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Home My WebLink About1997-008724 - renovate/remodel PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �:i;: :'T i•�;; � Permit Number: r;,•-},:�4�-=;� Crystal Bay, Minnesota 55323 = _ � (612)473-7357 Date Issued: - ��;i.. �.. ... . _ . SITE ADDRESS: �.;V� �:`_,_...0 fi='�T F+L� .�{� f.: r �;� ` .",":..... ._ . • _.: .....-x=?t�f:=;,:t. DESCRIPTION: �,t{i i��littLi �'�,zr��i :_ ly��=w r:�—r-'�[i�i/��F�i's�iL)�;� �;�.�ii��ii�� +��,,f:: Tu��F_ !�;Et��V��fi�?�'.��'�t��G�.L �.�';t F{"'J-.#�Cy j,.t it_�F? �.�'i�. Y��.» i . I\�•_.��.l..�G��t/'�� REMARKS: _.:.-- - - - ..___ � - - - ;_<<..:._:,��.zr. : __ _;'. t� , !:_ "'7..,.,!t.� I'_i—i.ii � �' � E—f�� ._i__..._ . �".... .�.=i._ _._. ri: .r? . .... .. .i. , . �'.w�_ �"', FEE SUMMARY: . . ._��_�:`'�l�J.��t�,; --:i, F:=.�"�i� C=t�� i`�•=' �!_�I . .,:'�i `.�L;�'C:�"tY!1''?� __�___. ��.if)t�i ��_r{.�i ��;a� M�;%�.'� , �'� CONTRACTOR: OWNER: . . : ". �.��-ft. — ___. ,_ _. ..�i�i [`��ii=�!''Ir=a°=. _._:,N.:�, F��:::"!'� F�`j F�F�r i�t�iJt�� 1�� ':w'�:;%�. d�:.-;: - _ _ -- {„1 �;=" , 't:""-� ; :__,_....�. .�;.,_ ,r_._,.__ ,_ _ a € ` �_.. - i ;t ,.. _ ; �_ �..1. M�:� t•_'.a '_�;,-•ir TH�-_ �,. �. .:!-i:�I Gt,r-.3 ., i�i� €�t z,. .__.. . ._ F`k�t�l Z•-;'-;W : _f i°,f=�r� � r . .... .•:�=E 1_ i�•;; .fs �t�f�t�i"`=� ��, .�. __. _ - - ._,�r-,f, ��- ; r��} E �',�i t :- t r ��c::� .�,.I_.1 �':`!_l . ...__._ !a}i_i�i3��:. F F'� _. '`� .. �._. .:�� .. t. � . . �`.�.,. �� _.�t" _.,. . . . , ___..� +� ��.; L {. �_.' .�,.._ .t'� �n � .�{ i E 'i }� : ' , ; : :r , r. ;- � '��(I't �1 '-�I��€{`� ;-�! i T' (" , ��i t ; �l �+ • � . ,. __ ,.. ._�'+_1 ... . _. .. � _ I" i 1. �9 �•._ _ . . _. : _�.= !.{'w•:'.� _ _ = ":�x .. . .... ..... . ._ . A A . � n APPLICANT%PERMITEE SIGNATURE � ISSUED BY:SIGNATU - Total Fee: $ 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 in ormation) THE APPLICANT IS: (circle one) WN R CONTRACTOR JOB SITE ADDRESS: \3�5 Q.�� Qo:.�� .�., �,�a,�� ZIP: �53�`t NAME OF OWNER: �s,�5, �.��.�, PHONE: (home) y��— �-�� (work) MAII.ING ADDRESS: �-��,� �� :.�� CITY: p.�a.�.� s,.� ZIP:'y,�� — c��jovsi� p�rn� CONTRACTO • � PHONE: �. CONTACT PERSO 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 7� Land Alteration PROPOSED WORK(describe in detai�:'��.c��,,,��_�� 1 ��.�.�� . �— �,Z��-� ��`� �� STORIES: �_ SQ.FEET OF EACH FLOOR: �00 NO. OF BEDROOMS: �- GARAGE STALLS: ATT. �_ DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�r�(� 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 SIGNATURE: � DATE: \ ^ ��°\� NOTE! Parade o�Horraes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 6 i Sec.13.04 RIGFiTS OF SUBJECTS OF DATA Subd. 1. Type of data, The rights of individual on whom[he data is stored or to be stored shall be as set for[h in dvs secdon. Subd.2. Information required to be given individual. An iadividual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting§tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown coasequence arising from his supplying or refusing to supply privace or confidential da[a;and(d)the idendry of other persons or entiaes authorized by stace or federal law to receive the data. This requirement shatl not apply when an individuai is asked to supply invesdgarive data,pursuanc to secdon 13.82, subdivision 5, to a law enforcemenc o�cer. The commissioner of revenue mav alace the nodce reauired under this subdivision in the individual income tax or propertv tax refund instrucrions instead