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Home My WebLink About1996-008494 - tear-off/re-roof .,, PERMIT � �CITY OF ORONO �. PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 :::1 i_...�?J.€'�;? Crystal Bay, Minnesota 55323 Permit Number: ;_jt:;;;;�:;;r (612) 473-7357 Date Issued: � �� :;,�;L; SITE ADDRESS: 's7i;i_; E=:17( '=��T L'•��tJ �' . 1. .F� . � t:i:-:-1 1�-_''�;-d i -�E 1()i:r_: DESCRIPTION: ��:;�;-i iF�.r�;t--�3:it�jF. �uil�:�i�-��.� �'��'iis2�• TY;=�� °;f�—,=,{�i�:�;�'�;°�;E(1�L E��,i 1_��iti�� W��t~��: �w��c� !�E-��(�it_:;F ��t�'1��31.�!= {_:�^t��?= �_`•-'r� i-1�� , ;1`�'._;i�!_.'�� 1 �f 1' REMARKS: FEE SUMMARY: �}�:►.�.��F�If��j y7, L.c:ai� �i•w{`],h,� �h+N i�l•,�I . ::�� '.��I.�I!'f�"Icti'��ti� .__.__.�__—_�._� �-:t� 1 [ti ��i t.;�t� F r�:};1 �s�,:�.�, f D. CONTRACTOR: — �;F��=li��zt. — :=�T . i.._Is= OWNER: .��C f�,t l:r.:�:'r'��t �'� !"�.h T t:��:-; �!�.lt� j.�.�.��;c..?1 f �.'-`�«:'=1 �•i��,t:t•i T L.i�-;[�I ;`':�'=� . _Tl:f!-:�� .��€�� I t�i�:a'J',;�1�I�,l_ `��I_��':' �� ;'�_!�_! f��.'; _�T �...}_INf; �f-?f�_:.L �i�`3 �•`�:,�'-sf-� :.9i-il_it•si_: ;`s� �=��:'�!'! t:t��1�.? �.ci.°=:_�;i!1 i;- iVg 7�.��_i�� r.r�_._.,� -- - --- r.a..__, . f_� . _ �.i.�.r... t � ;, .� �y;:-.tt-•',; - l i�.l 1 {-;W.. i-,t-.d - . . �_. E' � I- '-'� ';`ll:-:-. f '^� r•t-n;t°p�:- v f`"�` r- � i 'f�-..it f.i^.`, � '.- : 1'"._. _ 3..__. ._.+! . .�� . _�_. _ . !+.W.•_. ...� .. . •_ . .... _.�-`�1+..9��1 � '_. F:t••.._. f"t... t�:.i'f_... .... _. d�.. `;�-'�?_!.�' 1 W'.s.�. f=?��1 H'.�t?`r_`�= �:z v!_� �'il_f._ ',+��..�i�`.", ��! ��i i';1 t.:I' �,�_E!'�i'�'i�it�'�� ih.i.I i"4 F-11_# �:��i�Y 3_l�" . � � - -� , -;..., _ ;. - - �: t,'�. �..�t • r.,';r �"-}; i C-' �.;"r:`. • �..�. %il�ai_ij:ii_I �..t��',i :vF-,�;fi,::= f�`ci°we,� „� E i-3 i};'. i„+� i'��t`,� J ._=�i�i I i'-� '=�(_� I �,_�.�,C°,�_� i_.3_.c..s.... E�ir.i„ _.�'��..._'!..._Iu E •= . � -- � PPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE L � ,3 i - Date Received: ♦ Total Fee: $ � �� Permit#: '.• ' Entered By: - 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) OWNER OR CONTRACTO _; - ,- ZIP: JOB SITE ADDRESS. � � _ � PHONE: (home) NAME OF OWNER: `��, � .�,, , . �::� � (work) � CITY: . � <: ZIP:_— MAILING ADDRESS: `�� -��- � � ' � PHONE: ,�� ; `' � � � CONTRACTOR: - . ,�. �z__ ��^� �_�-,, : � _ �-<<,� , .� . ; , , , , ,-�, : > MOBILE/PAGER: ,. �, �. �t- CONTACT PERSON " �' `��` ' -` ' ZjP� " , ,.._,:_�, :.,_ �;._�� CITY: r,4.1; ,�,�� =— MAILING ADDRESS: .��` - STATE LICENSE: # `�._-'� `� , � PHONE: ARCHITECT/ENGINEER: CITY: ZIP: __. MAILING ADDRESS: REGISTRATION# NAME� � Addition_ Accessory Structure TypE OF WORK: Ne�' Land Alteration__ Move __. Remodel/Alteration_ ,_ �� .� �� . , � ,� PROPOSED W4�(describe in detai�: � ; . ,� _ � � ,;- � c�,� � -- -- ._t_ i.,r. t � t t � _ .. R�S: -, SQ,FEET OF EACH FLOO ATT. DET. STO _— G�,g�GE STALL — NO. OF BEDROOMS: _ _. