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Home My WebLink About1998-010839 (replace flue/bricks) PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 ="_'i�-''='"'' Crystal Bay, Minnesota 55323 Permit Number: ;'s�;:�;_;._;•�a (612) 473-7357 Date Issued: i i,:�i'i;�;;'�=;c�; SITE ADDRESS: __=��,; �_�r=.:�s�. ��i i�.° _ ..s E,� _;_�—� � __ __—�:=�—�i;:.::�. DESCRIPTION: _.:``E_�;i;F F:_(_:�_%i=�j;T f:t::'=� -;!�j ' -;7 }�� ``�?�fi�1 `,r_• I��;: '_;�_—;�l1�E;•;i j��•�f_�;1;`� ;.;:_1 1 �ti^i j 1i==� ia,;�=.t S'L:; 1 ' :'�f�� ;:�•„�t_,i41ry �„�E_I.tl_I _ ��. -.-. - � ::._ = � _ .� - - - __ - �- _ : . .�� .i :m .__�.�._. .. , � .. .�...: �... . :,, . ., . ;: t -. Li�; REMARKS: FEE SUMMARY: �=r.;_._t_i F;��I_i t.s a:.; : ��_,;_ i�. � f� ,;.ra.:=r' i_,;; ;7... . -- '—'f{)•s #'�_.•i'�_�+ ------�� "�' I ��•f._ai Ft?�� ''`'c`�:1 , =� CONTRACTOR: — ��:_? ic;.<-��. -- OWNER: ' _.. ,:�FI_It;t i,.j-:j:=st1f��• _ �,3 / i '-�_.:_1 , ,¢-:t_r'tt:;j-,`.-e i !}��F`�i-i �.�; e _ V 3�y��'l`�{4 �-i��#[ _.__ . (�:y`�:t�i�i (�:T�=i 3�j(`vf4`�(-�:''1_i�j._� ? f:; �'`'- . _ I_.EI-;;I ii*�i_i ('ii`� _ _ _!i _ _�`.{ ='?i—'�,i�ii_i ;�;�1 �—s;;�r,i ;_ -�: ,�.. : , _._ . _ _ . . _ ..:� : 't... • i_i�4_ -�'L•i... i��i�i# � '•1,L. _.�.z.'4,., . � '.# idlp_. �3 ,L� �. ; r,:... ;;i �t __ .-�==.,,t_,_ „� �:`t` l=,>_�_.:'r::�, ! _ � _. . ._ _ _ �:,� �s_i . . .. ._.. `�i"„�. �?v f-. _ �, ._ '�:�_� . _.. _ . _ _. .___. . _ _ ,. _� __�_. .. _ _. . ,-.:_.,,. _ _ � , ��[ �_i. _��s --s. �i.:'• .1.a'.�..__��». f f_! _i%.»� f-�iS_i._ +:�"_f;i;��., ��',,j _'T:.,.='_* _ _=':"i':—',_ i-,4y:_r`_. i:.�! _ . . ��S_5,,,. ( i # �Y t i� � �_i�'i.i_i��y�_f :_��'l�_f i iv'ri�\:%.._ _. ,:i'vl: 'e { 3•i i�r :y,{i" S�'.i. .7 °�'.-�i�_I 1 .�'1 t.�. �_...... _. .� �.i_3i:� �t'i.__. , j.v t .�. ._... . , . . �� / � �� APPL TEE SIGNATURE ISSUED BY:SIGNATURE . Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��%' �r-•.'�--�_ `' .� �'_,'S,iZIP: 5'� '`�i NAME OF OWNER: L �..,,- « ;'-��, �f,,,, � �s-�� PHONE: (home) �/7� �- � /� (work) ,,1/�. MAILING ADDRESS: CITY: w�-,,�,, <�-�1, � � ZIP: � CONTRACTOR: � i l�„_-��-,,� �`'..,,^.r,,a�� PHONE: .? 7�_r S`a�� CONTACT PERSON: �!� ; ; J MOBILE/PAGER:�j� MAILING ADDRESS: `� S; C�c�?�,�ti.-, �� CITY: ��.,,•�;'s ZIP: ;:�"Y�� STATE LICENSE: # � 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�: iZ��/�� S,n�,�?-�=�� y-%�-��-�� ir� �� .L1� �o i ,��''7 � I�t_�'�+ 1_� �Lr' �/l'l. ��—.L f�`' � l' S�, ,-t�S� /' Y v � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j��2� � 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 accor ce with the approved plan. APPLICANT'S SIGNATURE: _�,. � DATE: %� ?- ;�;' � C�, � NOTE! Parade of Homes evertts 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 SIJB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set focth in this secdon. Subd.2. Information reqtrired to be given individual. An individual asked to supply privace or confidenrial data conceming himself shall be informed of: (a)the purpose and inunded use of the requesred data wichin the collecting'state agency, polidcal subdivision,or statewide system; (b)whether he may refuse oY is legaily required to supply the requested data:(c)any laiown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenriry of other persoas or enaries auchorized by state or federal law to receive the data. This requiremenc shall not apply when an individual is asked to supply invesri¢adve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace reouired under this subdivision in the individual income tax or propertV tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject of stored private o�public