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Home My WebLink About1997-009469 (tear-off/re-roof) � PERMIT - CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number. ' r .�`�'`� Crystal Bay, Minnesota 55323 ' � - � (612) 473-7357 Date Issued: - � SITE ADDRESS: = �_ . _:"_.:^;;�;,� _ ;i::�. DESCRIPTION: _:�. _. .. .. ... ._ _ . _ .. ._ _ f;r;�ti� �.--�{=�a;w�?'%�:�c'`•;f...jE��i�L_ _'_�_ _i t_-j'.t 1� y.`.C.'�...~.. ? Jr�'t'.' !'..._�..Yt,i_ii_��' ', �.:'�i!`__...1 _.i_k).7:;-� � _={� i'��._ � . �'.��.�.��i��'�1 Z i"�%.� ' REMARKS: FEE SUMMARY: - :._. ._ _ _. ;. .� r;r: � ; � ;:;: ;:,::. _,i:i'�� ~N`..� . . . . �� IS;�..tF!.'ij�=.-'.rF_: u.,� 6..i'k . .._.._.._....�.__ .�iz.a..c::e: � � i_�i�..�f,� {"i'r..' . .�fi_� . .._.� . I I CONTRACTOR: OWNER: -- . . . .- �. : _. -. - - �w z=i'y`� ; _ _�_ . _.��:„�i-:i_I i_:j,`, �'� >.. . . ._ . _. .. � , .. a ._ :�:;�...4..�. .„' � � ` � ' :.:y. .'�4 .'� �''�$ : f'" , .� . ., .. ; ._... ' � .t« . . , :; i .p,__ . ._.. . ,. .... . . . _.., _. . . . t_�•_ . �.,�� . .. ,i_.. :�,1. . . _.._ . .._ _. ... . ._.._.� :'�.�T`�'. ; . y .... t . . ».. :.�__. .. _ . :..4 _... �, _ r . .... :"^�� }.�i4t :fi ! 2 i- :.�'s' _; f�F� ' %�;t. � ...3 7 .�, .._ ( .; .., , . '.: �a fi .:� . .� _. .� ». . �..�� . .._ �_. ...�.1 � . _ ._ ._._.. _ -._: -�...,i.� • L . _ .... . . • � ��,�- ��.� -��...� � --�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � - Total Fee: $ Date Received: Entered By: ��; Permit#: �%`�� , CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ----------------------------------------------------------------------------------------------- ------------- THE APPLICANT IS: (circle one) �Q�VN�� OR CONTRACTOR JOB SITE ADDRESS: s, �� 'f!`�'O �`,'i�� ZIP: ��/� NAME OF OWNER: ��i��- ,��1�-��/��/ PHONE: (home) -�i,i -� �/ � (work) �c,`;i rg MAILING ADDRESS:`,-'"='�>'� :�:=�=,:�; �t j�' CITY: �,�'�2'� ZIP• .S��/� � CONTRACTOR: �;'�-�� PHONE: CONTACT PERSON: MOBILE/PAGER: MAII.,ING ADDRESS: CITY: ZIP: 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 � ' ' ' � ( �� r�rc� _ "�� -�' �' �� _sc� STORIES: / SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ✓��?�%! 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 Buildi.ng Code; that I understand this is not a permit and work is not to start without a perm.it; and that the work will be in accordance with the approved plan. ��— ,� APPLICANT'S SIGNATURE:�� ;'-z,��, DATE: /'-,�"�% � y� �' J , 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 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 forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidenrial dara concerning himself shall be informed of: (a)the purpose and iatended use of the requesud data wi[hin the collecting'state agency,poliacal subdivision,or sratewide system; (b)whether he may refuse oY is legaily required to supply[he requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidendal data;and(d)�he ideodry of other persoas or endries authorized by state or federnl law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce rewired under chis subdivision in the individual income tax or propertv tax refund instructions inscead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or co�denaal. Upon his further request,an individual who is the subjecc of stored private or public dara on individuals shall be shown the da[a without any charge to him and,'if he desires,shall be informed of the content and meaning of that data. After an individual has been shown che privace data and informed of irs meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal dara on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requescing person to pay the acmal cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or wi[hin five days of the date of the request,ezcluding Sacurdays,Sundays and legal holidays,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 addidonal five days within wluch to 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 the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsibie authoriry describing the nature of the disagreemenc. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomptete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Dara in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disclosed data. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the adminisaadve procedure act relacing to contested cases. DATA PRNACY 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 aze notified that: 1. The information 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 pemut or license. 3, The informa[ion may be shared with other 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. 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�� 1,� ��%��;I,�'�;� � p�� Middl Last �� '�"�" �/� Address � /�� "-�� '� Ciry Stace Z�p Phone I understand my rights as�tated above. ��'C/GL--(rL-�__ �-��il�J��'c_s2� Signature DATE T�ME CITY OF ORONO CALLED IN INSPECTION NOTIC / SCHEDULED ��-Z- 5'�7 / '3a PERMIT NO. �O COMPLETED � �_ ADDRESS 32�� ASr,,, Citi�c.�.:. OWNER CONTR. TELEPHONE NO. � DESCRIPTION 12JER-oo r � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FiLLINQ �Q�RAMING 13 MECHANICAL FINAL 19 LAI�SHORE1WETlANOS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 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 J � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES �FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � 1 � d ORK SATISFACTORY:PROCEED PROJECT COMPLETE � �CORRECT WORK 8 PROCEED _: ISSUE CERTIFICATE OF OCCUPANCY OO C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOflECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR — CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for e n t inspection 24 hours in advance.473-7357 OwnerlContract n sit : " �ector. ' . White Copyllnspector's File Canary CopylSite Notice