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Home My WebLink About2001-P04319 - re-roof PERMIT CITY OF°ORONO Permit Number: 2750 Kell�y Parkway - PO Box 66 P04319 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: aiioi2ooi SITE ADDRESS: lool Loma Linda Ave Mound,MN 55364 PID: 07-117-23-14-0008 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 permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 44.85 Valuation: $ 1,200.00 State Surcharge Fee: $ 0.60 TOTAL FEE: $ 45.45 APPLICANT: J Benson Construction OWNER: Gilman Sorenson 7020 Walker Street 1001 Loma Linda Ave St. Louis Park,MN 55426 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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. L��U ` � c�7v`��'�- ,� APPLICANT PF.RMITEE SIGNATURE [SSUED BY S GNATURE Copies: 1-File(SiQnitures Reauired). 1-Aonlicant. 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 Total Fe�: $ Date Received: Entered By: Permit#: CITY OF ORONO — BUILDING PERMIT 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 CONTRACTOR JOB SITE ADDRESS: !�d f L�,��; L;�o(� � ZIP: SS.�C�/ NAME OF OWNER: � , � I�a� ��5�t� PHONE: (home) (work) MAILING ADDRESS: ��D( �w�a L;��, CITY: � � ZIP:`�_� CONTRACTOR: � �,�so PHONE: �/S�- ��c�� a�1'� CONTACT PERSON: � F' MOBILE/PAGER: MAILING ADDRESS: 70 ao c�g 1 k4 r S f CITY: 5�1-�ok�5 �Q�,�l� ZIP: S ��, STATE LICENSE: # �QC -�/7�Ia ARCHITECT/ENGINEER: PHONE: MAIL ING ADDRESS: CITY: ZIP: NA1�1E: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �� (-'�o-� STORIES: � SQ. FEET OF EACH FLOOR: �a G�� 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 permit; and that the work will be in accordance with the approved plan. APPLICANT'SSIGNATURE: `�'��. ' DATE: ��1� �'��'�/ �� __ NOTE! Parade of 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 SUB.TECTS OF D�1TA Subd. i. Type of data. The righ�s of individual on whom[he data is stored or to be stored shall be as set forth in this secdon. Subd.'_. Information reqirired to be given individual. An individual asked to suppiy private or confidendal data concerning himself shal! be informed of: (a) the purpose and intended use of the requested data within the collecting'state agency, policical subdivision,or statewide rystem; (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 priva[e or co�dential data;and(d)[he idenciry of other persons or enrides authorized by state or fedecal law ro receive the data. This requirement shall noc apply when an individual is asked to supply invesrieadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those 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 i[is classified as public, private or confidenaal. Upon his further request, an individual who is the subjec[ of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be infomted of the content and meaning of�hat data. Afrer an individual has been shown rhe private data and informed of ics meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuan[to this section is oending or addidonal dara on the individual has been coilected or created. The responsible au[horiry shall provide copies of the private oc public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of makine, certifying, and compiling the copies. The responsible authoriry shal(comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compiiance is not possible. 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 request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or completeness of public or pri�•ate data concerning himself. To exercise this rieht,an individual shall no[ify in writing the responsible authori[y describing[he na[ure of the disagreement. The responsible authonry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccunte or incompfete data, including recipients named by the individual; or(b) notify 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. Tlie de[ermination of the responsible authoriry may be appea(ed pursuant to the provisions of the administrarive procedure act reladng 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 furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the pemut 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 pernut 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. �� 1/I'1�zi First tifiddle Lasc Address City State Zip Phone I understand my rights as stated above. ( � �� --_ C�\/' �v--- Signature C� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI �j �/3�� SCHEDULED `" PERMIT N0. `' -i C4MPLETED — •`Q �� ADDRESS � �U � L C�Y�CL OWNER CONTR. e� dC1Ci/Lr�-�Y� TELEPHONE N0. � �� r� _ �7� I � �� DESCRIPTION �� 01 FOOTING 11 MECHANICAL RI 8 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBtNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a o � �' � � 0 � W � Q � z W � W � � � a W� �M/ORKSATISFACTORY:PROCEE ❑ PROJECTCOMPLETE W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� Owner/Cont a tor on site: Inspector. �� White Copyllnspector's File Canary Copy/Sfte Notice DATE TIME CITY OF ORONO CAL�ED IN INSPECTION N TICE �y SCHEDULED }7 �� PERMIT N0. -1 _ COMPLET D � "'�r 1/a� •�.�2 ADDRESS_ /UC� � ��a �-/'� �-`� .�1/G• OWl�IER CONTR. �� U�i�SdL� C�ar.�S I' TELEPHONE NO. ��o� a a 3 � DESCRIPTION_ r' l I�fi�`�— - /��rdd�' � 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 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL- 14 SEWER HOOK-UP O6 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YE3�N0 � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED � ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � 0 CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEF POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector��,�//��c�^S White Copy/lnspector's File Canary Copy/Sfte Notice