of on those forms. Subd.3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and wherl►er it is classified as public, priva[e or contidenrial. Upon 6is fur[her request,an individual who is the subject of stored private or public dara on individuals shall be shown the data wi[hout any charge to him and,-if he desires,shall be informed of the contenc and meaning of that data. After an individual has been shown the private data and iaformed of its meaning,the data need not be disclosed to him for six months rhereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsibie authority shall provide copies of the private or public data upon roquesc by the individual subject of the data. The responsible auchoriry may require the requesdng 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 die date of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc within that time,he shaU 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 norify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempt to noafy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be coaect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinacion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to concested 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 pernut or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You aze 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. Your full name is required to process this application or permit. �c�_S \v��` r� �c'��c..��. F�� Middle Lasc �Z�d�--�-�'��A��r�s—� Addross ��c'ta�c.c� �1�� n�� ^�� Ciry State Zip Phone I understand my rights as stated above. �� Signature DAT TIME .� CITY OF ORONO CALLED IN � �-�7 -�� ' INSPECTION NOTICEp � SCHEDULED j-sa-9� � PERMIT NO. J 7� co LETED ADDRESS �3 � � � OWNER , , CONTR. TELEPHONE NO. �7�' �� DESCRIPTION � 01 FOOTIN� 11 MECHANICAL RI 18IXCAV/QRADINC�/FIWNO �Q p2 FpAM 13 MECFIANICAL FlNAL 79 LAf�SMORE/WETLANDS 03 INSULATIO 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = ps FlNAL 14 SEWER HOOK-UO O6 PROORESS � 07 DEMO—SITE 27 SEP71C MIUNT. 21 COMPWNT v W 07 DEMO—FlNAL 15 SEPTIC INSTALL 22 FOLLOW-UP = OB PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL � 10 PLUMBINO FlNAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOIJ: YE8_NO ��,, COMMENTS: � O a � `�t, � 0 . � � �� 0 � - � W � � �P.v'L Q � � a � ` r�--' `" '� — . 'L � d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETUHN �STOPORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advsnce.473-7357 OwnerlContractor on si . Inspecta: WhNe CopyAnspector's Fila Cane CapyfSNe NoNos ATE TIME CITY OF ORONO CALLED IN � �9 7 INSPECTION NOTICnE SCHEDULED �7� ' 3� PERMIT NO. � / COMPLETED K '�'� ADDRESS �-3�o � �G�� OWNER � CONTR. ��- TELEPHONE NO. �7� '�5�� DESCRIPTION , �'.��c_-�—/l'v��L > � 01 FOOTIN� 11 MECHANICAL RI 18 EXCAV/(iRADIN(i/FIWN� y ,82'�RAMIN(�� 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS Q�03 NI SUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UO O6 PROGRESS F` 07 DEMd�ITE 27 SEPTIC MAINT. 21 COMPLAINT v Q 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP i 09 PLUMBINC3 RI 23 SEPTIC FINAL 35 HAR�COVER REMOVAL � AA 6 L ' / 36 FOUNDATION REMOVAL OWN NTRACTOR T MEET YOU:l�YES NO ti • � W a � � O � � O � W � Q � 2 W � W � � d �ORK SATISFACTORY:PROCEED � PROJECT COMPLETE W � O CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the ext' spection 24 hours in advance.473-7357 OwnerlContra o n s t : Inspector. White Copyll�spector's File Canary Copy/Site Notice