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Home My WebLink About1995-007379 - tearoff/reroof PERMIT CITY OF ORONO i��i-� -��P�. 2750 Kelley Parkway- P.O. Box 66 �rys*al�Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: SITE ADDRESS: . , ... . . - - -.; __ : . . .._-:::.._ :�_r,;��_t�: DESCRIPTION: - - _; - - - - _ �'�I!� .�`,F��'•.'� . ..��iS� _ +I , .' - .. .-.....'_._''E�.;._j'e1�M'.s�.._' _.t_ I.^11,i i� __, i'�-:; ? �i_�� '?�v �'i��_I�_�� _!��! _.��t .. i^.'tL�ITL• ""!�i t•r� y,l�'c .!L.:r _�'+...!.l:L i_ ��' . J.ttis.'l.M1.•: i:it�i: � -t:lj iC V.".L L'L.:� �..'T s!+..' i>___i��vi.. n . • _ r�} . . J`v — r{ ... -- REMARKS: - _ ,�4��.� _�t� !C� . .. . - . .. i ..�_ . .. � tIr FEE SUMMARY: - —;,.j " �'ci j __...._ i'�_ -_ . . .'`� ;3zi'•i �<<�S'�_i•-� - :1 _. _... _. .- - •-- - . _��_.;i__ t-�.'t�: �.�.____., __ _ '_ CONTRACTOR: OWNER: ` � - _.-.�. _.. _.�_- . _ �";w, .. . - _ :_. _ . �_ : � _�I:. . �;:::.. -; : ;. ;�,: :� ; � ; ��: ;- : -: ;. , ._�.�._ ... �.:_�.. . .� � .�-._.« .tf_E+...._. . »� ...._� .�. _ _ _�'. _..'��. . °_ . .�':"�",... �; �:..._ � ,...._.7»_ .. v . . ._. r .... .._. : 4 �... � : :.' _ i . 1 i� ; 1. ".�' ij '" , . , rt .,_. 4 ", ' � �� ` ,_ i� ; f. �; M1 } . _ . f �i I . ,� ,_ ' , . , � ;.- : .. � . ,. . . . .- - - — '. _ _ :;_ _. ._'• -_ — ' � � ` �~ � � �i ! A CANT-PERMITEE IGN TURE ISSUEDBY:StGNATUR . • CITY OF ORONO - BIIIZDING PERMIT APPLICATION To�ai 'Fee: $ ~7`,. Z = � Date Received: Date P.pproved: Entered By:T�('L% R. r�7., �� Permit tt. / - � 1 AI�I� INFORMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PLAN REVIEW WILL B$ STAR�ED (See Check-off List Enclosed) --------------------------------- ----------------- THE APPI,ICANT IS: (circle one) OWNER r CONTRACTOR Jos sz� �DxBss: 02(0 �f S ��S�o oi�� o�� Z1P: 553� I (work) N� OF OWNER• A ►/l ��-e �-- PHONE: (horne) �1 ( � �(`�'�7 MATI�ING ADDRESS: a� (o � �J l�Co �� Q� CITY: v�ll� ZIP: 553 `�/ CONTRACTOR: PHONE: MAII�ING ADDRESS: CITY: ZIP: STATS I,IC�7SE: � ARCHITECT/ENGINEER: PHONE: MAILING ADDRSSS: CITY: ZIP: g�: R.BGISTRATION � TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration � Renovate Land Alteration PROPOSF.D WORR (describe in detail) : � 2 {o�F l�vtA Ti�C.�l� �� - t' �I STORIES: SQ. FEBT OF EACH FLOOR: NO. OF B�DROOMS: GARAG$ STAI�LS: ATT. DET. - ,� ' ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $�� ~ `" � hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the wor}c 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 i a ordance ith the approved plan. � . �- ZS '1S APPLICANT'S SIGNA �}._-- ��-- DATE_ �,; f� .. �� p ��:L'�� '� 1 ��=� �g° �� CITY of ORONO ��yt,�a ; i �, � �` M1.�YM+F�ASr4'S Z .� �� . � .;? t� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal ces • R �.�' �� . � _ ,� a`�� On the North Shore of Lake Minnetonka �:c: � 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 permit or Iicense 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 wil.l be used to determine your qualification for the permit or Iicense requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or Iicense. 3. The information may be shared with other �ocal , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or 3.icense requires Councii action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review pri�a�� data on yourself. 6. Yaur full namP is required to process this applicatian or permit. �� C-�5`S ,� �--- First Middle Last O � T Cj � �j L� �O 1�-- ; O� \� Address Vv�v� s s3 � � City State Zip �� ( � �n�`F ��L�� ( �� I`�� C►--F l Phone I un ers an y rights stated above. ��-- �C Signa BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING �.