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Home My WebLink About1999-011168 - renovate family room PERMIT , �Y OF ORONO PERMIT TYPE: /50 Kelley Parkway- P.O. Box 66 ��_?��:��.i`�!;_ .;rystal Bay, Minnesota 55323 Permit Number: ^:_ i z,;:=V: (612)473-7357 Date Issued: _ SITE ADDRESS: �;i:=, �=:�;.�i:';'�;{�tE.i�� :t� .t"i= L:: . _ . . . . . i _ j �—��—:�:.`—iii:_.�. DESCRIPTION: :;°�`.Ii�l;;'r:•1 t i. �'"��i�`�1�.�Y� t?i li_i�''�! ��1.,iiiF�=11�� i'':-�f'Ct��.�. t iC�;,3 '_;!=—i'-'}jfi.''f'-i��'i�_�t�"#.... ��i S j I F;,�3 t i�� u;tt��1'�:; ! �'�=r� t:;��`,{t i�i f-7 � �i i�`y_��1_ll t�.� 4.i, ,-,,--.r,-.,-� .r_;��f4; t_�_�� ^:t�.:�� `-�€...'+.� . y��=r.Z�:��*��i��_ REMARKS: FEE SUMMARY: ��;: �ff-tl�Ii_ir,v �:_;, �_�i:Ei v=.�� ;�� ?� . _ :-�i;t'f{';��',��,.; ; �' _ _ �. . .. ..�..._.�..._..........� ..��a3.s..;u:i -E i"1�.r_;7 n'{'?f-' ,i�'� �;,�� CONTRACTOR: __ ;�`,�:� �r�;,:. _ OWNER: L,f{�i'-. . ;':_ii �� i-:`fi�$"�f-i��. _.. fiit�..�'11_:�.t'�.�.. i:7.:`�,,=�.t,;:t'_'t.;� F-�#-',`_�C.t;. x•:i;'.:;'„ ---��-� ��5.''t`:.; _�i�`�1�� i:.L:�.�` ��-If-;l1'�<'iiWit_._ �i;il r:;t_''.�F;;�i ,'!;°�f _.�:�f,-��. i:�ii�f„3�-1 .=�t:,i __ _. .:=`� . v i::f i.�.i,;_—f t_'!_t� i+!1-!j_'_ � .t,�� _`�: il�-�»� f t�}.i��;i �-tY h;c- .� �i#' _f NJ�. _"6�:.� �.'._ .� � `eY��! ?C`u f {_i :°�s-3i�.,_'. S �"._.. t.`. .__ � . .}� "'j.t_��t. _.. .__73 � _ _ ��. �;�f E =1��.� �; � , �..�... �#�4 r I f �-�s � ,�s �F �� j, s �: c "W't' $ �.��, �'T '� ` � `s_�.� ...� t i�i � #�'ar T E:. • }t 3 i '�� I IE- ti,,{ ! �` i- 3 1 J 't� � _€i 1 � a s., � .�t ._ _. ._. _. . .. _ . _ .. t-s . . . . .. .�._. _ . f-t _ _ ---_. �. .3 _�: . ._. _ - J`� L / . � i , _ � �.. ��'y__2 ; _ - - - - - --- - APPLICANTPERMITFESIGNAi 1 � ISSUEDBY_SIGNATURE � " �, . ——— ,ai►._. � . ,,�, �otal Fee: $ /�,. ;�;. `�;� Date Received: Entered By: �- Perm.it#: � CITY OF ORONO - BUII,DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE �iPPLICA�ti'T IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: `-x� /� ,S��I�-� �l�c�c�c,=�-�LIP: �S `S�� NANIE OF OWNER: i��y� � �� ,�`��'��-PHONE: (home) ��- /�� (work MAII..INGADDRESS: ��.�' ;�c��i'CITY: / -n > ZIP: SS_s'�� CO�RACTOR: ��/�L~ PHONE: ��} �/G��S� CONTACT PERSOI�': ��<>�� _� MOBILE/PAGER: ��>-—;'��' MAILING ADDRESS: ��Pi �o��-� ��--�-,' CITY: %u.�= ZIP: ��'"s'�% STATE LICENSE: #f'�j S` ARCHITECT/E�'GINEER: PH0�1E: MAILING ADDRESS: CITY: ZIP; rJ�,�; REGISTRATION# TYPE OF WORK: New Addition � A�cc sory Structure Move Remodel/Alteration L� Land Alteration PROPOSED WORK(describe in detain: �� v�/c ��-s�� .��--, � m� ��r�� ,� /C'� ,� � r �X�s-�,�, -� ,�--, STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. c� EST�IATED CONSTRUCTION VALUATION (excluding land): $ 5�;��a - _ 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 City and with the State Buildin� Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with the ap roved plan. �� ' DATE: � /�/�-- S� APPLICANT'S SIGNATURE:� _�;-� � � � �_=� NOTE! Parade Q�Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � � � Sac.13.04 RIGHTS OF SUBJECTS OF D?�TA Subd. 1. Type of data. Thc righ[s of individua!oa whom the data is storcd or to be storrd shall be as sec forth in this secdon. Subd.Z. Information reqirired to be given individual. �.n individual askcd to supply privam or confideorial data concerning himseif shall be informcd of: (a)che purpose and incended use of the requesud dara wichia che collecdag'stare agency, polidcal subdivision,or sratcwide rystem; (b)whe[her he may refuse or is legally required co supply the requested data;(c)any Irnown coasequence arising from his supplying or refusing to supply private or conndenaal data;and(d)[he idenary of o[her penoas or enrides authorized by scate or fedeml law to rcceive the data. This requiremeac shall not apply when an individual is