data on individuals shall be shown che data wichout any charge to him and, if he desires, shall be informed of the content and meaning of[hat data. After an individual has been shown[he private data and informed of its meaning,the dara need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon reques[by the individual subject of the data. The responsible authoriry may require the requesring person to pay the acrual costs of making,cerafying, and compiling the copies. The responsibie authoriry shail comply immediately, if possible, wich any request made pursuant to this subdivision,or within five days of the date of che request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is noc possible. If he canaot comply with the request wi[hin that time,he shall so inform[he individual,and may have an addidonal five days wirhin which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate oc complete. An individual may contest the accuracy or completeness of public or pri��ate data concerning himseif. To exercise this rieht,an individual shall noafy in wridng the responsible authoriry describing the narure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by che individual;or(b)nodfy the individual that he believes the data to be correct. Dara in dispute shall be disc(osed only if the individual's statement of disagreement is included with the disclosed data. The determina[ion of the responsible au[hority may be appealed pursuant to the provisions of the administradve procedure act relating to contesred 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 pernut or license from the City of Orono or any of its departments may require you to furnish certain private or confidentiai information. You are notified that: 1. The information you furnish wiil 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 pernut 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. --T/ ,�c��j-r •, ` First ` Mid le Last /S-�i'� � `�� -f Address � �_ , - L . �-� �� .-� ; j.� /CJ6 �� 1 � ��.�� City State Zip Phone / I understand m� s stat d above. �' - � s� .- Signant DAT TIME CITY OF ORONO CALLED IN �d '�1�� INSPECTION NOTIC SCHEDULED /O f/ '_3 O PERMIT NO. COMPLETED �L `Iti ADDRESS �7 OWNER CONTR ��J TELEPHONE NO. �� ' �Co / Cc � DESCRIPTION Jl a�� 01 FOOTING �ECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURN /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 � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO D COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d WORKSATISFACTORY:PROCEED - ROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT CJ CORRECT UNSAFE CONDITION WITHIN HOURS. �NSPECTOR WILL RETURN ❑ PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR �=� CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for e inspection 24 hours in advance.473-7357 Owner/Contrac on i : Inspector. � White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �� C�� INSPECTION NOTICE SCHEDULED _� �� PERMIT NO. PD z��S COMPLETED ' �� ADDRESS 3Z�7 '(L,Sco Ci� OWNER CONTR. 1�� C �(�,� ��- r��r TELEPHONE NO. y7� � 66 /6 � DESCRIPTION �(ar✓1Ct�8� � G+n rrmqo��'�cvt�� l� 01 FOOTING 11 MECHANIC 18 EXCAV/GRADING/FILLING � 02 FRAMING MECHANICAL FIN 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION I 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � J O a � O � W � Q ti Z W � W � j d ORK SATISFACTORY:PROCEED /�ROJECT COMPLETE W � C�CORRECT WORK&PROCEED �_ ISSUE CERTIFICATE OF OCCUPANCY W O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PEFMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.�/��%w�Q-V�� White Copyllnspector's File Canary CopylSite Notice