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HomeMy WebLinkAbout1998-010381 - tearoff/reroof � PERMIT �CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 t�:1 t# �s=;;�;�; Crystal Bay, Minnesota 55323 Permit Number: t;�s_,_;:�;! (612)473-7357 Date Issued: i — ,- - i_!f-�%_ %: `i`_; SITE ADDRESS: .�.''�L' =�i+��`�'. t�i�'� �:'�`. (:H =��:_ . I . (+�. . _ _ 1' i �_ �._—.'`.'..:�—i�i�i_:'� DESCRIPTION: ��%',�:��,_��F i n�����E_�F ��i.,�1 �.}�1?l`� c'*}!`f!'€Z?• �{�'?=' `_�{'—HL��.1i�f-il_�'4t t�.f�� F�t�j, i;'Iitl� �f��j?'f�: ��''�'f: fis�...—�E�Ii�tF t_�?ilr•(�I•� '_��+:at� ���� �L t . {=�t.����L'rl���#�� REMARKS: FEE SUMMARY: ��F,!t_?"j;!"tt,( �� : r.:�it=3 ��t.'�'.��N �F'}.� ���j� . . .. ����jl'L.�Id1'`1�' _._—�..._. '''��r..a..'x::is It_��.ti� �f�F� �:(i `, d�°: CONTRACTOR: - ��=�Ii=_:�f-�t. - °�:T . LI:: .OWNER: F-;11�j�'F��f�;;s�t;:F;:�'h t:i�s�.j'y�;�:i 1t:T�t�3t,� i:�di':.�t=.�.ti _'��.'?.t i €-i 1 C_� �f E I I !{��+� �,i it'_���� Eri:�?=+`E=s��=i�=t'v' {;i f; ';:'�i:'s _:T i y%Fl� ',i I r i:� j�R 4rf�t:l�it.l�l��t i`:�'.`t, ':L_�t�7 !.lF;E���°,t1fi ;�",1 �.�'_E�.�. {,s���._`.' ����:`."4t���� ��"•_`_'f%:!. �r?� �1�`+t�k��l`='2��'���.� �-:�_�i,`G;..`',.' �x.._;5: _..w _ i-':_.�i'� f E� ! I_! �ri` i- {_' C.:. .f� _?r1r��.;=fy�E�•�:."4.j�,i`„�.^ .�_.:. `;�'= t T`<<`:�T t��t��.t �-:�.. =:���:I F I E� fi�tvl� �?�3�Er���; i:i �_;=� ���;_.;_. :�.�:t=���:��:: I t�i `�=TFi I{_:�f t�E�lE•��=°E T r:;?�,�,_:::: .. _��-! =�i_'�_.. ;:�i i`v' �+�= L 3���:���i't �4��C�IP��:�#t�:E��� {`tP�r`� _:F:::_"� :.E�- � .���.�� _._,��tT�.; �:�_li��}Tt�i� E �r�=�� '-.�.s:�_�_�:��:�¢.,.. ? � . � � , �,� .i APPL CA T PERMI E SI NATURE ISSUED BY:SIGNATURE ��-C.�, �Total Fee: $ Date Received: Entered By: Permit#: /D3�1 CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) THE APPLICANT IS: (circle onej OWNER O CONTRACTOR JOB SITE ADDRESS: ��O � � t ZIP: � � � NAME OF OVYNER: ��G� � PHONE: (home) �`�9 00.5�� , (work) MAII�ING ADDRESS: a��0 p���,��2�,Gk�c �/1- CITY: ZIP: CO�tTRA.CTOR: ,G� !r� PHOiVE: �— ° CONTACT PERSON:_� �e,fac,�����- MOBILE/PAGER: �� ,�_ MA.II..ING ADDRESS: /'�48 �?r,+�r�t'i C�'r^, CITY: /pcotii� ZIPt�� STATE LICENSE: # �7�0 ----�-- : _ ------___.__..___ ARCHITECTlENGINEER: -----�IO��tE: � MAII�TivG ADDRESS: CI � ZIP• NAME: _.----`' REGISTR.ATION# ------------- _- r--�_,--� ' . TYPE OF WORK: New Addition Accessory Structure Move � Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��� ��^o� o� G'Qv�19���� STORIES: � SQ.FEET OF EACH FLOOR: r�aO NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTNi IATED 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 Buildina 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 e approved plan. PLICANT'S SI NA . DATE: �� AP Gr NOTE! P¢rade of Homes events require sepa ate permit approval by Police Department and � City Counci160 days prior to the event. Non permitted events will not be allowed. 1 Sec.13.04 RIGFiTS OF SLtB.fECTS OF DATa Subd. 1. Type of data. The righcs of individual on whom che dara is stored or to be scored shall be as sec fonh ia this secrion. - Subd.2. Informaaon reqirired to be given iadividual. An individual asked to supply private or confidendal dara conceming himself shali be iaformed of: (a)the pucpose and inrended use of the requuud data wichin the colleccing 3tace agency,polidcai subdivision,or sratewide rystem; (b)whether he may refuse or is legally requiced to supply che rsquesud data:(c)any Irnown coasequence arising from his supplying or refusing to supply private or con8denaal data;and(d)che idendry of other persoas or enddes au�hocized by state oc federal law to ieceive the daca. This requiremenc shall noc app(y when an individual'u asked to supply invesri¢adve dan,pursuanc to secaon 13.82,subdivision 5,to a law enforcemenc ofFicer. - The commissioner of rcvenue mav place the nodce rauired under this subdivision in the individual income tax or