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Home My WebLink About1997-008863 - tearoff/reroof PERMIT 44 CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: a Date Issued: (e9 2) 473-7357 04/04/,-7 SITE ADDRESS: T 500 ON�--'AWA RD (7 H P. I . N. ; OC-1 DESCRIPTION: TEARCIFF jIf RERFiF.F Building Permit Type F-A D D R E M 0 D E L II Building Work Type RE—Rf)-OF Census Code 4:---.*-4 ALT . RE'=-,'IDENT!AL REMARKS: FEE SUMMARY: Base Fee $61 8 1 CONTRACTOR: Applicant '-::"T . i T OWNER: -'N 0*3 SNELI TNG AVE rJjfNfKAQA RD MINNEAFTil T.,-", f. F P�- N SsAoA MN SS:356 0. THE UNDE W� S ""NED' HER Y Ilf-ROVEMENT. G EB Rf -c-,T r3 F-1 1/8 S , '7 -A 'L fy'' OF:, AL ' e 'ED ANS AGREE : TO �00�'ALL- WMK rN ,SIUC MA K I,, TH E K' PECIFI - T IT cl 'ORrJNO ORD "NWtS AND STATE :OF CODE A-I*W, ,'�OMEli TS.' APPLICANT,'PERMITEE SIGNATURE ISSUED BY:SIGNATURE--45CY Total Fee: S Date Received: Date Approved: Entered Bv: 11(G, - Permit,r: CITY OF ORONO - BUII,DLNG PERIMIT APPLICATION ALL INFORNIATION MUST BE SUB,-IITTTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED __ ---------------------------------------------- THE APPLICANTI' IS: (circle one) OW' ER OR CONTRACTOR r- � �✓ zip: 5'S3 I JOB SITE ADDRESS: �C�D 70, '1 NA1IE OF OWNER: Pr le- ,.. PHONE: (home) L17 3-63�-) (work) � I TAILING ADDRESS: CITY: ZIP:_-fi CONTRACTOR: / rL�^ Ic ��^��^ _PHONE: MOBILE PHONEIPAGER: MAILING ADDRESS: Z30`� See Ll", j JS CITY: Zip: STATE LICENSE: # !U,7, 3 ARCHITECTIENGLNEPHONE:ER: Zip: tiTAIL I�NGADDRESS: CITY: . NAME: REGISTRATION n TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration Land Alteration ' describe inde�mil): PROPOSED WORK STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. O ESTLI-IATED CONSTRUCTION VALUATION(excluding land): 5 I hereby apply for a building per=t 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 wo=inaccordanceith the approved plan. APPLICANT S SIGNATURE: DATE: NOTE! Parade o 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. I 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.'_. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall ted of: (a) the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system; er he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall 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 reouired under this subdivision in the individual income tax or property tax refund ns 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 data on individuals, and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject 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 ting 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 is thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. )nsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority lire 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 d the request, excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request it time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, 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 :erring himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. onsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of e or incomplete data, including recipients named by the individual: or(b) notify the individual that he believes the data to be correct. Data e 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 I cases. DATA PRIVACY ADVISORY L accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request ermit or license from the City of Orono or any of its departments may require you to furnish certain private or vial information. 'ou are notified that: The information you furnish will be used to determine your qualification for the permit or license requested. You may refuse to supply data, but refusal may require that the City deny the permit or license. The information may be shared with ocher local, state or federal agencies to the extent necessary to process the permit or license. If your requested permit or license requires Council action to approve, some information may become public. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. Your full name is required to process this application or permit. irst j Middle Last ddress State Zip Phone icy understand; rights as stated above. " C c`— ignature 9AT/E TIME CITY OF ORONO CALLED IN '/! F 7 INSPECTION NOTICE SCHEDULED '1/7/`>f PERMIT NO. ' 8G3 COMPLETED "� ADDRESS SCO ✓�c��o OWNER CONTR. TELEPHONE NO. S DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREM/ETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 2 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTW-FWAL__--- 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W cc J O CC O W cc Q Z W W CC j d W ORKSATISFACTORY:PROCEED PROJECT COMPLETE ac C: CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W C� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contrac n t e: Inspector. White Copy/Inspector's F11 Canary Copy/Site Notice