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Home My WebLink About1999-011971 - tearoff/reroof PER I , (;ITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 - '��;u;; Crystal Bay, Minnesota 55323 Permit Number: -'^=_�:� � �-- (612) 249-4600 Date Issued: - SITE ADDRESS: , . _ _ �.�3f`- {fE- s;`ii ;I'-E ^_ -_ _ - ':i �.f'};1::{^. DESCRIPTION: i�- - - - :�� _ ��.�1L�.:?! i U�1'fi?.c`�.r ''f.'`{.'� .�. __ _�:'_"'dj�'•.lr'�`'.}=�'�_t1S,'=i_ ��.�: 1 i`�S t-;,�i 3_';µii':, , w'!':' I �;`�_ ,:;�{!. t_t�`•��4;— .3�t;�w :.�� :'-?f_! . ``'__ :f��`._�+;r�.i-��__ REMARKS: FEE SUMMARY: -,-;� - - ..� _.s� f��'s� . _ _ . �. �"x S�:'i«:..I�i�'��i�- ��i�i _. __,... !-i=r_` ..._._._._�._.._»...c;:t._.....,.._ _ CONTRACTOR: OWNER: -- - ... .. - .��.:-,�. -.. _ ... . - ..'��'� , . _e�','_i`v` . . _ _.:"'3 ..!�.�.:'�'�'� t'i,±" ; ;�i i a:� ;�,�:.i ' _ ..,. ._e�'?' t , -. , ... ... .... ... ... --: . : r.-�...,.. .,- �,_ � . .�.� ....._.:r -..... : ' . ` i' ;' ..� � __,j i_ i �`t..:�sT;�;i. . , . . . , t� � s . ._ ..... .._. , ..., . ,... ._. . ._ � ..��,".. .. L" :V_.'Sivi�i ::9s� ' ' i r t � - � — : .._.,., _.... ., .. � � '��. � r ; . �_.. _..m.�r S 5...«.' : .. ._ . .. __...!_... . i . r ..: . . _........ ..,_. .. . . , _ _. . ... _.. , __«. . ._. ,... . .� . .�._... _. .�. ..... ... _ . _ _ .. i .�� . _: r . r.. ; _ . . _ r 4 � .{ ji e i #> � ,..,3' ' .;. .....�.,. � . ._e . � �_.. .,f .. �. . . -...-� . . .... _ ,_..._.... ._. ..._ .,. _........ ..... .. ...... . . . .,. „ � • , /v I � APPLICA MITEE SIGNATURE ' ISSUED BY:SIGNATURE .-l-Lj � IDate eceived: �crta.l Fee: $ . �ntered By: Pe t#: //s'�/ � CITY OF ORONO - BUILDING PERMIT APPLICATION ` � � . ; .All information must be submitted in full before pl revie�v�z]1 be started. . , I � (please print all information) . , . � ; T�3E APPLICA�'�' IS: � � � (circle one) .� O�VNER OR.�4N CTOR � � � . � . .7 B SITE ADDRESS: ry�� r'S i �� '�� ZIP: S 5 �>S- � _ i i J � � -}- �,i�s�1�z v�' HONE: (home) " 7� –�C�G' � 'r'AI1-SE OF O�'Y��R: '� �� work) ' `7�%�/– � 7-7 3 .I�SAII�I1i�'G ADD�'.ESS: ��S ,�Y s� i�' G� �� CITY: � v'�Gc.r��s��c� ZZP: �> S� 3 5� CO�RACTOR: � _ HONE: � Cpti'TACT PERSON: � MOBILE AGER: I��LAILItiTG ADDRESS: CITY: �= STATE LICE�'SE: # - ARCHITECT�E�TGINEE�t:� . __ HO�'E:.� �� MA.ILTi\'G ADD�ZESS: CIT'Y ZIP: . NAME: gEG TION� TYPE OF '4YORb',: New Addition Accessory Structure Move � Remodel/Alteration Land Alteration _ PROPOSED ti'VORK(describe in detai�: �C STORIES: I �/�- SQ.F'EET OF EACH FLOOR: �� E . . . . . i\O. OF BEDROOI�IS: `.� . GA.RA.GE STALIS: TZ'. — . . - F,STIitiiATED CONSTRUCTION VALUATION (excludin lanc�: $ ,3 . � I hereby apply for a buildino permit and I acknowledge that th information above is complete and accurate; that the work will be in conformance with the ord' ces and codes of the Ciry and with the State Build:.n� Code; that I understand this is not a pe ' and work is not to start without a pernut; and th<<the work will be in accordance with the app oved plan. A.PPLICAl�"I''S SIGNAT'URE: , � � , �- �5��/ DATE: /G' �� ` NOTE! �Parade of Homes events require separate permit proval by Poliee D p arfinen#and � City Counci160 days prior to tke event. Non permiited ev nts �vi11 not be allow I � . � . ti Sec.13.05 RIGFiTS OF SUBJECTS OF D,�TA - - - • ' Satd. i. Tppe o[data. The righu of iadividu3l cn whom the da�is scoc:l or ro be smr.d shalI be u s:t fo�m this secrian. 5utd.2. Iatormatian reqmred to be given ia3irldual, �1n'¢dividuaI uk:d W suppiy privace or eaafi�-.