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Home My WebLink About1995-007610 - temp sign �� '�RMIT �+��'Y OF ORONO PERMIT TYPE: _ � ?50 Kelley Parkway- P.O. Box 66 Permit Number: `��"�3 Crystal Bay, Minnesota 55323 - ��' '-'-' (612)473-7357 Date Issued: - - SITE ADDRESS: `";..3 DESCRIPTION: _ . , , . . � �_ -., _. . ._ . , . - - - . _._. . �- _ . . —�7 +.�:: i_•;�j�-'yZ - � ,;;•.:; _ _ . CE,�,�;'", V'.i • , .... . �;t�..,. �. _ .. .• ' TF�f'y_. .. .� . . ._,.." � :-.5_ _.._ ._ :! }.. f i,I �1I _._'"i =_ . . ^ �:-, ,:-j —'.l: �.: :.::� . _...-•—: . ....:•:�•:� : i�.. .._s�_'�';,it': �':��:5�'�.IIi SiL'}_ ..,_ "y'L" ' ' ' ' ' .L.'._' :ilir:j . . .� . � ... . . . . � . , ,. s"`.? �'.—� s'� , ,-.s: t) r•, — •,"'s '"'�}`�`lx1 €�-.s s . ; .: ; �. ,__ . . ... . �_ . . : :.._ : . � .[__ '.-�i' F•` �-�!_��i's- . . T` __ REMARKS: _ � ._. .;; , .; ,,.�, ::! ;- _.': , ,r _ _ ;j _ , , _ . ,_.. , : ,.:� ,� , ,,�:� ,,: . ._ . _ — — -. _ _. _ _ ' _. � ;r.. ,,, . . ,, •� ,r.�;•;�, r .�.- . t �; F r.. �,;1 � r . FEE SUMMARY: _ _ y . _ s_._... . . s;s't•;:i. �.. . ..�-� . .. _ . _;_' CONTRACTOR: OWNER: -- - = _ . _ - -_ . _ 'tri�:::�— i=? � E:.. : . .. =�r•;3_.��°�.?._�.�`��•. �� ';��{—tr:�_—� :;r�, �:, = .:,;,•-� ��"Tu.. '_:�€�'#�..�\`M��5,��#�.�'' �'-t�fLG�� '.s.'�._�{3_�� ! .�� r;�'_ ,M � -, ; : . . _. ....» a��? .!�. .. t: t �: . :=:�'��::I�`��'�'� A�� ;�'��;�'�`=: `T#t C��:� ��L �._� :;. `°��;,��"�3, �=' .,._ :` . _. "':� ' �T-�-a�� . ,�. ,"�' ��`t �t'.t'r a:t `� , � . M: �+�`� '-�.' .`_�. .: '� . . _ : ��#k;�. R� �' '3�'_�4_ ��i�I t�ifa�°��_� t�t�k.l '-;�3�?��' ��" 1`1�:. .. . _ � 1.�`.t - ti _« . . . _ . .��: .. .__ . , , � L_ y` � � APPLICANT/P MITEE SIGNATURE ISSUED BY:SIGNATURE �� f�Total Fee: $ ��7J DateReceived: ; Date Approved: Entered By: ,�,/. Permit#: �7 iv CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL INFORi�fATION MIJST BE SLBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED ---------- ----------------- ----�-- - ---- ------------------------------------------------- THE APPLIC��tT IS: (circle one OWNER�OR CONTRACTOR JOB SITE ADDRESS: �,�{� ; 511c��' 1��r�� ' �k�•��_ 1`�'�! _ ZIP: '=;-;':i�' NAME OF O�VNER: }�'t�� :x PHOi�tE: (home) '�,'�� !-i��h�� (work) `�(� i -� ��8 vIAILINGADDRESS: �S�'�'1 �v tnl�-��SZ CITY:I;��z�,�� ZIP: _S�3 � CONTRACTOR: — PHO�tE: MOBILE PHONE/PAGER: MAILING ADDRESS: CITY: Z�� STATE LICENSE: # ARCHI'I'ECT/ENGINEER: PHOIV�: NiAII,ING ADDRESS: CITY� Z�' N�,�: REGISTRATION # TYPE OF WORK' New Addition Accessory Structure Move RemodeUAlteration Land Alterarion PROPOSED WORK(describe indetail): "i<� rYl�,,rz�r �, '-1 f �-% >'c�v� - `�c'L's' `�;�z.,,�l'r�y--, �� /� �^,,,, -�� [ � ��'�� l.C� � -�Y� I�O t'�t'_P. ��Lt'v'`.O�.P_'- � ��vY�� l'1 C•'.�-v� ✓l'j!� �� f r�\ C/� C Y� � �lc STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply for a buildin� permit and I acknowled�e 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. ' IZ-1 :'�-%.� APPLICANT'S SIGNATLTRE: ;�, ;s,_.,r: ��- DATE: NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permiited events will not be allowed. � a .,� � Sea 13.04 RIGH'TS OF SLJB.TECTS OF DATA Subd. 1. Type of data. The rights 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 confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency, polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or conf'idendal data;and(d)the identiry of other persons or enriaes 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 secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav Diace the notice required under this subdivision in the individual income tax or Dropertv 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 individuai who is the subject of stored priva[e or public data on individuals shall be shown the data wichout 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 disciosed to him for six months thereafter unless a dispute or action pursuant to this section 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 subjecc of the data. The responsible authority may require the requesting person to pay the actual costs of making, certifying, 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 compty with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, indudine recipients named by the individual; or(b)norify 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 responsible authoriry may be appealed pursuant to the provisions of the administntive 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 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 permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pernut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut 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. 6. Your full name is required to process this application or pemut. 1 � I�� ' First Middle Last .�5��'l �v 1��.0�� Address �� - �� -li -;37E.�� i c,��,. Z G �T i ��i�I� . % �> � I - C�n, State Z�p Phone I understand my rights as stated above. ---��.�--�� ' Signature ATE TIME CITY OF ORONO CALLED IN i �-S INSPECTION N TICE SCHEDULED _,%�� PERMIT N0. ��lU COMPLETED ADDRESS `��oS � OWNER CONTR. TELEPHONE NO. '��J�-9�`��f' � DESCRIPTION� �`om�s ,.�, -��-`-. `�� . � 01 FOOTING �CHANI RI 18 EXCA RADING/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 FI L 14 SEWER HOOK-UP 06 PROGRESS � MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Q OWNER/CONTRACTOR TO MEEf YOU:_YES_NO Z y COMMENTS: � W a � J O � � O � W � Q � 2 W � �u � � d ORK SATISFACTORY:PROCEED �OJECT COMPLETE W � 0 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W►LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector. White CopyAnspector's File Canary Copy/Site Notice