HomeMy WebLinkAbout1998-010042 (re-roof) � PERMIT
- GITY. CJF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: `��_`:``:F j;��x�
Crystal Bay, Minnesota 55323 i!�[_1t 3�;"°
(612) 473-7357 Date Issued: - - -- ;,_,-,
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �`�'�-�
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�To�al�ee: $ Date Received:
Entered By: Permit#: �;� c" <�1--
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER CONTRACTOR
JOB SITE ADDRESS: .3�-`-1� �y�i s=��.��" �'�� ZIP:
NAME OF OWNER: �J N i`��/ �`� � PHONE: (home)
(work)
MAILING ADDRESS: �� L'I� ��1� S+�p� �:CITY: J l�� � ZIP:
CONTRACTOR: �U . � Si'1'�i�"�- C.t��� PHONE: �I 7a— �C�S'� Ci
CONTACT PERSON: _ v� MOBILE/PAGER:
MAII,ING ADDRESS: -Sy��S" L y'��%�E,r;on I�Lv� CITI': m�.�►'v.l� ZIP: SS.��6 �
STATE LICENSE: # ��� v ��
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �'�rt, �`�� `� � (Zo�.��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
y. 6.'J'
ESTI�I�IATED CONSTRUCTION VALUATION (excluding land): $ y'".� 7 �
I hereby apply for a building permit and I aclrnowledge 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
pernut; and that the work will be in accord ce wi the approved plan.
APPLICANT'S SIGNATiTRE: �I' _ 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.
. �
Sec.13.04 RIGHTS OF SilB.TECTS OF DaT?,
Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be stored shall be as set fonh in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply priva[e or confidenaal data conceming himself shail
be informed of: (a)the purpose and incended use of the requesced dara wi�hin the collecting'stace agency,poliacal subdivision,or statewide rystem;
(b)whether he may refuse or is legally required to supply rbe requested data;(c)any 1�own consequence arising from his supplying or refusing to supply
• priva�e or confidendal data;and(d)the idenriry of other persons or endaes authorized by stace or federal law to receive the data. 'Ihis requirement stiall
not apply when an individual is asked to supply invesdeaave daca, punuanc to section 13.82, subdivision 5, to a law enforcement o�cer. -
The commissioner of revenue mav place the noace reauired under this subdivision in the individual income tax or propem tax refund
instruccions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subjecc
of scored data on individuals,and whe�her ic is classified as public, private or confidenaal. Upon his further request, an individual who is the subjecc
of stored privace or public data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be informed of[he content
and meaning of chat dara. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six monrhs[hereaner unless a dispute or acrion pursuant to rhis secaon is pznding or addiaonal data on the individual has been collected or creaced.
The responsible authority shall provide copies of the private or public data upon request by the individual subjecc of�he data. The responsible authoriry
may require[he requesring person to pay the actual cosrs of making, certifying, and compiling the copies.
The responsible authoriry shall comply immedia[ely, if possible, wich any request made pursuant to this subdivision, or within five days of
the date of the request,excluding Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno[comply with ttte request
within that ticne,he shall so inform[he individual,and may have an addidonal five days within which to comply with[he request,exctuding Sacurdays,
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 pm�are
data concerning himself. To execcise chis right,an individual shall noafy in wriang the responsible authoricy describing the nature of the disagreement.
The responsible auchoriry shall within 30 days either: (a)correct the data found to be inaccucate or incomplete and attempt to norify pasc recipienu 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 shail be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The decerminarion of the responsible authoriry may be appeated pursuane to the provisions of che admuustraave procedure act relacin� to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request
for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The informa[ion you fumish 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 pemut or license.
4. If your requested pernu[ 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.
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I understand y ' hts as s ated abov
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Signa�ure
DATE TIME
CITY OF ORONO CALLED IN ����� �
INSPECTION NOTICE SCHEDULED ,�3�1� ��--��
PERMIT NO. � �-�-- COMPLETED �_ �2=�'S
ADDRESS `3a`�� c�-�--J.��,. �
OWNER CONTR.���-�_
TELEPHONE NO. '�7� - Co S 3 i
� DESCRIPTION
� 01 FOOTING 11 M CHANICAL RI 18 EXCAV/GRADING/FILLING
Q AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� ULATION 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
� 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d i I WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
tNSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance.473-73�J7
Owner/Contrac sit
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS r
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FIN 14 SEWER HOOK-UP 06 PROGRESS
� 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d O WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
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� ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th ext ins ' n 24 hours in a ance.473-7357
OwnerlContr o n 'te:
Inspector. —
hite Copyllnspector's File Canary Copy/Site Notice