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Home My WebLink About1998-010395 (bldg) PERMIT CITY OF ORONO PERMIT TYPE: • 2750 Kelley Parkway- P.O. Box 66 `;`_'i_';`t'��= Permit Number: ;�'s; i i;�°�� Crystal Bay, Minnesota 55323 Date Issued: f;�,t�i�;;i;; (612) 473-7357 SITE ADDRESS: , :=:�.r�i i ��,-i�;'��I4..1� #�tif� .F� �' . � . {'� . . t�7!�—i .i?—;�'�i—j,�;—i?i_i 1 :t DESCRIPTION: �:E�F:1)?��j ��'��Tti; !';�:�'t�t^ Vt.e�l. .t��ltl�� t'�+�'��f�i7.�• ��T�,t't—}a ,:�F---f"��s?�fl��f-1��E„3tf �:_J'f I ��j,li�:3 {r��it'�:; I ��:.«+ '=;�!_i�� !.!�['� �?��'�-1.�3;, E1�,f_ tir�_!�4(=�=!t�G r tl-1 s:,�;3_,t.rt.t:_t.j,��-� f yF'F= �.'t�� (�.}_ 1 f�E�i F }� i s—i _ ��.�� _ �._ 4._�_ �LT . ��3=�E;�?;�� REMARKS: -(- 7 { j 7� �^' •�'L.��3"?�H I C_ •_,�}f—j � � C�L�.�ii i I.t—iF F�r i l!!.! ! �i..i��f� i �"i,�i J , FEE SUMMARY: ;i��_t_3�T i i ir� ��;'i�x,t::,�-;,; jViijt,�i� �FYY+ 5,.�_i�.t , �.�i '='3�{"i �i��:;'f �t}t �•f ��E-� , i: •`_�l.,E!'C�1%a 1''��.� ----^--- —�s t i�..�'=3 �f f i.�� }^N}W+ ��lii e.i , ��l�� CONTRACTOR: OWNER: - ��F'F'� ��==�.��T. ` :,�j=�l�:�i�%-11�# ►�'{-i�� _;:�,�ti �:�E�:,�.�1['s� F�°fi i�:�'i�i;`,�i=l �1�� .�,�:�;_��. !f'�'__�C x:r i i �'i� �_I�'`dl..!r;'��r�1�.�;s•.`_L} i"'I`;,';=',-_;�' �';_;3ii #6=`_>..� `-� s`�,�'!��.`�:'_��,_f��} �!_l !,`•3''``� . . ,._ � i.;[_ i 3-`�,`_t`+�!F-;�";T '�`= ia-ii••.� i:�. ��°� t•. I.`_E�i _�f —{.� �T�.:�} i-��v,) tl_,i�:=i,�:- 1��I ;:I�! "•i � yi,"s��`.' '`i,i ��:s;..� ��s 13{f='' S � :!(. F-: � 1 � M.� : i� ''�. . �' t_.__ . !-e .__ _ _ _. _ e��_i. _� �`-•. i s v _. ..e i.�_ . _. ��i __ .. _ t s . :�1_� _. t�`. _. F fi;'s_i��jE t i li=E'��1�H74��`•�� H!'�i s _�' �-1�a� }_a�' f��s;��,jF°=:i_d ;i-� ��'_3 j L_�1�;`si� i:E�i�=� �?�'.�°�_r�i?�`�`I`;�;�'� L � ��v' n� APPLICANT%P TEE SIGNATURE ISSUED BY:SIGNATURE � Total Fee: $ �� ' Date Received: �Entered By: Permit#: / � �j�'j CITY OF ORONO - BUILDING 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 R CONTRACTOR JOB SITE ADDRESS: ��¢t? �,�y'S•ip.� {C d?� ZIP: S S"„3s� NAME OF O`VNER: �, � ��i,9,�� PHONE: (home) �/�- �73 ��O (work) 5,��-.�� MAILING ADDRESS: �3 �� .�.r�✓s'i��r�+� CITY: C-�,��. ZIP: �S3s� CONTRACTOR: PHONE: ��3 -�,�,�e� CONTACT PERSON: MOBILE/PAGER: -- MAILTi�'G ADDRESS: ,��j „l�.T��,� /�b CITY: F-i ,�'.�;;�� ZIP: �- . �- STATE LICENSE: # ARCHITECT/ENGINEER: PHO�TE: MAILING ADDRESS: CITY: ZIP: NAIVIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure 11�ove Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detain: �� b.�s��z.�,�;,-- �� ,d,2 <'.�,.,9-rr�-c,� ��.:��.�;i%�- i l�=c� /"n�` i��i,�-v /� /`�1'��' ��7`G ��.�v� STORIES: � � , -rr1� SQ. FEET OF EACH FLOOR: G/'�'� �s, �, ,m . �.g:.�',d�ic NO. OF BEDROO�IS: �Z GARAGE STALLS: ATT. DET. � __ ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1.��c� �'�-' 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 accordance with the approved plan. ., > � APPLICANT'S SIGNATURE: �'� DATE: � -��/— 9� ,� NOTE! Parade o�Homes events require separ e permit approval by Police Department and City Council 60 days prior to the event. Non permitied events will not be allowed. 5 Sec.13.04 RIGHTS OF SiJB.TECTS 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 secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and inrended use of the requested data within the collecring state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idenory of other persons or endries authorized by state or federal law to receive the data. This requiremen[shall not apply when an individual is asked to supply investieaave data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or nro�ertv tax refund instructions instead of on those forms. Subd. 3. Access to data by indi�zdual. Upon request to a responsible authoriry, an individual shall be informed whether he is the subject of stored data 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 data without any charge to him and, if he desires, shall be informed of the content and meanin,of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secaon is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of makin„certifying,and compiling the copies. The responsible authoriry shall comply irnmediately,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 hofidays,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 data concerning himself. To exercise this right,an individual shall notify in wridng the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete dara,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 determinauon of the responsible authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relaring 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. 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. - - First Middle Last Address Ciry State Zip Phone I understand my rights as stated above. Signamre 6 ATE TIME CITY OF ORONO CALLED IN � �6/�8 INSPECTION N TICE SCHEDULED � .3' // �;t; d PERMIT NO. �� COMPLETED � � �' ADDRESS D � OWNER �� -.✓ CONTR. TELEPHONE NO. '� ��3 �- �3G��D � DESCRIPTION � 01 FOOTING 11 HANICAL 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 Z04 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J BING FINAL �� 36 FOUNDATION/REMOVAL � OWNERI NTRACTOR TO MEET YOU:v YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W�/GVORKSATISFACTORY:PROCEED �OJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor ite: Inspector. White Copyllns ector's File Canary CopylSite Notice