� �G� Og �gJgCTS OF DATA Subdivision L Type of da�e- The rights of individuels on whom the data is stored or to be stored shall be as set f orth in this section. An.individual asked to Subd. 2. Information required to be given in�ivi�usl. 1 rivate or confidential data concerning �8mw hin the collecti g state agency, supp y p uested da v refuse or is legally purpose and intended use of the req tem; (b) whether he ma� political subdivision, or statewide sys �own consequence arising from his the requested date; (c) any �d (d) the identity of required to supply 1 rivate or confidential data; supplying or refusing to supp y P �• state or federal law to ricenvest gat ve data, other persons or enti�ies authorized by requirement shall not apply when an individual is asked to supp y pursuant to section 13.82, subdivision �, to a law enforcement officer. The commissioner of revenue mav place taX re°und i�tructionsui steaahos subdivision in the individual income tax or r�pert on those orms. � - — . Subd. 3. Acc�ss to �ata by ��L L7pon request to e resp�nsible uthorit , an individual shall be informed Wh b�� h rrvateeor confident al.e Upon his a y ublic data on individuals, and whether it is classified as p � P further request, an individuel who is the subject of se t�ed�mri�v�gae if he desires, shall individuals sha11 be shown the data witho of�hat da a• After an ino��sclosed to �e informed of the content end mea�ung the data need shown the priv�an��h ��e°�e�°a i�sPute orgaction pursuant to this section is him for six m ' or additional data on the individual has been �u lic datarupon request by , pending rivate or p responsible authority shall provide copies of the p require the The responsible authority may ilin the the individual subject of the �ta• certif n and comp 6 requesting person to pay the actual costs of making, Yi g� copies. if ssible, with eny re9uest The responsible authority shall comply immediatesyof th date of the request, made pursuant to this subdivision, or within five day SundaS�s and legal holidays, if immediate compliance is not excluding Saturdays, with the request within that time, he shall so in�or h the possible. If he cannot cflmply within which to comply individu excluding Sattu�darvs, Sundeys and legal�holi�Ys' request, Subd. 4. Proced�e when data is not ec�ura te or complete. An individual may contest the accuracy or completeness of public or private �tthe�responsib e au hor ty exercise this right, e.r► individuel shall notify in writing describing the nature of the disagreement. The�r�Po e ori n flmplete and at mP t° days either: (a) co:'rect the data found to be ina notify past recipients of inaccurate or incomple te rie bel e esdthe datalto be correct the individuel; or (b) notify the individual tha eement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the disclosed data• � aPPe8led pursuant to the � The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases• DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC� SCHEDULED � � PERMIT NO. � '� COMPLETED � L .� ADDRESS �4'�I S L4Se-�5 �n(�"l�" t� OWNER �✓-C-�n�c.- CONTR. TELEPHONE NO. � DESCRIPTION �� l� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q E1NAL _ 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: � W � � J O a � O � W � Q � Z W � W � � WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-4600 OwnerlContr tor on s te: Inspectorl/,�/__�__��,�� Whi1e Copylinspector's File Canary CopylSite Notice DATE TIMc CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO. '��'' COMPLETED ADDRESS � ��yG� � OWNER CONTR. TELEPHONE NO. � DESCRIPTION � � 01 FOOTING 11 ECHANICAL FI 18 CAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINA 14 SEWER HOOK•UO 06 PROGRESS F` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEM�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 � COMMENTS: � W � � J O a � O � W � Q � Z W � W � j d �ORK SATiSFACTORY PROCEED PROJECT COMPLETE W � �I�CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PEFMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN D STOP ORDER POSTED.CALL INSPECTOR . CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for t i pection 2a hours in advance.473-7357 OwnerlContract n si ��spector. , '�Copyllnspector's Fil Canary CopylSite Notice