HomeMy WebLinkAbout1998-010953 - re-roof PERMIT
C�,TY OF ORONO PERMIT TYPE: - - ' �;;
�` 2750 Kelley Parkway- P.O. Box 66 '��"i'-��=`v�.'-�.� ��
Crystal Bay, Minnesota 55323 Permit Number: :��.t_":.-�M�.�. _
(612) 473-7357 Date Issued: _ � ;'s=������<<<
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ���
_ fiotal Fee: $ Date Received:
Entered By: �- Pernut#: / ���� 3
CITY OF ORONO - BUII,DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------- -- - - - - --------------------------------------
THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR
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JOB SITE ADDRESS: . � �%� �cz v�e�.�> ��1� � " z�: <�� � 1
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NAME OF OWNER• �5c:�`� ;L-Ct tn���� e ( CC.�c�r�PHONE: (home) �l 7�- l7��0
� (work) � �l Ci' --/(�(�� --
MAILL'�1G ADDRESS: S�v� �-_ CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSOl�': MOBILElPAGER:
MAILING ADDRESS: CITY: Z�:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAII,ING ADDRESS: CITY: Z�:
rJAME; REGISTRATION#
TYPE OF WORK: New __Addition Accessory Structure
Move �temodel/.Alteration Land Alteration
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PROP�SED WORK describe in detai
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STORIES: � SQ.FEET OF EACH FLOOR: / /���
NO. OF BEDROOMS: � GARAGE 5TALLS: ATT. � DET. ��
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ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 7�S . '
I hereby apply for a building pemut 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 ac ordance with the pproved plan.
✓-�, --� �' - % c�
APPLICANT'S SIGNA'TURE: / ` ��. � ��� DATE: � G' l�
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NOTE! Parade of Homes ��ts require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom che data is stored or to be scorcd shall be as set fonh ia this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply privace or confidenrial data concerning himself shall
be informed of: (a)the purpose and in�ended use of the requesied data within the collecaag'stace agency,polidcal subdivision,or stacewide systcm;
(b)whether he may refuse oY is legaliy requiced to suppiy ehe requesced data;(c)any Irnown coasequence arising from his supplying or refusing to supply
priva[e or confidendai data;and(d)the idenary of ocher persoas or enaues authorized by state or federal law to receive tize data. This requirement shall
not apply when an individual is asked to supply invesdgadve dara,pursuan[to secdon 13.82,subdivision 5, to a law enforcemenc officer.
The commissioner of re�•enue mav place the nodce reauircd under this subdivision in the individual income tax or propem tax refund
instructions inscead of on those forms.
Subd. 3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whe[her it is classified as public, priva[e or confidendal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown che data wi�hout any charge to him and, if he desires, shall be informed of the contenc
and meaning of[hat data. After an individual has been shown[he private data and informed of its meaning,the dara need not be disclosed to him for
six monchs thereafter unless a dispute or acdon pursuanc to this secdon is pending oc addidonal data on the individual has been collected or creaced.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the actual costs of makinz,cerafying, and compiling the copies.
The responsible au[horiry shall comply immediately, if possible, wi[h any request made punuant to this subdivision,or wi[hin five days of
the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
wichin[hat dme,he shatl so inform[he individual,and may have an addiaonal five days wichin which to compiy 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 chis right,an individual shall noafy in wridng[he responsible authoriry describing the nature of the disagreement.
The responsible authority shali within 30 days either: (a)correct the data found to be inaccurnte or incomplete and aaemp�to nodfy past recipienu of
inaccurate or incomple�e data, ineiuding recipients named by the individual;or(b)nodfy the individual tha[he be(ieves the data to be cocrect. Data
in dispuce shall be disclosed only if[he individual's statemenc of disagreemenc is included with the disc(osed data.
The determinaaon of the responsible authority may be appealed punuant to the provisions of the adminiscrarive procedure act relaang to
contesred cases
DATA PRIVACY ADVISORY
In accordance wich 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 wich ocher 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 perm.it.
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I unders d my rights as stated above
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DATE rT/IN�E
CITY OF ORONO CALLED IN � � c � `�
INSPECTION NOTICE� SCHEDULED / " �:ci�
PERMIT NO. � COMPLETED
ADDRESS ��' �
OWNER '�� ONTR.
TELEPHONE N0. � 7( — �`��D C�
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WtLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �=' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlContract r 't :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE
CITY OF ORONO CALLED IN -���'�
INSPECTION NOTICE SCHEDULED ' ` lo S>' %/ � �'
PERMIT N0. � COMPLETED `'� K
ADDRESS � �
OWNER -' CONTR.
TELEPHONE NO.
� DESCRIPTION �c.ei1,�--/�-
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� FRAMING^� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 0 TION 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Contr n ite:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice