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Home My WebLink About1996-007937 - tearoff/reroof .,�'''' PERMIT �ITY OF ORONO PERMIT TYPE: ?,50 Kelley Parkway- P.O. Box 66 Permit Number: L"`Pr�=�#�-��'�i�' C;rystal Bay, Minnesota 55323 �'�'r�'�-��' 12) 473-7357 Date Issued: €��.;�iYt�,_�� __..�E�"s V �`�_=:��RESS: ��:=��7L ��iVI�41 LH �. . ".I. . i�:i—i I ,�_.�!•�`—��:`—�_}4_ft_)1-, r r...r—��—i ; ;��t�,t_,��=i F F�'�.ja�IF :;� : ; : _: ,. ., ;:... � _ - � i�;? t1—��L .-..: : .., :.,;::: ; _ :'i:s� i. `f,{�,� _ , ._ _ '��=—!3. ��i'!=•i i��`� .;;�Z .'l+:aa.i�� 1'=+f`'�� ! YF'w' ��.—l�:�ii:�� -_ -. , :- - - - - - ,:::�,-,._;;�- � . . — .,- ,.;;'":� ;�..-::�f r''s,. , _.—;�i i�.,:`�,;.._ ... ._.. � ��P��"e`::; _ - — -__ _ - --�--— ----- FEE S�IMMARY: � _;=:��.��F;T 1��?�•� �;;; �.i�yi; _ .. ._. _ . _ .�__� . 7� . .._ _. .—�- _�.� ` _...•�Clc�i�'=i=' ___.._.__. r.�,,�) _ —.i C'-•f:. — ; L:•"� ��:a u' CONTRACTOR: — d��1 i r.�t-i t. — '=;�T . L I i=: OWNER: ��[�:i��HE:�(� t:f:i��i:�:T�iii;�i�:i�a � � t,d�%';��::;;� �:;:;; ;r��:''._�:i�: ��.�E_:I 1:�i{�1 t�f I°=;'_;I'=�`��I F`I=`I LsFi '?r�a?� t�-�th��I��:J �A �::�[�l�iF'L_I t,� i�s,; c�,�:i �: t:i�t:i�,li_:3 hi[,; ��:::;�,�=. i:i�,1".:_`:� c�:'%—?'��i il::�—j. j.:_�°�? -�-� !1iiE�)�i-�:`.-��,(�i t! ;7 tL. it'.�;!° �i�[;F:.il:-��i�'.,� �'I_Le'C'i E `.- _ �%!I+€ �i�i f:rvi�'=• �� t'.'. ._ —�+`r��.�-- �'C.� , �� _ . _ �' �_. �'-. � _ . !" E�i., �z's` i Er �I�:'(= T`'I' T:�� _;j=`i �T� E ' ��; � i !i�_! ' ' i,sE i�`��. ��`� _� ; t=i i :=`i �;•-- ��; i;-f , ` ; i`k iLLi�= f_.�.. T�� -�P�.I.� �a. '��`�= T�� '�A�_ � . "I�°I�=�1� :=t. It�:i�;.�� :�i . � �w� �I ;„St�-i!_!�`;�i_.t €_:�i!)�sa!f;�y�:l_-.�� t-��Vi; -:��i�r� t_!�� 4`'1� .e�'vf�:-�I.t�i G�i l-.�_;� �i T i�}tj :!i ) '' [,11.E i �'i-�'' ��w', i :— 1 � �`'. . . �� - -.�� .,�._, . I�'.. _ . J �,r ..� APPLI NT PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� f�'z � Total Fee: $ DateReceived: Date Approved: Entered By: �l Permit#: '��`�� CITY OF ORONO - BUII.DING PERMIT APPLICATION ALL PIFORi'�IATION I�NST BE SUBi�1ITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED __ - ----. --- - --------------------_ THE APPLIC�'VT IS: (circle one) OWNER OR TRACTOR JOB SITE ADDRESS: �� Ff}�►�2L�i�Zx'� t �� ' — ZIP: 5`�3S�o I NAME OF OW�IER: {�fh�'� � �� 'rY1�i '� PHO�tE: (home) �3 �1�� (work) C�1 0~�05`� ` NIAILING ADDRESS: �7� i�+�ti.�ii.cV7.�; t�.� CITY: [<r`tl, �c t� ZIP:�_ CONTRACTOR: �L+�'`R-I1;�2.1�G Ci�iS�LIX.�'lGr�( _PHOiVE: Z7 �3 �10BILE PHONE/PAGER: (�I�Z`�l� i iVIAILING ADDRESS: 1 l(� Y �S i�S 11�;�i �,� CITY: �'j-f J,�rY1P�Ft�l ZIP: �1 STATE LICENSE: # L � ARCHTTECT/ENGTivEER: � PHOivE: MAILINGADDRESS: CITY� Z�' NA1vIE: REGISTRAT'ION # TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration � Land Alteration PROPOSED WORK(describe indetail): 7�,7'}�� dF�' LY'!� � /�-�C.� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: G�iRAGE STALLS: ATT. DET. ESTINIATED CONSTRUCTION VALUATION(eYcludingland): $ U1�• 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 SIGNA DATE: � �c �� NOTE! Parade of Home_s events req re separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. �� ,ti�c��- � Sec.13.04 RIGHTS OF SLJB.TECTS OF DAT� Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting"state agency, polirical subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data:(c)any lmown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idendry of other persons or ennties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secdo❑ 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma� place the notice required under this subdivision in the individual income tax or Dropem/ tax refund instrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individuai shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, private or confidential. Upon his fur[her request, an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him 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 iu meaning, the data need not be disclosed to him for six monchs thereafter unless a dispute or action pursuant ro this section is pending or addi[ional data on the individual has been collected or created. The responsible authority 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 costs of making, certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, wi[h 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 infortn the individual,and may have an addiuonal five days within which to compty with the request,excluding 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 rieht,an individual shall notify in writing 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 norify past recipients of inaccurate or incomplete data, including recipients named by the individual; or(b)notify Ihe individual that he believes the data[o be correct. Data in dispute shall be disclosed on(y if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaring 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 City 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 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 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. First Middle Last Address C�Ty State Zip Phone I understand my rights as stated above. / � ��--- 7� Signa e DATE TIME CITY OF ORONO CALLED IN =� i� /%�- INSPECTION NOT) ICE SCHEDULED � � �� /i �'� PERMIT NO. �/ �i�"?'� COMPLETED T_ .�_ ADDRESS : �O�.5 �� 2� �-<<�:: OWNER �_� �-'�-z%' CONTR:�/�' �� 1.�:`� z��_ TELEPHONE NO. 'i��7- '�> -3 7 � DESCRIPTION =rr ��z�� Ot FOOTiNO 114ulECHANICAL RI 18IXCAV/dRADINO/FIWNO �� 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z OS FINAL 14 SEWER HOOK-UO O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v t0 PLUMBIN�FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a � J O a � O � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next i spection 24 hours in advance.473-7357 OwnerlContract sit Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO c,a��Eo iN �"� �'� ' �� ,�__ INSPECTION NOTICE� scHE�u�E� ��/i< ' � ��- PERMIT NO. � "' � COMPLETED ADDRESS �" � , OWNER , CONTR. TELEPHONE NO. `�'� � � ' %� "' ' � DESCRIPTION . -- � � 01 FOOTINO 11 MECHANICAL RI 18 IXCAV/OHADINQJFIWNO � 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q -- -. _� 05 FINAI� 14 SEWER HOOK-UO 06 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v W 07 DEMO—FINAL 15 SEPTIC INSTALL Y2 FOLLOW-UP Z 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � d ORK SATISFACTORY:PROCEED = PROJECT COMPLETE W � CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 OwnerlContractor o . Inspector. - White Copylinspector's File Canary CopylSite Notice