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HomeMy WebLinkAbout1998-010369 (building- roof repair) t . PERMIT 4CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 _�•_'�+..z!�.<��� , Crystal Bay, Minnesota 55323 Permit Number: ;�;ti t j_;;_::�; (612) 473-7357 Date Issued: - � --�: ii�./=�:.'_ _ SlTE ADDRESS: � I _ - .-� - - _ , �'��.� t���:_�t_i t i_T;; t�+`�;i �'ti—i ' �_ — --�1.:�—�)t)'t��s . _ . . . . � .�_ _ f . _- - - - - - - UESCRIPTION: F����t���= �:��'�I� =�Ijf i 3.��11�� l='='1'fE't 1 I� �����• ��;�"_f-�!�'?�,i i h:`j'ij_�L��j ����i !i�{!ll'� ��i��t�::; �yC�iti -;i t_.��E'�!, �'ij'�:j �i�i-`i��Fi � ''���•� ::�'-,;—i,� ;:�:;;' ' i ��L-•'i��:�;,{�,-r . .. ,.._}_''.'� _ _. ._...._ . _..1 ='<�._ . :•�.�...__-�}. _ __:, 1 -''—�1.— IIG���T�J. _' F=EE StJMMARY: � .l 1`r; i��i I(t# �•,'!; i_'t(_'t:_. -;_.ry�=E'��:�'��r� ______ �.�:= L.;p's _ j — _ — - —_ CONTRACTO�: - ��_��i i 3_:}t-�t. - OWNER: ; E�;r.°I :<ii_-i.[ ::I�li{�-`r';f°v`�' �,=,.�.�.�,:_.t�ai i �;j i;i�{r;�,`Li`.�: ._I � .t��.;_�= 1�_���"I f-;�'� ��f .�:_�;: _.�:.�_; ;:�:_�t_i_i _:�� �I �`4 'l���i�:i_7T� l�Ihs ��,:1r'f� i_it;!_!('si�i ` t#11 �,:�:�.`=:1 .��i y. .'ii�E;—1.��1_.�:..� y,j • �-"•T:=• — f...'v"' _ _�'.`.� _ �' t`-�'._,1 'L' W� — _ ii`. L:`i-3`.. �'�±w_. _.. . �� ��:. ] � �3� l 11;i�.1�� .P` f ,-:i-�,`r' #-�`=;,st: ��`.`, �'�`i' }` (_�1',f ��� ;•i�-.P;�- I i t-`::'�_I�'{-f° iU 1 ._ ��`j�E-'(�� f ",�'�; : ' _ — �%_� ,_ _ ;—��� ?x�t;`i.k�•. �iti _��.3`•_ 9 ___�. .. ._€s'-��Vt..�� ii i'�1"1 �i�._�__ ��i�� t_!E^ :_t;;i_i��l i ���i::_i':`';.:i�"_:�� r;t,?i) _�`�(;l�� i_��-� C°i ;�°,i�;i�-,°«�;< I .—. '�=i—'—_I 1 T l�{� t.i_(a;� �°�;:Ei 1:h�,�s,�-.?:.���:_� L -� , � I ���.�. LICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE � 'Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT A7PPLICATION A.11 information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) Oti�NER OR CONTRACTOR /� �- JOB SITE ADDRESS: ��C� 3 �`��5 ' � ( � f � � ZIP: , � � ; � NA.ME OF O��NER: -��: I j��} ��..� PHOivE: (home)� �O� ��� �� � (work) MAILING ADDRESS: �G y,� ��� ��'l,� r CIfiY: �',;x�G�/L` ZIP: , C0�ITRACTOR: � I �C� C���� PHOivE: �I�L' �:..��C�i CONTACT PERS Oi : � C �!L L r C c� ' MOBILE/PAGER: �U /, ���i � MAILPTG ADDRESS: � .� .���i r2 L�� CITY: ��� L' � ZIP: ��'" " � STATE LICENSE: # �,,tr)G�� 7� A.RCHIT'ECT/ENGINEER: �' `��'� PH0�1E: ;VIAILTi�1G ADDRESS: CITY: ZIP: N�,�; REGISTRA.TI01�T# � �� �'� -� �--�\ � �� �� � � � TYPE OF ti�ORK: New Addition Accessory Structure Move � Remodel/Alteration Land Alteration PROPOSE tiVORK (describe in detain: ' � � � ��'G � � �- ,. _ � c .� r-:— r+ STORIES: SQ. F'EET OF EACH F'LOOR: � NO. OF BEDROOI�IS: GARA.GE STALLS: ATT. DET. �_ , EST .ni IATED CONSTRUCTION VALUATION (exclud.ing land): $ [/�� I hereby apply for a building pemut and I acknowledge that the information above is complete and accurate; that the work will be in conformance wi the ordinan �and codes of the Ciry and with the State Buildin� Code; that I understand �s ' not a d work is not to start without a pemut; and that the work will be ' ce wi proved plan. APPLICAI�iT'S SIGNAT'URE• : c- ,� � � � �� � , NOTE! arade FI m ��ents r quire separate perntit approval by Police Deparlment and City Council 60 days p ,o�/to the event. Non permitted events wi11 not be allowed. � Sec.13.04 RIGHTS OF SUB.TECTS OF DaTA Subd. 1. Type of data. The righ�s of individual on whom the data is scored or to ba scored shall be as set forch in this secdon. Subd.2. Informatien reqirired to be given individual. An iadividual asked to supply privare or confidznaal dara concerning himself sha11 bt informed of: (a)the purpose and in[ended use of the requestrd data withia the colleccing Ytar�ageacy, poliacal subdivisioa,or scatewide rystem; (b)whechec he may r;use or is legally requir.d to supply the requested da[a;(c)any Imown coasequence arising from his supplying or refusing to supply privace oreonndendal dara;az:d(d)the idandry of orher parsoas or enodes au�horized by sta[e or federal