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Home My WebLink About1999 - 011868 - re-roof PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Permit Number E;UILDING Crystal Bay, Minnesota 55323 Date Issued: 011S68 (612) 249-4600 Cy? SITE ADDRESS: 1270 WIL.DHU ;1- TR H8 P T N 7-117-21 —Cd)iS DESCRIPTION: TEAR OFF REROF Run P,F-,rmit Type SF-ADD/RPMOEL Wcik Type RE-ROOF Cen,Ed.z4 Coce 434 ALT . I AL_ REMARKS: FEE SUMMARY: VALUATION SE, 000 Fee 1,111 . 2S Surcharge !-,t) ! 1.; l Fee 7E CONTRACTOR: OWNER: - Applicant - SIASIK jAMES 1270 WILDHURST TR oR N 0 MN S5364 472-36E1 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THP REAL IMPROVEMENTS SPECIFIED AND AGREES TO TO ALL WORK IN STRICT COMPi IANCE WITH -i L CITY OF ORONO ORDINANCPS AND TATP OF MINNPSOTA BUILDING CODE REQUIRPMFNTS. 0/nia/r) APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE(461 I 4 ).k C 1 Fee: IN `�-• ' Date Received: i.ota F $ Entered By: Permit#: It Q iA CITY OF ORONO - BUILDING PERMIT APPLICATION - All information must be submitted in full before plan review will be started. (please print ail information) _ TIE APPLICAIr'T IS: - (circle one) °EZ--)WNEJ9DR.CONTRACTOR • - JOB SITE ADDRESS: 1'2--1° W I ku--vs-f- T V 0- j- ZIP: 3 Li I NAME OF OWN. ER: il& `) -/ 0 s ( L_ PHONE: (home) 472-3 (e- I (work) 1 MAILING ADDRESS: c 1•Vv -- CITY: ZIP: CONTRACTOR: scI fl. - . PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: Zit': STATE LICENSE: # - ARCHITECT/ENGINEER: PHO`E: - MATLLNG ADDRESS: CITY: ZIP: . NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration / Land Alteration PROPOSED WORK(describe in detail): K7-L- _Ski K-C\ 1•6 STORIES: 4 ? SQ.FEET OF EACH FLOOR: I ( C DET. NO. OF BEDROOMS: L GARAGE STALLS: ATT. _ - ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 67`: G ij - I I hereby apply for a building permit and I acknowledge that the information above is complete andel accurate; that the work will be in conformance with the ordinances and codes of the City and 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 th approved plan. C/ SIGNATURE: 7G ��c__ l<,,7_,-- APPLICANT'S DATE: �� `7±; 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. Sec.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 htrlself shall be informed or: (a) the purpose and intended use of the requesta3 data within the collecting state agency,political subdivision,or statewide system; (b)whether he may refuse or is.legally required to supply the requested data;(c)any own consequence arising from his supplying or refusing to supply private or co-fide-__1 data;and(d)the identity of other persons orecdties authorized by state or fede_!:_..'o recei•+e tae dam. This requirement shall not apply w;--en 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 reauird under this subdivision in the individual income tax or oronerty 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 dam 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 dam without any charge to him and;if he desires,shall be informed of the content and meaning of that dam. After an individual has been shown the privata dam and informed of its meaning,the dam need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public dam upon request by the individual subject of the dam. 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 dam 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 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 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. . • . S. 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. First , • • Middle Last • -7 c LId l �� , (- Address - City Sate Zip Phone • I understand my rights as stated above. • Signature DATE TIME CITY OF ORONO CALLED IN �r�� JO INSPECTION NOTIC SCHEDULED '3c) PERMIT NO. f I C% COMPL T D % ADDRESS oZ 70 C.�lxa�ix - -73". 17 OWN ER ��CJCJI�S( CONTR. TELEPHONE NO. 47a—a0S 1 DESCRIPTION LLQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 IN ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 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 izy 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO n COMMENTS: cc W CC O CC 0 U- W CC 1 W W WORK SATISFACTORY:PROCEEDROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73557 Owner/Contractor on si • Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 7 / . 9 71/7-7-/-71i. PERMIT NO. / MOO g COMPLETED , 99 47/bd CI ADDRESS / Z c-)�' � Le/ I IAC �ft h✓() OWNER CONTR. TELEPHONE NO. DESCRIPTION ��6C W 01 e,ci61:444g 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING QFRAMINCy 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 6, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU:_YES NO 'C) COMMENTS: cc W a tr G'A--)/--- 5 Ac-----k /Z/ )/ ,3' .%,E) c A' '' Zcx._ /7 c3e5.: ,--J� ce /7 7 cc `� � `t � /�i/ P r7-c � o c-4-7 7_,-,144 J 4 . --.4,1 CC \i-4-1161 e/4) Q W Z W CC iyi ORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE W (((CC ❑"''"''"CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: InspectorI e}-C C c, 4'1) White Copyllnspector's File Canary Copy/Site Notice