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Home My WebLink About1996-008049 - tearoff/reroof , ��ERMIT t GItY OF ORONO PERMIT TYPE: 2?50 Keiley Parkway- P.O. Box 66 E:'��1-.��.t��; Permit Number: i:Ei i,_;t��d:�.'a Crystal Bay, Minnesota 55323 Date Issued: t��,,��f-$;r��;=. (612) 473-7357 SITE ADDRESS: 1:;� ��-I�*�'� �:Hf�:=;1= i��: �:i-i �' . T . r�; . � :W�r,-1, �.,�;-�':;-.�'i..i -•iit 7'.�;� DESCRIPTION: 7�[�t'-i ri:_!F!=�!�i F'�i._f I:.1� ��E.,fI if'iIi?� i'ut'!'fl1C. j yj='�-+ ��1{''�Lli—IS��.VJ �;i.�i 1 rii �l�� _�:�t:: T�'�� F��.-�nt��t_tt ��}A,,�t�� :,-;�� .�,�. r�� . �;��,�I��C�Ii I�I_ REMARKS: FEE SUMMARY: 4F11._ii�E�.i i�� .�, •_�;�-t ��.."'J.�F' `N}� -'�r 1 3 i . i..�5 '.�•I.�1'C��'i c!1�,�f, ��. - ! i i'�.c!,� �r'f' ------"�I f.%��_ _ CONTRACTOR: — :=��'t i c�t��. — '.��" . �._I{: OWNER: � `i` _ � p_i `-}:''•-''=i..='f_. :'-:'f-�;-: f f�� '� c' �:l�f� ;:i�i�j:�:�'�t It;:;T. .f� 1_ _ .. .. _. _. _ _. �_. �1._►, ,�:l,"-�l" �t:ii::�, �,TH ,��" :=;��E �:;.�, ti:i-i��i� t:}-j��'��►� ��; �-it_i�''1'��..��`;�:=: �t4 C�j::Ll:_� i_1Fil�}�,�!_i }r�y c C�.'��1 t,fi�',�;?,J `,i:,�:��—:_��a:�� - gi [ L - -�tiC:'" iC.: s':�r-i,. . -i�:. r s::t 7 _�a; ^� _. .-r- T �fiE I �}�—';zi_a:=i.:j�:s "r•.'T'_ j �"'{�", {�iu��r,!•�� i.�:�l+it_:.} �"!!_:"?t•�..'.'_��7r .g�:�.i 76'".�. . .., f��v yf'!�,.r �.,i i.iiV 1 i_� F°�a'?�'�.L. t �i�. ��_7"._.. ». . . . _... �tw ! «. ��i'.`�._ .''�'M��.� :'-� `�si !:si:�. t==� �_ i_��_� f3s.�.. '��,°_s' �,j =;r�`7��i �_ ��t.3�'L 'i�'•.:_:� �l 1!� ��L �.L�Yf �=i~ -:r E E' `� �-� � � ;�::: r� :, � r:- j� � ;, ��,; � ; �_,- _ ;�,_,r: ` � ' f'�-:`=' (�„C. _ '. c 3,, rtr- r•.i _ :. . , � . [_ F.i r`. r...v _ S ; ,-.-•� . . _.t,_..F�. _,��„_ _. .,". . , . �., ' -:.: . . . 1 k 1, 3�_• s,.l-F J T�`vG-s::l..r• d�1 ? `,-�� , t!- f E!,.,;�'�t-,'„�:_i�i c�--� F�;_, t,1_.�i 3 ry�� 1..�#_�i_f=.. �'1�_t�.. i T��Ci':t-,sv� .,-, � � . . . . � �_. '+� ��. ' / /I�/2�C-t�� APPLICANT PE E SIGNATURE ISSUED BY:SIGNATURE • ��'�' � + Total Fee: $ DateReceived: Date Approved: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BESTARTED ----------------------------------------------------------------------- -------�-��----------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTQR JOB SITE ADDRESS: ��S Ch�t�� C1�9�f �? ZIP: SS--�1 � NAME OF OWNER: S�i��.� �/Gw� PHONE: (home) `��7 3—�1.3�-�' (work) MAILING ADDRESS: /35 C/,��y �i.�� p CITY: �;q-y Z,,4i� ZIP: SS�'y% CONTRACTOR C.��%y �O-L1�/Zvc.;�o,v ��-c PHONE: ��3 S.�'G MOBILE PHONE/PAGER: MAILING ADDRESS: �`�/ 6�s7; .s0. CITY: 1�or fd.�-r ZIP: ss.�y3 STATE LICENSE: # 93s 6 ARCHTTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSEDWORK(describeindetail): %�la� oF�— �- /��% STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. �,, ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SoZS 9 ry 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: ,� DATE: � �G��G <� NOTE! Parade of Homes events require separate pernzit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 � Sec.13.04 RIGHTS OF SLJBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shal(be as set forth in this section. Subd.2. Information required to be given individuaL An individual asked to supply private or confidential data concerning hirnself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision, or statewide system; (b)whether he may refuse or is(egally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a(aw enforcement officer. The commissioner of revenue maV P1ace the notice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further 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. After 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 action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsibie authority 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 with the request within that time,he shall so inform the individual,and may have an additional 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 completeness of public or private data concerning himself. To exercise this right,an individual shall notify in wridng the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt ro notify past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating 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 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 agencies 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 permit. �i G��9w� � �J�Gfivo�T/�- C��;Y f��l��.G%�o� �-� First Middle Last %DO/ ��s r so Address i��P�� ►��,� ss��3 9�3--�s�� C�h, State Zip Phone I understand my rights as stated above. v�i�� '`'—� Signature c� D✓�TE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � 1/ �r� PERMIT NO. ' COMPLETED ^�_ � ADDRESS -� -' `�! r,��G-. _.. �y OWNER� _� � �� CONTR. �,`��c�-/, TELEPHONE N0. � � " "� `�`> >'� � DESCRIPTION __ _ � 01 FOOTIN� 11 MECHANICALRI 18D(CAV/GRADINQ/FIWNCi � 02 FRAMING , 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL B0. 12 WATER NOOK-UP 17 SITE INSPECTION Q Z OS FINAL 14 SEWER HOOK-UO O6 PROGRESS ~ 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEMO—FINAL 15 SEPTiC INSTALL 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEP71C FlNAL 35 HARD COVER HEMOVAI � 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q � 2 W � W � � d < ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFOFiE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnerlContract r it : Inspector. � White Copyllnspector's File Canary CopylSite Notice