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Home My WebLink About1998-010604 - renovate/remodel PERMIT C� � ORONO PERMIT TYPE: � 2��G � arkway- P.O. Box 66 �':_'��—"�E"=' � - Permit Number. i�f t_;t-,��l.;:j. Crystal �ay, Minnesota 55323 Date Issued: ;-;;�;,��:�;°�_;;_; (612) 473-7357 - - SITE ADDRESS: �.:...�`� ==�-i�=��t r��s��E't {i=_ .fs, F� . .i . ;� . :;—; j i—y:_;—:�:=°—i 7��. DESCRIPTION: �-:�;� E;E�d_:,�:� — .�.-,-.,-- `:i,,,!i l.,�11?v� �'r_+t•�€�1� �r�-'r�� '-��'—f-ii>'�j;';;`.�i°,1 ft asrL h�l_.(7 :�'wl i 1't+� �a t5'i�:; y V�:��+ 4"!C'»i�l I'+f�� Li�F°II_f�lF:L, _�ls•��1•:� t:i_�� F:� �1!� . ,h:�'��1�..�'L�'�!!H�_ REMARKS: i��;�—i_i:��.'F.�_�'i�3f s`�, t,i�.�:� v�.�L?I i�.ii;; s„��1 �{1��;ii;1:El,;f:_;; �sF;% '=::;�F'�i'F;:�'s::t�;; c��=,��} �;��,ii;;._��(�i� r`��.��... ��+�= T�-i= i fi�j'=�I;�; FEE SUMMARY: YI�L_�_!�'f I ��_tl'v �F;,F {_JS 1i S "�-. C— `�,�' 1 .- -:[ ��,�� ! .�ry 1 ._ . _ -'i'�1~�-�f'�1��=�= —.---'-- e?� ['°"ti'' � I_i�.rt�, �i�'F? �.^� �` . --� CONTRACTOR: OWNER: — :��t=°1 i�=��-�t� — ��;�;°��° i E�}ij�� _��`� °=��:n;;`;';��iii:; �:�i ;_�;�,,ij,,�i! 'i fT,; ��:=_��1 �� !— � �` �3 . � — .��-rr.;... �- e,—..;_ .:...;...yi�'�..��rtif � ' �i�� i€t;tsi�;,:,��.-a�'�t?�C.:' i�?;��.�._._ _. . .�t;'t .__�1 `� i=`�I'{'.?'�I. _ � _ _�i`�l ._ ;'! .. ..__ ..._ .,.._ _ _. .. � ._ . _ _ . _ � � i i–; ..,�__� �..�� n:�•�3 ;s,;:=..:��;,}�� `9�* �_ �y�_ __.�C-` - .�. :-,- _ - - i�ti I,�-t',�';, pV _��'c`#l:s t:3�{I°jC"'_.�F•i%`+?_i 4:�e . . . F-i?� _ _��'f� _.. �"'" f 1i` `•:: 'W:._ �3`v � t t.�1 ._�' t ! �-' a t_�t ��VE! �f-s '-,��; , �_I �.�._� . ��i.. _.__ � - -i E i, i�T i E '{�- ' ;::, ,�t 1 =:�{a�';� �.#� ;1 I s,`�ii;�s�'=�{_`�� _'I L��I s�-._ _i.e is;� �'.::�._!:'� ..__. .`':`v ��`� . I � f_!1'�;=J��1:_ �'1.1 �'s=�'�s•�:_�= I _ J � � � , � / APPLICANT/PERMIT SIGNATURE �y ISSUEDBY:SIGNATURE � � ' i / ; �al Fee: $ %/S . ,yt 5 Date Received: � Entered By: Pernut#: %�� 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) OWNE R CONTRACTOR JOB SITE ADDRESS: � OCq OG(�, ZIP: ��.3��—�'�.,�Jrd NAME OF OWNER: ��G�-�J��f7 /`"/�?��'� PHONE: (home) '7'7I—y�I'7" s �� (work) ,� ��'J/�'3 MAILING ADDRESS: S C� W� 4� CITY: Za. ZIP:��:5��.50 CONTRACTOR �j I�'�VI�i� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: I�� r.�C�(/t I r�- PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION�# TYPE OF W012K: New Addition Accessory Structure Move Remodel/Alteration_� Land Alteration P OPOSED WORK(describe i detai�: R�F�I'l�"1 S �UeGt��rdr N�r�w�hda� ��.- �k.. �s icl�. ��-e � , STORIES: � SQ. FEET OF EACH FLOOR: 7G�� NO. OF BEDROOMS: 2 GARAGE STALLS: ATT. DET.y� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ _ �, �-�� 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. APPLICANT'S SIGNATURE: G�� p DATE: �LS�� I�q� � � NOTE! Parade o Homes events require se�te permit approval by Police Deparlment a�a�1 City Council 60 days prior to the event. Non permitted events will not be allowed. 5 - �I � Sec.13.04 RIGHTS OF SUBJECTS OF DATA � � Subd. 1. Type of data. The rights of individual on whom the daha is stored or w be stored shall be as set forth in this secrion. Subd.2. Information required to be�ven indivldual. An i�lividual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and inte�ed use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is(egaUy required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or wnfidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgative data,pursuant to sec6on 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revernie mav�lace the norice rewired under this subdivision in the individual income taz or nrooertv tax refund instructions instead of on those forms. S�bd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of sWred data on individuals,and whether it is classified as public,private or co�dential. Upon his further request,an i�ividual who is the subj�t of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be . disclosed to him for six monthc thereafter unless a dispute or action pursuant to this section is pending or addiaonal 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 i�ividual subject of the data. The nsponsible authoriry may require the requesting person to pay the actual cosu of maidng,certifying,and compiling the copies. The responsible authority st�all comply icnmediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays a�d legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi8�in that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, ezcluding Saturdays,Sundays a�lega(holidays. Subd.4. Procedure when data is not accurate or complete. An i�ividual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an i�ividual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall widvn 30 days either: (a)correct the data fau�d to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,ic�cluding recipienu named by the individual;or(b)notify the individual that he believes the data w be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsffile 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 Giry 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 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 shared with other 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(available upon request)to review private data on yourself: 6. Your full name is required to process this application or permit. �o z�,� G��lliam Pi�pe,e F�`a�q �had c�w��d. �aoL �S` Addre lr�auza7z� � ��39/-9a50 ��1-9�7� City State Zip Phone I understand my rights as stated above. P s a�� 6 .i :'..l�J� - DATE TIM ,,�JNO J CALLEDIN ' I�CI �r•� . cCTION NOTICE SCHEDULED -� �rc� '� � �% ' PERMIT NO. C._-='I C� COMPLETED � ADDRESS c�c�v� �- ' - �l, {.L� � OWNER � CO TR. TELEPHONE NO. � 7 ( � �� I � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O a � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN INSPECTOR WILL RETURN L, GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 OwnerlContra n i e: Inspector. White Copyllnspector's Fil Canary CopylSite Notice