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Home My WebLink About1997-009280 - tearoff/reroof PERMIT fCIT��-�F ORONO PERMIT TYPE: __ _ _ . 2750 Kelley Parkway- P.O. Box 66 ��^ ��'� Crystal Bay, Minnesota 55323 Permit Number: - - � (612)473-7357 Date Issued: ;� �,� : � :�'� � TE ADDRESS: -. _; .—. .+:��`s`,�'�-'_:. � ... _. . ; —._ .,,__,_,�— , , , : , _, <<... ��: , :SCRIPTION: '��';;;�:-:�:= �-.-�;�;:��= , ., : �:�;i;"�. -r s .`_�:i•��•�i:;,°;��•3��tati�� .. .. ._,:.. _.: ...� _ . : •- -. :.: . '.1 t+�.�i i `_;� .. _. "�•; � � ,�:�' y�.`._.'�!t �t_, REMARKS: FEE SUMMARY: �_-__ . �._ �r� i.:,_ . �._ _ ;�-� - _ - _..��;..�-;:��`�: __.__.._._ -�i�;i�_._ '.'y.�c_ . v��:�y_.. . CQNTRACTOR . :. �- �`� ` 01NNER - - ; � ..: . : :w-.� . :: _ ... _ _ .i;—;, fi .. .: �:� :r. _ _ ^ - . j__'�`(k':�'�_��_{l�' i��l._`d'1.� . . _ _ _ _ � .. ... _. .� . �f-E;j�r�`j4r°_:_ �`_i��`j i �;Ls rr}_•�{_:�.� ��: _•�. :i Fl��.;., ;T�'s�; tii:t _ _ - �� -' �is S --�.. _ _.rd�'% r ,_..�..._�.. '�� .A_ �.•__._ . �_ . __. .. ._. _ � _ _`�'� . . £'�iEii�•.s". �r _... �.__ ,_... _'d. ?"'.-_ . _.� _..� . - : ._.,.._ .r= -�.: v�.-�;:r.-.:-�,, :-.�,�; ,— � t t�! - �r1;�i='___`�t; :�i.'.. � : f t = = E` � . ,., . �., � .i; • i"t.+i%1 .. . . . '� ' ��_ .. . _ ._. .. .. . . . .......�. ._ ; . �r.. .^ . �:. ._e � ;^; � . � �• . .4 " , ; i ti , • x x . _ a E....S:i! S_._..: '{ , _ _ _ i � ' _... . — — . "Fi�1":ii«.. .f . r'-)�{i :k f:ii� L.�'s'_ 3 I_i}-i:�I�`S:_1 ;_i,�r.':_: ,.�'�l—:t�._._ ` � P; . : . `_. _.;. .'�._. . ._.._ _ �r•3 �:.��_�__.��.� . �y_, i._.�):� . ._��F � _ . ._. ,... , . _, . � �� APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE � ' Total Fee: $� �<� �y� Date Received: Entered By: �F Permit#: CITY OF ORONO - BUILDING 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 Q�N RACTOR JOB SITE ADDRESS: ZIP: NAME OF OWNER:�f}�� I�OEIr�(tz.�-t�'�- PHONE: (home) ��/ — � Y�t v �r,�. �C,1 (work) MAILING ADDRESS: /r3 3 �7 �-�t-2�v�SS CITY: Q� r�c� ZIP: CONTRACTOR:��a �� rl ? - �"� Cv/�S f'_ PHONE: �/ �a - � s�'3 s� CONTACT PERSON: (�v p MOBILE/PAGER:��,�3 - `z r� �_ MAILING ADDRESS: s S 7� C,?'c�-�,�,��>v i'lt,.��a CITY:Nt G � ��--c� ZIP: �SJ ,� �-� STATE LICENSE: # �3 v; 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 detain: �"' �`�� S � �� (l,.e-'2.�� r STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. i%c. ESTIMATED CONSTRUCTION VALUATION (excluding land): .S 7 � S � �� I hereby apply for a building pernut 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 ermit and work is not to start without a permit; and that the work will be in accorda e w' approved plan. l APPLICANT'S SIGNATURE: �` DA�: � _ ft '�1 � 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 SUB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set fonh in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and iatended use of the requesred data within the collecting'state agency,poliucal subdivision,or sratewide system; (b)whether he may retuse oY is legally required to supply the requested data;(c)any lrnown coasequence arising fmm his supplying or refusing to supply private or confidendal data;and(d)the idenrity of other penons or endries au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesagauve dan, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. 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 :nd meaning of that data. Afrer an individual has been shown[he private data and informed of its meaning,che data need not be disclosed to hirn for six months thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal data 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 requesring person to pay the actual cosu 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 addirional 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. M individual may contest che accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients 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 the disclosed data. The determination of the responsibte authoriry may be appealed pursuant to the provisions of the administradve procedure act relating 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 pemut or license from the City of Orono or any of its departments may require you to fumish 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 perm.it 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. �1 � � -�-�- � � �� <�,�'� � First Middle Last �� 7 s C � ��s �� 1,� �;� -r-� Address t v� � �,�c� � 1� L�' � S 3,�`'`f � �a—`6 S �f City Stare Zip Phone I under tand my rig as stated ab ve. l � � _ Signature ATE TIME CITY OF ORONO CALLED IN � % � INSPECTION NOTICE scHEou�Eo � ��'<r, PERMIT NO. �/%-L � COMPLETED ,. �/..C�%I � _� ADDRESS �" _��i f� .• > �,:' ._f � OWNER�� ,.t�i,.,, . CONTR. �-��-�� r�: TELEPHONE NO. / 7� -(L- :� -�i � DESCRIPTION _ c ; � -��- � 01 FO `�i 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �Q 2 FRAM� 73 MECHANICAL FINAL 19 LAKESHOREJWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � � O a � O � W 2 Q � 2 W � W � j d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O �:; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. -, pHOTOTAKEN INSPECTOR WILL RETURN G STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnedContracl#of on ite: Inspector. White Copylinspector's 'le Canary Copy/Site Notice