HomeMy WebLinkAbout1998-010296 - roof repair/storm PERMIT
X C4TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 `'t!:;,,�f;i•,�i;
Crystal Bay, Minnesota 55323 Permit Number: i:;��_;_;�;�,•
(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 �"
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` ;otal Fee: $� R��,ss Date Received:
Entered By: ,� . Permit#: /l�,Z9�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR
JOB SITE ADDRESS: �`C����-� <�!�=�� %�G�_ ZIP.
NAME OF OWNER: �� � ��,Ly�c- -�y� PHOiVE: (home)
(W,�. k)
MAILTi�TG ADDRESS: ��U �� �� CITY: G��-c��w ZIP:
C0�ITRACTOR: ' '' �'' ,,� '�i � ;, PHONE: �f�0�-�'����
CONTACTPERSON: �� (L, fi S�(.� NIOBILE/PAGER: ��,?.- �-'3%�,
MAII.,I�i tG ADDRESS: ' "'3 SC . ' ` Z�S CITY: �-�Ce'����� ZIP: ��� .3 �
STATE LICENSE: # C�lSr�'1 '
ARCHIT'ECT/ENGINEER: PHO'VE:
MAII,I�i TG ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
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P�OPOSED WO (describe�n detai�: ��,,� �'��� � �'�-E� �/�.5�1
�L`��� �� r��'A-�✓� �%1�� /L/lJ`��_ L.Si��c,�c ;l�i�-�.g-�c�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTI�I�ATED CONSTRUCTION VALUATION (excluding land): $ '�� �' �
I hereby apply for a building permit and I aclrnowledge 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 tYus is not a pernut and work is not to start without a
permit; and that the work will be in accord�nce with the a proved plan.
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APPLICANT'S SIGNA � • � � / ,:�-,L:_� DATE: � �"� �,�
NOTE! Parade Qf Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. 1Von permilted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DaTA
Subd. I. Type of data. "Ihe riehrs of individual on whom[he da[a is stored or to bz scored shall be as set fonh in this secdon.
Subd.2. Information reqirired to be given individual. �.n individual asked to supply private or confidenrial dara cooceming himself shall
be informed of: (a) the purpose and inrended use of the requesred data within[he collecang"sta[e agency, polirical subdivision,or stacewide system;
(b)whe�her he may refuse or is legally required to supply the requested data;(c)any laiown consequence arising from his supplying or refusing to supp(y
� private or confidenrial data;and(d)the idenary of ocher persons or enaaes aachorized by state or federal law to receive the data. Tais requiremeat shall -
no[apply when an individual is asked to supply invesdeadve dara, pursuan�co secaon 13.82, subdivision 5, [o a(aw enforcemenc ofrccer.
The commissioner of re�•enue mav (ace the noace reauired under this subdivision in the individual ir.come tax or orooem tax refund
instrucdons ins�ead of on rhose forms.
Subd. 3. Access to data by individual. Upon reques�to a responsible authoriry,an individual shall be informed whether he is the subject
of scored data on individuals,and whe�her it is classified as public, priva�e or confidenoal. Upon his further requesc,an individual who is the subjecc
of stored private or public dara on individuals shali be shown the dac3 wichout any charge to him and,-if he desires, shall be informed of che content
and meaning of chat data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six monchs chereattec unless a dispuce or acdon pursuanc co rhis secdon is pznding or addidonal data on che u:dividual has been collected or creaced.
The responsible authoriry shall provide copies of�he private or public data upon requesc by che individual subjecc of rhe data. The responsible authoriry
may require the requesring person to pay the ac�ual coscs of makine,certifying,and compiling the copies.
The responsible authoriry shall comply immediately, if possibte, wich any requesc made pursuant to this subdivision, or wichin five days of
the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compty with the requesc
wi[hin tha[dme,he shall so inform[he individual,and may have an addirional Five days within which co comply wi[h the requesc,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private
data concerning himsetf. To exercise this righc,an individual shall noa"ry in wrian�the responsible authority dzscribing the nantre of the disagreement.
The responsible auchoriry shall wi�hin 30 days ei[her: (a)correct the data found to be inaccurace or incomplete and attempc to noafy past recipients of
inaccurate or incomptete data, including recipients named by the individual; or(b)notify the individual that he believes[he data ro be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is includzd with the disclosed data.
The decerminarion of the responsible au�horiry may be appzaled pursuant to the provisions of the admuilscradve procedure act relatin, to
conrested 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 Ciry 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 o�her 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 cenain riohts under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required [o process this application or permit.
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First �tiddle Last
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Addres� �L ����'�
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Ciry Smte Zip Phone
I understand my ri� as stated above.
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Signature
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE scHE�u�E� � �L � !3—
PERMIT NO. `- COMPLETED �� �� �� j�� �
ADDRESS �� �O'l�N�- ��O
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION S�'•1M� �'�/�Ac>�
�
l� O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINA� 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
Wl❑CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac on si •
Inspector.
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