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Home My WebLink About1999-012248 - tear-off & re-roof �, PERMIT C�TY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: (612) 249-4600 Date Issued: ,_a_;t:w SITE ADDRESS: . .. .. _ ._�_ - . .. DESCRIPTION: _.._._. i�";i ? _ . �t';�;t P j'`{:�_�� w. , ..�,—� :�;.sT;�j,�ii�ti�s'_ �<t_�i i s�i_i;_ ,��:�:::;: R'; ��F,, �.�.='_;;ia'; _c'Ml�'�a�.:'� _ _ .. _ tj,:-;.;';_ r•":f_.€'. "�`.`�_'?,'`�`•-I i Tt-i�_ REMARKS: FEE SUMMARY: . . .. _.-. . _,_;�,v - _ -��._ _ ._..�.._ ._.... ��:.__ . ..�._ =;_,:: -.�.-. - �-. - -° E�_ - ____._._. . . I ��j�•�._ =-•�- _W.._..�;�jr� CONTRACTOR: -- - - _.. - OWNER: _ . _ . _ _`;S: =_�:M _ _ _ _t i;=. .�`� _�`��.:�:: _;��° �'} . __ - _ . - - - - -:. . _ i `' ��'v Y� f �. ... ..;'.. '• " _ ' ' � _ . ' '.. . . .. '." . '�:' ..._ ._. _... .__ _. ...__. �_.: . . . ... ,. .+. . �. 4:... ..._ "Y »~ . .... . ... .. .. t� ' �.. e ,,_. . _._` — -- ,_•p _�.... �'...?.� .�i �.�' d .-._:- ..____�_� ' :..` ��''''_` . .._..... . _. .. . ._. . _ '�i"i.#. ._ . _i.:' .. ._, f Y"' ._ ..� . ._ . .�`t , ......_ .. .. � Y`. ... i i�._'F.F`; � �'{'t .}� ... _ tri i #F� 7� _ L 3 f � �F'zz �.Jf V' ".i: } I � a , ' . �. n.. . . . ...... _ . . . .._ . ._...._ _. . ._. _ _ __,... .., . , . ... . . .. . J _. ... . ._ -_�' _ .!. .. . . r-.� � . : . � - �.��. __._ . . ,.... .. . _... ... . � , � ' � ICA T%PE SIGNATURE ISSUED BY:SIGNATURE � . Total Fee: $ Date Received: ��— �`— y y Entered By: Pemut#: CITY OF ORONO - BUII..DING 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 JOB SITE ADDRESS: `j�� •�:/�z L�� i- ZIP: S S 3�- � NA1�1E OF OWNER: �✓�� / �.�.5"��—- PHONE• (home) (work) MAII..ING ADDRESS: � �5��. lC�.-,, L/C !�rL CITY: �.^,�,il� ZIP:_�-3� �-� CONTRACTOR: ��,4_i. � � .s � PHONE: �—/y��,�`�� COiVTACT PERSON: // MOBILE/PAGER: �� 5� i,S"- � MAILING ADDRESS: �o,� 6�_3 CITY: L✓�7 �.� ZIP: S��%/ STATE LICENSE: # ZU��7 Z �ti' ARCHIT'ECT/ENGINEER: PHONE: l�IAILING ADDRESS: CITY: ZIP: rJ�,�; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: r� ��6�� -` �� a� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: G�GE STALLS: ATT. DET. ESTI�IATED CONSTRUCTION VALUATION (excluding land): $ j � �� 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: ��Z `�� NOTE! Parade Qf Homes events require s arate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SLBJECTS OF DaT:� Subd. i. Type of data. The righcs of ir.dividual on whom the data is stored or co be scored shall be as set forth in this section. Subd.'_'. Information reqirired to be�ven individual. Att individual asked to supply privace or confideoria!data conceming himself shall be informed of: (a)the purpose and inrrnded use of the requested dara within the collecting"state agency, polidcal subdivision,or sratewide system; �b)whether he may refuse oY is legally required to suoply the cEquested data;(c)any Imown consequence arising from his supplying or refusing to supply private or conndendal data;and(d)the idennry of ocher persons or enddes authorized by sta[e or federal law to receive the daca. This requiremeot shall not apply when an individual is asked to supply in�'zsaearive data, pursuant to secrion 13.82, subdivision 5, to a law eniorcement officer. The commissioner of re�e�u r�av pla- che nodce reauired under this subdivision in the individual income tax or propem taz refund instrucdans instead of on those forms. Subd. 3. Access to data by indi�idual_ lipon request to a responsible authoriry,an individual shall be informed whethec he is the subject of scored dac3 on individuals,and whe�her it is etass�ed as public, privace or confidenaal. lipon his further request, an individual who is the subjec� of scored privace or pubiic dan on indi��iduals shall be stiown che data wichout any charge to him and, if he desires, shall be informed of the contenc and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,the dara need not be disclosed to him for six mon[hs thereaiter unless a dispute or acdon Fu;suanc to [his secdon is pending or addidonal da[a on the individual has been collected or crea[ed. The responsibie authoriry shal(provide copies of d�e privaee or public data upon request by the individual subject of rhe data. The responsible authoriry may require �he requesting person to pay the acaial cosu of makine. cerrifying, and compiling the copies. The responsible au[horiry shall comply immediately, if possible, wich any request made pursuant to this subdivision, or within five days of the dace 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,ar.d may have an addidonal five days wi[hin which[o comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuncy or comple[eness of public or pm�ate data concernin;himself. To exercise rhis rieht,an individual shall norify in wrian;[}:e responsible authoriry dzscribin�[he nacure of[he disagreemenc. The responsibi:authoriry shall within 30 days ei[.':er: (a)correct the data found ro be inaccurace or incomplete and attempe to nodfy past recipients of inaccurare or incomplete data, including recipieaa named by the individual; or(b)noufy the individua!that he believes[he data to be correct. Data in dispu[e shall be disclosed only if ehe individual's sntement of disagreement is included with the disclosed data. The determinadon of the responsibfe auchoriry may be appealed pursuant to the provisions of the administrarive procedure act relating to contested cases. D�,T:� PRIVACY ADVISORY In accordance with M.S. 13.0�, Subd. 2, "RiQhts of subjects of data", we would like to inform you that your reauest for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confiden[ial information. You are notified that: 1, The information you furnish will be used to determine your qualification for the permit or license requested. ?. 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 a�encies 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. �. You have certain ri�hts under �1.S. 13.04 (available upon request) to review private data on yourself. (, Your full name is required to process this application or permit. Firsc �fiddle Last Address State Zip Phone Ciry I underst d my ri�hts as stated above. / � Sign r.. DATE TIME CITY OF ORONO CALLED IN Z '�' INSPECTION NOTIC A SCHEDULED �Z l5- 1� I� '�U PERMIT NO. �ZZ�b COMPLETED Z� �—� ��' ��, ADDRESS �s.S� ��C'� �-C(.�-�. �. OWNER CONTR. 5��.�lYYI-� S-1� • TELEPHONE NO. �a� `- ��'�� C'.'�-�� a-G� ��' � DESCRIPTION �Y1 2�-�T l L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO O MENTS: _ / 1 �' - � �l w : � ��?rh ' Y P r j / � S%�c.�-f-r�,t 1�,j�--S �21 c�c� . 0 � ��0 � W � Q � Z W � W � j � �/NORK SATISFACTORY:PROCEED ��PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �-, PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR C; CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractQr on site: Inspector. �"��av f (.� ��l 3 White Copyllnspector's File Canary Copy/Site Notice