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Home My WebLink About1997-009697 - roof repair PERMIT � �R';ITY OF ORONO PERMIT TYPE: • 2750 Kelley Parkway- P.O. Box 66 ' ., � `` Crystal Bay, Minnesota 55323 Permit Number: �� " (612) 473-7357 Date Issued: SITE ADDRESS: _ ..� , . . ..., DESCRIPTION: ., ,..;, - ..,, .. _ ;_ ;� . ... __ ...... _ . .._ -. � . . _.. .. � n ��._ :�.- . ._..r. _ _ f 1!'�_. . ._... .. _. . r_ - ... . . . , , ._ . .. `i` ..,. _ .. _ _. � �4'•_._ 1 , . . . �'a E.... REMARKS: FEE SUMMARY: _��`� . � _ . . ,. . ... - `x .. ...._ _ .. . ;-�;. _... = :._. _ _ _ _ CONTRACTOR: � - � ' OWNER: ,: - . - :�: ,. -.. , ;..V - - - _ . , . . ._ . _ _ . . . . � , . ; ., � : :� z. . :.., � , ��= . . •; , : : �. _ �_ _._ : w i �-. _ , , ...,f�� . . . .. _ _ _..., , . .�. . . . ,. ... _ ... ... . ... ._.._. ... '��'._ ; x.,.... ;!'"f�. {_#K�k'�1�.fS..'"�'�L.t�..�....»� t ,!".�.i.a 3",1��,��..��l,�r �""'��'��.�_.' o-y'',9I� '�i I !"g��•.C'i. �i'?�' ._. ,c ` ..k ,' „„, . °F��=��_.I�=I�G ��#� s��'��`��`w �'�".� �� a�.�. ��.,� . . -�'fi I�:T �:��=#�.��t�= { �� , 4 ._ f:�T1�' �� t��;�,��w�� '��i��°' . .�..'� �t`t� �aT►�l"�: ��:►F ��t��` � �-;t,.��3''� , �F��'� �_ -;��.tk�._ � � _ �� AP IC T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � : � Total Fee: $ Date Received: Entered By: Permit#: 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 OR CONTRACTOR JOB SITE ADDRESS: � ,� .5(�' ��,,«��u L�c��iG � ��1 ZIP: NAME OF OWNER: t��, � ��'\�� PHONE: (home) ��7� � �? �!`' �� (work) ; �!. ,�t� MAILINGADDRESS: ��-��( '_��s��,, �,,,,�„-.�� CITY: �_ �F�, ��,�;;��> ZIP: CONTRACTOR: � � �� d ��,< - � . � � -^: ,� ,;; PHONE: ;��I (..r � ��( Z � CONTACT PERSON: �;� � ,,, , MOBILE/PAGER: �i s y _ y�l�, MAILING ADDRESS: '-1�SC;c� ��" ;S,�,�,., v�,_�� L� CITY: � S�,�;a,.� � ZIP: :�'S_y 2 i� STATE LICENSE: # .� f; �; `j 31 G� :L �— ARCffiTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ,/ Land Alteration PROPOSED WORK (describe in detai�: �� ,�,y 1�� ,��,,e��;_, T �� +��_ ` f �/� \,_ � � �' ��` •�� i�ctL��,`a� c t'e�. � �� , l� �c:-�t� T� �� .� STORIES: `- SQ. FEET OF EACH FLOOR �<.c� ; NO. OF BEDROOMS: �' GARAGE STALLS: ATT. ET. �-- ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j_ 'Jd'/, •7� 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 understand this is not a permit and work is not to start without a permit; and that the work will be in accordanc�;�vith t , approved plan. ,, �-- APPLICANT'S SIGNATURE: - ��;� DATE: //–�j�– %'� NOTE! Parade of 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. 5 '1� ` . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data; (c)any known consequence arising from his supplying or refusing ro supp(y privare or confidential data;and(d)the identity of other persons or enuues authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or proaertv tax refund 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 whether it is classified as public,private or confidential. Upon his further request, an individual who is the subject 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. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or action pursuant ro this secrion is pending or additional data on the individual has been collected or created. The responsible authoriry shall 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, ceRifying, 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 additional five days within which to 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 concerning himself. To exercise this right, an individuai shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall wirhin 30 days eirher. (a)correct the data found to be inaccurate or incomplete and attempt ro notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsib(e authority may be appealed pursuant to the provisions of the administrative procedure act relating ro 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 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 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. ��c 1��r �' �f � l °.,� ��'.� First Middle Last L: �I(C �j �__ ��, , .r, - Address i � : �5�r� ! 1� .�' :; ,`y t� :�- 3(�, ;�, < <, C��y State Zip Phone I understand my right� as stated aboye. � � � ;�. . ; � �� Signature j 6 CITY OF ORONO CALLED IN //D/TE TIME � INSPECTION N�?TICE SCHEDULED � l`j� //: �� PERMIT N0. 7�`% � COMPLETED ADDRESS��,.?s(��-..��.u.-c��Cif l/' OWNER ��_,_ CONTR. �� TELEPHONE NO. -�4�C -'-�`F23 � DESCRIPTION � � 01 FOOTING �, 11 MECHANICAL I 18 EXCAV/GRADING/FILLING �Q II 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEMO�ITE 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 v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMM NTS: � � � � � r � � J O � � �� o _ Q S � < �'�.1 �i � i� G(,�� (,� � � � `.� S W � � d �ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � [ CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REWSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALL INSPECTOR - CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for t ex inspection 24 hours in advance.473-7357 OwnerlCont r on it : Inspector. - White Copyllnspector's File Canary CopylSite Notice