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Home My WebLink About1996-007362 (re-roof) PERMIT s � CITY OF ORONO PERMIT TYPE: ->750 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued: - - ;�,12) 473-7357 - - SITE ADDRESS: __. . . .' _. '_ _ _' .`�_ _.'•`'_' �t`�'' I . . - - - ��._ ; :.: ,. ...... ; � :_..�:�-..�_�.�: •:_.a�t , .. _ __ _:i:_. . DESCRIPTION: . .-.- _. . .;i:::�__ .�j,- ;�:: : ' . .. .. .-.itij } ! ..�^:iZ —.�---%�f.i"! C 'f�}�'E�::j � . .. . _ _ , . ._ _ . _ .. . , � ,-. .. _ _. .._. ._..� _.,_ j _ _ - -. .. f_ G".T` - ;i?+: s: _. _..' . <i.� -` - --� ' .". , :s. .i.s.•�`=1.t1'�i!i':f� t `v� '. ,_£! .i't: . - r• :;itr,� ' _.._.i.i.i l^\:�'l'L`i' T� �,;} t'�.!. .. JL' ".�' �f �' iC , "_n � -. _ _�,f�`- ..._��::. .:'�if?l ��uV �T ..... .,._... � _.. . ._ i�. . . l�'y I REMARKS: FEE SUMMARY: -. ,...=.i:". .-.:. __ _ . _ _ , . „ . . . , r ,. , . ., : . :.,.� ,.. , ;..,.. � - - � - �:-:..:' i ' ,_..'f_�'!„;,'f'•_tE'_ .._.____.___.....___ �'{�` - - j �•;::,F: . i CONTRACTOR: OWNER: .�. - _ - _- . _�. _. _ _.=;��.; �-;�. .._. . . _ .. . .- ....i�� ('`:_. a��I~ . ._. : {;^i��:(tli� - ,,. _ � � E._ __ _� , ; 't t �.} �.,. . _s 3; . { . , . -: , , ; .... ,...,. 3 ._._s __�.... . . ......'._ _ ....__. . -� . .:�.i �_ �_ _.,:. _ . . � .. .. . � , .... ...s c �: � ��"� ..,: ..,�� .�;� �� -, �f_# _, �.•_ i V _ . S . . � ... . � , r ' ,,.'. � .. :r '. _ ..Y .. . .. _. . _ . . .. . . .. _ . , . . � S a. '.' .§; ' . . '� .. . �,.. .� .... . } . . .. � ..... . . ..... ../ � .. . , , _ i r .: ' .: . r . .. . , ... � . " �. � r :� . .': _. . _ �..._ _ �_. .... .�� ... . .. �, . . ��..: . . �.,.. �..., .:._, _ , . L J �� APPLICANT PERMITEE SIGNAT E ISSUED BY:SIGNATURE "I'otal Fee: S DateReceived: � DateA�oroved: Entered Bv: Permit 7: CITY OF ORO�O - BUIZDI'iVG PERivIIT �.PPLICATIOI' AI.L Lv�'OR�L�TION 11UST BE SL73ltITTED �i F�ZL BEFORE PL��t REVIEtiV ti�II..L BE ST�RTED ----- ---------------------------------------------- --- --------------- � THE �,PPLIC:�ti�' IS: (circ:e or.e) O`y�ER OR ONTR�CTOR JOB SITE :�DDRESS: �7��G�SCO 1�0�� i G�� Z�: `S`S3 � N�I�IE OF O�VNER: S�.ffSu.-i o��r�lG� ��-'�uy�_ PHO�tE: (home) ��/�y�� («�ork) 3 3�— 33 �� l'I�ILL�TG�DDRESS:�yDll��SC�J �� /l�- _CITY: GcJa�'Z�,f�_ZIP: SS3 9 COtiTR�.CTOR: � PH��' I�iOBILE PHO�IE/PAGER: �IAILL�G:�DDRESS: CITY: Z�� ST�TE LICENSE: � ARCH1fiECT/ENG��EER: �/ � PHO��E: ��IAIL�'�G�DDRESS: CITY: Z�: �r�:1-LE: REGISTR�iTION # TYPE OF `VOR�i: New � Addition Accessory Structure �1ove RemodeUAlteration Lan�i Alteration PROPOSED�VORK(describeindetail): /�� —/�G�r� STORIES: 1 SQ. FEET OF EACH FLOOR: NO. OF BEDROOl�1S: G�R�GE STALLS: ATT. DET. ESTLI�IATED CONSTRL'CTIOti V:�LLT�TION(eYcludingland): � /� �/�/�_ I hereby apply for a buildin� permit and I ac!c�owledQe that the intormation above is complete and accurace; that rhe work will be in coniormance with the ordinances and codes of the C:ry' and with the State Buildin� 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 �vith the approved plan. APPLIC��''S SIG�IAT'URE: A'TE: �9` �y " �.�— NOTE! PaTade of Homes events require separate permit approval by Police Department and Citv Council 60 days prior to the event. Non-permirted events will not be allowed. Sec.13.04 RIGHTS OF SL'BJECTS OF D,�.T.-� Subd. 1. Type of data. "I�e riehts of individual on whom�he data is s[ored or to be stomd shall be as set for[h in this secrion. Subd.2. Information required to be�ven indicidual. An individual asked to supply private or coni�denrial data conceming himself shall be informed of: (a) [he purpose and incended use ot[he reques�ed data wi[hin[he collecdng'state agency, polidcal subdivision, or statewide system; (b)whether he may rePuse or is Izgally required co suoply che rquesced dara:(c)any known consequence arising from his supplying or refusing to supply priva[e or conYidential data;and(d)d:e idendty of ocher eersons or endnes authorized by sta[e or federal law ro receive the da[a. This requirement shall no[apply when an individual is asked to suppty invesdgadve daca, pursuant to section 13.32, subdivision�, to a law eniorement oiT�cer. Thz com�nissioner of re�eru ^ia� �lac �e nocic� •Aauired under chis �ubdivision in the individual income caz or orooem rax refur.d ins[ruc�ions insczad of on�hose torms. Subd. 3. .�ccess to data by individual. L'oon request to a responsiblz au[honty,an individual shall be iniormed whecher he is the suoject of s[ored da[a on individuals, and whecher it is classiried 3s puolic, pnvace ur confidznnal. lipon his further requesc, an individual who is the subject of stored pnvate or public data on individuals shall be shown�he da[a wichout any charge to him and, if he desires, shall be informed of the conten[ and meaning of thac data. .