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Home My WebLink About1997-009663 - tearoff/reside PERMIT � C�i`Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 ��.��.r•�;_; Crystal Bay, Minnesota 55323 Permit Number: ;,;:,:��.� ,: (612)473-7357 Date Issued: SITE ADDRESS: _ .. . ��'t:��+i�s .�;� ;-�_; - - _ - - - -•.,-, DESCRIPTION: ��<. ." :�� : . . .__- __. ... T� 'Y'�' � �='s s � ' � �°;�; i. -:- �:,iySi'�r�;,.�.... '_i�..�{��i._ ��: ... '31 i'� ;` "`fi1:t ,_-'(='�;-' �.��..��. >>..��.i 1'_F �.V f�F 1�i:. 1 i�« ... �.,.!�'s..� _ T F.-. 1 L.�:.. .» 'il'.��_i�:3 .� ,_:�;'��:3 i,�, �r- r'tF� 1 . !�.!... ...._. ....!�i I S :'"��,... REMARKS: FEE SUMMARY: , _ . _ , . .__ .. .� � _ ..�,�; , _ .. . _'��:�,.:� 3=',�;;, ;r:?=:-" . .. ._ _;��;-;;,;-.ca.�-�,.'.- ______ �':;�. — ;_s'•_ :� �'�':: c!:1 ,. ._. . _. CONTRACTOR: OWNER: �� °`A:.r - : .,�;-i{-��e; ,r'` .'.(�i'_;"t;ti C;'`, _ ,^' _ . _. ._ . .. _.rY^'. ._ _ _ ,1 t€''#.„. 's��'Rj��.i t�`r s+.�.'.f�`s'..+; } .:.r`.�'i.�<t' 1�"' ,��' . .z;�`,� �N� .� . ..... , .�2.. . .._. �__ s„:,i'� i�x `-:�`�t;�C'TC�j ,�'',`h.��3wfi��``��".a"`:� "�'i„3 i,�l_d s`#i.c,. . _ . Tt .. _�``� �.. � °� . . . .4 . c�i !� ��' , ,�. { �-ti •',`�� : �. : _ , r� �i�'�i _ i�. . ..._. �.... �� '�t� . �,.��" . �. . . �� L . � . . . ._ , . '4' ` � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �i, � . � Total Fee: $ Date Received: Entered By: �, Permit#: -�-��?s 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 R CONTRACTOR JOB SITE ADDRESS: � �(� �il,1d O ZIP: s S � l NAME OF OWNER �(d�,t� ,� � / /��O PHONE: (home)_ a�� / / / p� (work) MAILING ADDRESS: ( f (s b RRGf d� r`CITY: ZIP: d�3 CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: f i c'li�t/� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��D�• I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; that the work will be in conforniance 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 acco ce with the a prov d plan. APPLICANT'S SIGNATURE: • DATE: ' � NOTE! Parade Q f Homes eve require separate permit approval by Police Depar[ment and City Council 60 days prior to the event. Non permitted events will not be allowed. � . � Sec.13.04 RIGHTS OF S[JB.TECTS OF DATA Subd. 1. Type of data. The righ[s of individual on whom[he data is scored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to suppiy private or confidendal data coacerning himself shall be informed of: (a)the purpose and inrended use of the requested data withia the collecring�tate agency,political subdivision,or sracewide sysum; (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 supp(y private or confidendal data;and(d)the idepdry of other per5oas or enrides authorized by state or federai law to receive the data. This requirement shall not apply when an individual is asked to suppty invesrigadve dara,pucsuanc to secdon 13.82,subdivision 5, to a law enforcement officer. The commissioner of rovertue mav place the noace rewired under this subdivision in the individual income tax or propem 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 scored data on individuals,and whecher it is classified as public, priva[e or confidendal. Upon his further request,an individual who is the subject of stored private or public dara on individuals shall be shown the dara wichout any charge to him and,-if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months[hereafter uniess a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible au[horiry shail provide copies of the private or public data upon request by the individual subject of che data. The responsible authority may require the requesting person to pay the acaal cosu of making,certifying,and compiling[he copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant co 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 shall so inform the individual,and may have an addidonal five days within wtuch to comply with the request,excluding Saturdays, Sundays and legai 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 exercise this right,an individual shall nodfy in writing the responsible authority describing che 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 nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be corcect. Data in dispute shall be disclosed'only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administraave 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 pemut 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 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 pemut 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. .S ak� � (�� l�� First �fiddle Lasc � L� �� Address ,A �-��'� /� 1� � JJ�� 7 � L)D `f 7" �O� Ciry State Zip Phone I u rstand rights as stated above. y C S{ ATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE � SCHEDULEO PERMIT NO. MPLETED ADDRESS S OWNER �� l�' CONTR. TELEPHONE NO. � � DESCRIPTION VIP,(� S � — V(/�� W 01 FOOTING 11 MECHANICALRI 18EXCAV/GRADING/FIWNG � � 02 FRAMING 13 MECHANICA�FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS F` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 2$CEDAR SHINGLES �FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d ORK SATiSFACTORY'PROCEED � PROJECT COMP�ETE W [ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O i-',CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN STOPORDER POSTED.CALL INSPECTOR CITATION ISSUED i=� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspecti n 24 hours in advance.473-7357 Owner/Contractor on site. Inspector. White Copyllnspector's File Canary CopylSite Notice