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Home My WebLink About1996-007918 - tearoff/reroof P 'RMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Fit!Permit Number: I ,D jG Crystal Bay, Minnesota 55323 (612)473-7357 Date Issued: €6/€_6/_16. SITE ADDRESS: 15:30 TANGLEWOOD RD CH P. T . N. ,' 26-118-23-32-0011 DESCRIPTION: TEAROFF/REROOF Building Permit Type SF-ADD/REMODEL Building Wok Type RE-ROOF Census Code 4:34 ALT . RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $8,700 Base Fee $149. 75 Total Fee -$154. . 10 CONTRACTOR: - Applicant - ST. LIC OWNER: PLYMOUTH ROOFING 14733397 5358 CEC I N DIANE 17525 CO RD 24 15:303 TANGLEWOOD RD PLYMOUTH MN 55447 ORONO MN 55356 (61 i) 473-3397 3' 7 475-04 95 THE UNDERSIGNED HEREBY REQUESTS PEHMI T W TO MALE THE V I PROVIr� T SPEC I F I EC? AND AGREES T+ QD ALL Y' IN "STf�I"G ' COMRL"" ; ' '1'H' ALL C V ;DF ORONO iNO ORDINANCC:ES AND "TA 101EOMNESOTA 'BUILDING, COWS � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE Total Fee: $ �j�� / l� DateReceived: DateApproved: Entered By: Zslq. Permit#: /7 /Y CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED ----------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITEADDRESS: l 53 0 t RN 6 t�U)06n 2d o� Z�: NAME OF OWNER..'� �tc l PHONE: (home) n�, i'11 (work) MAILING ADDRESS: 16-3 U 1 AIV�LEW C)00 OCITY: GP bj-)',,Q3 ZIP: CONTRACTOR: (� 1 4 4C��l0(� PHONE: 473 - 3 3T7 MOBILE PHONE/PAGER: MAILINGADDRESS:1-75aS Cot.trnq d d -( CITY: Piw10U-*b1 ZIP: 5-gqn STATE LICENSE: # 535 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe indetail): I Z A(�0 i- OW A5 �At, rao ( fit-. qhs�GcQ Q �1'a .1N tw►j 6--rbm fz tLU /'Elfin M STORIES: 2- SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excludingland): $ LS 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 theork,will_be in accor .th the approved plan. W �U .( j I ) - APPLICANT'S SIGNA ';a. DATE: S ' G-9(0 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. v See.13.04 RIGHTS OF SUBJECTS 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 collecting§tate 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 to supply private or confidential data;and(d)the identity of other persons or entities 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 may place the notice required under this subdivision in the individual income tax or property 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. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed 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 authority 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 to pay the actual costs of making,certifying,and compiling the copies. The responsible authority 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 individual shall notify in writing the responsible authority 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, including recipients reamed 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 responsible authority may be appealed pursuant to the provisions of the administrative 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 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. -�)Ck( 4aSledodeN First / _ Mi le Inst Addre�s�� -�hJ s^�L�/ 73 City / State Zip Phone undetand mMtsstated abov . Sign, _ ATE TIME CITY OF ORONO CALLED IN ��9 INSPECTION NOTICE SCHEDULED � /a v r� PERMIT NO. 221 Y COMPLETED s- 0,-051-- ADDRESS /523 OWNER CONTR. TELEPHONE NO. 4-7�_U -/9,3 DESCRIPTION /L :de-s LL 01 FOOTING 11 M ICAL RI 16 EXCAV/GRADING/FIWNG t 02 FRAM 13 MECHANICAL FINAL 19 LAKESHOREANEr1ANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UO 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 v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: QC o: 0 o� 0 W cc Q 12 i W W Or � I / CI W ll!/// PJ.WORK SATISFACTORY:PROCEED E7, PROJECT COMPLETE LU W O CORRECT WORK 5 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED C3 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra ite: Inspector: White Copynespector's File Canary Copy)Site Notice