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Home My WebLink About1998-010707 (Re-roof) PERMIT � �i'TY OF ORONO -� 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: �,�`��}��,� Crystal Bay, Minnesota 55323 Permit Number: d�i�,t�;7't�� (612)473-7357 Date Issued: i��j�g i f��;_; SITE ADDRESS: •y�;�i i� faE�I fa��ti tt�l �t�`�' � q_� F` I .�{. � -�_1 �.�—�`'_—' ` —d,iyi�� , f�_, �.•_� i:.� DESCRIPTION: 7E�F`i�FF!`F�E�►f ii�� .a i i'�i rn� E`e�•n�i}. i y�� :_�F—�C+Cri�EC°i��C� E��ai l��in�� b��,�:: Ty�� F�E—F'��u�t�' �:�„�� :o,a�� .:_�. �,�r . �E�_��r��r z�a�. REMARKS: FEE SUMMARY: ��1�.i.Jii��_��'� '�E'°7 ��Ct-� c�d.i'3�' �'s�i� ��a_'�. tl�i �_�4.d1'�.�'oca{'�� :=, .�=; lll�t'��'�''�et'�]:�;tl _______�'.��'J�.S_'�i''' T,_��..�1 F�� -�c�, .�:=` �L•� � CONTRACTOR: — �1��F=1 i��!-►�• — :=;T . L I� .OWNER: :_.fi�T 7N ��F �i��i��=I t�� 1�.7'd�,�.:e�� :_;c.�� t 1�':� ��d i�.�f�T �,�� .'�`t°��A,�i if!L� E�L�1Ci :��a� �aE�lt�Ic;Cii t�! �►��r` �•�%�t�C��;{ 'i�i�� 5�.:_��. ►��ii�#`�M t1i�9 5��_,��. {,F��'.',i ��;c`.—t��_;�S `t'#�� j��C��:��T�i+�EC� H�'h�E�'�`'`' �`�Cnl I�':::�`;;:. �`��t��;::�r�#�# �+�� _::� �'#�� L �'��'�#��.��:�� :_�F°�c:I F I EG tiC+�1:� �a��i=t�.�`�a `�� r��,i.. �#��: I€'� `w��'�:I t:�' �:��`[,..I t�t�#�w E �#I�'� ��,.�,. �=I T'�' i�� i�� ,��r r��;�i�.��h�C: L: ��G 'e�7'��'� ��r t��i'°��::,.t i�'r� �,t�.E LGA��,�ts �:..f��. �`��€�':�_. � � APPLICANT/PERMIT E SIGNATU ISSUED BY:SIGNATURE �� + � Total Fee: $ Date Received: Entered By: Permit#: �D '7eJ � CITY OF ORONO - BUII.DING 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: �- id�' �S� N G ��r-� IN ZIP: Ss�� NAME OF OWNER: ��1��-rl,� ��Yt,v L� PHONE: (home) (work) MAILING ADDRESS: Z 2 J� ��3;r��r �N�y CI1'Y: ZIP: CONTRACTOR: V V °� S�M►�-1� Cd�� PHONE: � 7� ` � S�3 1 CONTACT PERSON: �v p MOBILE/PAGER: MAII.ING ADDRESS: ,S 5 7 � L�n�wo�p �!v b CITY: Yl'��i,�p ZIP: ss� STATE LICENSE: ## 53��7 ARCHITECT/ENGINEER: PHON�: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration� Land Alteration PROPOSED WORK(describe in detai�: �� 6E=� � I�-`(�a'� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �,�� v� 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 ordina.nces 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 SIGNATLTRE: , �� , DATE: �? '� I -,6 NOTE! Parade o�lYomes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. . � Sec.13.04 RIGATS OF 8iJ&TECTS OF DATA Subd. 1. Type of data. The righs of individual on whom die data is stored or to be stored shall be as set forth in this section. Subd.2. Informadon 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 iequesred data within @►e collecting�state agency,poliacal subdivision,or sta�wide sys0em; (b)whether he may refuse oY is legaliy required to supplY the requested data:(c)any known consequence arising fmm his supplying or refiising to supply private or confidential data;and(d)the idenrity of other pecsons or enuries authorized by state or federal(aw to receive die data. This cequirement shall not apply w6en an individual is asked to supply investigadve data,pursuant to secrion 13.82,subdivision 5,to a law enforcement o�icer. The commissioner of revenue mav nlace the noace rewired under this subdivision in the individual income taz or proQertv raz refund instrucdons inscead of on those forms. Subd.3. Access to data by individual. Upon request to a respoasible authoriry,an individual shall be informed whether he is the subject of swred data on individuals,and whe[her it is classified as public,private or confidenaal. Upon his further request,an iadividual who is the subject of stored private or public data on individuals shall be shown the data widtout any charge to him and;if he desires,shall be informed of the content and meaning of that daa. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six mond�s tttereafrer unless a dispute or acuon pursuanc w rhis secaon is pending or addidonal data on the individual has been collected or creaoed. The responsible authoriry shall�provide copies of the private or public dara upon request by the individual subject of the data. The respoasible authority may require the requesting person to pay die acnial costs of making,certifying,and compiling the copies. The responsible authoriry 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 addidoaal five days within which to comply with the request,ezcluding Saturdays, Sundays and legal holidays. Subd.4. Proced�se when data is not accurate or complete. An individual may contesc the accuracy or completeness of public or private data conceming himself. To exercise this righ4��vidual shall nodfy in writing the responsible authority describing the nature of the disagreement The respoasible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and aaempt to nodfy pasc recipienu of inaccutate or incomplete data,including recipients named by the individual;or(b)notify tfie individual that he believes the data to be correct Data in dispute shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data. The determinaaon of the responsible authority may be appealed pursuanc to the provisions of the administradve procedure act relating to wntested 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 fiunish 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. �' �n-�� W �-�. �' �' First Middle Last ��1 �S� ��`�11V�t0 6�� Address � City State Zip Phone I understand my rights as sta�¢d �ve. � (� °� �� -�--- .,�� ...`' I\,,�- _•_--�_"7 J /� $1$[13[I1fC DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � d PERMIT NO. � COMPLETED � � /' ADDRESS ZC�S~ � /✓ iv W OWNER CONTR. TELEPHONE NO. � DESCRIPTION d d Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j O � � O � W � Q � W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONRE�UtRED.CALLTOARRANGEACCESS. Ca11 fo next ins s in advance.473-73 Owner/Co ctor ' e: Inspecto White CopyMspector's Flle anary Copy/Site Notice