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Home My WebLink About1999-011920 - tearoff/reroof PERMIT CITY OF ORONO PERMIT TYPE: ! 27�•Kelley Parkway - P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 �y (612) 249-4600 Date Issued: �� w,r-:. . , , ::..:.,;_; SITE ADDRESS: � .._._.:_. =�� . . . DESCRIPTION: . - .�-.�..�:.-,::- ��:;...,;_' �`''=-. .�.�t_.. T:`�� _ �} '�;� C'�,,;,r:F�r T'*i'.� _.�-._;-�ji'":�r".R��'=�_��`i.... _ _ = i'-�i�" �l:��l'f:. . ':�-`�.' ___.(_;: t E�!1- _ .. S iyfi'•'�a 6.f..;r3� ?'"4�._f . � ....«��S i,i i..S'Lj��i-�� .....s t�'«��'? u ... .._._ REMARKS: FEE SUMMARY: . .. _..}_�. . } I ?_.i!'4 w,':.}'�r _';�f_rl_i {'r.�i�� w� . .. _ .. . ...�.. `_�I.ti��wi;_i!'�;.� ---......_.... �''� '!-t I ;_t#.r�.�, i-�:r: . � 'M_:�� _. CONTRACTOR: _ ,- OWNER: _.. . ;. � � -:-::: _ _ . . __ _ - .�:`.,._�.�._: .: � - �-�.^�_�°;=°i`�:;� �.. __ _._ _ . _ _ _ _ _ _ . �.. _ f ;��.?��- ��= _ _,._ �.._ - . . := - ., ;,;-.::-, -�.�„ _ �- � , m. . :, : _, �;; .�_:�..-. G _._ � . .. . . . i ! .� .r . . y � ` .�. .y .. . .. ..: ,__. . _ ._..`t;r� _ ... . . . . ... ? ��~� ..__ . . . _ N,_.. ._... ... . . ..._. , _- .�. .�;� .._3't i't',''u '� .! .. � 2. i � , _,�. . . ��. .._. �.. _ { {N S.F- . } { t��j!-.�:. �� -?��s _• � .:�...#i . 4 � � �� ....... _ .. . . . L . '. " i , v; . _. ! .- . ._ . ._._} : �z.'3_,.. .... . ,. ,s .. _ . _. _..4__ �, ,... _ . � _ ��. : _... , ; -. .•; , ° o= . ; r; ; :: �C� t,� �- ,;� � ��Z�n�-' � PLICANT%PERMITEE S NA RE ISSUED BY:SIGNATURE � , , Total Fee: $ Date Received: �'� 14��.,� �� Entered By: Permit#: "��'� lf �,� C' ` ' x � 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: �- Co o�� O>( � � ZIP: S S,3 � � _�- NAN� OF OWNER: O t L� �' -�, PHONE: (home) �17 C� - C7C��S� (work) MAILING ADDRESS: ad �=U�( S I CITY: /"j ��,�t/(� ZIP: S_�?y� -� COr^I'RACTOR `U'� �u�(J �o�1^1 v PHONE: LJ�,?`�- `'l S�.S �f _ CONTACT PERSON: ��22r�J MOBILE/PAGER: � �y - /�9 �� MAII.ING ADDRESS: �v/�./ i��y e2��Fl ��'�'' CITY:�C��f S ZIP: S S� 7`'� STATE LICENSE: # �Q I S�'�U 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 detain: / ��GL 01� d- �� - G?o v�� r�✓�i 7�-( A-Si�Fl9�j �O��c�� .�C�-� �1-zc►2- _ �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ALUATION excludin land� `� ESTIMATED CONSTRUCTION V ( g ) 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: y ��- 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. Sec.13.04 RIGHTS OF S[JBJECTS OF DaTA Subd. 1. Type of data. The righ�s of individual on whom the data is stored or to be stored shall be as set forrh in this secdon. Subd.2. Informatioo reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecting'state agency,poliUcal subdivision,or sratewide rystem; (b)whether he may refuse oi is legally required to supply rt�e requested data;(c)any 1�own consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or enndes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrieadve dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the notice reauired under this subdivision in the individual income_tax or propem tax refund instruccions 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 whecher it is classified as public, private or confidenaal. Upon his further request, an individuai who is the subject of stored private or public data on individuals shall be shown the data wichout 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 thereafter unless a dispute or acaon pursuant to this secaon 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 requesring person to pay the actual costs of makine, cercifying, and compiling the copies. The responsible au[horiry shall comply immediately, if possibie, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Sa[urdays,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 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 conceming himself. To exercise this ri¢ht,an individual shall nodfy in wridng 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 attempt to norify past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual tha[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 de[erminadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relaring to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Ri2hts 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 detemiine 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 pemrit or license. 4. If your requested pernut or license requires Council action to approve, some informa[ion may become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (, Your fuli name is required to process this application or permit. Q� � � �c,: r-/ C i irst Middle Last �'^�/�� /�A�R�isi-f /��c • Addre � ��c�'�� /1�� '` `-o��"�-`�S y Ciry Stare Zip Phone I understand my rijhts as st ed above. Sign re DATE TIME CITY OF ORONO CALLED IN �-�" =�' � � - �,�U INSPEC"TION NO I�E scHEou�Eo �- � �''� � PERMIT NO. �� ' COMPLETED � .'Oc� ADDRESS � � �� OWNER �,� � CONTR.� TELEPHON�"N . T � �— S��,h � � � DESCRIPTION -e - -- C't L� 01 FOOTWG 11 MECHANICA RI 18 EXCAV/GRADING/FILLWG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOF TO MEET YOU:_YES_NO Z D COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � CORRECT WORK 8�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WtLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor on site: Inspector. ��f-c:_�'X'-�-�� White Copyllnspector's File Canary Copy/Site Notice • �' � DATE_ TIME CITY OF ORONO ca��Eo w i=-2�- ��' `�' �. � INSPECTION NOTICE SCHEDULED 9-� " '�'.� � - '`'`� ` PERMIT N0. �� I� � COMPLET D 2�� / ` -�-~---•---�____. ADDRESS �-� � � ^ OWNER r � CONTR. f.�� TELEPHO N . 7,�� -- � S�� DESCRIPTION �t L� O��ING..___ 11 MECHANIC JRI 18 EXCAV/GRADING/FILLING �2 FRAMING � 13 MECHANICA FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 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 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COM EN S: � / a a � ��/� -ec�.�61�tit j �i' � � ,f.L�c � GE3v`ec� O � � O � W � Q � Z W � W � � d �NORK SATISFACTORY:PROCEED �.; PROJECT COMPLETE W � ❑ CORRECT WORK 8 PROCEED �] ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTOTAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector.,I�CZ��-�IJ White Copyllnspector's File Canary Copy/Site Notice