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Home My WebLink About1995-007607 - tear off � , PERMIT �IT� OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: - _ SITE ADDRESS: -i'��''.t`-s i.>>t-�i;_i- ;-�.`3 la i r�'; DESCRIPTION: - ;'`:�: ,.. - _ . . ." ' ". . . . _ F .7�",.� '�" / i�5(-j / � ..Fr'��j�y}�i_{ �.; ; . .. ��.:.. ' �. ; ' i- . . , ' �. � � .. :... . �, [ : . . ,.� f�s.i�.:i iii.._. �'_ _..... ._`i.�i� ...:_i i.�!'i'_� .. �=!'�r. ;'4.�:f� ;'.;"___.�t'�_;j�.c {,...�,_.-, ::� -:� �� ;-7 r�,,� ��I��}:��;�a._ J'•i Z� � i' _ ..:� .__ _ = ��= : ..}.._- --��.._ i . t�'.i-' . � REMARKS: FEE SUMMARY: ^;.�.:, .. �-�_:::: �_� ; ; _ .'r� ,�r•r :r,�;�: c, _._,. ._. �.. .____--.-----_..__--�--- --- . ��'t.,�,�, ---- �:� i `�_� 4 CONTRACTOR. -. :�` . OWNER: _ __ - - - _ . _ � : � - , . . _ _ . ..: � .e� . . .. .. . .. .. ,�. �. �,. ; � �-.�;�::.. � .,----�°,'^*"-�;--r---• � . . ._' . . ._. , . .. . . . �..... . . . . .�. . � 1 . ... .. ., �._ . ._ . . ._. . -'� ' - . ,: . .--. . . . ; � � . � r ; ' .�+,+�..� .... .�..` � .',i.� .... �;��._'d��.1 ... . �-i; ' _ ,' _ , ___ . _ _ �. F _.� ..��.'._' .'....._ i .... -: ; .... _.� . . . .�' _ ' ' _ _ .. ' +:�.:' e :'-�;' ::. � ' ` ,.�..{'f � :�':'-.:' �'�j:,i i.?...'..'i. S' r..!! - _ .i.. ..�.,.,. ` . . p.. _ . q ! i.._ '-... �. ....- �.a°...1. ..�.�5. � �.�..T':_ ..�'!• �•�• ..._ ... . .... .. _ _ .. .. „. . . .. . .: _. . '� . . ...... ..... ...i �� .. : .. .. +"�" "� 's ! � ; ��i ,� �..z• .. ; .."', .�..:. . ..:'. ,. ;`;.. T,_' _, • ".'�..... ' ' �..,-;.. � :._ • g . . � ... �. � ; ? '? j t - t�. ` : .. .. . , � �: : . � . . : .. .� '.�._...... �.-�._.;r�.. � .._: .. �-..: �.m . . _ .. . , .....,.. , . . . . . .. .. .. .... ,.. . ' ' " ' . _ � . . . . .�. . . : : i L �_ it -. : , .�...•;`� t al.. �. i � . . . . �, � . : ;.. z _ .-. L . : , . _ ' " -.. . ! . ..? � � < < �� - � �'ERMI i F E SiGNATURE ISSUED BY:SIGNATURE . � . Total Fee: � DateReceived: Date Approved: Entered Bv: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFOR:�IATION�IUST BE SLB1�iIT'I'ED IN FULL BEFORE PL�'v REVIEW WII..L BESTARTED _—_____ ----------------- ---�-------- ----------------------------------- THE APPLIC�'�1T IS: (circle one OWNER 0 CONTRACTO JOB SITE ADDRESS: 1 lQ D �Vp 5�' �✓'n(�a�� I2cl• ZIP: SS�3� NAME OF O`VNER: �o�e r� ��0 PHO�IE: (home) ��3 � Z 3 g d (work) MAILING ADDRESS: Q(D U (,1�P S� �Kn 4a�CITY: u Z�: �� CONTRACTOR: �� tl�b d+1. �,��'i o� ��1Cr PHONE: �'�I q� S� 7 7I ��OBII.�F PHONE/PAGER: NIAILINGADDRESS: 2 2S l.tJ. / rt v . 7 CITY: e Z�� Sy53510 STATE LICENSE: # q Z$Q ARCHITECT/ENGI'iVEER: PHONE: MAILING ADDRESS: CITY: ZIP' ��,�_ REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration Land Alterarion PROPOSED`VORK(describeindetail): �QQ✓'-D�� '� � �a►S�inc, ��— STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONIS: GAR.AGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(eYcludingland): $ S l Z8. 0 O 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: I Z� 7- �� NOTE! Parade o Home e nts requir separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events wi11 not be allowed. P • Sec.13.04 RIGHTS OF SLJBJECTS OF DATA Subd. 1. Type of data. The righa 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 individuai. An individual asked to supply private or confidential data concerning hirnself shall be informed of: (a) [he purpose and intended use of[he reques[ed data within the collecnng'state agency, poli[ical subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idendry of other persons or entities authorized by stace or federal law to receive the data. This requirement shall not apply when an individual is asked to suppty invesrigaave data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the notice required under this subciivision in the individual income tax or propertv tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual 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 further request,an individuat 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 its meaning, the data need not be disclosed to him for six months thereafrer unless a dispute or action pursuant ro this section is pending or additional 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 to pay the actual costs of making, certifying, and compiling[he 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 additional five days within which to comply with the request,excluding Saturdays, Sundays�and legal holidays. Subd.4. Procedure when data is not accurate or compiete. An individual may contest the accuracy or completeness of public or private data concerninghimse(f. To exercise this right,an individual shall notify in writing tkie responsible authoriry describing the namre of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify 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 shai,be disclosed only if the individuai'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 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 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 notifled 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 pernut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested pernut 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. ,--, / / J 6 h n �Gc.�-�e ��'l�Nilci�, First / Middle / � Last ZqZS �it/esl� �hd�/s��ruY !3/[/CD � Address� / �� „/��y/ �� y �u, J" J !� � Cin, State Zip Phone I understand my rights as st d above. Signature CITY OF ORONO CALLED IN /.�' "j TE�-. � ��E �/`J INSPECTION NOTICE � SCHEDULED J.��' ,� � �'�' � PERMIT NO. ` / - � COMPLETED � � ADDRESS C� ;+ , � (�; (.,, �k l�. OWNER � %��C�' � yk'_ CONT . -�-C-�.--�r�-�, f,if , TELEPHONENO. `�`' � =� � �- � DESCRIPTION ��' ��-� �- �- � � 01 FOQILN� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ��--- Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � o �,c)or � 0 � � 0 � W � Q � Z W � W � j d ` W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. L; PHOTOTAKEN INSPECTOR WILL RETURN 'I CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract�siye' Inspector. � White Copylinspector's File Canary CopylSite Notice