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � ��,,� ,� buildin permit and I acknowledge that the informatcode sof the City and w'rth I hereby apply for a g accurate; that the work will be in conformanhis not a permit and work is not to start without a the State Building Code; that I understand t roved lan. permit; and that the work will be in accorda�ce with tl�e app P _ <,: DATE' APPLICANT'S SIGNATURE: ` � �" ' se arate permit approval by Police Department and NOTE! Parade of Homes events require p Ciry Co uncil 60 days pr�or to the event. Non permitted events will not be allowed. � S �� f � Sec.13.04 RIGHTS OF SUBJECTS OF D�TA Subd. 1. Type of data. The rights of individual on whom the data is scored or to be scored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data co�cerning himself shall be informed of: (a)the purpose and intended use of[he requested data within the collecting"state agency, political 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 priva[e or confidendal data;and(d)che identiry of other persons or endaes au[horized by sta[e or federal law to receive the data. This requirement shall not appty when an individual is asked to suppty invesdeadve data, pursuanc to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or propecrv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored data on individuals, and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject of stored private or public da[a on individuals shall be shown che data wichou[any charge to him and, if he desires, shall be informed of the con[ent and meaning of rhat data. After an individual has been shown rhe private data and informed of its meaning,che data need not be disciosed to him for six months thereafter unless a dispute or acrion pursuanc 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 authoriry may require the requesting person to pay the accual cos�s of makine, cerufying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excfuding 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 addicional five days within which to comply wi[h the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuracy or completeness of public or pm�ate data conceming himself. To exercise this rieht,an individual shall notify in writi�g the responsible authori[y 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 noafy past recipienu 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 responsible authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relaring to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "RiQhts 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 ro determine your qualification for the pemut or license requested. 2. You may refuse to supply data, but refusa! 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 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. i� - ,' % First � Middle Lasc r Address �- , � ,i 1��d ' � ! `� �� _ � �� ' � � � C��\ State Zip Phone I understand my rights as stared above. � � n �� ' Signamre / DATE TIME CITY OF ORONO CALLED IN ' ` ` �'" � INSPECTION NOTICE '/ SCHEDULED f� ,"/�i� c'-, L-� :-- PERMIT N0. j�1`//7 COMPLETED � � ADDRESS / l�� :�fi �-� OWNER �7)l � c� i`7�t < �"� , CONTR. �:� c;�. z��z. ,;� <��: ;. � TELEPHONE NO. y`� ! '� > > >/ � DESCRIPTION _ ��-� L t �" / � 01 FOOTING 11 MECHANf�AL RI 18IXCAV/GRADING/FIWNG � �fff F�A ING `` 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS Q 03 IR$UCATfON� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEM�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 � 10 PLUMBINd FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � 2 W � W � � d ,�WORK SATISFACTORY�PROCEED �- PROJECT COMPLETE W � C CORRECT WORK 8 PROCEED �= ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractqr'on site: Inspector.��1��'��lU White Copyllnspector's File , Canary CopylSite Notice