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Home My WebLink About1999-012059 - tear-off/remodel PERMIT i CITY OF ORONO PERMIT TYPE: ; - - 'Z`150 Kelley Parkway - P.O. Box 66 - � ` ``�'-' . Permit Number: -y'�``°�� Crystal Bay, Minnesota 55323 _.... . _�=: ' (612) 249-4600 Date Issued: SITE ADDRESS: . ._ ��_s _ -. . . . . ._ - . - . -- - .. -. _. �..�. -i�: - - - - ' DESCRIPTION: _._r`;h"s,'i�,;. .�i-::`.?�:�_.�_ . ��!�i�. z�.:�:�';� . .�1'f� �F. -...r i:'.=. _ ....i„��t;�4,�., ..._.`;�:{ai�x._ . w`- _.� `-;f:1 �.t�:i :i��:: ::'t'�:: _..F,�... �t%...`.r��_'�_. REMARKS: FEE SUMMARY: :. : - :.-. - ;� a y _..�-_ . __ ��.:� . =;:; _'v I S�'_j�7:_S,3'?�t i-� ._��.�_�..�..� , i�l%t�: L�_.�,.. •__ . . _ —' c..�i.r .. t':; � ' . �_.�!.. _ i�r. CONTRACTOR: 0�11E�VEF�;. � ._ �1. _��.�,��; _ . _ �.j r �:��•� r�� ._;;_:i•v:�� ;t;�� e w � � � �, '- �r< �,t�' �_,T�-.. ;..».t ,� ,.�-�,� �1��;�� r€ :_ :'`�.�`4��" ::�,�4�: ! _ ° . .._ , . ._ =:'i�—r�_ �€'Es `r .. i 'f 1��..�s�.�•..1 1�'��#_ �"'4,..��.v A 1 e .»�•.»� : ° — _ � `:�t��:��.t� ��.��`��.:��`��';� T�.� �E�t �.�..r_ f �. ��'� 'w�?��t. ��,��-�f� '.�. � �:' ' � � . �_, tw>F-`_I�t'.-1 ;r1f'..�W'!�.. .��....°.. '��'�;3" :�;��-�� t�#' �'��i��f?�,rt.��..��, ��.��..._. ._ _ 3 t'_.?:_ �".��_is_ !_.�r�.. ,�i�:; L -- . � � ��;?:k��✓' /� APPLICANT/PERMITEE NATURE ISSUED BY:SIGNATURE *� Total Fee: $ G�� -'� � Date Received: �°" � � t� �� Entered By: /� �'� Permit#: /� 0 51 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) OWNEI�OR CONTRACTOR JOB SITE ADDRESS: �� 'J �v�ti�y ��A- �� o ZIP: 5S3�%6 NAME OF OWNER: .J�n.t�.S � �A�2 P��l e r PHONE: (home) y 7�� 3�� (work) MAILING ADDRESS: ��r-s � _CITY: ZIP: CONTRACTOR: S �'L r PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: I�JAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: 2� 5��F ��A G � •��a f STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ //c�a c�o 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 �cordance with the approved plan. APPLICANT'S SIGNATURE• � � DATE: ��?��'S� NOTE! Parade.Q Homes �v ts require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. �A ♦ Sec.13.04 RIGIiTS OF SUBJECTS OF DaT.�1 Subd. 1. Type of data. The rights of individual on whom the dara is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the purpose and in[ended use of the requested data within che collecting"state agency,political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to suppiy the requested data:(c)any Irnown consequence arising fmm his suppiying or refusing to supply privace or confidendal data;and(d)[he idendry of other persons or enddes aurhorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesaeaave dara, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re enue r-iav place the norice reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data bp indiridual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals, and whe[her it is classified as public, private or confidendal. Upon his fur[her request, an individual who is the subject of stored private or pubiic data on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown the private dara and informed of its meaning,the data need not be disciosed to him for six months thereafter unless a dispute or action pursuanc 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 subject of the data. The responsible authority may require the requesting person ro pay the actual costs of makine, cercifying, and compiling the copies. The responsible authority shall comply immediately, if possible, wich any request made pursuant to this subdivision,or within five days of the date of[he request,excluding 3aturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with[he request within that time,he shall so inform�he individual,and may have an addirional 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 compleceness of public or pri�•are data concerning himself. To exercise chis right,an individual shall nodfy in wriring the responsible au[horiry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data fcund to be inaccu[ate or incomplete and attempt to norify past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)no[ify[he 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 determinadon of the responsible authoriry may be appea(ed pursuant to the provisions of the administradve procedure act reladng to contested cases. DAT� PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "RiQhts 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 pemut 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 pemut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5, You have certain riahts 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. First Middle Last Address C�ty 3ta[e Zip Phone I un rstand my rights as stated above. .-- —----..__ � ' . ig ature DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.� /�U� ,COMPLETED j��T �/�5 ADDRESS �3�� S��1 �CJ-e jU' OWNER CONTR. TELEPHONE NO. � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COM ENTS: a /i � � -J'�sr ��-,-,;^r}�- / s � � / o ��-i�"eC'.� '�'D r� �/'G�c�-r� lil��ck,s.e. � (�rs :�'��5' 5 G L2�. �O � �i�'��2�� cyr�.S /sSt�-e � - ,�b �s v � P / 1 � Gi- �ra��r.,2�I /�i��(c€/ J� S/�Pc % 7�1 Q z ^s �P�, c� C c� /c:.� k� � Cey �-.SG'C� �-4 L /�Ll�/'1 W . � _�� d W ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. `- pHOTOTAKEN INSPECTOR WILL RETURN �-- CITATION ISSUED �TOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor on site: Inspector. l�G��-dG��5 White Copy/inspector's File Canary CopylSite Notice