HomeMy WebLinkAbout1998-010771 - re-roof PERMIT
G,ITY 4F ORONO PERMIT TYPE: ;,:;;�r�._,3���:
�i 50 Kelley Parkway- P.O. Box 66 Permit Number: �:r�i t;';� �
;rystal Bay, Minnesota 55323 Date Issued: �,_;;�;-,��W;-;
;'�2) 473-7357
SIT�. �lDDRESS:
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REMARKS:
FEE SUMMARY:
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APPLIC MITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: $ , ' Date Received:
Entered By: Pernut#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT I5: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ����(� U �j � �'C`�'� L{�l ZIP: 553�i l
NAME OF OWNER: � , �O� PHONE: (home) �--1� � —��(��
( ork)
11�IAILING ADI3RESS:�(.�'(� 1 Y L�(1 i._-� CITY: 1 ZIP:�
CONTRACTOR: �; � � ,1 � l7 �' '(�L PHONE: �Z��—��--4,��
CONTACT PERSON: 1 OBILE/PAGER:
MAII,ING ADDRESS: a ' S� ���: ,�'f_ 1 Y Gl'Vl�� I��� ��_�(�
STATE LICENSE: # (� I �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ��(��� �,� l 1� l f�1 �� . Y� ��Q �.
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
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 t �ermit ork is not to start without a
permit; and that the work will be in a o dan w' r ed plan.
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APPLICANT'S SIGNATURE: � � ATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
.
Sec.13.04 RIGHTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The righ�s of individual on whom the data is s�ored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. .4n individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and in[ended use of the requesred data within the collecting'state agency,polidcal subdivision,or sratewide system;
(b)whecher he may refuse oY is legally required to supply the requesced data;(c)any Irnown cocuequence arising fmm tus supplying or refusing to supply
private or confidenrial data;and(d)the idenrity of other persons or enrides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesri2aave dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propem tax refund
instcuctions 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 stored data on individuals, and whecher it is classified as public, private 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 without any charge to him and, if he desires, shall be informed of the content
and meaning of chat data. After an individual has been shown che private data and informed of its meaning,che data need not be disclosed to hirn for
six months thereafter unless a dispute or acaon pursuant to this 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 authority
may require the requesdng person to pay the acrual costs of makinc,certifying, and compiling[he 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,exctuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
wichin that time,he shall so inform the individual,and may have an addirional 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 pri�•ate
data conceming himself. To exercise chis right,an individual shall nodfy in wriring the responsibie authoriry describing the nacure of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of
inaccunte or incompiete data, including recipients named by the individual;or(b)noafy 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 determinarion of the responsible authoriry may be appealed pursuanc to the provisions of the adminisaarive 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 pemut 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.
�X ur full name is r uired,; p cess this application �I•
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Signa[ure
DATE TIME
CITY OF ORONO o� CALLED IN �
INSPECTION NOTICE �� 1� SCHEDULED �_
PERMIT NO. COMPLETED � �
ADDRESS `
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION {� °��-��D
Ly 01 FOOTING 11 MECHANICAL 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 �JAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �K SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
U INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
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