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HomeMy WebLinkAbout1998-010870 (re-roof) .. PERMIT ` CITY OF ORONO _ �._ 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: _;, ___,;_ � ; : : ; :� ;�,_ Crystal Bay, Minnesota 55323 Permit Number: ;{1 i:�<�:�_:�i (612) 473-7357 Date Issued: ��:t; i��.;��_;:=: SITE ADDRESS: �.is.�,�.! �::`=�L{°��°;r�i� �=3� ;`:M _ . "� , , _''i—= _ ' —- —1 '� .��i�i��,f a DESCRIPTION: - - �z3;`?'t��;- :F:`��:-,'3«!E"=�.: `=1�f= t ,�1 i?!� I'`�='t'p;j�.�. .. •Tl��ST. . .__. ._ _ _. —'�-tt il 1:`4��#';!_�i�'!-�.- ,� :S_t: �s�1 Y:�3 ���-�:'{�:; , :+F:1 L.�:��;:_!i_:t- - �t �- - � - - — - - .. . _. ... .. I REMARKS: IFEE SUMMARY: . . .__€_ii�; i TE�!t,3 y._; ��4,:; i�.��n+ ; -- �•,''� . _ Y.t.yl'�i'��1'�_;r_ ._.__......._._...._ �%7 �,._. t�i�i t.._i ; �= ��. i�}".�_." . _ _ }"_'_ : . . CONTRACTOR: -- �;!=r�� �F=.=�.�;�. �� =�E . }�f� .OWNER: �i',r: s+� ;;:i:ii;r T f�,�t� #�?'�v,�,'_;� '�.:�;i i`�: I _�.ii i !I�i(�i � _'~,''iy��fii_sk,j ��i_��`i l ,r�!+�i i�i i�:=a`t'.!'1F^�r`� `_�� _'('„t} :�:�,; _ _ _`.:�. E�:1:::_i�'',(::i �r:i:.t a-�.=:'_�'�� •�f�:.�' a�.?4 - - Y`:;� ,_. _ _ _, -�-��; - - : t s.: ;='.',•; `_ i��i': .: t t �t i' - i,<<� � ii' �:j 3 �_ �;-;i_ ,. ,t �i _t_.f+��.._ r.W..I-:,E-,L�; �;.�.cy-t:�'.���'._• .``�t�.[�_ _ ._ _ .S .� � �_ i':� �„__ . .__. .__ 3 r . i-:,�_.�u'j'..:_'i°=�`.. . . _ -.-.�--.-.: .�� . ._ _;_. _ � , . . , � �-�-•�-i � � s� r i��, ! ��; ��,,- i:`i , �� ��.. . r ,, - =�i t: �` � � � _ •_E ;._•,_. ____ ri.,_ : :.�: .__.._= _ ; �.-> . .__� t4 .E•�. _i. _ = 's�. .. . _ _. . +._'.�.� u_ �'''"s`s j:�l_-- - - , _ _.s-�..i i�;t-::i,r.;i�l 'h't i 1 ;\;�-i;' I Ft���.. , i'�_n�j:�!F�� _ . . . _. :.�i_[„'s i�'s:.-i _•!_€_._�.. . .�". ,':I t i`._,. .`'}`�? � . L _ . ._ . ._ _ . ._ _. .. .. .__.._. . .. ._ _ . . . . __ _ � � ..._ APPLICANT%PERMITEE SIGNATURE `� ISSUED BY:SIGNATURE �`�` _ Total Fee: $ Date Received: Entered By: �`, Pernut#: /r;S l��� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------ . _____._ - ___------------------------ �--�— .,,s,��------ THE APPLICANT IS: (circle one) OWNER (4�R CONTRACTOR� JOB SITE ADDRESS: � `� 7� C�1���/� S� , ZIP: 5��� 1 NAME OF OWNER: �rn �- �r-�� PHONE: (home) (work) MAILING ADDRESS: 2`� 7J �->t�zµ,✓ SfCITY: J+�y�� ZIP: CONTRACTOR�,ti I � cJ�� (�--� G�r�� . PHONE: CONTACT PERSON: 1�i, � r MOBILE/PAGER: i-���-�,S�� MAILING ADDRESS: �6i�7 S` Ly- �- u--�v ' � � CITY: ��o�. �v.d> ZIP: SS�� � STATE LICENSE: # S-3�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZII': NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�� Land Alteration PROPOSED WOR�K(describe in detai�: ��}n h�-� �1.�C S, b�_' /7�G� �-� — ` '�-�` s` � � �.C-r�(--' �, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $� ��1 �0 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 wil be in accor ce wi the approved plan. APPLICANT'S SIGNAT : , DATE: � U� � � "-"� c�J NOTE! Parade of Homes events require separate permit approval by Police Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA Subd. I. Type of data. The righrs 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. P.n individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and inunded use of the requesred data within the collecting'state agency,polidcal subdivision,or sratewide systnm; (b)whe[her he may refuse oY is legally required to supply the requested data;(c)any k�own consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenary of o[her penons or endaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesaeaave dara, punuan[to section 13.82, subdivision 5, to a law enforcemen[officer. The commissioner of re�enue mav place the noace required under this subdivision in the individual income tax or propertV tax refund instruccions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible au[horiry,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, private or confidendal. Upon his fur[her request, an individual who is the subject of stored private or public data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be infoaned of the content and meaning of rhat data. After an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individuai subject of[he data. The responsible authority may require the requesting person to pay the actual costs of making, cerrifying, and compiling the copies. The responsible authoriry shall comply immediarely, if possible, with any request made pursuant ro this subdivision,or wi[hin five days of the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which co comply with the request,excluding Saturdays, Sundays and legal ho(idays. Subd.4. Procedure when data is not accurate or complete. An individual may contest�he accuracy or completeness of public or private data conceming himself. To exercise chis right,an individual shall nodfy in writing che responsible authoriry describing the nature of the disagreement. The responsible authoriry shall wi[hin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipienrs named by the individual; or(b)nodfy the individual thac he believes the data to be correct. Data in dispute shall be disclosed only if the individual's stacemenc of disagreement is included with the disclosed data. The determinaaon of the responsible au[hority may be appealed pursuant to the provisions of che administradve procedure act reladng 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 pernut 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. � �1,,,2,�,�• ��- S 7,., `�'� T` First Viiddle � Lasc S"�ti `� � �.� i�ti .�� � /S � ✓�� Address �^ SS�� , / / 1 �� _ �S� ��— �,1^ �ti"v�5� i �" 1 Y `—1 `� C�ry Stare Zip Phone I understand my rig ts as sta ed ve. � Signaare DATE TIME CITY OF ORONO CALLED IN O /4��9� INSPECTION NOTIC SCHEDULED %D�i`i`�9X PERMIT NO. �O �7� COMPLETED � ADDRESS � OWNER CONTR. TELEPHONE NO. `�7.z - (�5 35 � DESCRIPTION /�2�� L� 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING � AMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 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: � � W a � J O >. � O � W � Q � Z W � W � � d _ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �-, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in ction 24 hours in advance.473-7357 OwnerlContractor 'te Inspector. White Copyllnspector's File Canary CopylSite Notice