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Home My WebLink About1997-008841 - tearoff/reroof f �{ PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: `.''� �_ -�' ' - �°�;"�,- -;;v � Crystal Bay, Minnesota 55323 Date Issued: -. �, - �- -�-• ;_�.. . _. . (612)473-7357 SITE ADDRESS: �:`.�.r�;= =:��i ta 1;'1'�:�,�i i�Mf i�� ;i;' �ti i-' �' �:� 1 ,/�S � r'—�_._�—i:.��—:,,1{:t7`�1 DESCRIPTION: _��:yi:°.:��r':��:�'+=,;t;� i_�3..�1 .t=:.ili±�; C"'.:'1"�€'s��. ��t��w =�f—H{.J�%�'.��'t�_}I�'�(... :-�1�j, i s�i_t's�=7 �;�;�7s s:; !�f:_�:_ i;:-.—�-i f„It�� _W il'.a��'.� i_:��i t�t=� �:_,�� :-i i._� . f';��'�L��`:.i`�:I.f.r.',�_.. REMARKS: FEE SUMMARY: _ ..,�°� , _ , ;'-' <_._. , _ _ ;�:�:�; _ _ _... ��:.� -.�.; ._. _ ;�.:;: - . ___._.____�.. - :��i_ _ - --�_ ��i��;�'t,�_: _.-; .,.,. _. _ . , OWN . .. . , � - ACT _ ,_ . tl�.�;,-;-r ;,,. CONT . . � . _ .. , . _ ,: : :;:. ._ Y � 4 _ _ . � , , . �.i',,-�,u',,�,{;,t��i :+ : t � ,— � . , ; ��_ -. � � - _ � _. , �____ . . _ - .. _ . !,, - - ; �� :��. '�~ `'� � � __ . . ;;_ . ;... :� . '� ,� . v _� �: , y .�: : { � - ~�� : ; t, ��;, .... . _ _`_ ' . � ., . g � ��` �.. . . .��; � _ e , .; �:... , _- ..�: .. = � .. e _ . _ � ___ _ _ . - - . _ . _ _. ,... � .' ' � v". k f. . �_. � ,.. . � � .. . ._. . . .. « _ . . . . � APPLICAN PERMITE ATURE ISSUEDBY SIGNATURE . `'`'4� � —————— � Total Fee: $ Date Received: Entered By: ��%� Pernut#: .' �'Z�f/ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------- ---- v--�— ----------------------- THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� _...- ___._ _ .=-� JOB SITE ADDRESS: 2 I ; �'! u,�� ZIP: �� NAME OF OWNER: ( 'v��--� � ��} �ri1�e Y�c,•r�. PHONE: (home) �(�( " g�9�' (work) MAILING ADDRESS: 'L I� .� � • �.�i�•� �c�- CITY: 'v.�c.�i 2� i ZIP: �S3�/ �_.� ,...�. CONTRACTOR: t�c1 i I.�.� �-�;�-�� V r 5e. PHONE: _`��'t-t�{ �-� ' �� `�'c'(v S' ;/ CONTACT PERSON: Jc i�� ;S`� �'i l I SC1�k�1 OBILE/PAGER: -�� MAILING ADDRESS: �(a l�-C C�i,�'c� I�lt�'g - CITY: �.�c�(5 i c.` ZIP: 5� STATE LICENSE: # ZGG"�- 2�Z� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: Iv;GT "` r,�e_ t f►�c S�i�+c�� c�t-cc� l ' c,•-%�t� �-�tl� �%z`'�- r t c{ �eti+ cc. 4 ►��Y �u�� e -c_ STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �,��° ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z �(;�C� I hereby apply for a building pernut 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 u erstand this is not a permit and work is not to start without a permit; and that the work will ac ordance with a proved plan. i r APPLICANT'S SIGNATURE• .'��/Z� DATE: � Z- f � , . NOTE! Parade of Homes ev _�equire separate pe�init approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. .� Sec.13.04 RIGH'I'S OF SiIB.TECTS OF D�TA Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. r1n individuai asked to supply private or confidenaal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting"state agency,political subdivision,or sratewide system; (b)whether he may refuse oi is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or co�dendal data;and(d)the identiry of ocher persons or enriaes authorized by state or federal law to receive the data. This requirement shali not apply when an individual is asked to supply investiearive dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the ❑odce reauired under this subdivision in the individual income tax or propercv tax tefund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be informed of the content and meaning of that data. .4fter an individual has been shown che privace data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shalt provide copies of the private or public 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, cerafying, 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 shall so inform the individual,and may have an addirional five days within which[o 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 exercise this rieht,an individual shall noafy in wridng 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 nodfy past recipients of inaccurate or incomplete data, inciuding recipients named by che individual; or(b)notify the individual tha[he believes the data to be correct. Data in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinarion of the responsibie authoriry may be appealed pursuan[to the provisions of the administradve procedure act relaang to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�ts 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 furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to deternune your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut 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 pernut 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. (. Your full name is required to process this application or permit. l��lv ��Vvd't12� �'S I J�2� First ` M�e �� Last `��,,__.�--c v✓l��1 �S�� Address ti ,ti��t ' � �� (� (z � 1_`�ZS_� Ciry State Zip Phone I und st my nghts as state above � /' /C��L ' - Signa re � / ; DATE TIME CITY OF ORONO CALLED IN _3/..Zt� I4 > INSPECTION NOTIC SCHEDULED .3 .?�' 9 � /� 3 a PERMIT NO. �� COMPLETED .�'Z�'' � 1�°� ADDRESS / OWNER � CONTR. � TELEPHONE NO. '�'I� '�1�� DESCRIPTION �--t-�� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FIWNG y IN 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVEF REMOVAL 2 v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � c.��ss„P I( lt �,.�a� V.J�e � J O a � O � W � Q � Z W � W � � d �7 W/ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � L' CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73rJ7 OwnerlContra on ' e: Inspector. � White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN DATE ^ �.T�� INSPECTION NOTICE SCHEDULED N "� PERMIT NO. �� COMPLETED � ADDRESS �: �f,�- % �X OWNER C��t��-�'-�-� ' ONTR. �C�'c-�2i �iJc.�` TELEPHONE NO. y71-1 U� � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG �Q 02 FRAMING 73 MECHANICAL FINAL 19 LAKESHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � D. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FI 14 SEWER HOOK-UP O6 PROGRESS F' 07 DEM�-SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL = 35 HARD COVER REMOVAL J 10 PLUMBINC,FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O ti W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ! COFRECT WOFK R PROCEED : ISSUE CERTIFICATE OF OCCUPANCY W O ; CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR '^ CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the ne,t inspection 24 hours in advance.473-73�J7 Owner/Contract r 's te: Inspector. 1 White Copyllnspector's Fil Canary Copy/Site Notice