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Home My WebLink About1998-010171 - add/remodel PERMIT - �;6 � �OF ORONO PERMIT TYPE: �2750 Kelley Parkway- P.O. Box 66 Permit Number: �'#}��'�'F�'"�` Crystal Bay, Minnesota 55323 t�i�,i;i�.;j, (612) 473-7357 Date Issued: d;L;z 7� :�«;;; SITE ADDRESS: _'_,`��:{ °=,hi�?€�°EL I t�l� �i�' .�tj �' . I . ^�. � �?—� 1%—'_- - -—i�i'si)� DESCRIPTION: ��t�; l�ii�� Y��r��it. Ty�� =,�—�[?�iil;�t+j�µ�rit�L r��il��i�-�� +F��r�:: T�r�=� �i�i�i_��'aT�:�EC•1�fiL;�� .:��3�r.�•e {�:;��F= ��,:s �;�...► . �iE_�=llEi�!I�=t� REMARKS: F°�F�.��=I x�s� Ct I t�(I i�� n's=�=-�C1 �t I ty�1=}�� I"i Fi �i = ;:��I�.+E '�L T v i t�1R:� ��;�:=}�; . FEE SUMMARY: �}i-�!z_��E I t=it,# �f , t ii?i 7 �� Fe� �:��. . i� '�:t.�a�re��=�a � �R") ------_ .�.:t.,� "(��_�i_.�i �.��_ ��:��, '�� _. . L•_� CONTRACTOR: OWNER: — �;��_� i W�,�t. — H�!G ��:;��t��:i _;=�`,��_} t��t i�� ti �`,3F� !ih' i t�t ii�!i �j#y ��:=��= �i'�.—'��.C�•— T�-�' �}i�f�E�`.`=�I�.�i��+ 1-�i�<<F�:`� :=�'�ss�i,l�'�;�'';; �°r��F i'=x'��i"s��:�� j i=i i•.:�'r;.` ;"�-}� i�`�`'3�._ �i 1i='�°=�€��t�:�•i��v'j"�; :_��'�i:�F� 1�!;1 :�i't!1 i �.:�t�i�i��`�: �I�# !ifi�t ��ti_� ?i'!E�'';:; i��,� j !=';i.:! :,:€�ii'�!-�`�_T�.�f;:;.�_ ,a%t � �' !=;i._i t:i!'�� !t�`,r- L �_ti;°��;�,�x:� 1_iFt t}I E�r�I��i_.�.�� ? _�i�1'� �_��= �•�I{�t+��'��_�1��; _. _ I;�:t I i��; s_E_�� :�.t�t#;I�°��•;:�€� i��= . � � AP L ANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE � - Total Fee: $ % � �� Date Received: Entered By: � Permit#: � '', �/L.' / i 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�OR CONTRACTOR �_.._..._.n� JOB SITE ADDRESS: 3�� {o!�'ELr�v� I�,e_ ZIP: �53�1�-�78j" NAME OF OWNER: �p;,u,�2p J l�{�'�� PHONE: (home) �71-9iD J (work) ��"�3 ��7 7 MAII.,INGADDRESS: 3�`�Ci J`i-�£�i2E.�fnt� LH'. CITY: �.�r:��zr-]rA ZIP: SS�I'`��1�5 CONT'RACTOR: �'>v�,v�r� - E� 1-�,��`� PHONE: /�� /'a��;vE CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: �� 1�Qa;,��, CITY: ZIP: STATE LICENSE: # 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 detai�: ��E �S"i� r�y(�,``�! Lt�iND��v inJ%%rniiN�; l�i',�A} �%ni r'�F��'� �Pu b�� s� ANp 1�£PL/�c',E Gt,s�r�a j� �✓�D� .S�rD�n�C-, �nc�2 ��a=��::.�,vt�F�GG�r�. STORIES: �2 SQ. FEET OF EACH FLOOR: �s� = �i i�,sti�.�r, „2,v� T C'/�;�.s4�Fr NO. OF BEDROOMS: 5 GARAGE STALLS: ATT. �. DET. ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ j��'�f�" 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 accordance with the approved plan. APPLICANT'S SIGNATiJRE: ��,�//� DATE: �/3c�/�� ' �. NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. Sea 13.04 RIGHTS OF SIJB,TECTS OF DATA Subd. 1. Type of data. The righcs 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 iadividual. An individual asked to supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and in[ended use of the requesud dara within the collecang�tate agency,political subdivision,or statewide rysum; (b)whether he may refuse oY is legally required to supply the requesud dara:(c)any lasown coasequence arising from his supplying or refusing to supply � privace or confidendal data;and(d)the ideaury of o[her persons or enaaes authorized by state or fedecal law to receive the dara. This requ'uemenc shall aot apply when an individual is asked to svpply invesdgadve data,punuant to secdon 13.83,subdivision 5,to a law enforcemen[o�cer. - The commissioner of rovenue mav alace the nodce reauired under this subdivision in the individual income tax or vropertv taz refuad instrucdons instead of on chose forms. Subd.3. Access to data by individual. Upon request to a respansible authority,an individual shall be informed whether he is the subject af stored data on individuals,and wheeher it is ctass�ed as public,private or confidendal. Upon his further request,an individual who is the subjecc of stored private or pubtic dara on individuals shall be shown the daca wichouc any charge to him and;if he desires,shall be informed of the contenc and meaning of that daca. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed w him for six months thereafur unless a dispute or acaon pursuant to chis secdon is pending or addidonal data on the individual has been collected oc created. The responsible auehoriry shall provide copies of the private or public data upon request by rhe individual subject of the data. The responsible authority may require the requesring person to pay the actual coscs of making,certifying,and compiling the copies. The responsible authoriry shall compiy immedia[ely,if possibie,with any request made pursuant to this subdivision,or within five days of the date of the requesc,excluding Satu�days,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the roquesc within rhat time,he shall so inform che individual,and may have an addidonal five days wi[hin 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 conust the accuracy or completeness of public or private dara conceming himself. To exercise�his right,an individual shall nodfy in writing the responsible suthoriry describing the nacure of the disagreement. The responsible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy past recipientc of inaccurate or incomptece data, including recipiencs named by[he individual;or(b)nodfy the individual that he believes the data to be coaect. Data in dispute shali be disclosed only if the individual's statement of disagreemenc is included wi[h�he disclosed data. The determinadon of the responsible auchoriry may be appealed pursuanc to the provisions of the adminisaarive procedure act relating to contesud 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 aze notified thar.� 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 shazed 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. Gd u.RA�D —!O FfN KELD First p� Middle �t 3$qQ �EIDREL(NE 1��2t✓E Address / G(�/�YT�f/� ( ��PDnlO, /�/�/� J`�5�3�l-�7e�.S� �lo/�- ''�7�g/Q l Ciry CM.��,u.�G� /JC�va.� Stace Z►p Phone I understand my rights as stated above. Sig re DATE TI Ei CITY OF ORONO CALLED W �D ' ' �C � INSPECTION NOTICE SCHEDULED �U ;�� -��' � % 3G PERMIT N0. ��=�/U/%I - c P�ETEo u ADDRESS � G �--� ` OWNER CONTR. �� TELEPHONE NO. �7/ " �/C: � � DESCRIPTION Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETL4NDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION `05 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 ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL 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 Owner/Contractor ' Inspector. White Copy/lnspector's File Canary Copy/Site Notice