�al daa eancerning himseif s:ia?1 be iafoca::d o`: (a)the purpase and inLnded use oE che requ�daa vrithia the eotlecdng;a�ageaey.gvlirica:s.:tdivision,ar samvr.de ryS;:�; (b)whea`.e:h:;.3y r_I�usc oi u.legalIy r:quir_d to suPPtY.�e r_quess:d daea:(cj aay I�avra ears.qs:ecce uisia3 froc`_s supptyiag or refusiag w sugpiy privac�oreoa::der._:I daa;a:.d(�cte qCenary af ocherpersoes o�e�ddes auc`�oriz:d by sn�.arf:�c_':_:;:;r.ce:�c,�.e da�. Ths r_quiremeac s�� noc a�pty w::ea an i.dividuai is ask:d w supply invesdgadve daa,putsuanc to secdon 13.82,suMivisioa 5,oo a L�:+enfar.emeat o�cer. . . . � 'C�e ee:-�missiorter of rcver.ue mav iace che noace r_auir_d under this sutdivision in the ir:dividual i.:�ne �z or ocooem t;z refur.d inmucdoru insuzd ot on chose for,ru. Sutd.3. Aceess to data by iadiridval. Upen request w a tespoas3le auchoriry,an'mdividual shall be�'or�e3 whe�herhe is�he subjeu of stocrl daa an irsdividuaLt,aad whechec it is et�uiFed u public,privat�oc eanP.dene:�l. Upon his furcher r_qu:�aa iad'nr,dual wko u th�subje_c of sior.d priva:e or public dam on individuaIs shalI be shawn the dac�wichout any charge to hirs u:d;if he duires,s�ll he informed of�e eaaceat acd m:aning of e�at da�a. Ahec an individnal his beea shown the priva�.dati ar.d iafarmtd o[irs meaaiag,the daa�-ed noc be d'uclosed oo him for six mondu�tter_afcer unI:ss a dispute oc accon purn:ant ta this secdon is pe¢ding oc addidooal dac�an the iadivi2^:I has teea eoUecLd ar erea�d. The cespaasibie anchoriry shall'pcovidz eopies of�he privac:orpabiic data upon raquest by the iadividual subject of�daa. 'Ihe respoast'ble auchoriry may requir_ [he r_quesang person to pay che acatal cosc�oi ma.'cinz,eecrifying,aed eamp�ling the eapia. � The tesgonsihte auchoriry shaIl eorsspiy imm:diace(y,if passibie,wich aay reqecest sade pursuant ca thi.s.•_divis,oci,ar wi�hin five days oF the datr,of the teqaes�ezcluding Saturdays,Sundays and legai haiidays,if inmedi�ce compliance is nocpossibte. Ii�e e3rscot eomply with the request wiehin that drrse,he shall so inform the individuaI,ar;d cnay have an addi¢oaaI five days wichin which to compiy wic;_e ce�;ut,ezcluding Sacurdays, Sandays uid IegaI hotidays. . , . Subd.4. Procedure when d3ta is not accurate or eamplete. An icdividual may eone:st che accurary ar carspiemaeu ofp¢blic orpri��ac: data coaceming tiunsalf. To ezetcise this right,an ir:dividuaI shall nodfy iu wrida�dse r.spoas�te auchaciry desen'b:g the namre of thn disagzeemeac The res�aasibk auchoriry shall wichin 30 days eic.�cr. (a}eoa�ece�he dsca foond w be inaccura�or ir.compte�ar.d z::mpt co nodfy pasc reeipien�s of inaccurace or incampiece da�a,including recipiea�s named by che individuaI:ar(b)aoa'ry the individual that he beC�ves the dati to be correec Da� in dispace shatl be disclosed onIy if che individual's satement ot disagceemeat is inciuded wich the d'uctosed dara. The decectninaaan of the rtsponsibtz au�horiry may be appealed pursuant to the provisions of tha adau:°syadve proc:dure acc relaaag co eonmsmd cases. � . . � DATA PRTVACY ADYISORY � In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjeces of data",we wouId like to i::orm you tha[youc request for a pemzit or license from the City of Orono or any of its departmencs may require you to fumis� certain private or conf dential information. You are notified that: 1. The information you furnish will be used to detecmine your qualifcation for the germic orlicense requested. 