HomeMy WebLinkAbout1998-010123 - tearoff/reroof PERMIT
. �"�TY OF ORONO PERMIT TYPE: °
2750 Kelley Parkway- P.O. Box 66 '�``-'��` ''���'�'`
Crystal Bay, Minnesota 55323 Permit Number: `-`�����=
(612)473-7357
Date Issued: t_j�.r'��.'i!`:�;W�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT% ITEE SIGNATURE ISSUED BY:SIGNATURE �f .
- Total Fee: $ '�l � `� DateReceived:
DateApproved:
Entered By: ,"'y' Permit#: '�:"'' ��'-
CITY OF ORONO - BUII�DING PERNIIT APPLICATION
ALL P1FORl'�IATION NIUST BE SUB�IIT'TED IPt FULL BEFORE PL��t REVIEW ti�II.L
BESTARTED
THE APPLICAi'v'T IS: (circie one) OWNER OR CONTRACTOR
JOB sr� �nnuEss: 1� � � � , � z�: S S.� %l
n � p " � PHO�(E: (home) y75 �-� � 3
NAME OF OW�i ER: }�v?c�/,�;..: '� I� ��� -
(work)
NIAILINGADDRESS: �3� ����C���CITY: 0+���/�� ZIP: 5�� /
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CONTRACTOR: � �_ ���/ PHOiYE: C��� -.��--�
v10BILE PHONE/PAGER:
MAII.Pi tGADDRESS: %�l �"�s% SO• CITY: �� : ZIP: S5-35'3
STATE LICENSE: # 935 �
ARCHITECT/ENGI'vi EER: PHOivE:
NIAII.PL tGADDRESS: CITY: Z��
N�ti1E: REGISTRATION #
TYPE OF WORK: New Addition Accessory Suucture
Move RemodellAlteration Land Alteration
r— c �
PROPOSED�VORK(describeindetail): �P����i- �-�'�� ��-�
STORIES: _ SQ• �ET OF EACH FLOOR:
NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET.
�_._ e�
ESTII-IATED CONSTRUCTION VALUATION(eYcluding land): $ � j �
I hereby apply for a building permit and I acknowledge that the information above is complete
and accurate; that the work wili be in conformance with the ordinances and codes of the Ciry
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 wor�e i� ordance with the approved plan.
APPLICANT'S SIGNATITRE: ,_.I�`�, DATE: ���'o��/�
NOTE! Para_dP of Homes events require separate permit approval by Police Departmenr and
City Council 60 days prior to the event. Non permiited events wi11 not be allowed.
. ^
Sec.13.04 RIGFITS OF SIJB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual ou whom the dact is stored or to be stored shall be as set forth in this secrion.
Subd.2. Information required to be given individual. An individual asked co supply private or confidenual dara conceming himself shall
be informed of: (a)the purpose and intended use of Ihe requestecl data within the collecring'state agency, polidcal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested dara;(c)any lrnown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)rhe idenaty of other persons or enaaes auchorized by sta[e or fedecal law to receive the data. This requirement shall
not app{y when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav piace the nocice required under chis subdivision in the individual income tax or pro�ertv tax refund
inscrucaons instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of s[ored data on individuals, and whether it is classified as public, priva[e or confidential. Upon his further request, an individual who is ihe subject
of stored private or public data on individuats shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning, che data need not be disclosed ro hun for
six mon[hs thereaiter unless a dispute or action pursuaat to this secrion is pending or addiaonal data on[he individual has been collected or created.
The responsible authority shall provide copies o[the private or public data upon request by che individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual cosu of making, cerdfying, and compiling the copies.
The responsible authonry shall comply immediately, if possible, wi[h any request made pursuant to this subdivision, or within five days of
the date of[he tequest,excluding Saturdays,Sundays and legal holidays,if immediate compliance is aot possible. If he canno[comply with the request
wi�hin that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure wheu data is not accurate or comp(ete. An individual may contest the accuracy or completeness of public or private
data concerning hirnself. To exercise this right,an individual shall nodfy in wriring the responsible authoriry describing the na[ure of the disagreement.
The responsible au[horiry shall within 30 days either. (a)correct[he data found to be inaccurate or incomplete and attempt to notify past recipienu of
inaccurate or incomplete data, including recipients named by che individual; or(b)nodfy the individual that he believes the data to be correct. Data
ia dispute shall be disciosed only if the individual's statement of disagreemen[is included with the disclosed data.
The decerminadon of the responsible authonry may be appealed pursuant to the provisions of the administcadve procedure act rela[ing [o
contested 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 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 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 with other 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 information may become
public.
5, You have certain rights 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 pe
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I unde� d my rights as state� iSo .
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CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED _'_`�;L� L� � <;
PERMIT NO. J�;;� /.Z 3 COMPLETED ���
ADDRESS / '33 l '��pJ cs�,_�,l�>��/
OWNER v CONTR. (�r
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TELEPHONE NO. �3 � -• 3 ��C>
� DESCRIPTION /�?�r ��
� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
IN 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
�
Q 0 ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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:
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W� i WORK SATISFACTORY:PROCEED i- PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContrac or si e
Inspector. - _ �'�-�
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