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Home My WebLink About1998-011013 - cedar PERMIT r � OF ORONO PERMIT TYPE: -� �� ' �elley Parkway- P.O. Box 66 `�;;-:= '_�;"`�"``' �� r�iai Bay, Minnesota 55323 Permit Number: ,,;� ��_�1:=; (612)473-7357 Date Issued: ; ; ,•:;��:,�;��=.,�; SITE ADDRESS: - :;�:4�:=:�=� :�ME T;�s� �°i:� _ — — —_..i ; —_ - — —�E:."3i �� DESCRIPTION: �:�-;;r:,�, __. �� i�i_;'_ �.=�1?i`n =}'(�:'S ' �`y�y�� uf._ i(-j��f=„��-i'=`�°:4 l-;ti:, I t;17 �"j=� a1[t.�}:; 3 �:-�r"- f':`r-_-•i:`i_li,Sl- {_•",'=:�?'��3':� t_.��F};�� ;+=4 £-i!_ ! . . ...__ '�!�I'•�(;1 i•�!,_ REMARKS: FEE SUMMARY: . �::;�€_.;�=<,�T,�i�a y�:i, 4;i:,ii �;;,•��, .=_L� �=; • —- `�:E,��,;-f_.,��-= _______ _ . �-tt�' I,-,i 1_.r: I r"'F�'i_? ��',+e-i ffi . _...L CONTRACTOR: - ��;=°=�i i�ti�:.��. - _ . `.-.- - OWNER: _ _ - _ ��-, �,�#�'�;:�:�:'.=� T��,ii: i ;_?i ��=: `�. t";i i-:�.�;i�:��=; �:=r.;;=.:: - _;t_!I-;f�� _; � �.. . __... . _ _ - _.__ _..- - - - - - - - ''�_ _ . ��iVi.��"l`_�?_ff� �,� {;;l_ _ - - - _-.:rt_.4_t , 'i_{4�V� ;;°E~: i,l,�€__i 1;T_ i F-i . . . � i'!i1S �`_�:'1 _ t i:.` !,(`,:._i ('1#�:; _ _. ,�'�'F i _.. __ .. _ r,L.'�..>`�' "t i� - - - _ [, _ _ _ - f �"ii' i�:i .,...�«...i ._.�S i_f L.� �,�—•,r"<< . �i,=.`?"__,._ 3 _ ?"'_. .i�i� . _ _ . . I _�{ . sF"�i. ...... . . �. !`.!�.. ._.. r � `'". .. . __ .__. . . _, � �. : ':"� :i ii:l . .__ _ • .... � .._..L.+ .. . : ` .� -.,_.,--- _.._-..--: _...»�_, _ _,:, - ; ;_ �' ;+,.� - i t' t _. " � 1 ` _ Ti,�iv - � f_! '_;!,` �'`s'._!_ ';tiE fjz.,'•. :.: ` _ 1 .:�_`� �. f . _ , � _ , _ _ . _. _>I'�" 1. �L�;W �-t� � . ,�.''.._s`_:_� � _. . . __._,_ ; _;_ _ . r _ , �� :,� i-.lF � "E" ..j" �� S'.Si:f%' "i�f i � � � .1�. i i`:3 ..>•� . i_I;-�:: i :1fr.fy•_-._ . _ . i . . ' � ._. _ . . . i_�31. � _. __, _.. 3".t". �f, .. . .a_ . . _. . L _ . ._ . ._ ,:i t � 6�' J � APPLICANT%PERMITE SIGNATURE ISSUED BY:SIGNATURE / �To,,�,�il Fee: $ g�� ,J Date Received: Entered By: /"YI �� Pemut#: l 1 o j� 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 APPLICAI�'T IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: '��C�.S ,� �GSC��0�� (� � Z�: NAi'�iE OF OWNER ^J � �� ti� y-�{ �. PHOivE: (home) (work) NIAILING ADDRESS: ��c� �,,,' CITY: ZIP: C0�ITRACTOR: ��r,�.G�a,,� ��6�� s -�-�'?�� PHONE: ��7/ �-J�=� S C011TACT PERSO�': ��,�o;--� � S��r MOBILE/PAGER: MAILING ADDRESS: ��S 3 `7 ��-�-��so�StCITY: �'o�� IP: `� s �-�� STATE LICENSE: #�v'vv��/o � ARCHITECT/ENGPi 1EER: PHO�TE: iVIAILING ADDRESS: CIT�: Z�: �T��; REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK (describe in detai�: r� roa� P<<�=,-� U i�� - �� D✓� �'1�t�v� ' STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTII�i IAT'ED CONSTRUCTION VALUATION (excluding land): $ �{G'��' vU I hereby apply for a building pemut 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 accordance with the approved plan. � y) � DAT'E: ��— �� a�� APPLICANT'S SIGNAT'URE: 1��- �(��---- NOTE! Parade Q 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 SUBJECTS OF D?.TA Subd. 1. Type of data. The rights of individual on whom che data is storcd or[o be storcd shall be as set forth in this secdon. Subd.2. Informatioa reqtirired to be given individual. �+.n individual asked to supply priva[e or confidearial dara concerning himself shall be infora:ed of: (a)che purpose and incended use of the requesud dara wi[hin the colleccing Yute ageacy, polidcal subdivision,or sre�ewide rystem; (b)whether he may refuse oT is legally required[o supply the r.quested data:(c)any Irnown coasequence arising from his supplying or refusing to supply priva�e or conndandal data;and(d)the idendry of o[her persoas or enrides authorized by stace or fcderal law co receive the data. 