HomeMy WebLinkAbout1998-010277 - roof/deck storm rep PERMIT
C�TY OF ORONO PERMIT TYPE:
* 27`'�,ib Kelle Parkwa P.O. Box 66 �-;:i i s ! ��sii
Crystal Bay, Minnesota 55323 Permit Number: ,_!�;-}�:��
(612) 473-7357 Date Issued: - - -� - -
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REMARKS:
FEE SUMMARY:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: $ Date Received:
- '�ntered 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)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS: �-� ��� � C ����('�' ,�f �t C-� ZIP:
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NAME OF OWNER: ��l y r� �'C�7��=/>c /►% PHOi�1E: (home) �/` � J 5���
(work) � 3 �/- ��.� �- �,
MAILI�i TG ADDRESS: r�-fiy�-�� CITY: ZIP:
COi�1TR.ACTOR: `'�- /J /`��yy?�c-�c'�l�" PHONE: y� �� - � i�C �
CONTACT PERSON: /��z� � �- MOBILE/PAGER (1 ��_3 �� ���� _
MAII.ING ADDRESS: ��� '7�� Yt,-��_��-�=? I� CITY: %J�'�r�/r ��-� 4 �- ZIP: �� _��.%
STATE LICENSE: # /!�S�
A.RCHIT'ECT/ENGINEER: � PHOiVE:
MAILING ADDRESS: (� __ CITY: ZIP:
rJ��; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
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PROPOSED`VORK(describe in detain: �Lz- � ,��� / �'— ��°-�`��
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/ c� f f��-7� /�._ y- S�� -�� f /-'Y�'�'t % � 'l�/'��SsC ./',���:r �9.��,�
STORIES: � SQ. FEET OF EACH FLOOR: �����
NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET.
ESTI�I�IATED CONSTRUCTION VALUATION (excluding land): $ ��t�1G� � _
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 Ciry and with
the State Buildin; Code; that I understand this is not a perm.it and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATITRE: ����� /���'� ����. DATE: J ���" ���
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLTBJECTS OF DaT?,
Subd. 1. Type of daca. The ri¢hrs of individual on whom[he data is stored or to bz scored shall be as set forch in this secaon.
Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidendal dara concerning himself shall
be informed of: (a)the purpose aad incended use of the reques.ed dara within the collzcang"stace agency, polidcal subdivision,oc sratewide rysum:
(b)whe�her he may refuse or is legally required[o supply the requested da[a;(c)any Irnown coasequence arising from his supplying or refusing to supply
• private or confidendal dam;and(d)[he idendcy of ocher persoas or enaaes auchorized by state or fzderal law to receive the data. This requiremenc shall
not apply when an individual is asked ro supply invesriearive dara, pursuanc ro secdon 13.82, subdivision 5, to a law enforcement o�cer. -
'Ihe commission r of revenue mav pla-e �h� noac� r�auired under[his subdivision in the individual ir.come tax or prov�m taz refund
insrrucrions instead of on rhose forms.
Subd. 3. Access to data by indi�ldual. Upon reques�to a responsibie au[horiry,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher ic is class�ed as public, priva�e or confidendal. Upon his furrher request, an individual who is the subjecc
of stored private or public data on individuals shall be shown�2:e daca wi�houc any charge to him and;if he desires, shall be infocmed of the contenc
and meaning of chat data. Afcer an individual has been shown the priva[�data and informed of its meaning, [he dara need noe be disclosed to tum for
six monrhs chereatcer unless a dispute or acdon pursuant to chis secrion is pending or addirional data on the individual has been co(lecced or created.
The responsible authoriry shall provide copies of the privace or public daca upon requesc by the individual subjecc of the dara. The responsible authoriry
may require[he requesring per5on to pay the accua]costs of making,cerafying, and compiling the copies.
The responsible au�horiry shall comply immediately, if possible, wich any request made pursuant to this subdivision, or within five days of
the date of�he request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannoc comply with the request
within tttat time,he shall so inform rhe individual,and may have an addirional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�•ate
dara concerning himself. To exercise�his righc,an individual shall noa"ry in wridng che responsible auchoriry describing the nanire of the disagreemenc.
The responsible authoriry shall within 30 days eirher: (a)corrcc the data found to be inaccurace or incomple�e and attemp�to noafy pasc recipients of
inaccunte or incomplete data, including recipien�s named by che individual; or(b)notify che individual that he believes the data to be correct. Data
in dispute shalt be disclosed only if the individual's sc�temenc of disagreement is included with the disctosed dara.
The decerminarion of che responsible auchoriry may be appealed pursuant to the provisions of�he admiruscrarive procedure act relacing to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "RiQhts of subjects of data", we would like to inform you that your request
for a permit or license from the Ciry 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 will 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.
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 informa[ion may become
public.
5. You have certain ri;hts 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.
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First �tiddl Last
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Address ' / .
/ /�� -/I ��L� �'�` v v L ������� '� 7 � L
City Snte Zip Phone
I understand my ri�hts as stated above.
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Signa�ure
DATE TIME
CITY OF ORONO CALLED IN '�- `�` � 3 ��
INSPECTION N TICE SCHEDULED (v-1-` � >-
PERMIT N0.��� onnP�ErE� �
ADDRESS � C�-C(�i
OWNER � �_(' � NTR. �
TELEPHONE NO. (G y� � 7c'�� l�GL��IC./
� DESCRIPTION �2-' ��
� 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FIL�ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO YOU:_YES_NO ' �
� COMMENTS: ��-GL
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� WORKSATISFACTORY:PROCEED I�OJECTCOMPLETE
W ❑CORRECT WORK&PROCEED f� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�:' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac n s"te��,
inspector.
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