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Home My WebLink About2002-P05176 - re-side '` PERMIT C IT�Y O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Posi�6 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: sii3�2oo2 SITE ADDRESS: 890 Forest Arms La Mound,MN 55364 PID: o�-ii�-23-i2-000� 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-Side DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 349.25 Valuation: $ 21,700.00 State Surcharge Fee: $ 11.35 TOTAL FEE: $ 360.60 APPLICANT: �'�'estern Cedar Supply OWNER: Mr. &Mrs. Clark 9700 13th Ave 890 Forest Arms La Plymouth,MN 55441 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� `?�� f:�i�'� APPUCANT PERMITEE SIGNA'CURE [SSU [3Y SIGNATCKI: Cooies: 1-File(SiQ�aitures Required), 1-Aoplicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � ;otal Fee: $ Date Received: Entexed By: Permit#: 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 O ONTRACTOR�% JOB SITE ADDRESS: � j0 1��'S��-vr,s L��e ZIP: �5�� NAME OF OWNER: ��''��S C/�/�� PHONE: (home) �5� -y�� -�i/ 7-Z (work) MAII,ING ADDRESS: �yv, '�- CITI': � c��,r, ZIP: .55��`J CONTRACTOR: Cti�S l�. � PHONE: � 3 �5%/ -C�3DY CONTACT PERSON: ,�Lr _ O ILE/PAGER: ��-��,�. ��,�_S �,�) MAILING ADDRESS: �-�r--�, � �� CITY: / - ZIP: ,j� � STATE LICENSE: # �/S 5�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NANIE: REGISTRATION# TYPE OF `VORK: New 1�� Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: r-��oF��s�c/L STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTINIATED CONSTRUCTION VALUATION (excluding land): $ � j� �� I hereby apply for a building pernut 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 in accordance with the approved plan. APPLICANT'S SIGNATURE:��— DATE: 5�-j� �-C�� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permiited events will not be allowed. A .` Sec.13.04 RIGH'TS OF SUB.TECTS OF D�TA Subd. 1. Type of daca. The righcs of individual on whom[he data is stored or[o be stored shalI be as set focth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidendal data concerning himself shail be informed of: (a)the purpose and intended use of the requesied dara within the collecang�tate agency,polidcal subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idendry of other persons or entiaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data, pursuan[to secuon 13.82, subdivision 5, to a faw enforcement officer. The commissioner of revenue mav place the noace reauimd under this subdivision in the individual income tax or oropertv tax refund instructions instead of on those forms. Subd. 3. Access to data by indi��dual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and wherher it is classified as public, privace or confidendal. Upon his further requesc,an individual who is the subject of stored private or public data on individuals shall be shown[he data wi[hout any charge to him and,�if he desires, shall be informed of the content and meaning of rhat data. Afczr an individual has been shown che private data and informed of its meaning,the data need not be disclosed to him for six monchs thereafter unless a dispute or action pursuanc to [his seccion is p�nding or addiaonal 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 costs of making,cerafying,and compiling the copies. The responsible authoriry shall comply immediatety, if possible, with any request made pursuant co this subdivision,or within five days of the date of the requesc,exctuding Sacurdays,Sundays and legal holidays,if immediace compliance is not possib(e. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addirional five days within which to comply with the requesc,exc!Lding 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 dara concerning himself. To exer�ise this right,an individuai shall norify in wrian,the responsible authority describing[he nacure of the disagreement. The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaemp[to nodfy past recipienu of inaccurate or incomplete data, inciuding recipiencs named by [he individual;,or(b)notify the individual tha[he believes the data to be correct. Data in dispu�e shali be disclosed only if the individual's sta[emen[of disa;reement is included with the disclosed data. Tlie decerminarion of che respcnsible authoriry may be appealed pursuant to the provisions of the admuusaarive procedure act reladng to con[ested 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 request for a permit or license from the Ciry 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 suppiy data, but refusal may require that the City deny the pemut or license. 3, The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. 5. You have cenain rights under Ni.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 �fiddle Last Address C�ry, State Zip Phone I understand my rights as stated above. �� S �� Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � C �Lt, PERMIT N0. COMPLETED ADDRESS Q � OWNER CONTR. L S�E'�`f� C�e.��ar;fu/.1 _�� TELEPHONE NO. C1� �� `1�� y� 7 � 1 � DESCRIPTION x��G�� 01 FOOTING 11 MECHAN CAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION OS FINAL 14 SEWER HOOK-UP 06 PROGRESS -SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J10 PLUMBING FINAL , � �G`.G� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES✓NO T S C�.-e-�1 �G�i r � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � d �ORK SATISFACTORY:PROCEED �`APROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary Copy/Site Notice