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Home My WebLink About1997-009351 - re-roof/tear-off � PERMIT �' CI�'Y OF ORONO PERMIT TYPE: 4 2750 I��Iley Parkway- P.O. Box 66 - Crystal Bay, Minnesota 55323 Permit Number: (612)473-7357 Date Issued: SITE ADDRESS: DESCRIPTION: _ . ._. :_.� � - - -.�- . , �.::�r_:_, , : : ,_�.;�: . :,-:;: '�,�_�." %".��_.! t h�� _ _ _ �1.,�:-s r��;�__F �V(�s` _ `_f^��..ff�f r r.t`_s's�_t��+�--t— _ .n - • _ . . � -r•l,r ��;: I_.!_3r_ ;r.[1 : i=11 i:�_i �ii:��'�:; �..�t . .___..�?. _.i — t-;�r ..,rW��:']'.1!�� .3Tfi�t� t+��k ��f._� . i*`.L�•_�!a!�.-rv. i 1 riL. REMARKS: FEE SUMMARY: _. ..�',;��:t;',: �:•i , :�:��ii;; ;��.�,��j =�_; . :``� . . w =�t�i"_�fi^}'',-f'` .__..__....._..��. t�; �.i�: i".�.f.._..� . __._ Y'3 's.'��_. CONTRACTOR: OWNER: ' - _ .. .. {�__ _.___ _.. . �;:1 _ _"'�ir:`�_�E.i i.j`?` t';€�:�:_ .- �._ . _ __r-.�-.. .., t.a... : "•�:',`:t�:_� � t�i::" ....... i - i�ii�'*� ,`i 4 ';� ... . ._.�:��.._ �.. .. .� .._ ... . . ._ . ;^a,.,. ��' -,» . . :; ,.. t�iE � . . . '-�F�`:=:�. : �?� . __. . .___... t. _ ..,�` ' _ . _ _ .. � _ __? .. �.�P: _�.,, , " ._,_ . . . , . �- • .;, � :; ta{„ i: � �: :: �- i r � i _ '+ `f'� - r - - , !i, „ . i: '!E 4f#.�i�_4�' _ r�1,�1..J _� tE. . , i� . i'°..,t $ t�._.. ... . . . _ -�;--. =��? _ . _ ._ .z..~{tt t . . i.� � . . _. . � _. .._. ___ _• ! S } 1 , . ..... - � C��`C,`��(.1.��' x�- � ��1 � APPLICANT/PERMITEE SIGNATURE ISSU D BY:SIGNATURE � �. ' Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BLJII.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: '�,�Q _�,t�,U��:�c.t��i ��J F� ZIP: `��> '�`�S '� NAME OF OWNER: ,,,� ��C,,�� F'_, -� ��_<�>c�' '� �,�._;_�_ PHONE: (home)��7 I�-G��7 �i I (work) _. =;v�{�� MAII.ING ADDRESS: � - �'„- CITY: �;��r,_, �., �:,. t -. ZIP: ��q I CONTR.ACTOR: ��-.�,�:;: r� � �� 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�: h E--v' c.� �.�. ��^-�.��'- <�_ (,�.-��t�� ;�;�t�_,:� � STORIES: �� SQ. FEET OF EACH FLOOR: L>`:(� NO. OF BEDROOMS: - . GARAGE STALLS: ATT. DET. `�'.-- ESTIMATED 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 with the ordinances and codes of the City and with the State Building Code; that I understand this is not a perm.it and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATLTRE: � `'c � � .�_� � '�. � � ` � � - DATE: � f�'-��`-;a -! NOTE! Parade of Flomes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. _ _ .� Sec.13.04 RIGHTS OF SLJBJECTS OF DaTA Subd. 1. Type of data. 'Ihe rights of individual on whom rhe data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial dara concerning himself shall be informed of: (a)the purpose and intended use of the requesud data within the collecdng'stace agency,poliacal subdivision,or statewide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any�own consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idendry of other persons or endaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve da[a,pursuant to secdon 13.82,subdivision 5, to a law enforcement officec. The commissioner of re�enue mav place the noace reauired under chis subdivision in the individual income tax or propem rax refund instrucdons instead of on chose forms. Subd.3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject of scored data on individuals,and whether it is class�ed as public,private or confidenaal. Upon his further cequest,an individual who is the subjecc of stored private or public data on individuals shall be shown[he da[a without any charge to him and,�if he desires, shall be informed of the content and meaning of that data. Aher an individual has been shown the private dara and informed of its meaning,the dara need not be disclosed to him for six months thereafrer unless a dispute or action pursuant to this secrion is pending or addidonal dan on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosu of making, cerdfying, and compiling the copies. The responsible au[horiry 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 shail so inform the individual,and may have an addidonal five days within which to comply with the request,exciuding 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 himself. To exercise this righc,an individual shall nodfy in wriang the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplece and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the dara to be correct. Dara in dispute shail be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuanc to the provisions of the adariniscradve procedure act reladng to contested 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 other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested permit 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. 6. Your full name is required to process this application or permit. ` r ' /�� (i 1 A. ' 1'�t_. {� , . � s / c �� L. �� 1{ �v L )^�1 l 4,+�'' First � . Mid�,ile Last �� ` � �� I l�' �, ,� (.,'C � � �{' �� r Address . �� ;.,�;� ��1'l s� �! �-�''�`i 1 �-� `� l - C�� f �� i C��, r Stau Zip Phone I understand my rights as stated above. / I �� "�L� " �� f�c ` �r� � LLr �. _ Signature i DATE TIME �F ORONO CALLED IN ��-�'7 .��1QI ECTION NO��E SCHEDULED �� -_ sMIT NO. i,��- '/ COMPLETED JDRESS G�� ' OWNER��SSk'�i�(_� CONTR. TELEPHONE NO. ��— L.� 7-// � DESCRIPTION � 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRADING/FILLING y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � BD. 12 WATER HOOK-UP 17 SITE INSPECTION � O5 FI 14 SEWER HOOK-UP O6 PROCaRESS J 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBINC,RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W Tc W � j �d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W C'. CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � L; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED �i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 Owner/Contract si e Inspector. White Copyllnspector's File' Canary Copy/Site Notice