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Home My WebLink About1999-012120 - tear off reroof � � " PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: (612) 249-4600 Date Issued: ;-,; - -:;-. SITE ADDRESS: . - - - _ _ I DE�CRIPTI�I�:�,-; i �=- - - - I ��.. .. . �:�i�=�- -.._�. .-��—t1�- '=:3.i; qf i�` 1'�`_ .`�r�1'f�i�f.c �'r�'.=, ��j.�.._,'•-i��1:'=�:�,1'�i_{j�t+-i t__� ��I�� i,i'_i{s.�'.. �i.,ii�E j i, � �'�..:}:n ��_i,t iE_i _.:j1�';�i�'.= ..•F,..'__ _ t�:.''� i'3?._ t ,. ... = s�.�.�•`_.ls� ! �r�?._ REMARKS: FEE SUMMARY: �,i i:`i'iv �:•:�. =+=.ii v.-.-_.: i`W,�� ''�'•.1 x !. . �`.'�s i)i _fF ' ' .{''=i{ -��}'••=,� V�^ _.,_.......�._.«,. ! i ._,__s CONTRACTOR: OWNER: �' � �=''='= - =.-f;;t. _ _ . . .._;:" f_,; . . - - �::---. - :- - - _ _ - -- - ... • .: . .G. � :.: :.; i�°a"�T�"+.l 1'_: ; ; �Tti'u —�iW:.�:�3`� : �J-�.i:; ;1:— # f `- ._. ._, ?+.r__!��": . ... _.. ._ . . ._ . ._ _.. . _,_..._ ___ _ ._ _.... _ _ _ .. . ._.. __ ,_ : ^-.w.- — — : � • w•} .�; , - _ . „ . � ,t . . .; � ; `— - ; �y-:;__ � .'i—:;—,•• ' _..�_ . ..__. _ .�._`•�:'°^. �. ... , _ _._ . . � i � _ ; ... °� i i - r . . . - .; _"�``_ c,—'_ _., _.� _.,�`._;.. . ,�. . �.... . _a __ . u _ . ,._. . .__ ... . . . , _., �.. . . . . _ . . _ _ _ _ , { _ w : � . � �.:. L „ : - , , �4�� __ r� �� _ ... . ... _ .. __ _ � ; . _ - -: � _ ;; � L F �} ; �. APPLIC NUPERMITEE SIGNATURE ISSUED BY:SIGNATURE , A Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: E�l� ��=�`� _: l�If%�� l.'r'%/� ZIP: NAME OF OWNER: �/h `; � `� �((,�f c�_��= PHONE: (home) �l7�� `�lo;,v (work) MAILTivG ADDRESS: j!� ��s=�/� �1�i�S t .D I�_ CITY: C�,�;�;Z�� ZIP: CONTRACTOR: /,� �`�� PHONE: =�-� �,:}- �:�'��— l fi� � � ,f-Sl i� CONTACT PERSON: n�i___/��_ y►^t!�j MOBILE/PAGER: MAILING ADDRESS: %�51 C� �� y 5 r.� CITY: L p f��T� ZIP: �/ STATE LICENSE: # ,�-D��?Sr� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: rJAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration PROPOSED WORK(describe in detai�: %E�F� �>�� G �/1 � u� ��r'�' d' l��',�� STORIES: SQ. F'EET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ L� j 5 D {' �� 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 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. APPLICANT'S SIGNATURE: /��'v✓r�� /� o�1ii _� DATE: �I l �� '' NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � . w Sec.13.04 RIGHTS OF SUBJECTS OF D,�TA Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forrh in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial dara concerning hitnself shall be informed of: (a)the purpose and intended use of the requested data within the collecting"statc agency,political subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any laiown consequence arising fmm his supplying or refusing to supply priva[e or confidential data;and(d)the identiry of other persons or enrities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigaave dara, pursuant ro section 13.82, subdivision 5, to a law enforceme�t officer. The commissioner of re�enue mav place the notice reauired under this subdivision in the individual income tax or propertv tax refund instmctions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shali be informed whether he is the subject of stored data on individuals, and whecher it is classiFied as public, private or confidenrial. Upon his fur[her request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to [his secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the acnial cosu of making, certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wi[h the request within that time,he shall so infornt the individual,and may have an addirional five days within which to comply with[he request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreeme�t. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past tecipienu of inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes the data to be correc[. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determina[ion of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act rela[ing to contested cases. 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 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 pemut 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 other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested pernut or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (. Your full name is required to process this application or permit. /�l��i t � LJ L�f / � �� 1'� First ytiddle Last / � �� '= , L < <. ( Address �li ��i� � ��7 1-� 3�'6 "L�a �,.�,('}�7« ru ��4 7� City State Zip Phone I understand my rights as stated above. !/l/la�,/��A G a'��iv�� Signature i DATE TIME CITY OF ORONO CALLED IN INSPECTION �}OTIC SCHEDULED "/ ��.�� PERMIT NO. 1 2I �� COMPLETED "� �v ADDRESS_I f� ��IUr`}l,� o,�(�� y• OWNER CONTR. 1I �/�lU� TELEPHONE N0.___ �u'�� ' ��(�D � �C� 1 c�-- � DESCRIPTION �� Y�'�' ly� 01 FOOTING 11 MECHANICA�RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 iNSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINA 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC�NSTALL. 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 � C MMENTS: a/` '� C7 ._ ��K��v� o � C �C�I7 (.�/G�S G��1�'. >. � o� � W � Q � Z W � W � � a � W��WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN INSPECTOR WILL RETURN [-1 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContractor on site: Inspector.//%l.�� '2— �`'�`1 White Copyllnspector's File Canary Copy/Site Notice