The URL can be used to link to this page

Home My WebLink About1997-009271 - tearoff/reroof PERMIT ,4 LITY OF ORONO PERMIT TYPE: ` 2750 Kelley Parkway- P.O. Box 66 Permit Number: - �:.'1..M� ' Crystal Bay, Minnesota 55323 (612)473-7357 Date Issued: , SITE ADDRESS: DESCRIPTION: ��...;r. ,. ��:.' :'.-:. .. .. _._ ' ,. _,",`.� ;'ffilT {.r�� _,i= �Ci i�i'� �:'•�%. .. t ;i-`=- .,_" ._ _. � . �. s . - -. . ..—. - -t'' REMARKS: I FEE SUMMARY: �_.___ .=�;_� ¢i�.°_� . ,-� � },_,_ .- � -��;:�:r��. �_,�, _ � ; ;� �. CONTRACTOR _ � ':. :OWNER� , . .-. . ., . , `F�. �.._ ..Y — _.j,�• — ' _ ' ' ,_. . _, -.. . : .r— �: . .` �.� . " e ,.:. _ 1 ;" . : .._. ,.._ ; . .;.; ., ; �. : :' :_.�-F ... ..._�. ._ .... '.�,. .... .: ..� _,� ... �, =`:�.:T> � [;s�. ., . . . . . . .. -... . ._ ..... ... ..� .. . . �. � . ' ' � j;.� i=3:�# :A;=;.=�..a'y- !- i ,i !- '_li'J '� � � _ �; _ � •�... . _� _ . __, ., _. _ _ _ . ._ . � �•Tii.�4 1�'�,� f i ! ` .y..___ . .. { _ �:�i: : _ ; , . . e», .... ._,� ... .�_� ri . . � isi • � ._.•�., .t.._..: . ,s �_r : _.i ' -.� _ S . .E_I_ :�•:�:..i�-. ::¢w _. . ..�. .. . .., ._. ___. :. ......�. �:'t�_ . . . . ...._._ ti�,a.=:':F.�i"� C.��F j i:i:i'- -`� t•:i�. _ ..�. �,.: t, . .,� . - - � i = t " ,.ti ° �'v.`rI � S 9 { S F�� 7 e„x��._..,.�... ., .... ...r+�u,.L._. ,ru�: . , ' i.... .. .._._. ... . _. _ _. _.... _ . ._. . _.. . ._. . _. ._. .... . . ., L _ . _ . _ . . .._ ,. . _�J __.. \ �: / � ANT/PEFMITEE SIGNATURE ISSUED BY:SIGNATURE �`�`�'��- � ' . Total Fee: $ �� r-�'�� - �", Date Received: �;��/�� Entered By: _ � ,,�� , � ;�-� Permit#: '�„' '7 i 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 OR CONTRACTOR JOB SITE ADDRESS: � �j�'�j �� S f ZIP: �� NAME OF OWNER �,n��t'� � �ic�e �j,��-,�� PHONE: (home) �/7� �-(�(��3 �p (work) MAILING ADDRESS: (�O� �� -� , CITY: _��/��IP:_�� * � � CONTRACTOR: c+.S S i c:.. L; ' - ��c: ONE: 1��4�} CONTACT PERSON: i � ,��.i MOBILE/PAGER:� G�� - S�Ll S� MAILING ADDRESS: 'Z ' S' , CITY: �r�c • <<�'K ZIP: S�� a' STATE LICENSE: # �C:��,�G; - 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�: ��c��" �'�;o�- i+�q - �'�.r-l� ��e- _ F'It� ��i't'1.11 �'L:�� l�� l�:c' � � t'1 •,c; `d" � �(` - `j"i 1'lG I� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE 5TALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�f:`C�,�t� 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. �______ f� APPLICANT'S SIGNA `\ ` / ��2t� DATE: r� " �-�� NOTE! Parade of Homes events require separate permit approval by Poliee Department and City Council 60 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. The righrs of in�ividual on whom the data is stored or to be stored shall be as set focth in this secdon. 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 intended use of the requested dara within the collecting"starE agency,political subdivision,or statewide system; (b)whether he may refuse ot 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 idenriry of other persoas or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the nodce 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 individual. 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 dara without 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[he private data and informed of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal 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 individua(subject of the data. The responsible authority may require the requesdng person to pay the actual costs of making,certifying, and compiling the copies. 1fie 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 compiiance is not possible. If he cannot comply with the reques[ within that time,he shail so inform the individual,and may have an addiaonal five days within which to comply 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 concerning himseif. To exercise this right,an individual shall norify in writing the responsible authoriry describing the narure of the disagreemen[. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccunte or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be coaect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with[he disclosed data. The determinaaon of the responsible authority may be appealed pursuant to the provisions of the administrarive 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 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 fumish 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 permit 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. (. Your full name is required to process this application or permit. +s—rec��-i c:� �-�.r`�� -��"i,vt�� - First Middle �� , Last �� ( �' � �c�c � � � - Address�,� �•��G ��'1�1� � ), �.�� /,C ! Ciry Sta[e Zip Phone I understand my rights as stated above. - ` �_ � � —�.-- - Signature OATE TIME CITY OF ORONO CALLED IN /C / `l/ INSPECTION NOTICE SCHEDULED /C� 1/�� ,.L' PERMIT N0.� '�� COMPLETED �,_ � ADDRESS I � S c' �� OWNER %y-� CONTR. � TELEPHONE NO. � �/ - j��`�� DESCRIPTION .i�v_/`i.i--r--� � 01 FOOTING 11 MEC ANiCAL RI 18 EXCAV/GRADING/FILLING y 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS � 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q � FINAyl 14 SEWER HOOK-UP 06 PROGRESS J EMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION FiEMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � � O �. � O � W � Q � Z W � W � j d ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED '_. ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN INSPECTOR WILL RETURN ❑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 OwnerlContrac e: Inspector. White Copyllnspeclor's F'e Canary CopylSite Notice