsdale Blvd.W 800 Forest Arms La Northfield,MN 55057 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE RE UIREMENTS. � `�� n , � � �� [' �/ � Cc___ �`�'��`�— AP LICANT PERM[TEE SIGNATURE _� ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Requirecl), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 � , L, iJ Total Fee: $ �7� � Date Received: � �� 7-�Z- Entezed By: �/U� Permit#: _yJr� _S�35� CITY OF ORONO - BUII,DING PERMIT APPLICATIOlet All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � JOB SITE ADDRESS: r!;�� r�-5� �`'�S �� ZIP: � NAME OF OWNER• ��p/? � �� PHONE: (home) �- ��, (work) MAILING ADDRESS: ��0 ��(�P S��(�S CITY: o ZIP: CONTRACTOR:� � �� /�� c� � �'1 PHONE: l SG�7-G �S"J 33 a CONTACT PERSON: � ' e�� OBILE/PAGFiR: -�I - � ��-,�l�a- MAILING ADDRESS: J,�(� � � � CITY: �r7� �e- ZIP: �SC>S�7 STATE LICENSE: # C- (` `'T� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NANiE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �e C7� ' �L SG�,� � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �S�C> � 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 pernut; and that the work will be in acc d with the ap rpved plan. / `' ��7��-- APPLICAIV'T'S SIGNATURE: , DATE: �� NOTE! Parade qf Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. . � Sec.13.04 RIGHTS OF S[IBJECTS OF D�T� Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and intended use of the requesttd data within the collecting'statt agency, polidcal subdivision,or statewide rysum; (b)whether he may refuse or is legally required to supply the requesced data;(c)any frnown consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the idenriry of other persons or enades authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrieadve da[a, pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue r-iav plac� the noace reauired under this subdivision in the individual income tax or oropercv rax refund instructions instzad of on those forms. Subd. 3. Access to data by individual. Upon reques[to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is classiFied as public, private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the dara wi�hout any charge to him and, if he desires, shall be informed of the contenc and meaning of that data. Ahzr an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six monchs thereafter unless a dispute or acaon pursuan[to this secrion is oending or addidonal data on the individual has been collected or creaced. 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 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 co 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 reques[ within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with 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 pri��ate data concerning himself. To exercise[his righ[,an individual shall norify in wridng the responsible au[horiry describing rhe narure of the disagreemeot. The responsible authoriry shall within 30 days either: (a)correct che data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccunte or incomplete data, including recipiencs named by che individual;,or(b)notify the individual that he believes the dara to be correct. Data in dispuce shall be disc(osed orily if the individual's sta[ement of disa;reement is included with the disclosed data. The de[erminarion of the respensible authoriry may be appealed pursuanc to the provisions of the administrarive procedure act relacing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your reauest for a pemut 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 deternune your qualification for the permit or license requested. 2. You may refuse [o 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 pernut or license. 4. If your requested pemut or license requires Councii action to approve, some information may become public. j. You have certain ri�hts 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. F�n� �fiddle Last Addtess Ciry State Zip Phone I under 'ghts as stat ab ve. Signacure DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT F � ( SCHEDULED '7-�/ � PERMIT N0.��/� J COMPLETED ADDRESS G' r��,�1 S ��L4- OWNER CONTR. �'-"� �CC� � !� TELEPHONE NO. �j � �� 7�i � DESCRIPTION � � � 01 FOOTING 11 MECHANICAL RI 18 EXCA`//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 OS FIN 14 SEWER HOOK-UP 06 PROGRESS � 0 O-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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME S: � � a � f ' � J O � � O � W � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 2Q9-46�� Owner � ractor on site: � Inspector. hite Copyllnspector's File Canary Copy/Sfte Notice JDATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC . scHE�u�Eo �-I .S� PERMIT N0. �� COMPLETED ADDRESS_��U �o�eSl ,�,�.c,( S CQk,,z, r OWNER CONTR.�i��a�i��.w� �d/?S�� TELEPHONE NO. LP I � 7/(!� o� �tPc�+ � DESCRIPTION ��Cc-r' 4�� — �/` � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADtNG/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS y 03 INSULATIGN 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 � 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 � -- � d � J �' J � � � O � i W � Q ti Z W � W � � O W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspe r s i dva . (952� 249-4600 OwnedC tr tqr`o�site• • Inspector hite Copyllnspector's File Canary CopylSite Notice