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Home My WebLink About1997-008983 - re-roof �� PERMIT CIT� ��-'ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Permit Number: ' '�-�`----^�''�"�'' Crystal Bay, Minnesota 55323 - -�=��=t`"��° (612) 473-7357 Date Issued: _ - - SITE ADDRESS: �n,-�--:r,�--:�:_ ,- 7r ;z::�, y�Ae��:.''^' . f"?:.i�I.',s v;v'_.V�.y� t��_j i`� . . . s . '.J ,.. ,.. . . . _... . . ...,. _ ' _ _ . ... . .. . . ., ; . :: . ,..: � . :_.. . . ._... .�+ ..'_ _'J��... .. . r r . � . ..i y' : _'`•_j_:: _ DESCRIPTION: L;,.._'�..�!{_#S`i�. t,+�� i e"[l : V_ . .s 4�[S':,I�'1�,. . . � � _'L....... .'_��v S�.S�i�i'��j+4�'� {'"�=�Z i,i��i��"r, �:_i�'�:, 1 t��.�Fy�t' �,!��.�?�_��_��• {��''1�"..�� .. _ .s� :i_ir'.�. L.�} T F�`.°°,��'e F y�i;i�,i�I�i„�'� REMARKS: FEE SUMMARY: .: .: ;:�; : : ._ :- - - . ---- _ _...�� =:�- -�� . :�� _�..._ _ �.- - :��;t.��' - -_� ._______--__�.�_ �� CONTRACTOR: -- :'�- :�::;= :. : ::.--,�-;: - � �_. �.� . OWNER: ; : ... �-. -.::�:. : - _ - -- .. . ._ . . . .. . ._ _ .... ._ ._ . .._�. �. ». .. .. _. _ _ .. . .. .. _ ? F�:_ . .._ . r�� .._..�'t�:!'�...�'._'i�, .__..s._. _ � . ._ t?'..Y... , �_ _ . _ j?�� S r�`s��uiN."i.": ��i N'4,{e ?S:e�:i li��i�'• Fvir f i.L .'L, ' ' r. - . ._. _ .�L.� . . - .. _ . _ - _ . ._.. .... . .. . � _ _. ... .., _... . . . . ._.. . ... _ [ ; . 1'u'S � � .F�," P., �._,�.. .i! �` _, t:_`_ _ �' . . ' {, ._. k� .. r...fV.-i... _ y�iir.-'E.: . �„�,... . � ' . ...,. _. ._ _.._ .-. _ _... _.. ...._. _. . . . _.__. . _ . ... .. .. ... .. _ ... . . .. . .� .. . T i+ S .......�.......� . . _ _ .—,i.i�..;'.` i 4_ ? i_. . i � �1! 'r�" si.y.� i�y i,i T . . �:'�. _ . . . 5 r<..r `. _. '�'" .re..S ..... _ . ....��.... n _. .. . ._ . ,�.S'� � ._ _. . ,_._- 3-{_iti, ��! i��....s.._ _ _ . . _._ _ �. ._.._._. . .. . . ........� t. . _, ,., . _, . } ;7' a� .! ..a � � .r:,� FiF�... } ` i� i._ f�. . , . ....'�.E� . . .. . ..._.,.�..�... `%5 �_<_ ..._. , .«t�' f � i_3'i, 'ilf - ,-.' _.., .. y _ : <. kL .i L _ . _ . . _ . __ _ _. _ . _ . . _ 7' � � �� APPLICANTiPERM�TEE SIGNATURE ISSUED BY:SIGNATURE � y � -_ � Total Fee: $ r' � � � Date Received: Entered By: � _ Pernut#: ,�'� � i 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) OWNE OR CONTRACTOR� �--_._._.�-------.____._.�__-�.. J ��v� JOB SITE ADDRESS: t � � c� t /�L � ZIP: NAME OF OWNER: ��t�e..�,� � � U 2. d�1;/�-yJ PHONE: (home)`-� 4) (-��1 v � (work) MAILING ADDRESS: � <� �t "(� (�-11�t= �-Jt:=�s CITY: ZIP: CONTRACTOR: �;�;,r. ��,�-t�- C;6 i�,Sl` . PHONE: �-�a-�� 3 I. CONTACT PERSON: �v MOBILE/PAGER: �3�� t I`� MAILING ADDRESS: 5`=1`�s- (r�, �v w�>> l vu CITY: t'��c,-L,�n,�� ZIP: S; �� STATE LICENSE: # `:�3�`1 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteratior Land Alteration � cJ�� ( _ ��f..� �N PROPOSED WORK(describe in detai�: T��-� �- �- ` f� � `�`� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land):� �--1 � �� ------- 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 b in accordanc ith the appr ved plan. � �� . APPLICANT'S SIGNATURE: �� - � DATE: S `- 1 `� � � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � � t Sec.13.04 RIGHTS OF S[JBJECTS OF D�Ta Subd. 1. Type of data. The righ[s of individual on whom[he data is stored or to be stored shall be as set fonh in this secaon. Subd.2. Information reqirired to be given individual. An individual asked to suppiy private or confidential data cooceming hirnself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,polirical subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or enricies authorized by state or federal law ro receive the data. This requiremeuc shall not apply when an individual is asked to supply invesdeadve dara,pursuanc to secdon 13.82, subdivision 5, to a law enforcement off"icer. The commissioner of revenue mav place the norice reauired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the subjec[ of stored data on individuals,and wherher it is classified as public, priva[e or confidential. Upon his further request, an individual who is the subjecc of stored private or public data on individuals shall be shown the data wichout any charge to hun 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 irs meaning,the data need not be disclosed to hun for six months thereafter unless a dispute or acrion pursuanc to this secrion 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 requesting person ro pay the actual coscs of making, certifying, and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or wichin five days of the date of[he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[possible. If he cannot comply wi[h the request within that time,he shall so inform the individual,and may have an additional 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 concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attemp[ro no[ify past recipienu of inaccurate or incomplete data, inciuding recipients named by [he 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 determinacion of the responsible authoriry may be appealed pursuanc to the provisions of the administrarive 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 ceriain private or confidential information. You are notified that: 1, The information you furnish will be used to determine your qualification for the pemut 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 pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become pubiic. g. 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. �1,)f��J�r-� -�- , � Yti� � �' � First � 1 le Last �,�1 � S� LYIti�..�� V�L-�1�� A�ali1C� � 1�1u ��`�� .�6� �-{ ��7�- —6 � ,�� C�ty v State Zip Phone I understand my ghts st ab �e. � Signature DATE TIM�,I CITY OF ORONO CALLED IN �" - R-g - JU�� INSPECTION NOTI � SCHEDULED �-�o -g z � PERMIT NO. �� COMPLETED j ADDRESS � r�-� �'-1,- c�- �� OWNER J- ��-<.�vrz-�,e�,-, CONTR.< TELEPHONE NO. �-7 � � �' S 3�1 � / � DESCRIPTION �� 01 FOOTIN('i 11 MECHA C L RI 18 EXCAV/GRADING/FIWNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORENVETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL ��D. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMp—SITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEF REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � � O a � O � , � � Q � Z W � W � j d � WORK SATISFACTORY:PROCEED W� - PROJECTCOMPLETE W ! CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT CJ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED L; INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract n i : inspector. Whiie Copyllnspector's File Canary Copy/Site Notice