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Home My WebLink About1998-010536 - tearoff/reroof � PERMIT CITY OF ORONO PERMIT TYPE: � -: - �*;�0 Kelley Parkway- P.O. Box 66 ri:i i;,,s e 4:�j% Cr stal Ba , Minnesota 55323 Permit Number: ;'��t i�,:;i�� , y y Date Issued: �:�:i;��;''�:,� (612) 473-7357 SITE ADDI��S: ,•_4::=i_li..� =i"�i-��lY�;��T�� i�� i:i-; ��. � .I`� . . _ _i ; %—_...: �i�—f tt}{_!.t DESCRIPTION: % ��•'.,F,;:�i��:�F i:`i_ii�i�- E�+�i i��i n:a F'�rri}i t. ►v��,� `_�+=—:;i�E:�:fi�i 1��i;�l�L ��I;i 7 t�i �-t+� �::_�i�t:; T y C�� i°F�—•�i;t_fEwl� !_f_+1�� _i_if.J�' iF�++� �� i . �.i�...��1��r?�V} S f'jl_ REMARKS: FEE SUMMARY: ;,;�; ��;TIr�� = , �i�i� L'��:7�.'' I-Y7=+ .�'+,�j �� f� :ji�t'=�'Ic`ql''�F=+ .__...._..__.� �''�.�d...l' ��t'�.=t� �'�t_ �� .� , f 1 t 7 CQNTRA�T R. — ��1 i�_.��-��. — °=;T . i>t: .pWN�g: - �;':WiE i i_i�-:-� �F t�ji�if`.��,T#�s�: _. F��.i`:_I�J i��'�'t i� # i) f i 7��=, l�F; �=4: _TF;;:F�:: � �.`�i_'i.; �,��Y;H�ni ��I_`��1' .��.�� ',�.`�_]{'i_i =�t;a�,;a j�!�js_i�iE t t=f;�� t�l f`,iiv�i t i},s}:.F.� C�ji,� ��:=:i_i� irtF;i�lh,Eiwi i;;.} �,c-�,'�3f t._= __'.' �1.,::—�'.L 1 f_' ... ��-t�, l JF,f11[!?��j��±#swL_L� �?L..`�.E._t-i! }:`�l};i_!��.�' I '.� �"`L_..!`.!�'i '=_�. .�'.E_;t''I I'_S idI'r;(:,�", S{�4�;. F•',%.'V��ii y t�°i{"��.k_I'v,'=3_�'x�3.•."`.iJ i ._� �_�''f�i_��!��:' i=��41�' �=1f�;,;`�::� 1�:i %.'i_! H!_L ��fl_��-,�:; i��i ��`i t:;� i�:i=�:`j�-`'•._!.F�.lI_!� ':�� 1 t i i}'t_!__ iW;y�;-•;; �_{:, {,,I�:I_ir.�l_I E_$�"i��i��±t'��.�,`.�. €��t€�1 _��i'-1 j � I Il- M y.�I�3I'.��_•:� ��-f 1�-��_!}.�...�J t(.3ti �{�t!t: �.:-_:_}:_`��,F:#':�{�'�f f :� . L . .� � APPLICANT�PERMITEE IGNATU ISSUED BY:SIGNATURE J G�i �" -� j Total Fee: $ //J,O� Date Received: , F�-.;,ered By: ��'� _ Permit#: �L�, j�- � CITY OF ORONO - BUII�DING PERNIIT A.7PPLICATION All information must be submitted in full before plan review will be started. (please print a11 information) . THE APPLICANT IS: (circle one) Oti'VNER O CONTRACTO � � . JOB SITE ADDRESS: c�0� �/�h a.C�I,C�G�G'p� /�� ZIP: ��J�7 / . , � NAME OF OWNER �G ��;/`�' PHONE: (home) (work) MAILING ADDRESS: OCX> �/f�-�� , ITI': '�,�� .. �ZIP: __ � � ; CONTRA.CTOR: �� S G"�o�e� �'� ��IPHOivE: �/a �-D�� , N: MOBILE/PAGER �--1 ..5 COti'TACT PERSO Q� �/ .� 1V1AII�Pi 1G ADDRESS: � /�'/' �CITY: �i i � ZIP:__�� o � I STATE LICENSE: � A,P CHITECT/ENGINEER: PH0�1E: NIAII..IPi G A.DDRESS: CITY: ZIP: riAME; REGISTRATION# TYPE OF ti'VORb': New Addition Accessory Structure Move � � Remodel/Alteration Land Alteration , PRO OSED'4VORK scribe in detai�: ��"Up,� �Ui t�Z /��f ��/�� 8f r - /.r� STORIES: SQ.�'EET OF EACH�`LODR: � - NO. OF BEDROOMS: GARAGE STA.LLS: ATT. DET. , �� . . EST�IATED CONSTRUCTION VALUATION (excluding land): $ ��OG�' � I hereby apply for a buildin�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 Ciry and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be i.n accordance with the approved plan. APPLICANT'S SIGNAT'URE. � � DATE: �� NOTE! �Parade of Home� ev nts require separate perm approval by Police Departrnent and � City Counci160 days prior to the event. Non permitted events will not be allowed. �. � � Sec.13.04 RIGFTTS OF SUBJECTS OF D�TA � Subd. 1. Type of data. The righ�s of individual on whom the data is sroced or to be stored shall be as set forth in this secaon. - Subd.2. Information requIred to be givea iadividual. An individual asYed to supply private or confidenaal data concecning himsetf shall be informed of: (a)[he purpose aad inmaded use of the tequesc�dara withia the collecdng State agency,polideal subdivision,or scatewide rystem; (b)whe�her he cnay refuse or is legally�equired to supply�he tequesud daci;(c)any Irnown caasequence arising from his supplying or refusiag to supply privace or eonfidendal data;and(d)the idcndry of other persons or enodes auchorized by snte or fedeCal taw w receive the dars..This requirement shall not apply when aa individual is acked to supply invesriganve