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Home My WebLink About1996-008074 - tearoff/reroof �t � . PERMIT . " CITY OF ORONO 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: ��'•_}I�.�}INi� Permit Number: t�;t;;_;t f?r� Crystal Bay, Minnesota 55323 � (612) 473-7357 Date Issued: RyF,�j;�;f��., SITE ADDRESS: f�,:^;c:� '=�F-i(��al��,��i �'i� �:%-i �'. I .��{. . i�_� 1�_�`_-_:�1_c_yt_�j.�=, DESCRIPTION: TE��;►:��'/�Eh�_�t_iF ��.ai I��i�-��a �'�r��i t- TyF�� :��1=—i��l�:�E�°1i iUEL E�I..�!� ��'I t t��J W�_t,Y•€�. ! }'�� i�-'�il_II_!F C:��i�us C:�,��N :.+:i�. Ai_T . ��'�:iC�Ei�TIr'-i3— REMARKS: FEE SUMMARY: �`�?LU�a�I+=iP� �:_:;�_��yc:y E=��r �� :�. . �� -[�i{.i��i�_ __.______�_��.��{a �t�.+�•C{�. !- �h+ S,v/f^�� L CONTRACTOR: — ��•�� i��. — °�T . �.-�+� OWNER: H�?F;TY _T��ENhd I�?�� f�:�5�.�'�::�; �=t:=,;;? I:=+�+E_E:t�!(�t� _Ti fHt� ��.i r:l t1 i i��u�=_.i�l i�'•1 �H i� 1�,c?i; '=�H�1GYWt_�iii7 n� �1�;F'LE �F,i�s�1E t°if� ��:_;�:,�� ii�;�_i��1�_t t�� t�'=�1 {.�l'.�.; �4�-4'�:.�� 71—`��_;�= }I-�E {�h��i'=�T��1 HEFs;��`�' Fi�=.i;t_!�'�_;i�� F��i i,=:�=;IE:�� i��:= t�Er��:� ?'�-ir: ��w:�. �r;�:�;_;�,�,;t:c��;� �.�-�-,_; ��,;�`Ew�I F i�D "I:� �U;�CE'�� T�� ii=� r�i�l� �1�:i=;F:: I�� `=�T�i t�:T t,=W;}.;�.��,;�.;� ��-H �;_� E_:.i�±'� �w,#= L f_=�iE_�C�E_� _��; �. f�t.:E:�=; � Cf '=��?��;±E }�?F �"I h�iC�:�'=,i:?��'A E:t i T�.��:f�€� �::�:��';�� F��:�;?�:,.�;��T��=��w i�� . � � AP A T/PER SI ATURE ISSUED BY:SIGNATURE ��' �' I Total Fee: $ DateReceived: �c• �E, %i�/� Date Approved: Entered By: ,C,l� . Permit#: �'r��'f CITY OF ORONO — BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BESTARTED -------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��:� � ' '� ��,0 C �� ZIP: NAME OF OWNER: ��C �I �� l�'��;�1/ PHONE: (home) � �� - �5--�� (work) MAILINGADDRESS: ,�-�,�j�%�� CITY: ZIP: f /, CONTRACTOR: �,,_' � j�J _�� -��" PHONE: S yS�- �f��`J , MOBILE PHONE/PAGER: MAILING ADDRESS �� c`/i� ,�, .-v.`v�c.��l�r�; �ti./��CITY: '1, '. ^ , �,?��,��C�d��ZIP: SS � 6�" STATE LICENSE: # �.�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration --- -� PROPOSEDWORK(describeindetail): ,��'�C��, ��,�;C�� , STORIES: � SQ. FEET OF EACH FLOOR: 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 b u derstand this is ot a permit and work is not to start without a permit; and that the work w�ll � in a�cqrdance ith the approved plan. i _. , f / x�,��r' APPLICANT'S SIGNATURE: ` 7�-"i/ �( �� ' � DATE: �= " l :� � L' �i�.�� e� NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Couneil 60 days prior to the event. Non permitted events will not be allowed. 9 .� Sea 13.04 RIGHTS OF SiJB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data 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 to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or enti[ies authorized by state or federal law to receive the data. This requirement shall ❑ot apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice required 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 authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whethec 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 hun for six months thereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requesting 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 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 sha(1 so inform the individual,and may have an additional 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 private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, induding 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 individuaPs statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to 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 furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the pernut 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. , ;, � � �' � �� •� ��' � ��-`�'�� ,�` -�`^ First Middle !i Last ,�� _� �i �Li Add es?s n - /� ,-- /,� ,_ � �/��`_`y�<1 n �� '.;; j j �`�� -/ __' �� ' u/.-�� 1 �� Siate Zip Phone (\ I un�fierstand �y rights as stated above. �� , , � � � � � � ^ `�`t�,- � Signature'� � ��' ` , � CITY OF ORONO CALLED IN DA� 9 TIME INSPECTION NOTICE SCHEDULED ��/9 96 ,� :U� PERMIT N0. ��7� COMPLETED �_ _� ADDRESS l ' OWNER CONTR. � TELEPHONE N0. _��S—`7��33 � DESCRIPTION �Dw�/� � 01 F0071N� 1 ECHANICAL Fii 18IXCAV/ORADINC�IFIWNQ �Q I 13 MECHANICAL FINAL 19 LAI�SHORE/NIETLANDS Q NSUUTION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � p5 FINAL 14 SEWER HOOK-UO 06 PROORESS � � 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAI 15 SEPTIC INSTALL 22 FpLLpW-Up = 09 PLUMBIN�RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBINO FlNAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � a j O a � O � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED W� u PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTEO.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnedContraato o ite Inspector. White Copy/lnspeetor's File Canary CopyfSite Nothx