HomeMy WebLinkAbout1998-011064 (Roof) PERMIT
�IT'��OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 =ii i�3 i_i�:��s:;
Permit Number:
Crystal Bay, Minnesota 55323 �_'1 i S-!",;�
(612) 473-7357 Date Issued: _ _ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- ���:��; ; F�n�'�'�, - � . . ?�L��: . OWNER:
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APPLICANT/PERMITEE SIGN ISSUED BY:SIGNATURE
Total Fee: � i�%j �,?� Date Received: %�- /G''- `�"
Entered By: Permit#: D
CITY OF ORONO - BUII.DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------------ - -------------------------
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THE APPLICA.�'T IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: L�-�"� �I�t�D���Z f���. P--� z�:
NANTE OF O`�NER: � . � `f Q V�� � PHONE: (home)
(work)
MAILING ADDRESS: CITY: Z�:
CONTRACTOR: P�1,� �C�ql��'�=� PHO�tE: (� - � ZZ--
CONTACT PERSON: ���`(o�/� NiOBILE/PAGER: -� 3
MAILING ADDRESS: ?� � S CITY: �T- M�S�f�- ZIP:-�=��4-
STATE LICENSE: #
ARCHIT'ECT/ENGINEER: PHONE:
MAILIi\TG ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK (describe in detai�: � A�- �'1'� �p � ��
—E�-o� (1� � ti ,� - '�, o
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTI�VIATED CONSTRUCTION VALUATION (excluding land): $� �7l'�
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 cordance with the approved plan.
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APPLICANT'S SIGNATURE: DATE: L Z- -/0 -�'/'S
NOTE! Parade Q 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.
Sac.13.04 RIGHTS OF SUBJECTS OF D?�Ta
Subd. i. Type of da[a. The righct of individual on whom the data is stored or to be swred shall be as sec forth in this secdon.
Subd.2. Information req�rired ta be given individual. ?.n individuai asked to suppty private or confidendal dara conceming himself shali
be informed of: (a) the purpose and ia[ended use of the requesud dam wi�hia the collectiag'state agency, po(idcal subdivision,or sracewide rystem;
(b)whecY:er he may refuse or is legally required to supply�he r.ques�ed data;(c)any Irnown coasequence arising from his suppiying or refusing to supply
private or connden5al dara;and(d)the ideoory of other persons or enrides authorized by state or federnl law to receive the data. This requiremenc shall
noc appty when an individual is asked to supply invesdgadve dara,pursuant to szcdon 13.82, subdivision 5, to a law enforcement o�cer.
'Ihe commissioner of revenu- mav plac� the noac^ r-wired under rhis subdivision in the individua! income tax or orooem tax refund
instruccior,s ins�zad of on chose forms.
Subd. 3. Access to data by individual. Upon requesc to a responsible au�horiry,an individua!shall be informed whether he is the subjecc
of scored dara on individuals,and whecher it is classiFied as public, private or confidenoal. Upon his further request, an individual who is the subjecc
of stored private or public dara on individuals shall be shown rhe dara wichout any charge to him and,-if he dasires, shall be informed of the con[er.c
and meaniag of[hat data. Afrer an individual has been shown the private data and informed of i�s meaning, the dara need not be disclosed to him for
six mon[hs rhereafter unless a dispute oc acdon pursuanc to this secaon is pending or addiaoaal daca on the individual has been collecced or creaced.
The responsible authoriry shall provide copies of the privam or pub(ic data upon request by the individual subject of che dan. The responsible authoriry
may requir. [he requesring person to pay the acmal coscs of makine,cerdfying,and compiling the copies.
'Ihe responsible au[horiry shalt comply immediately, if possible, wich any request made pursuant to this subdivision, or within five days of
the dace of�`:e reques�,excluding Sanirdays,Sundays and lega!holidays,if immediace compliance is not possibte. If he cannot comply with the requesc
within rhat dme,ha shall so inform che individual,and may have an addirional five days wichin which to comply with the request,excluding Satuniays,
Sundays ar.d legal holidays.
Subd.4. Procedure whea data is not accurate or complete. An individual may contest thz accuracy or completeness of public or private
data conceming himsetf. To exercise chis right,an individual shall nodfy in wridng the responsible authoriry describing the nature of the disagreemeoc.
The responsible authoriry shall within 30 days ei[her: (a)correct the data found to be inaccurate or incompiece and aaempt to noafy past recipiencs of
inaccurate or incomplece data, including recipien�s named by che individual; or(b)noufy the individual thac he believes the data to be correct. Data
in dispu�e shall be disclosed only if the individual's sta�emtnc of disagreement is included with the disclosed data.
The decerminadon of the responsible auehoriry may be appealed pursuanc to the provisions of the admuustrarive procedure act relaang to
concesced cases.
DATA PRiVACY ADVISORY
In accordance wich M.S. 13.04, Subd.2, "Ri�h[s of subjects of data", we would like to inform you tha[your request
for a permit or license from the City of Orono or any of its deparcments may require you to furnish certain private or
confidencial 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 che City deny the permit or license.
3. The information may be shared wich other local, state or federal a�encies to the ettent necessary to process
the pernu[ or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain ri;hts 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.
Firs: �tiddla Last
Address
Ciw Snm Zip Phone
I underscand my ri�hcs as stated above.
Si¢;:a[ure
STATE OF MN DEP7. OF COMMERCE ' ,
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]33 Eas[Seventh u�"t, f ";, , � .
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S� Paul,MN 55101 F �+5��`�':•�1
(612)296.6319 � �'
RUILDIN �`������
G CONTRACTOR y*�a�s��::-
ID#20103315 '
BUILDER
INDIVIDITAL PPOPRIETOR .
�_-----_�_._.,. - - ------._� __.__
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Expires: 03/31/1999
PAUL ALLEN SCHL,q7.�� �
i
7 Hrs CE due by 3/31/99 ,
DBA: 3CHI.AUDERAF�'PAUL CONSTR'
29?]7 I9L,AND LAKE F,D
�I'JU3Et�H MN 56's74-0000 ;
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ' '�
PERMIT NO.O�� F��_ c M ETED
ADDRESS Z !�L
OWNER � CONTR.
TELEPHONE O.
� DESCRIPTION T a.� �� �Qd
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� C]CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O C1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73r'J7
Owner/Co tra to ; ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN '"-�-�� %� ' j�
INSPECTION NOTICE SCHEDULED i � ll `/,�" L;_ c r
PERMIT NO. �'� � ``� COMPLETED
ADDRESS�: � - � /� /-' ��"{.
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OWNER %;',c.` .^,.. �.., . �_ CONTR. � rJ� !,_i_,_�.._.,': .. �s'
TELEPHONE N0. -�c�� ' ` � � �.3 f
� DESCRIPTION '`(�— r�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 RAMING 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
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVA�
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENT�
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� I7 CORRECT WORK&PROCEED [� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
�NSPECTOR WILL RETURN �� PHOTOTAKEN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Contra o ite:
Inspector. i
White Copy/lnspector' File Canary Copy/Site Notice
DATE Tllv(E
CITY OF ORONO CALLED IN � -� ' �� �a�"/
INSPECTION NOTICE SCHEDULED / J-�a�1 � 6��
PERMITNO. /U�� COMPLETED
ADDRESS � 3� ' G� �� _
OWNER CO TR. ti ��'`'� �
TELEPHONE N . a0 '��3- y�� ��-� ca"c.;v�..�lt
�So-- � 31 �� C�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� D. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPT�C 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:
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W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
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
OwnerlContract si
Inspector.
White Copyllnspector's File Canary CopylSite Notice