law to r:ceive the data. This requiremea[shall no[apply when an individual is asked to supply invesrieadve dam, pursuanc to secdon 13.8?,subdivision 5, to a law enforcemznc ofricer. - The commission�r of revenu- mav place tha nodce rouired und�r this subdivision in the individual ir:come t�x or oroo�rn_tax refund ins:rucaons inscead of on those forms. Subd. 3. Access to data by indiridual. tipon requesc to a responsible auchoriry,an individual shall be inforraed whether he is the subjecc of scored dara on ir.dividuals,and whe�her it is ctass�ed as public, priva�e or confidenaal. Upon his furch�r requesc, an individual who is the subjecc of stored private or public da�a on individuals shall be shown che dac�wi�hout any charge to him and,'if he desires, shall be informed of the content and meaning of chat data. Aher an individu�l has been shown che priva�e data and informed of irs meaning, [he dara need not be disclosed to him for six mon�hs[hereaiu.r unless a dispute or acdon pursuan�co chis secaon is pending or addidonal daca on the individual has been collec[ed o�creaced. 'Ihe responsible authoriry shall provide copies of the privace or public data upon request by che individual subject of[he data. The responsible autfioriry may require rhe requesdng person to pay the accual coscs of making,cerrifying,and compiling the copies. The responsible auchoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or wichin five days of the da[e of�he reques�,excluding Sacurdays.Sundays and legal holidays,if immediace compliance is noc possible. If he cannot comply with the requesc within tha�cime,he shail so inform[he individual,and may have an addidonal Fivz days wichin which to comply with the requesc,eYcluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may concesc the accuracy or compleceness of public orpri�•ate data concerning hunse(f. To exercise[his richt,an individual shall noa"ry in writin,che responsible au�horiry describing the nature of the disagreement. The responsible auchoriry shall wichin 30 days ei[her: (a)correcc the data found to be inaccurdte or incomplete and aaempt to nodfy past recipients of inaccurate or incomplete data, including recipien�s named by [he individual; or(b)nodfy [he individual that he believes che data to be cocrecc. Data in dispute shall be disclosed only if the individua('s s�czmenc of disagreement is included wich the disclosed data. The decerminarion of the rzsponsible auchoriry may be appzalzd pursuanc to the provisions of the adminisaarive procedure act relaan� to contesced eases. 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 pernut or license from the Ciry of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: � 1. 'Ihe information you furnish will be used to determine your qualification for the perm.it 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 ocher local, state or federal a�encies 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. S. You have cenain ri�hts under M.S. 13.04 (available upon re ) to review private data on yourself. 6, ur full name is required to cess this application or pe '[. � / � v� �/l/ -,���'..��� � /...5'� � `� irsc � �ti �� � t � ,� � % - /, �- Ad ess � � /� .C� , ���' ��' / � �� _— G j�� � Ciry Sate Zip Phone 7 ,- I underst a ts st d abo ign�t�re . i i ��� � . , DATE TIME CITY OF ORONO CALLED IN �`-Y� I-1 ` " INSPECTION NOTICE ' scHEou�E� �- �/`� � •�3� PERMIT NO. COMPLETED ADDRESS ��� �/� l ,�.�t-i.% ��,'c_� �C.. OWNER f�-�-t �'��'����� CONTR. TELEPHONE NO. �f 1�— C� J I� ��/� � � � DESCRIPTION ��l.G`"�J"'� �%� Gt,r�-a-d�-�'— � l� 01 FOOTING 11 MECHANICAL RI _ 18 EXCAV/GRADWG/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � C � L��S �fS � J O � � O � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W C ORRECT WORK 8 PROCEED = ISSUE CERTIFICATE OF OCCUPANCY � C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN I CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContrac s' inspector. White Copylinspector's File Canary CopylSite Notice