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Home My WebLink About1999-011278 - re-roof PERMIT ' �i`�Y OF ORONO PERMIT TYPE: �2750 Kelley Parkway- P.O. Box 66 Permit Number: �``-'�'�`-�''�`�`Y` Crystal Bay, Minnesota 55323 . _ _�_. � (612)473-7357 Date Issued: _ - - _ SITE�ADDRESS: '—'--- - t-;�:5`y:*S i�:;;.�i �E _ j � � — `L�— �C'i DESCRIPTION: i-;I_�3 i_s�3 1'i_i t':�_ ,—:�:1 '�. �: }'�:,t.:� ,-�5_�i.. �"fM1:r�:i..�i`��`v�.t:.i =;�,:_ t s'1:il;� �;;s_t:'.. ( `��`-=_ . ..._ —I��{_�` t_.r•-t'�•-;E,�1'`. �.S 11 7F,,' " " ' { t_f-;;-:��'i�:— . .__ _ . _ _. H i._ . P. ..-i_..... REMARKS: FEE SUMMARY: :;�;l_�:�; ;� (;rfj`,j �� , �:�f:• ' �'� ' - 'L r __i j.:i.}'�.?1-= __._.._.._..__..._.�.._._._.._.....__.a.. CONTRACTOR: -- ;�4�,,� ; ,�.�,��r. - OWNER: _ ._ ! . . . i ;.= �_... __ . . _.. . . �iTt'-.' .��`. _ .___ �.��t._'{+_%'r'+: `'�'. . .i1 _..�:� ��'-,;.Y I{�i,�.s �`f„_ .. .' .�.4'.i i S'. .��•{ .. _ �_ _ r_� ... ,.. E°��i? _. ... _::3 i � — — __—'__— � . .�_. . �.: ..��... . .� ��. :... ..�.�.. . ..-�-�� .. �-:: :_; .. - _ ' ' - ' _' . , : .. .. . . �-. . . . _._('i.!� `a_•�'�_: � �.v � , . ... .'t._... ._. _. .. . .i_��y�i'i°�r"�i'u E ._' �.�' ...__ _i ____i . .� �._� . . .'�., e ': .' '.. .. .. . ,_....�'� .. ... .. . ,.. , _ . . .. .� . .. � . ...__. . _.e.. .. ._ . . . � ._.._ .. .i. . . _. 1 it t. i i'i L i � f .{t �� F i � '�� _� i 'r"':: { 4- `%. ' "'� ��' . . . .... .. .. . ». .. .._�-. ... . . . .., . lj.F.?.. ._. : ...�..��.. . .r..� , ��. ,_.. .. _ . �. . � «.. . rT� . . { .. ��i i r i _..I._ _.. _. ... . . � . APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE / • Total Fee: $ � I � �`� Date Received: Entered By: Permit#: �/�, �1 � - �r CITY OF ORONO - BUII.DING PERMIT APPLICATION All ili�ornaation must be submitted in full before plan review will be started. (please print all information) THE APPLICAi�"T IS: (circle one) OWNER OR CONTRACTOR � p f� JOB SITE ADDRESS: 22C.�S Cj/4l�(��,(,� 1�� ZIP: `�3� NAI�IE OF O`'Vi�'ER ��t,VIV��- �-�'_�,1�✓� PHONE: (home) � ( ork) �taa,�G�nr.Ess: Z2�5 �.t.11�1f��crrY: z�: CONTRACTOR: PHONE: ��2 r�Z�� CONTACT PERSO`': MOBILE/PAGER: r6 2— MAII�I\i'G ADDRESS:��r _CITY: ZIP: �� STATE LICENSE: # ARCHITECT/EI�'GItii'EER: PHO�tE: i�IAII.�TG ADDRESS: CITY: ZIP: N�,ME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �-�-� ��G o��-- ot— C��2-�'�— STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. _�-- ESTI�i IATED CONSTRUCTION VALUATION (excluding land): $ �5�� . 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 ordi.nances and codes of the City and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a pernut; and that the work will be in accordan the approved plan. ' APPLICANT'S SIGNA DATE: Z NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. v Sec.13.04 RIGSTS OF SLJBJECTS OF D?.T?. ' � Subd. 1. Type of data. The righcs of individual on whom che data is storcd or�o be stoced shall be as set forch ia chis secaon. Subd.2. Information reqirircd to be given individual. An individual asked w supply privare or confidearial dam concerning himself shall be informcd of: (a) the purpose and incendcd use of the nquesud dara wi[hin the collecting State ageacy,polidcal subdivision,or sracewide rysum; (b)whect:e:he may r:fuse or is.legally cequir.d to supply the r:quesmd data:(c)any lrnown consequcnce arisiag from his supplying or refusing to supp[y private or connder.da!data;and(d)[he idenory of other penoas or enddes au[horized by sc3te or federal taw to rcceive the dara. 