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Home My WebLink About1999-011457 - tearoff/reroof - " PERMIT �1TY OF ORONO PERMIT TYPE: - - - � �750 Kelley Parkway- P.O. Box 66 -'��=-`� '`v�� ` Crystal Bay, Minnesota 55323 Permit Number: ;:;�� ; :;c; 1 �612) 473-7357 Date Issued: ,�;��,;<<.:�,;��-;_; DRE S: � SIT� A�D S -.j.��,�:� —.-�- -; _ _ __� ,�a.�� i� � �`;� _ . : . . _ _ = i .�—__._ _...__ ..�'�j:�3. DESCRIPTION: �:�;°;:i►'i=.'F,'��:��+�� E y�=��, �_;—��+=Ssjl;`i=;==:';s�,��''�4_ .._ _�_.t t!1'� .. �. . .. . , �"i��,: �.��..k...::_��ii"' [ REMARKS: FEE SUMMA�3�° __i_i;'.�;i:Ei�� .1 � -�f:` _ , � :-°�=, _.. _. ._.. — _. _._._.___ _ - '�_.:� _ ____�.�-- , _. _ _ _ __ _ _ . _ _ _ . . .. . . . . _.. . . {.,: : �._: : :_.:....; CONTRACTOR: — :'-".;�� _ _ �.-. _ — ��i . 4:t�::� .OWNER: __:� I _i`:�;� i_:`_?'r;r° _ _:-'1-'i �, � ._::.: i.?:w;i;�i �_�i_i 3 :�y,;Y:.:' '_�l�,�r�-,i�,j d_:I�i{•�;:�;y L _ ;L F-�ttJ�p .L:_,`-i �I'=,t_•`•i_t _=_i�i��::: 1''f .`•,{:'- i . ._.y`'�:i�_'ii i i i.= -'�f�i ._:i r. s. . ._ �`.il_€ E'.`. _. - _ _��t i — �;i: _. - _ ._ _ _ �.;_ . . .__ �_? ._ �.r`'._ 3 -- '.;r }„--;l-F-��i ._,. __�, i :_ . __ _ _ _. . # ',� '`,� �� .,'. . .�"� E':`.!'-i�. _. . �'"�:�_3'e�C'.f`��. . . _ :«,�_.- r ._�i w , - - . . ._:w,.. ,-.._ . .i ��_ t:..�t .:� i: -:-� E ,``�` . _._.Y tuS "t.i�. �� . _ . . .it_ ? _ _. .. .._ _. ..'�;t_ .» ��:°.':. . . . :��._..... _ i . . t;� _ . .. . ._ . .�._ w t�j; �: ` , �; — �:•i's'i ,—.;•` k = .i!f f E S�= i-� ,;�: i k's i} } • r Y:t._ �'u°�:��__._ .. .. . . __ .. . . %i`.: � _ . ._, ._ _.. . ._ _. . . . _. — ——__ .. _ _... _ . _. ._... _._ . . _ . � �.. APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � - Tota� Fee: $ Date Received: Entered By: Permit#: `/ '`�� =;' . CITY OF ORONO - BUILDING PERIVIIT APPLICATION All i.nformation must be submitted in full before plan review will be started. (please print all inforntation) �-_---__— -.._�_�_�----------------=--- THE APPLICA�'T IS: (circle one) OtiVNER O�CONTRACTOR' �'� c_� i�� ' � � _— , [J �G't N ! t` ZIP: �- �. JOB SITE ADDRESS: ��"�% L" t� �' - � NA1�iE OF Otii�'ER: ,�' ( t� �� i Z � ��-�c-�b�- PFIONE: (home) � < < - (� 7 i � , ,- - (work) ,_f � cr. - �, c�. �- �; , , MAII.,I�i'G ADDF•F,SS: (�,-�,� r�v`�r� �S� ;��,;,�i;Z�3 CITY: �,�.,�.:r�= ZIP. � - �_� ` PHONE: � , � t __ � .� � `� CONTRACTOR: ;•,��5�� -' C01�1'I'ACT PERSON: ��`?�� . l IC< <�- � NiOBILElPAGER: IVIA,ILI`i'G ADDRESS• ' - CITY: E �_ ��-�� r�� ZIP: s s � �F / i � 1 � STATE LICE�'SE: # .�� _ _ �'- ARCHITECT/ENGItii TEER: PHO�'E: �IAII.�ING ADDRESS: CIT'Y: ZIP: ��,�: REGISTRATION# TYPE OF tiVORK: New Addition Accessory Structure Move Remodel/Alteration � � Land Alteration __--_ , PROPOSED'S�ORK(describe in detai�: /�� `L l — STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET. - , - � � �;�. ESTIi�IA.TED CONSTRUCTION VALUATION (excluding land): $ � I I � � l � � 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 Buildin� 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. APPLICAi�'T'S SIGNATURE: _ `��.�� DAT'E: - `' `"- /l `/ NOTE! Parade o Homes evenis require separate permit approval by Police Department and Cily Counci160 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SLJB,TECTS OF DaTa ' Sutd. 1. Type oC daca. 'Ihe righcs of individual on whom[he data is s�orcd or to be stnred shall be as se�forch in this secaon. Subd.2. Intormatioa reqlrired to be given indiridual. �n individual asked to suppiy privare or confideadal dara concerning himself shaIl be informcd of: (a)che purpose and in[ended use of the rtquuud dam wichia the collecting 3tate ageaty,poliacal subdivision,or scatewide rystem; (b)whe�ec he may rsfuse or is.legally requir_d co supply[he rquesud data;(c)aay irnown canscqucnce azisiag from his supplying or refusing w supply privace or conndenaal dara;and(d)the idenary of o�her persoas or enades auchorized by sc�ce or federal law to nceive the dara. This requ'uemenc shall not apply when an ir.dividual is asked to supply iavesrigadve daca,pursuaac ro secdon 13.82,subdivuion 5, to a law enfoceement o�cer. 