HomeMy WebLinkAbout1999-011531 - reroof PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - _ �_.���;�� �
Permit Number. '- `'�='
.,Crystal Bay, Minnesota 55323 ���± ����:=�
(612) 473-7357 Date Issued: _
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE � ISSUED BY:SIGNATURE :,C-�
Total Fee: $ Date Received:
Entere�By: �p Permit#: ����/
CITY OF ORONO - BUII,DING PERMIT APPLICA�ION
All information must be submitted in full before plan review will be started. �
(please print all information) �
THE A.PPLICAI�'T IS: (circle one) OtiVNER OR CONTRACTOR �
~ - . ��-�.s,-� ZIP: .-�`�J �`� �
JOB SITE ADDRESS: ��7� �
NA11-SE OF O���ER:/�l`� �a`l� /C � �/`7 N ��` � _ PHONE: (home) `�` 7_; ��, `�� �
'� �� (work) �
NIAZL.I�i tG ADDRESS::�--7-`�c:i2�'s'7'VC E'w � CITY: �N �� L� �-ZIP: -5 S_�S' �
CON'TRACTOR: �C_ �- �— PHO�TE: .
CON'TACT PERSON: NiOBILE/PAGER:
MAIL�'G ADDRESS: CITY: ZIP:
STATE LTCEI`TSE: #
ARCHITECT/E\'GINEER: � ��� PHO��:
i1�IAILItii'G ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
�ROPOSED tiVORK(describe in detain:
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� L> iiL�� � -�N /_�� ,.�-��j�,� �_ ,� -
� STORIES: � SQ.FEET OF EACH FLOOR: ����� � � � �
NO. OF BEDROO�ZS: �� GAR.AGE STALLS: ATT. DET.
ESTIi�IATED 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 wi[h the ordinances and codes of the City and with
the State Building Code; that I understand this is not a pernut and work is not to start without a
permit; and th�t the work will be in accordance with the approved plan.
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APPLICAI�TT'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. �
� �
Sec.13.Q4 RIGHTS OF SUB,fECTS OF DaTA '
Subd. 1. Type of data. 'Ihe righcs of individual on wham the dara is srorcd or to be scarcd shall bc az set forch in this secaon.
Subd.2. InFormation reqirired to be givea indiridual. �1n individual uY:d to supply private or coafideadal dara conceraing himself shall
be inform:d o,`: (a)che purpose aad incended use of che requesud dam wichin the colleccing�a�e agency,polidcal subdivision,or statewide rystm;
(b)whect:e:he rtsay r.;vse or is_legalIy requir.d to supply ehe cequesud data:(c)aay lmown caasequence arisiag from his supplying or refusing eo supply
private or connder.ria!data;and(d)the ideaary of other per�oas orenodes au[horizcd by sc��e or federal law to teceive the dara. 'Ihis tequiremenc shall
noc apply when an ir.dividual is asked to supply invesdgarive daa,putsuaa�to secdon 13.82,subdivision 5,to a law enforcemeat officer.
'I�e ce^imissioner of rcvenue mav oface �he nodc- r_auir.d und:r chis subdivision in the individual income cax or orooem taz refund
instrucdons inscead of on those forms.
Subd.3. Access to data by indiriduaI. Upon request to a cesponsible authoriry,an individual shall be informed whether he is the subject
of scored daa on individuals,and whe�her ic is c[assifi:d as pubiic,privace or conFdenaal. Upoa his fursher requesc, an icdividual who is che subjecc
of stoced private or public dara on individuals shall be shown che dara wichout any charge to hun and;if he desires, shall be infocmed of the coacenc
ar.d meaning of that daa. After an individual has becn shown che privace dac�and informed of ics meaning,[he data need not be disclosed ro him for
siz months thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidooal dara on the individual has beea eollecc:d or erea[:d.
'Ihe responsiblt authoriry shall provide copies of the privam or public data upon tequest by the individual subject of[he dara. 'I�e responsible autfioriry
may requir the requesang person to pay the accual coscs oi making,cerdfying,and compiling the copies.
The responsiblt auchoriry shall compiy immediately,if possible, with any request made pursuant to this subdivision,or within five days of
the date of the cequesc,exctuding Sanirdays,Sundays and legal holidays,if immediate compliar.ce is not possible. If he canaot comply with the requcsc
wichin[hat dme,he shall so inform the individual,and may have an addinonal five days wichin which to comply wich the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate oc complete. An individual may contest tht accuracy or completeness of public or private
data conceming himself. To execcise this right,an individuai shail nodEy in wridag ehe responsible auchociry describing the nature of[he disagreemeac
The responsible authoriry shall within 30 days eitFer: (a)correc[[he data found to be inaccura�,or incomplece and aaempc to noafy past recipiencs of
inaccurate or incomplece data, including recipien�s named by [he individual; or(b)nodfy the individual thac he believes che data to be correc� Data
in dispuce shall be disclosed only if the individual's statemertc of disagreem:nt is included with the disclosed data.
The decerminaaon of the responsiblz auchoriry may be appealed pursuant to the provisions of tha administrarive procedure act relacing to
contesud cases. �
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Righcs 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 ics departments may require you to fumish certain private or
confidential information.
You are notified that:
i. Zhe informa[ion you furnish will be used to determine your qualificatioa for[he permit or license requested.
2. You may refuse to suppty data, but refusal may require that the Ciry deny the perm.it or license.
3. The information may be shared with ocher local, state or federal a�encies to the e�tent necessary to process
the permit or license.
4. If your requested permit or license ;equires Council action to approve, some information may become
public.
5. You have cenain ri�hts under N1.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this applicatio❑ or pecmi�.
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Ciry Sate Zip Phone
I understand my ri hts as stated above.
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= Mr. �3arold R. Hanson
'—' 275 Crestview Ave.
Long Lake MN 55356
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DATE�,/ y TIME
CITY OF ORONO CALLED IN �-' � /—�/ l�.'� V
INSPECTION NOTICE ( SCHEDULED —� :`d a
PERMIT NO. ���� COMPLETED � ?G�
ADDRESS �7J� � �e
OWNER CONTR.
TELEPHONE N0. �f �S� .5.S� ��
� DESCRIPTION
� 01 FOOTING 1 ECHANICAL 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 (� D. 12 WATER HOOK-UP 17 SITE INSPECTION
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05 FI AL 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
D COMMENTS:
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� �WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W �C7 CORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN C PHOTO TAKEN _
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
[; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.,��`'t' �-�-�-->>
White Copyllnspector's File Canary Copy/Site Notice