'Ihis requiremenc shall noc apply whan an individual is asked to supply invesdgadve dara,pursuanc to secdon 13.82, subdivision 5, to a[aw enforcemeat o�cer. "Ihe commissioner of revenu- mav�lac- [he nodc� reauired under this subdivision in the individual income tax or orooertv Ciz refund instructions ins�zad of on those forms. Subd. 3. Access to data bp individual. Upon requesc to a responsible auchoriry,an individual shall be informed whether he is che subject of stored daci on individuals,and whecher it is e(assified as public, priva�e or confidendal. Upon his further request,an individual who is the subjecc of stored pr.vate or public dara on individuals shall be shown che dara wichout any charge to hirn and, if he desires, shall be informed of[he concent and meaning of chat dan. After an individual has been shown[be priva�e data and informed of ics meaning,the data need not be disclosed to him for six monchs thereafcer unless a dispute or acdon pursuant co [his secaon is pending or addiaoaal data on the individual has been collecced or crear�d. The responsibla auchoriry shall provid=copies of che privace or public data upon request by che individual subjecc of che daca. The responsible authoriry may require [he requesring person to pay the acnial cos�s of makin¢, cerrifying,and compiling the copies. The responsible auchoriry shall comply immediately, if possible, wi�h any request made pursuant to this subdivision,or wichin five days of the dace of the requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possibte. If he cannot comply wi[h the request wi[hin rhat ame,he shail so inform[he individual,and may have an addidonal five days within which to comply wich the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest tha accuracy or completeness of public or private data conceming himself. To exercise rhis right,an individual shall nodfy in wridng che responsible au�horiry describing the nature of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correc[che data found[o be inaccurate or incomplece and aaempc to nodfy past recipienc�of inaccurate or incomplece data, including recipien�s named by che individual; or(b)notify�he individual tha[he believes the data to be correct. Data in dispuce shail be disc(osed only if[he individual's statem�nc of disagreement is included wi[h the disclosed data. The decemvnadon of the responsible authoriry may be appealed pursuanc to the provisions of the adminisaarive procedure act relacing to concested 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 tha[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 confidential information. You are notified that: 1. The information you furnish 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 permit or license. 3. The information may be shared wich ocher local, sta[e or federal a;encies to the eztent necessary to process the permit or license. 4. If your requested permi[ or license requires Council ac[ion to approve, some information 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 permi[. �_>�� ;� Firsc �fiddla Last �S�-� � ��1 � -� �"�'/��%�� `�- /l%� Address � / � r.— �'� � >>.��,, � �:�, �lr�� ,�� y�� 1��1� g �f��-��S- Ciry Sace Zip Phone I understatid�ny ri;hts as stared above.� � ; � �. X ;��.. Signature CITY OF ORONO CALLED IN ��Q;�(Y TIM�� INSPECTION N �'I�� SCHEDULED � —c � •� 3� PERMIT NO. � COMPLETED _� �_ ADDRESS J� �J�-� � ' �f F'� OWNER -Q� CONTR. TELEPHONE NO. �57�- JT �6� S� � DESCRIPTION �X-al,c�.7 / � 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING .Q 02 FRAMING 13 MECHANICAL F�NAL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO D COMMENTS: � W � � � O >. � O � W � Q � Z W � w � � d _I WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. INSPECTOR WILL REfURN �1 PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnerlContr si e: Inspector. White Copylinspector's File Canary CopylSite Notice