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Home My WebLink About1997-008887 - tearoff/reroof PERMIT f CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: �_r '`'=' (612)473-7357 Date Issued: SITE ADDRESS: WATERTOWN RD H DESCRIPTION: iii 1 t 3 ll' ,Permit` (( Type _rr._AD0-,/�.!Mi -,, l REMARKS: FEE SUMMARY: 'J"1 l i:a'"_d:tt: _ r, a CONTRACTOR: OWNER: 1 U. i s ice;-i,"ARD IATERTi:sWN RD NO IIN TNt �: N # 1-tE E Y REQUESTSt I 4 . � � I �''REAL SIT�� I; I* t10E�-: TODALL, G#0r � '. tr� 't ; Aft. _ 'Y OF r+ 1V0 ' p I tANC-ES ANN ;. TATE,.� �9 r NNS.;-OTA °St.� C3 I N flE R� 1 � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE s Total Fee: $ Date Received: Entered By: e/ Permit#: 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) OWNER OR CONTRACTOR JOB SITE ADDRESS: -�j 95? -'h�Ti2T c.l,v� �YL_ZIP: SS 3 S `% U,�f1Ar�o r�Ll2�� 4��v1-i Z�c_ NAME OF OWNER: ,� ,may �rr�� Q� PHONE: (home) (work) AY17. "- 0221 MAILING ADDRESS: CITY: 090,j .> ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBEL E/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARC'.uTCT/ENGE`dEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ A10 . 0 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 accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 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. i Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored 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 collect'3g torte agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known i onsequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by s e or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative dam, pursuant to section 13 82,subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice required under this subdi.rision 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 authori ,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 info 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 add clonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by a individual subject of the darn. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and corn ifling the copies. The responsible authority shall comply immediately,if possible,with any requ st made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate co liance 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 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 y contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the res Donsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inn urate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named 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 include with the disclosed data. The determination of the responsible authority may be appealed pursuant to d a 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 dat %we would like to inform you that your request for a permit or license from the City of Orono or any of its departmeras may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine yoi qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may requirehat the City deny the permit or license. 3. The information may be shared with other local, state orderal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council acon to approve, some information may become public. 5. You have certain rights under M.S. 13.04 (available upen request) to review private data on yourself. 6. Your full name is required to process this application ot permit. ,7,t3.� First Middle Last 3!M0 -- Address City Stam Zip Phone I understand my rights as stated above. Signature DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED S=S PERMIT NO. IeP7 COMPLETED ADDRESS b2d�l O� �CI' OWNER C CONTR. TELEPHONE NO. /7S �Q DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ti 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS p 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q T 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 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: aou0 1USA nein cc IN ' to v -la es LL f es rvtr o W CC i. Q Q 2 W z W CC d C WORK SATISFACTORY:PROCEED CC PROJECT COMPLETE W )(CORRECT WORK 8 PROCEED -: ISSUE CERTIFICATE OF OCCUPANCY O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING 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 i spection 24 hours in advance.473-7357 Owner/Contract s t Inspector � = White Copylinspector's Fil Canary Copy/Site Notice