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Home My WebLink About1997-009222 - tear-off/re-roof �, PERMIT 'CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - - - - Crystal Bay, Minnesota 55323 Permit Number. - - -..---- (612) 473-7357 Date Issued: _ _ . _ SITE ADDRESS: DESCRIPTION: _.. .. ._.,�_l;-=:'1-:'��- .•'.f.?... _.... _ . _ � . �'s.*�':r' �=�"_i-?t_!=�'��':'+`.�:.�"rt'..�`..,li�` �i _ ..._.��`-� .. _ . .. . . .�".'��H: �:�."�:'__.�....r�" ;_;.-�i�•=;��•�` iw��fl,� .y.:��:k :i;._.� . . .W.=s=.;�'��_. .� REMARKS: FEE SUMMARY: _ _,�.: �i . . ..._ _. . . _ _.�y . ... „ . _ _ {i_ .._ t� '' ��._t'M:}_ 1 ��_ `.}•,i W . . _ 11'; `s ra�'�=i�` s �,i�'S;._;i � _ : ____._.._,._._� j. :ti TM^:i C t . CONTRACTOR - -. . �� - _ - - ---�� W OWN_ ER: . , :�,��:��: ��.�=v ��= :"'=7 7 .": ; i" ' - :: r. _e v�, �' a�. �!� s _ .. :1 ,_.. . ;_... . .. . . .V..:Li::� � -. � �l-. S " ._ . _ .�>"�i`.. . �...i'i _ ._ ... _ _ _ ._ _ ..., i.`'� _ . " y`.i{'�i '�;L��•.y �':a�':3 e_.E..''+Y':} t_.%. ....i�'�v�_7 {'�Fi: _. _ � .. �: .. , . _ , J «.,., �..-+...�.. �-'i_� `�i '_ �f.' '1.. }� ... .� . ' ,Ts� ! _._. ..: � r�_., _:'.'..... �_�_� L �. _5...� ! '"_..i;'"�.'�`� ...._.•»'',�.... . .. ..... .��i.6 _, e'� _.:� t _. .. ._.. . ._. ��.�.. ..__ .... . .'..�':...... . ..... . . . .___ �` . n r.:—.r--- ' � •��i : ��'i � x E:� ' ;—,'�';_;_ _ — t 1 � _ ?t':E � i i ; ti`'ti�+._�.`ss`*4��'� �=a i T . . . .._._ _•i i `i .. `"' � :'� , : � �_: �....... ._. _�_.....f � .. ...: :`-�•._. .....�._. � � �._. �r_. .'t_..._. •.. d. ..•. .,. ... . .... ._ . ._ �t _•_. ,•"} , . r _'�"' - � . . . :t _. �k. i_ _ ..-':• _�; . , ' ....� . _ .. _ _ .._ .. . . � . , . : 3 - ' .— =i .. .. ._:�-,.,� ��i ..? _.� , r. t ._�c �'! ? �'�� . F: •`•?? °e.. ._ _ _ _ _ ..._ t _... .__. . . _ . L . . ._ _ . � � i �-��--- _ �,e,� APPLICA /PERMITEE SIGNATURE ISSUED BY:SIGNATURE • �Y ,� Total Fee: $ Date Received: Entered By: �� Permit#: �j:� -? r? CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � --, � � � ,- . - --7;— JOB SITE ADDRESS: � �� ; �� ;;� �'� �� / �� s � �>� ZIP: �� ,�� ` � � �k PHONE: (home)��. � - ��;�� NAME OF OWNER: \�'��., �y �� —, � (work) MAILING ADDRESS: _� `; � �� >>�� EITY: +�;�� ZIP: '�',;��f,�� CONTRACTOR: �� ,��`��,� �� '� PHONE: ��V`��- �`�� , - CONTACT PERSON: �,� o�! ,�, _ MOBILE/PAGER: ,`�. , �� CITY: c� �� ' ZIP: - ..;-� �a, MAILING ADDRESS: �;�;� � ;; t ` ,�;�� t1 �. . _ _ _; ��_; � STATE LICENSE: #:�� (__> L('�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PRpP�OSED WORK(describe in detai�: � -c �. � ��'�_� '`�� - �.�� ; , ".�� . � ��_��-� � � -�^ �r�.�� `�n.�;Ai` ,�'•.S �`� Q � �`-^`c_ -� ��- c�� .A;'� ��' STORIES: SQ.FEET OF EACH FLOOR: , NO. OF BEDROOM5: GARAGE STALLS: ATT. DET. ;C ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � '`-�� '`r � \�� 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: � �— �� —� � 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. / + M• • Sec.13.04 RIGHTS OF S[1BJECTS OF DaTA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or co�dendal data concerning himself 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 oY is legally tequired to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the idendty of ocher persons or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppty invesdeauve data, pursuant ro secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the notice reouired under this subdivision in the individuai income tax or propertv tax refund instructions ins[ead of on those forms. Subd. 3. Access to data by indiriduai. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject of scored data on individuals, and whe[her it is ciassified 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 the data wi[hout 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 accion pursuanc to [his secdon is pending or addidonal data on�he individual has been col(ected or created. 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 requesting person to pay the actual cosu of making, certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, wich 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 ticne,he shall so infornt 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 private data conceming himself. To exercise this rieht,an individual shall norify in wridng the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of inaccurate or incomplete data, inciuding recipients named by the individuai; or(b)notify the individual[hat he believes the data[o be correct. Dara in dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data. The determination of the responsible au[horiry 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 pemut 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. << � , �, ��-:�--, �� -� o_� ��'� ' First �� '\ � .. � Middle Last �� 1 � _ ,� � � � � (� y _ Aa�ss �� \ � _� C'" � ,� �=;�•,,� \_ �- �� _'�� '1 . �� , _�- � �� " � State Zip Phone I understand my right� stated above. -� �, ^ � � � ;��' ��.l_ '��l ��s-� ��- � -� . _ � Signamre \ -_____ DATE TIME CITY OF ORONO cA��Eo iN INSPECTION NOTICE SCHEDULED � �'�I� o�� PERMIT NO. `�i�,-1�"_ connP�ETEo ADDRESS I �3S C�NGotZ.�(J�✓� OWNER CONTR. TELEPHONE NO. � DESCRIPTION 1�� DI�'►'lh �L ��A"� � � Ot FOQZING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING L � 02 FRAM�NG 13 MECHANICA�FINAL 19 LAI�SHORENVETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFiEE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS F` 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT v Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o (�.1� ��,T.�� . � 0 � W � Q � Z W � W � j �ORKSATISFACTORY:PROCEED PROJECT COMPLETE W W C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUEO ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor on si Inspector. �v"' White Copylinspector's File Ca�ary CopylSite Notice