-�fter an individual has be�n shown the priva�e data and informed of iu meaning, the data need not be disclosed to hun for six months thereafter unless a dispuce or acdon pursuan�to this secdon is pending or additional data on the individual has been collected or crea�ed. The responsible au[honry shall provide copies of che pri�a�e or public data upon requesc by rhe individual subject of the data. The responsible au[hori[y may require the reauesting person to pay the actual cosu of making, cerdfying, and compiling [he copies. The responsible authon[y shall comply immedia[ely, if possible, wich any request made pursuan[to this subdivision, or wi[hin five days of the date of the reques[,excluding Sa[urdays,Sundays and legal holidays, if immediate compliance is no[possible. If he cannot comply wi[h the requesL within tha[time,he shall so inform che individual,and may have an addidonal five days within which co comply wi[h the request, excluding Sa[urdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may con[est[he accuracy or comple[eness of public or pnvare data concernin¢himself. To exercise this rieht,an individual shall nocify in writing che responsible au[horiry descrioing the na[ure of the disagreement. The responsible auchoriry shall wi[hin�0 days either. (a)correct the data found to be inaccunte or incomplece and a[tempt to notify past recipienrs of inaccurate or incomplere data, includine recipienu named by the individual: or(b)nodfy the individual tha[he believes the data to be correct. Data in dispute shall be disclosed only if the individual's sta[emen[of disaereement is included with the disclosed data. The decermination o[[he responsible au�horiry may be appealed pursuan[co the provuions of the adaunistradve procedure act rela[ing to con[es�ed cases. • DAT� PRIVACY :�DVISORY In accordance with M.S. 13.04, Subd. 2, "Ri�nts of subjects of data", we would like to inTorm you that your request for a permit or license from �he City of Orono or any oT i�s departments may require you to furnish cenain pri��ate or confidential informa[ion. `Iou are .o[iited that: 1. The information you furnish wili be used to determine your qualification for the permi[or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. ;. The information may be shared with o[her local, state or federal aaencies to �he extent necessary to process the permi[ or license. 4. If your requested permit or license requires Council action to approve, some inTormation may become public. �. You have certain ri�hts under �1.5. 13.04 (available upon request) to review pnva[e data on yourself. 6. Your full name is required to process this applicacion or permit. ��Sa �► ��i� �f �,e �a�Q�� '—" � bfiddle„ Last First ��L�S�'rr �7� �r>�a UL .�ddress i „/ �� 7� �� /_�-��/ -�r� /(/ J Gl✓��_ �iN Sta�e Zip Phone I unders and my nghts as sta�ed above. W� � Siena[ure c/ DATE TIME CITY OF ORONO CALLED IN �-�C -�j~ INSPECTION NOTICE SCHEDULED =�� '�� PERMIT NO. � �� COMPLETED ADDRESS � `�� '�--L �� OWNER /1��`tx�'r� CONTR. TELEPHONE NO. y 7-5�" -�-�3.� 3 � DESCRIPTION �� ' "�`'�''"`� ly� 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMI G` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION Q FIr1AL O� 14 SEWER HOOK-UP 06 PROGRESS � O-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOILOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j GW ;WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑ CORRECT WORK 8 PROCEED =- ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN INSPECTOR WILL RETURN ' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContracto it : inspector. White Copyllnspector's File Canary CopylSite Notice ,�i �''� � " �9 �y� � ,T—��1 CITY OF ORONO - " y CALLED IN INSPECTION NOTICE scHE�u�E� ��S 9� � C= /� PERMIT NO. _ COMPLETED �� ADDRESS�7�% � �'� � � �� OWNER CONTR. TELEPHONE NO. `I � � " LTS 7�� DESCRIPTION �� " � � 01 FO 11 MECHANI L RI 18 EXCAV/GRADING/FIL�ING 2 FRAMING 13 MECHAN L FINAL 19 LAKESHORE/WETLANDS O 0 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 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 MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW �ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �� pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CAL�INSPECTOR `l CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ihe ne t inspection 24 hours in advance.473-7357 OwnerlContr o s e: Inspector. White Copyllnspector's Fil Canary CopylSite Notice