2. You may refuse to suppty data, but refusal may require that the Ciry deny thc permit or license. � . 3. The information may be shared wich other local,state or federal a�encies to the eztent necessary to process the permit or license. � 4. If your requested permic or licease requires Council accion to approve, some information may become . public. � � - _ . . . . ' � �5. You have certain ri�hts under M.S. 13.Q4�(availabie upon request) to review pavace data on,yourself. . . 6. Your full name is required to process this applicatio❑ or permit. - s�'tiJ7 �r��7��- � ;_'� �-�/��U�"V Fitsc • �fiddle j,�t • t.��/��S ��/S� i�� . �aa� -...... - /1'J�-r'� � ��,�,/ �-r�'l� ��S-3��_�7�- CC��' � C�ry Snte Zip P�ace I understand my ri�hts as stated above. � `�/��t,� �. Signacure - DATE I I TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �o '�s- - ��-� PERMIT NO. I v COMPLETED �� Qr G" ADDRESS `lY6S /¢YSiDL: I OWNER �R�/� �oG�nrsu.J CONTR. �C� ' � TELEPHONE NO. �(-07�� DESCRIPTION �C R-Odr' � t�v�n Ar�T I t.o c.E�Rn�i` � 01 FOOTING 11 MECHANICAL RI 18 EX�AV/G I ADING/FILLING � 6(�FRAMING 13 MECHANICAL FINAL 19 LA�CESH RE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TR E RE OVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SI E INS ECTION Q 05 FINAL 14 SEWER HOOK-UP 06 P GRE S � 07 DEMO-SITE 27 SEPTIC MAINT. 21 CCbMP NT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 F LLOW UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 H RD C VER REMOVAL J 10 PLUMBING FINAL 36 F UND ION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO I Z � COMMENTS: � I � a � � � �� 0 � � ° i , W � Q � Z W � W � � � ,�JWORK SATISFACTORY:PROCEED ❑ PROJECT CqMPL E � �C7 CORRECT WORK&PROCEED ❑ ISSUE CERTII�FICA OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TIEMP ARY � BEFORECOVERING AERM �IENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAK�N INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION IS�UED I Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. � Call for the next inspection 24,hours in advance.�73 357 OwnerlContractor on site: � Inspector. � � White Copyllnspector's File Canary Cop�rlSite otice � DATE I TIME CITY OF ORONO CALLED IN �� -�` �' 'r 1�c �.�-k� INSPECTION NOTICE ��]� SCHEDULED PERMIT N0. � COMPLETED � ` � S ADDRESS 4`�� -�- " �e OWNER �vh�Sc'�� CONTR. �-�' TELEPHONE NO. c1�"��-� � DESCRIPTION �� 01 FOOTING 11 MECHANICAL RI 18 EXCAI/GRA ING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKE$HOR ETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REM AL Q 04 ALL BD. 12 WATER HOOK-UP 17 SITE I�JSPE TION Z Q 05 FINAL �� — 14 SEWER HOOK-UP 06 PRO RESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COM�LAIN v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLL W-U = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARC�COV R REMOVAL J 10 PLUMBING FINAL 36 FOU DATI N/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z D COMMENTS: � w a � J O � � � O W �— � Q ti Z W � W � � d '�jWORK SATISFACTORY:PROCEED �PROJECT COMP ETE � C7 CORRECT WORK&PROCEED ❑ ISSUE CERTIFIC,pTE O OCCUPANCY W I O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMAORA � BEFORECOVERING PERMiANE ❑ CORRECTUNSAFECOND�TIONWITHIN HOURS. f] PHOTOTAKEN INSPECTOR WILL REfURN I ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. I Cail for the next inspection 24 hours in advance.473I-7 �7 Owner/Contractor on site: Inspector. -��11� � White Copyllnspector's File Canary Copy/Site Notic