vrooem taz refund inscrucdons instead of on�hose fortns. Subd. 3. Access to data by indiridual. Upon request to a responsible auchariry,an individual shall be informed whether he is the subject � of scored dan on individuals,and wheeher it is classified as pubiic,private or confidentiai. Upon his furcher request,an individual who is the subjecc of scored private or public dara on individuals shalt be shown che data wichouc any charge to tiim and,-if he desires,shall be informed of the contenc and meaning of chat daca. Aher an individual hu been shown ehe privare data and informed of iu meaning,the data need not be disclosed w him for six monehs chereaiur uniess a dispute or acrion pursuanc co chis secaon is panding or addidonal data oa the individual has been collecced or creaced. The responsible au�horiry sha(1 provide copies of ehe private or public daca upon request by the individual subjecc of che dara. The responsible auchority may require the requesting person to pay the accual coscs of making,cerrifying,and compiling the copies. The responsible au[horiry shall comply immediately,if possible,with aay requesc made pursuant to this subdivision,or wi�hin five days of the dace of rhe requesc,ezciuding Samrdays,Sundays and legal holidays,if immediate compliance is noc possible. If he canaot comply wich the request wichin[hat time,he shall so inform the individuai,and may have an addiaona!five days wi[hia which to comply wich the request,excluding Saturdays, Sundays and legai holidays. Subd.4. Pcocedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubiic orprivace dan conceming liimself. To exercise chis righc,an individual shall nadfy in wriang the nsponsible aurhoriry describing the nature of the disagreemeac. The responsible au�horiry shall within 30 days eicher: (a)correcc[he daca found to be inaccurnte or incompiete and aaempt W nodfy past recipieau of inaccurate or incomptece dara, inciuding recipiencs named by the individual;or(b)nodfy the individuai that he believes che data to be correct Data in d'upute shall be disclosed only if the individual's sratemenc of disagreement is included wich the disclosed da[a. The decerminadon of the responsible auehoriry may be appealed pursuanc to the provisions of the administtarive procedure act relaang 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 Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You ue notified that:• � i. 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 perm.it or license. 3. The information may be shared with ocher local, state or federal agencies to the ezcent necessary to process � the permit 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 permic. ,�o . � �er�r �u o����c%� First �tiddle 1-�� lfJDB Pv'�l�i'U �'�v�� aaa«1,ss/ , ��7 `.��l� � W�?CQy1�4 dl, Ciry Sate Ztp rnone I underst my ri ts stated above. , ignature l.._. 6 p?��� TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �d,ZL9� �=�a PERMIT NO. j�'C�3�'� COMPLETED ADDRESS �7�l'd � ���,) � OWNER CONTR. ��p�✓ - -1 -r' �-� TELEPHONE NO. '�`l�-z� ��l`� � DESCRIPTION _.-�eh� � 01 FO TI 11 ME ANICAL RI 18 EXCAV/GRADING/FIILING Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 I ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex nspection 24 hours in advance.473-73�J7 OwnedContrac n i • Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �-'-�d g� ��'-3 � INSPECTION OTICE SCHEDULED �-�—q� (o: d o PERMIT N0. � 3 �I COMPLETED ADDRESS � ��--� r.� OWNER �KJ�»L CONTR.__�i�� // � TELEPHONE NO. ��Z- �� �7 � � DESCRIPTION tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z � 12 WATER HOOK-UP 17 SITE INSPECTION OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a � J 0 � � 0 � W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION iSSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 Owner/Contra o si . Inspector. - White Copyllnspector's File Canary CopylSite Notice