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Home My WebLink About1997-008708 (Re-side) PERMIT ,CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: �'�-j��e�'�� Crystal Bay, Minnesota 55323 4 J4 D'-' �'=' (612)473-7357 Date Issued: �}� ��1 �,�� SITE ADDRESS: �.-,;_.� s��:i it;; �;i ' :.�� F'. �' . t�. : i i i-1 1?—w�:—r:�3—d.yt:,:=:�. DESCRIPTION: F'�-��T I�L F�E—°=:i'CaE E,�ai y1�3ii�� `��°rCiea t. i"yF=�= '�=;��—t�i��'E��i6�EL �'�'�i •E��'� ��.��'F'i � �i'F°fe' @±�.."��i�'� REMARKS: � FEE SUMMARY: �1t��d��'I�if� ��., �.��i i ��.��Y FH� _ �� . �'� e�d 3 t'C�'�_!�°�� ----__ _`��;.e.$fl _ . . _ �w�i�.si�. �� $d_i�. . '�'�; CONTRACTOR: — �,��1 i P��s+. — '_:i . �T{: OWNER: �`i��'+'.j�:rH`� ��°�t_�CDEL 1 E�'�d ��'��:. �,��:�:t:ff„);=� ;?d.i'sF� (�t�i!_I[) 9��,` �e�f{�t� 1—Ii'�1�7f—il—��;�.}.•�� P�1+1 �i'�� f��t�:E�� :_e� F'f`�'t�i�t 1�"H t3ii� ��.d�.? e:iF�i��.jo� ��#� e�_:��1 l,f��;y} �Ci.�`—t�lD,,•_`Ci ' i�-s� ��4�€��°:=��X �r��' ��`�i4��:,�`�� '�,�-,��:�;°q:�fY��,� �€� ��;:°� i�� :��.. ��'��;�+w��:�°��:��= �=:�°��:I�'I�� t!�� r�i��'= i�� S�w� �d..► �#��*`�:. �� `=�°�"�'I�:.:�' ��=��='��:� ��'� �f��. �:�`T'� i�� L f��;��tt�t i ��n ��T t��t��:�:�: �f�� T�=�;�`� �#�' ��i��`��:q:i�� :t�I�.��?�:�� ':��}�' ��.��}��'.-',. � 1` (.5��2�v� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ' Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUII.,DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------_—__---w_-------------------------------------------- ------_ �- --------------------- THE APPLICANT IS: (circle one) OWNER ., CONTRACTOR JOB SITE ADD1tESS: +� � �� f�-f��(�- ��- z�: �� `� � � NAME OF OWNER: S� � ��-� �� PHONE: (home) 7 7 3 d � �� I ,g � (work) MAII.ING ADDRESS: 1� $ � � ��`'CITY: C�'4.S I¢� ZIP: s� � �� CONTRACTOR: �(r1 �Z. � PHONE: ��3 O O 2`� CONTACT PERSON: MOBILE/PAGER: MAILING ADDItESS: 3'?oo (�-�n�nc�� `��CITY:�rr�o� IP: �"�4� / STATE LICENSE: # ARCHITECT/ENGINEER: PH�NE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION� TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: ��.e� �—��,� �� v �'� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. a e6 ESTIlVIATED CONSTRUCTION VALUATION(egcluding lan�: $ �I � 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 ' ac or ce with the a proved plan. APPLICANT'S SIGNATUR�: DATE: �'2 �� / 1VOTE! Parade of Flomes 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 RIGHTS OF S[TB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom t6e data is stored or W he stored shall be as set forth in this secdon. Subd.2. Iaformation reqirired 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 requesced data within the collecting'state agency,poli6cal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenriry of other persons or enaties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav alace the nadce rewired under this subdivision in the individual income tax or propertv tax refund insuucaons inscead 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 wherher it is class�ed as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals sha(I be shown the data wichout any charge w him aad,-if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data aad informed of its meaning,che data need not be disclosed to him for sic months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal data oa the individual has been wllected or created. The responsible authoriry 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 cosu 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 immediace compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidoaai five days within which w 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 nodfy in wricing die responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data faund to be inaccurate ar incomplete and aaempt to notify past recipients of iaaccunte or incomplete data, inciuding recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data. The determinadon of the responsible authority may be appealed pursuant ro the provisions of the administradve procedure act reladng w 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 fumish 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 shazed 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. F�� Middle �� Address • City St�e Zip Phone I ders and my rights tated above Signature DATE TIME CITY OF ORONO �O� ?�� CALLED IN INSPECTION N SCHEDULED ` "' PERMIT NO. OMPL�reo c ADDRESS �� J OWNER �c�r�i . CONTR. TELEPHONE NO. /� �I• J r � DESCRIPTION �7�'�LL�"C� _��/ _ � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAAAING 13 MECHANICAL FINAL 19 LAKESHOREJWEfLANDS � O 03 INSULAT�ON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q�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 � OWIdER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a � � 0 � � 0 � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL tNSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ion 24 hours in adva .473-7357 Owner►Con a on ' Inspect White CopyMspector's File Canary CopylSite Notice