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Home My WebLink About1996-008035 - reside back _ ___ -r—..^�- . _ _ PERMIZ� CITY OF ORONO PERMIT TYPE: -•� zR50 Kelley Parkway- P.O. Box 66 �:;�}r, �r;��,�r; Crystal Bay, Minnesota 55323 Permit Number: t}t_��-;�;:;.; (612)473-7357 Date Issued: _ _ _ t,C.;i l:_. .'`w%�, SITE ADDRESS: __��.�? t�:�;Y°=�i�;� E;r=�Y �:�', .�� ='. I . rv . f�—�. i:—'�:-;—�.:.�--t��i:�._ DESCRIPTION: �F�-,%�'.�' �:;�i;:�::: E,�.�il��rr�� F'��•rr�it. iyc�� `�;�=-�i��i�;�C?+=�!��.L_ �:�aj. 7 ��i��~�� }s�F��l:; T'vp!� �E—'=:�,�:i�: l��!_: i ir C��l��?il!y hi�:,� i:;i��r;f.i'F.�f t.j,�_t i� ��C�i� u(� .+t=}ll i�*°� ��-t—�.�� .:�tir:.r��,. �:r�� :=;�. H�..T . �'�'=:J C?F";�.i�T r;i REMARKS: FEE SUMMARY: {1f�L�jt�?�T i�+t� '�:_.y!:! C��.s�. �=W� �-�i . c;�_� �='z�'�r t-'��'��' ------- �' ��-y ;a��ir.�7 �'�� .`.;.�i ��i CONTRACTOR: OWNER: — �pF�i : rr��—�t. — t1i�i;T I i*1 T�w�+1�G� ?�.�.; �::��'('=;�I i�i �:;�',r �f} IYl�iE�i��i,9 i•jis$ �,�i_=`�i 1 i�- " �`�.�3.'i —�'f i)'-i i i i t-i#= t 1=�i'1�l�r�:`T:.��.�€��?:? f-i�:i�°��`r` h�:�:�:}�:::�i'� F`+�;;°�;I°i =?,�z�.� T�� °�i;��::C �'�-ir ;,��_ �t°3!=`t�°�=+tf�i•1►Wt�!?"°>> r+-.-._ ,____�-- ;:,t•,': r.r�-'� •�, �'• -i - E T£;�E'• �" i.i t' - • - - - . . . ._. . _ _. .,-,�-��, , i.!- I.;,-.;_) f..,}J�_r �at�F�__r..-� ; k„1 P_if_i i�:{._�.. �x1i_,li-i€��:, ��,� '.=��.:� �:i_��F-'��;r...�,;t.�. � . � � i.:�_�... t_;� � c !!� €`i�;�_��_� .��4�G I t�;€=�i�ii;:;�°_; �itai�s ��Tt��1��' ��?E= �t i t•��t��°=;��Ti� r:i i i Li:�I��ii; C:�:iar �°u�:�F_}I i=��t°�;�t�i i''W: L _ .. . � , � ;� ,� . � r , - - � �_ �� _, s'%��C �� ,�,�,)� APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE Total Fee: � DateReceived: . _ . DateApproved: Entered By: Permit": CITY OF ORONO - BI.TII�DPti G PERI�IIT APPLICATION ALL INFOR�tiI�TION l�1UST BE SLBI�IITTED IN F'U'LL BEFORE PL��1 REVIEtiV ti�II..L BE STAR�ED ----------------- ------ THE APPLIC��1T' IS: (circle on OWNE OR CONTRACTOR JOB SITE ADDRESS: �Y�� C�/�`��t � �1�/ �c� ZIP: j� .5 GT � �--- /,�� PHO��: (home) ��I•- �0�G NAlI�IE OF O�VNER: �� /"��1¢� �� (worlc) �a�e MAILINGADDRESS: ��`f� J �L�S`C�I K��CITY: �t �i � ZIP: �� CON'TRACTOR " PHO�IE: . MOBILE PHONE/PAGER: MAILTi�tGADDRESS: CITY: ZIP: STATE LICENSE: # AgC�II'I'ECT�ENGTivEER: PHONE: MAII, .T�i 1G ADDRESS: CITY: Z�: NAltiIE: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodellAlteration � Land Alteration PROPOSED WORK(describe indetail): ��a� �',�� /�� J��;"�� `� ��4�� `''`��' � � �>_�c-✓ ��:�(��`l`, STORIES: =_ SQ• �T OF EACH FLOOR ��`%�-� NO. OF BEDROO�IS: / GARAGE STALLS: ATT. G� DET. I ESTII�i IATED CONSTRUCTION VALUATION(escluding land): $_,�-`��• �� I� I hereby apply for a building perm.it and I acknowled;e that the information above is complete and accurate; that the work will be in conformance with che 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 � be i.n asco dan with the approved plan. � f� �s'_- � � � ��'�� ' DATE: �;� 5 ,C APPLICAN'T'S SIGNATLTRE: NOTE! Parade o Flomes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events wi11 n�t je tllowed. Sec.13.04 RIGHTS OF SUB.TECTS OF D�T� Subd. 1. Type of data. 