asked to supply invesdgarive dara,pursuanc to secdon 13.82, subdivision 5, to a faw enforcemeat ofFicec. The commissioner of re�enu mav plac- the nodce reauird under this subdivision in the individual income az or propem rax refund instrucdons inscead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a rzsponsible au[horiry,an individual shall be informed whether he is the subjecc of scoced da[a on individuals,and whether it is classified as public, private or conF.denaal. Upon his further requesc, aa individual who is[he subject of stored pcivate or public dara on individuals shall be shown ehe da[a wiehout any charge to him and, if he dtsires, shall be informed of che concent and meaning of�hat dan. After an individual h�s been shown[he private data and informed of ics meaning.[he dara need not be disclosed to him for six mon�hs[hereafrer uriless a dispute or acdon pursuanc co this secdon is pending or addiaoaal data on the individual has been collected or creared. The resFonsible authoriry shali providz copies of[he private or pubiic data upon request by che individual subject of�he dara. The responsible authoriry may require the requesting person to pay the actual cosu of making, cerafying, and compiling the copies. The responsible au[horiry shall comply immediately, if possible, wich any requesc made pursuant to this subdivision,or wi�hin five days of tht dace of che requesc,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possibte. If he cannot comply wi[h the request wirhin chat dme,he shall so inform[he individual,and may have an addidoaal five days within which to comply wich[he request,exctuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest tha accuracy or completeness of public or private data conceming himse(f. To exercise this right,an individual shall noafy in wriring�he responsibie authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correct tha data found to be inaccurate or incomplete and aaemp�co noafy past recipiencs of inaccurate or incomplece data, including recipien�s named by the individual;or(b)notify the individual thac he betieves rhe data to be correct. Data in dispuce shall be disclosed only if che individual's statemenc of disagreemenc is included wich the disclosed data. "Ihe determinadon of the responsiblz auchoriry may be appealed pursuanc to the provisions of the administradve procedure act relaang co contest:d cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri;hts 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 detemune your qualification for the perm.it or license requested. 2. You may refuse to supply data, but refusal may require that the Ciry deny che permit or license. 3. The information may be shared wich o�her local, state or federal agencies to the ettent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. j. You have certain ri�hts under M.S. 13.04 (availabie upon request) to review private data on yourself. 6. Your full name is required to process chis application or permi[. Fiac titiddla Lasc Addtess Ciry Sate Zip Phone I understa.nd y rights �s stated ab � �� Signature D TEG.�, TIME CITY OF ORONO CALLED IN �=� l � C �C4� !t i/ INSPECTION NOTICE SCHEDULED ,L`� � ��z'c(�l PERMIT NO. lJ/I 1�C �' COMPLETED �L' ADDRESS .- �t-6 --�� ,' i � OWNER�L2�:.,�i�C `� ` CONTR.��SX�e .CC,�'-u�.) TELEPHONE N0. ��" /Q�' =� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � AMING d 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 SULATIONa 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SiTE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � '�a c(��°,0'` a � � �0 � r � �U �'- l O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r, PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance.473-7357 Owner/Co c i e: Inspector. White Copyllnspecto's File Canary CopylSite Notice