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Home My WebLink About1997-009270 - tearoff/reroof/side PERMIT ' CI�Y OF ORONO PERMIT TYPE: � - 2750 Kelley Parkway- P.O. Box 66 �-� � }.�v��. �_�x;.=��'._.. Crystal Bay, Minnesota 55323 Permit Number: ��`�:�'?�.`_ (612) 473-7357 Date Issued: . _ .. . _ . SITE ADDRESS: `i•......._� Si_..... i .,.E• E-1 i . � � � t.��E ' �i� : 1 A`1 _. _'.1—�_•�.� �"'� . . _. . . . . . . . .. ._ .]..'d,e_ DESCRIPTION: y, 3`71�' { .`.."•'�i.��T�f..L..� . .�..{li�,�t�„E�.• ��t.. _ {":._�: _�.a 1�i: .- .�?'f'3 1` �;lC,r+ W��`-`��(„1}�'it;f��'I+_��;.�L e;,�ti= E �::'�i i=;i RxFs��'t"�r:; �j'C:+� {-i`—��til 31.:}- � l.t=��Y•.;3(,�"t�' tr.E�fF�I^� '�:i"� T1�� . i`.ty�J�E.rs�t� ! L tl� i, � y � k REMARKS: FEE SUMMARY: _, _ _'r,J — — . . ._... .. . i i _ _.t . _ . - _ - ��t�� ?=':� �l.��r'' . _� _ 4 }�r i�._;F'�;�: �y `'%i�s 't,il��'£�� .-. ._......�_._.._��:':.j y�� '�, , � i d r r � u CONTRACTOR: OWNER ,,_ � -' " .-. _ _, _' :;�'�,� _ .. _ . �:��_;�" �='T �:��:: _. .�.. .._ r}�'! _ _ � =:i '('' �:v : � ^t ; ;`� i : K E..�. r,.+�,� � _3�u�tr�y ;}{ `'= "C L _ (. T� ,�, r t t�_�1�'y t i, �, a -�`�.?_ s : . i, i.. a. ': i�I «. ...... ...' � E .J . .. f E« : ,. .. . ` i �' � �, , C' __L #,- '�r,.� ,S : F r y ,1�- ,i , w .i a,''. � ... . .�"'i._i: !#��. " "•t i. L� F e� iM ( I ` �� .«. _ t .... . __ .� - ' � ��4�.1��.� ?�.��"+L�#:.i 3��il.�i�' .. t=�1�#�_! � s`�� . . ',: _.?W ! `..i ,. !.__._ _. , ;-4 :_.{.�a#�.i_�!i��.7 _'.. _'' ..._'s?t_ 1! .t`._._� . ; — i� � L " , � y . � � ..z.��-� �-� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� , `, d.//'�-1.. ' � Total Fee: $ / - Date Received: Entered By: ��. Permit#: t;�` �� CITY OF ORONO - BUILDING PERNIIT 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: %� ,��5;� ��.; c>.�-cz� ZIP: 5��4- NAME OF OWNER: Sn,q�.;�v ,��ig/c�� PHONE• (home) �r7Z_~5�'S�Z- (work) �jz) z_zv-�y3�3 MAILING ADDRESS: /3 zo �i�ST F'c>�u�'�-�rct�CITY: ��,�,�,,n � ZIP: 5 S'3�� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration s� Land Alteration PROPOSED WORK(describe in detain: ivc?'��, ;��--c,%, - ��,�c�c� t,�,�,��.k.�� t t E�t�•- JS��;_ci �'vt:-F�-��i �j f/i�/�'��<rS .�l�+��r ��- G .�l X 1 STORIES: Z SQ. FEET OF EACH FLOOR: �7L�� NO. OF BEDROOMS: _L GARAGE STALLS: ATT. DET. �� C.�• ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ $�=E�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 permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATUREi��,��-""'� DATE: �� "�; �� 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. 5 � � ., - � Sec.13.04 RIGHTS OF SUBJECTS OF DATA S�bd. 1. Type of data. The rights of individual oa whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential dara conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required w supply the requested data;(c)any Irnown consequence arising from his supplying or refusing co supply private or confidential dara;and(d)the identity of other persoas or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply inves6gative data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the norice rewired under this subdivision in the individual income taz or nrocertv taz refund instructions insuad 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 i�ividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored 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 that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six monihs thereafter unless a dispute or ac6on pursuan to this sec6on is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting 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 to dris 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 request 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 private data concerning himself. To exercise this right,an individual shall noafy in writing the respoasible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the dara found w be inaccurate or i�omplete a�attempt to notify past recipients of inaccurate or i�omplete data,including recipients named by the individual;or(b)notify the ic�ividual that he believes the data to be correct. Data in dispute shall be disclosed only if the i�ividual's statement of disagreement is included with the disclosed data. The deternunation of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating w 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 fumish certain private or confidential information. You are notified that: 1. The information you fumish 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. 6. Youi full name is required to process this application or permit. S�/�wx� /�fiT,��.� /��iiZ,�i�(1� First Middle 1-ast >�_L� .�L�S% A�I�T' Ci,��.� AO Saev�/� /'7�s/ �S�6� ��ZJ `f7Z-.��.�z Ci�y _ Sqte Zip Phone I understand my rights as stated above. �'�� Signature 6 DATE TIME CITY OF ORONO CALLED IN �� /�� --� -x l��/ INSPECTION NOTICE SCHEDULED �-` � �-`�,�'� ,% %c� �'�`� PERMIT N0. •' � � COMPL�TED ,- , � � /, � ADDRESS, `� _,��, J 1^, ,. � / l�� x � t � OWN ER � --� ` 1��--- CONTR. TELEPHONE NO. ` � %�--�' ' �`� �- � DESCRIPTION ,i Z < ' � �� lL Oi FOOTING � ,�1S1 �fv1EC ANICAL RI 18 EXCAV/GRADING/FILLING �' 62 FRAMING _, oY('13 MECHANICAL FINAL �� 19 LAKESHORE/WETLANDS `"--__. ._ — T'L� Q 03 INSULATION 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � J d � WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED i_, ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,- pHOTOTAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance.473-73�J7 Owner/Cont or�site: Inspector. ' White Copyllnspector File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICf,� SCHEDULED 72 _�� PERMIT NO. �>�7� �OMPLETED ADDRESS .�� E'S� �� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINQ y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � p4 WqL�Bp. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWEF HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAI 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS. � \ � ��S s< < �c,1 . �i �� O � � O ti W � Q � 2 W � W � j d C WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � C COFRECT WORK 8 PROCEED r, ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT C7 CORRECTUNSAFECONDITION WITHIN HOURS. -, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t spection 24 hours in advance.473-7357 OwnerfCont ct n si Inspector. White Copyllnspector's File Canary CopylSite Notice