daa,pucsuane to secdon 13.82,subdivision 5.to a law enforcemeac ofricer. � � The commissioner of revenue mav olace che nodce r-auimd under rhis subdivision in the individual income tax or o�ooem taz refund inscrucdons inscezd oE on ehose focros. Subd.3. Accas to data bv indi►idual. Upon request to a responsible au�horiry,an individual shall be informed whe�her he is the subject � of stored dan on individuals,and whecher it is class�ed as pubtic,private or confidenaal. Upon his furchec request,aa individual who is the subjecc of scored private or public dara on individuals shall be showa ehe dara wichouc any charge to ti�m and;if he desires,shatl be infoaned of the content and meaning of chat data. Aher an individua!has been shown the private data and iaformed of its meanin3,the daa need not be disclosed to him for six monchs chereatter unless a dispute or acdon pursuant W[his secaon is pending or addidonal data on ehe individual hu been collected o�crea�ed. The responsibte auchoriry shaU pcovide copies of�he privace or public data upon nquest by che iudividu�l subjecc of et►e dard. The responsible auchoriry may require che requesdng peaon to pay the accual coscs of making,cecdfying,and eomp�7ing the copies. '!he responsible auchotiry shal!eomply immediacely,if possibte,wich any request made pursuant to this subdivision,or wi�hin five days of the dace of che request,exciuding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot campty with the�quesc wirhin chac time.he shatl so inform che individual,and may have an addidonal five days wichia which m comply wich the requesc,exctuding Saturdays, Sundays and legal hotidays. I Subd.4. Procedure whea data is not accurate or eomplete. An individual may coatest the accuracy o�completeness of public orpri��ate dan concerning tiimself. To exetcise this right,an individual shall nodfy in wridng ette responsible auchoriry describing the nantre of the disagreement The responsible suchoriry shalt wichin 30 days eithec: (a)correcc the da�a found to be inaccan[e or iacomplete and attempc to nodfy pasc ncipiena of inaccurate or incomplete daca, inciuding recipieats named by che individual;or(b)aoafy ehe individual that he believes the data to be correcc Data in d'upute shall be disclosed only if the indir•idual's statemenc of disagre:ment is included wirh the d'uclosed dard. The dececminadon of the responsible auchoriry may be appealed pursuant to the provisions of the administrarive procedure act retadng to contated casts. DATA PRIVACY ADVISORY � In accordance with M.S. 13.04,Subd.2, "Righ,ts of subjects of data",we would like to inform you that your request for a permic or license from the Ciry of Orono or any of its departments may require you to furnish certain private or confidential information. � You aze 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 Ciry deny the permit or Iicense. 3. The information may be shared wich ocher 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 (avaitable upon request) to review private data on yourself. 6. Your full name is required to process this application or permic. .��T"� �`l �G P�,�,��' . F�� Vfiddle Lasc Address � � �� Ciry Sate Zip Phone I understand my rights as stated above. � Signature . DATE C/ >TIME CITY OF ORONO CALLED IN __�ZJ�La L.._ O C� INSPECTION NOTICE SCHEDULED S-Za—�Sl j0•'O t� PERMIT N0. J�S �� COMPLETED � (� ADDRESS � � OWNER 1�- CONTR. � TELEPHON NO. S I� v / I U ' � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WAyFSD. ` 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 -SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTORT6MEET YOU:_YES_NO � COMMENTS: � W a � � O � � -- --..._.... O � W � Q � Z W � W � � d � ORKSATISFACTORY:PROCEED �� PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN INSPECTOR WILL RETURN � C� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-73�J7 OwnerlContractor ' e: Inspector. White Copyllnspector's File Canary CopylSite Notice