'Ihis tequitement shall noc apply when an ir.dividual is asked to suppty invesdgadve dara,pursuanc to secdon 13.82, subdivision 5, co a law enforcemenc officer. "Iha eee-�missioner of revenu- mav olac- the nodc- rauird urd•r chis subdivision in che individual income t3z or propem raz rofund instrucuons instead of on chose focros. Subd. 3. Access to data by indiridual. Upon reques�to a responsible authority,an individual shall be informed whather he is ehe subjecc of sto�ed daca on individuals,and whecher it is classified as public,privace or confidendal. Upon his furcher requesc,an individual who is[he subje:� of stoced private or public data on individuals shall be shown�he data wichout any charge to him and;if he desires, shall be informed of the contenc ar.d meaning of that data. After an individual has been shown the priva[e dan and informed of i�t meaning, the dara ne:d aot be disclosed to him for six monats[hereafter unless a d'upute or acaon pursuant to this secdon is pending or addidoaal dara on the individual has been coilected or crea[ed. 'Ihe responsible autl:oriry shall providz copies of the privare or public data upon request by the individual subject of the data. The responsible authoriry may require [he requesdng person to pay the accual costs of making, cerdfying, and compiling[he copies. 'Ihe responsible authoriry shall comply immediatzty, if possible, wich any cequest made pursuant to this subdivision,or wichin five days of the date of che reques�,excluding Sacurdays,Sundays and legal holidays,if immedia[e compliance is not possible. If he cannot comply with the request within that dme,he shall so inform the individuai,and may have an addidoaal five days within which to comply wich the request,ezcluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accurdcy or completeness of public or private dara conceming himself. To ezercise�his right,an individual shall noaEy in wriring d'ie respotuible au[horiry describyng the nature of the disagreemenc. The responsible au�horiry shall within 30 days ei�:er: (a)correcc rha data found to be inaccurate or incomplete and aaempc to nodfy past recipienrs of inaccurate or incomple�e data, including �ecipien�s named by cbe individual; or(b)nodfy the individual that he believes [he dan to be correcc. Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The determinacion of the responsible auchoriry may be appealed pursuanc to the provisions of tha admuusaarive procedure act relacing to contesced 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 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 i��ormation you furnish will be used to decemu�e your qualification for the permit or lieense requested. 2. You may refuse to supply data, but refusal may require that the City deny the perm.it or license. 3. 'Ibe information may be shared wich other local, state or federal agencies to the e�tent necessary to process the pernut or license. 4. If your requested permit or license requires Council action 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 permit. Y o Fi s e Last IZ Add ss � —�' P�' �� Ej5 Ciry Sace Zip PCaoe I unders and my ri�ht scated ab ve. , gn DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE Q SCHEDULED � PERMIT NO. COMPLETED ADDRESS � �� OWNER��20. � ONTR. TELEPHONE NO. � DESCRIPTION l� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 0 D. 12 WATER HOOK-UP 17 SITE INSPECTION OS FIN 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOH TO MEET YOU:_YES_NO Z � CO MENTS: � a - � � 0 a � 0 � W � Q � z W � W � � d ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next ins hours in advance.473-7357 Owner/Con ctor n it : Inspector. � White Copyllnspector's File Canary Copy/Site Notice