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HomeMy WebLinkAbout1997-008968 - reroof 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: � . . . '_`:_. , =��:-�i_ r�;-i�� s`;.l_� ;�;� DESCRIPTION: .- _, "'11?v 'r=i,�'slll''' €Y`{�V;:; �;�'-._Hi i�,�i i�`.i:_S'i!_'•-'..�°�=i_ `s:��t i i ;�7 t'j+� Ea;§._.i"}.:: ���V C=�= �•.'�—{-it_ ,:�' 7:�� """- t_•r�1 i�'•.�!'_� _ ��%:�i w' �E�.�;.:�1 .��_� . ti:c,__ :is{:-('t�.�.�H�.._ REMARKS: FEE SUMMARY: . �.... . .. ._ .?.���;_' E��''= r-x. . �_i(^i . .. - ,,_� ,.-�.t:.—.: -, Cy:"i ��f.:z• _ri_�.! • _ -----._._ ;w�f; 3 i_. _ _..�. f:�__ . __.. . . � CONTRACTOR: OWNER: � � - � - - - " _ m .r .,.._. � � _ ; ��°���.s _ . t:`. . `�;T''r'-;z_. ;;r�,`;' �`Ci _ .... `.�t_. "•� �r -�:�� _.� �:•— {if���L. '� �f '`� i.i1::t;,.. ..i' ; _ _ _r y:� _ ;�t�z �'{ 'af,�:.• t: 'y#_l,: '"�i_ ��:.� :t�T�W � .. . ..._ _. ....._... .... L.,, ..._._ ' i�.._1 ..._.._ i� . ...� ....... . _ , .' { ' _. ... ._ .. . . ,_ `.�t�'i� ...... . ..... ._.e"3?._ .... . .... .... _.f . ._ , • ' _ . . ... .«, . z:.,.. _ _ . . .. `.`_._( . ` � ° ;1 f, ,a!: �'y-,;�i f-�:-`.°�. � ' � �;I�; . r i�� . r x i_. .�i'.r . . _... f;�� j t o i i-; � ; -; . ; . � �',. : . ,. w; . . � ; . ,+. ,. . . � �- . _. .. k. _._.__. . .___.»_. . _ ... _ . ._,� . _ , d . . .... _. . ._. . ._ . . .__ .. W , . .... ! Th - f.�`3 �..l,:ri.: i� iej'� i {*{ f.�` t ! i 39�''.' '.I''`.$_1 d._ _. .�+s�f.-3. .#..''�_� .3�!S.- -. . � � ._ M ..s , ...._ ... . r . ._ _�a s�.l...t�.J�.3 _�_.{.. .`_ ._ �_�_ .t, .x u _ . _ , � J C l PPUCANT%PERMITEE SIGNATUFE ISSUED BY:SIGNATURE � � . • �'otal Fee: $ �� . S G� Date Received: Entered By: Permit#: � CITY OF ORONO - BUILDING PERMIT 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 JOB SITE ADDRESS: 5'�y � Cr��s�f� l ���/ lC c� ZIP: 5� J � � , �-- NAME OF OWNER: �U�✓c� r"iA/���n PHONE: (home) ��/-���� (work) S�f�-r�-�' MAILINGADDRESS: � �/�} 1 �t'�`S'f�I�a�"�� CITY: l�'��/�'�� ?'�t ZIP: s�`'9� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # 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�: �%��—��i��-� STORIES: I SQ. FEET OF EACH FLOOR: �� NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ %(��J. U c� 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 Ciry Council 60 days prior to the event. Non permitted events will not be allowed. � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as se[forth in this secdon. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data wichin the collecting'state agency,polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any laiown consequence arising from tus suppiying or refusing to supply private or confidential data;and(d)the idenriry of other persons or enriaes authorized by state or fedecai law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income_tax or propem tax refund instruccions 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 whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the 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 the private data and informed of its meaning,the data need not be disclosed to hun for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal data on the individuai has been collected or created. The responsible authority shall provide copies of the private or public data upon requesc by the individual subjec[of[he data. The responsible authoriry may require the requesting person to pay [he actual costs of making, certifying,and compiling the copies. The responsible authority shall comply immediately, if possible, with 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 time,he shall so inform the individual,and may have an addicional five days within which to compiy 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 concerning himself. To exercise this right,an individual shall norify in writing the responsible authority describing the nature of the disagreemeut. The responsible authoriry shalt within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify 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[he disclosed data. The determination of the rzsponsible authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts 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 pernut or license requested. 2. You may refuse to supply data, but refusal may require tha[ 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 pernut 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. (. Your full name is required to process this application or permit. �� d � /��,��1�� First , Middle Lasc ���-�� �G;%5���/ y' �� Address �c,����� ��<"(/ �� ��� � ��--�'�G� . C�Ty State Ztp Phone I understand my rights as stated ab e. / c c�,'�(� Signature DATE TIME CITY OF ORONO CALLED IN � i INSPECTION NOTI���, SCHEDULED �/�Z. 7 // `�Pa PERMIT N0. `�� COMPLETED ADDRESS _��i7 �1��.� ����• OWNER � Cc.�c�.,. CONTR. TELEPHONE N0. � 7� '�-z-� 5� � DESCRIPTION r /f9_/��� � 01 FOOTING 1�MECHANICAL RI 18 EXCAV/GRADING/PILLING �Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 O6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v ING FINAL 28 CED ES 36 FOUNDATION REMOVAL OWNER ONTRACTOR TO MEET YO ' . YES NO � MENTS: � � � � S +G� U �' S l J wul,C �P.� � J O � �U � � - . . S�� �� O � W � Q � Z W � W � j / � jj?'WORK SATISFACTORY:PROCEED PROJECT COMPLETE W �� COFRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O C' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN INSPECTOR WI�L RETURN ❑STOP OROER POSTED.CALL INSPECTOR CITATION ISSUED 1� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlCoMrac si � Inspector. � � �� White Copyllnspector's File Canary Copy/Site Notice