'Ihe eer�missioner of revenue mav via:e che nodc- r�uired under this subdivision in the individual income e;x or orooem tix refurd inscructions inscead of on chose forms. Subd. 3. Access to data by indiridual. Upon requesc to a responsibte authority,an individual shall be informed whtther he is the subject of stor:d daca on individuals,and whecher ic is ctau�.-d as public, private or conF.dendai. Upon his further r.quac,aa individual who is ehe subjecc of stoced private or public dam on individuals shall be shown the dam wichout any charge to him and;if he desires,shall be informed of the eontenc and meaning of that data. Afcer an individual h�s been shown the privare dan and informed of ics meaniag,[he data ne:d not be d'uclosed to him for six monchs thereafter uniess a dispute or acdon punvanc to this secaon is pending o�addidooal dam on the individual h�c becn collected or ereat�d. 'Ihe rosponsible authoriry shall provide copies of the privac�or public data upon request by che individual subject of[he dara. The responsible authoriry may require the requesdng person ro pay the accual coscs oi making,cerrifying,and compiling che copics. 'Ihe responsible authoriry shall comply immediataly, if possible, wich any request made punuant to this svbdivision,or within five days of the datt of che tequesc,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requesc wichin d3at ame,he shall so inform che individual,and may have an addidoaal fiv:days within which to comply wirh the request,ezcluding Sacurdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or eomplete. An individual may contest the accuracy or completeness of public or private daa conceming himself. To exercise diis right,an individual shall noaEy in wridng cho responsible auchoriry dascribing che nature oF che disagreemenc. The responsible authoriry shall within 30 days eid:er: (a)correct[ha data found to be inaccurdte or incompiete and aaempc to nodfy past recipients of inaccurate or incomptete data, including recipienes named by [he individual;or(b)nodfy the individual thac he believes the dara to be cocrec� Data in dispuce shall be disclosed only if the individual's stacemenc of disagreement is included wi[h the disclosed data. The decerminarion of the responsiblz auchoriry may be appealed pursuant to the provisions of the admuusaarive procedure act rela[ing to contesud cases. • DATA PRiVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjeca 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 nocified that: 1. The information you furnish will be used to determine your qualificatioa for the permi[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 other local, state or federal a�encies to the e�tent necessary to process the permit or license. 4. If your requested permit or license requires Couacil 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 chis application or perm.it. First �tiddlc Last Address Ciry Sace Zip Phone I understand my ri;hts as stated above. _.� ;_.� . s��,« �..J� ( � � DATE TIME CITY OF ORONO CALLED IN INSPECTION OT�C SCHEDULED PERMIT NO. c MPLETED ADDRESS 1 bb� l � 1'� /J ��o • f�� OWNER�,,�.j�,� �, � CONTR. TELEPHONE NO. � DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 5 FI 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: � W a � � O � � O � W � Q � Z W � W � � .� d ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W � ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �-� CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spe ion 24 urs in advance.4 �73�J7 OwnerlContr tor s : -�'�� Inspector. hite Copyllnspector's File Canary CopylSite Notice