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Home My WebLink About1996-007863 - tear-off/re-roof _ _ _ _ � �- � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �.t 1 T�,�T�� Crystal B�y, Minnesota 55323 Permit Number: �,�;�;�;;_,;�; (61 a) 473-7357 Date Issued: ��,;�,�r_��, SITE ADDRESS: �.,_°�i; :=;H�`ai�Y��iiii� �;L� �:�V �' . I . �I. � 17—�, 1 7—;;.-:=:—';'tt—#iti�,'t DESCRIPTION: T��-:=��'/�E�-�Ci�:i� E=ui1��:Ln� F'��,r�7it. TY�°� '==F'—�ud,�F'Eh1��i��L E,ua. l{�i�� t��_?�SE�: Ty�� f;E:—I;��1�::F �':+��-��5 w:��,��_ �:;�. AI_T . �;E°�I�EivT I t�L REMARKS: FEE SUMMARY: yF�L�}f��TI!_1{�1 '�:;,�:�;�; C�i:{wE': �NN' �e�7 , i�.'�_S ��il'T�'"ictl'`�'" .__....._.___ _�#.z:.:'1 "��it•�F FH�� ,�;��. �y�a CONTRACTOR: — r��1 i c��z t. — °�'T . �I�.: OWNER: �;�L'��T�� .��_fC�'::�T�;�.1C�`t I�:?� T t��: 1��:-,�:=c;��; �ii;i r:?:��7 L 1 TTLF r��::E;:: .�.�i�+ IM f�F44+� 1 4)l 1 1�='�L_} `•_��`�;:�+.�E_}sJ i1{..+' �i�:h�I�E��`f�fLl'-� t'it�i ��;��'�' i��n3:�t��:� �iI�I ��:::.'�1 i:t��,;�; 5�i:�—�,:�:?�, c:��,��:}�:��,-7;_�?�, �'NE: :4t�1C>�.�;°�;I��t�E"L� �F:�E;�,'r' �E�a�i�,_,-3-r:; �:,��,t�1.`�;�-;I s:?P� 'j`�-j jj��;}-::�: j I�� i�:a�:i �:r�;=�;i�i',,'��;�:#,�i��; '=;1='L:C:I�I tC� �?t�l�'� fi��;i�'�E°�� '�:� C;�� f;!L ��=sh.F�:: �� ;�';�;I C:�� c�:E�fi lt='F.._I€�i��>;� ;�,a:�Tr� r�;L i�I��Y �;�� t:i��.ijrj�;: �_i�-;T�;�:Pu��i��:��=. �t�t�:3 �:�i F;;� :_i� ;��:��::-;;_:i�, �;!l I�.i��_t��, �.:i:�:.E F��{;?t_1 t�;��t{i��_ru�=: . � � :. �'✓L�-z �..e�.�/ APPUCANT,P MITEE SIGNATU E ISSUED BY:SIGNATURE Total Fee: $ �i ; C� 1 DateReceived: DateApproved: Entered By: ��,� Perrnit#: I ��3 CITY OF ORONO - BUII.DTivG PERMIT APPLICATION ALL INFORII�IATION�iUST BE SUB�iITTED Pi t F'ULL BEFORE PLAN REVIEW WILL BE STARTED -------- --------------------------------- --------- ---------------- ---_ THE APPLIC��1'T IS: (circle one) OWNER OR CONTRACTOR � " ��'C� S�7 a�� f�D�l�� zrn: JOB STTE ADDRESS: � y �� G� 1 �� PHO�IE: (home) � �� NAME OF OWivER: � � �� , _/ �,/ work) MAILINGADDRESS: /�i�l� .��c��l r��/3�"CITY: �/v ZIP: CONTRACTOR: /T l l �(�� r��u�`�' r�''/ PH0�1E: 7 � 5 ` j�'�>._ MOBILE PHOi�1E/PAGER: MAILINGADDRESS:33��j .ti'• l�r`r�tu';J" �G� CITY: �jt l� ZIP: >��2 � STATE LICENSE: # 32� � ARCHTTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY� Z�' N�,�: REGISTRAT'ION # TYPE OF WORK: New Addition Accessory S�ucture Move RemodeUAlteration � _ Land Alteratio� D WORK describe indetail): ��—�� `�� PROPOSE ( STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDR00�1S: G�iRAGE STALLS: ATT. DET. ,� ��- �� ESTIMATED CONSTRUCTION VALUATION(escludingland): $ � 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. � T'S SIGNAT'URE: DATE: `� �� APPLICAN �� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permilted events will not be allowed. Sec.13.04 RIGFTTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or w be stored shall be as set forth in dus secrion. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the parpose and intended use of the requested data within the collecting§tatc agency,polidcal subdivision,or sratewide system; (b)w6ether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of other persons or entides autt►orized by state or federal law w receive the data. This requirement shall not apply when an individual is asked to supply invesagadve data,pursuant to section 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the nodce required under this subdivision in the individual income taz or propertv taz refund insuvctions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible au[hority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his further request,an individuai who is the subject of sWred private or public data on individuals shall be s6awn the data without any charge to him and, if he desires,shall be informed of the content and meaning of that data. After an individuai has been shown the private data and informed of its meaning,the dara need not be disciosed to him for siz months iheteafter unless a dispute or acaion pursuant to this section is pending or addidonal 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority 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 shap 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 conceming himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of inaccurnte or incomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shal(be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The determination of the responsibie 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 ue 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 shazed with other local, state or federal agencies to the eztent 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. //�/�(�L� `-�_ _ �� adle Last F;�� / /��C Uc/�� v Addnss �� 2 .-��.� / Ciry State Zip Phone I understand my rights as stated above. S;g ro � 'DA� r�-9b TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �/— � PERMIT NO. � �3 COMPLETED — . � ADDRESS OWNER � O R. TELEPHONE NO. � �I �Y S�o�-5� � DESCRIPTION � 01 FO T1N 11 MECHANICAL RI 18IXCAWORADINGVFlWNO Q IN 13 MECHANICAL FINAL 191.AI�SHORF.IINEMNDS Q 03 INSULATION 24/ZS WOOD BURNER/FlREPLACE 34 TREE REMOVAL Z p4 yyALL gp, 12 WATER HOOK-UP 17 SfTE INSPECTION � p5 FINqL 14 SEWER HOOK-UO O6 PROORESS � J 07 DEMO—SfTE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FlNAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 08 PLUMBINQ RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBIN�FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � w a � J O >. � O � W � Q � 2 W � W � � d�OVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owne�/Contra r o t • Inspector: White CopyNnspector's File Canary Copy/Site Notl�x