'Ihe rights of individuai on whom the data is stored or to be scored shall be as set focrh in rhis secdon. Subd.2. Information required to be given individual. An individual asked to supp[y private or confidential data concerning himself shall be informed of: (a)the purpose and incended use of the requested daca wichin the collecdng'stat�agency, poliaca!subdivision, or stacewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from lus supptying or refusing to supply private or confidendal dara;and(d)the idenary of ocher persons or endries au�horized by sta�e or federal law to receive the data. This requirement shall noc apply when an individual is asked �o supply invesrigaave dac�, pursuan�to secaon 13.82, subdivision 5, �o a law enforcemeat officer. The commissioner of revenue mav olace [he noace required under this subdivision in the individual income tax or orooem raz refund instrucaons inscead 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 i[is ciassified as public, private or confidenaal. Upon his fur�her request,an individual who is the subjecc of stored private or public data on individuals shall be shown[he data wichout 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[he private dan and informed of iu meaning, [he da[a oeed not be disclosed to him for six months thereafter unless a dispute or acaon pursuant to this secaon is pending or addidonal data on[he individual has been collec[ed or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subjecc of the data. The responsible authoriry may require the requesdng penon to pay rhe acNal cos�s of making, cemfying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, wirh any request made pursuant to this subdivision,or within five days of the date of the reques[,excluding Saturdays,Sundays and legal holidays, if immediate compfiance is not possible. If he cannoc comply with the requesc within that time,he shall so inform tbe individual,and may have an addiaonal five days wi[hin 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 himse(f. To exercise[his right,an individual shall norify in wridng[he responsible authoriry describing the nature of the disagreement. The responsible authoriry shall wi[hin 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipiencs of inaccutate or incomp(e�e data, including recipients named by the individual; or(b) notify the individual [hat he believes the data to be correct. Data in dispute shali be disclosed only if che individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we wouid 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 cenain private or confidential information. You are notified that: 1. The informa[ion 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 Ciry 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 permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have cercain rights 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 permit. First Middle Last Address C��, State Zip Phone I understand my rights as stated above. Signature DATE TIM� CITY OF ORONO CALLED w i,' INSPECTION NOT�CE SCHEDULED � ' �� -�-'=`--�i�` c , PERMIT NO. ` ` COMPLETED � "`' ADDRESS ' OWNER " CONTR. TELEPHONE NO. `� / � DESCRIPTION �>� �.�-, . � 01 FOQTiNQ 11 MECHANICAL RI 18IXCAV/dRADINO/FIWNO � 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = p5 FINqL 14 SEWER HOOK-UO 06 PRO(3RESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 72 FOLLOW-UP = 09 PIUMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 1aPLUM@INQ FINAL 36 FOUNDATION REMOVAL Q OWNEFi�ONTRACTOR TO MEET YOU:�YES_NO �- COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � d � WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE W � CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALLINSPECTOR ❑ CITATION ISSUED O INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnerlContra si e Inspector. � � White Copylinspector's File Canary CopylSite Notice �