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HomeMy WebLinkAbout1999-012135 - tearoff/reroof garage PERMIT - �CITY OF ORONO . PERMIT TYPE: -. -:..: 2750 Kelley Parkway - P.O. Box 66 -y' � �- Crystal Bay, Minnesota 55323 Permit Number: :����i :�i�=: (612) 249-4600 Date Issued: � . _ .. . - SITE ADDRESS: ... ... _ .. 4 ._.. _. . i�.•�'f DESCRIPTION: � ,.: ;_ - :.:-.,- - - �;.,_ ..;1�_;' �.f� . _� . .._ . ...�r� . , . ^. _' '.�{:'����'!�?4'.'?...�y...'=.« i-�i_�1 ._".i�. .. _ . ._ , , __ . .__ .'+.f..E�_}` . . ...._ .,. �. '_ , ' ., ..,. i_:,=.•;"l'��_;',-a _ � ._� ;�..:i.` . ..._ : . . �_�!`.4i-.`.��:�� . REMARKS: FEE SUMMARY: � _ ��R ,-.� =;3�: �:�,_,.. _ _.____.__ - - - ?'��_:��._..3 =....- _ ._ . _ .._ ._ i...i ti�•�� ` • �i. .. . ., :— � .: � t� . ..�:�. CO�IT.RACT�?R.: _. ; ._. :� - :� OWNER. .. � , _. ; ;,; : ., .._ _. .. _. .._. � .�.� _ : :_,�:.�f.:�r'T' - - - 0'i _. —F. ---- - __ :,_ _ .. _ _ , ._ _ _... - .°i�'� _ _ _ _ .. ,... . . . � - t i _. �i N.� ..� �. _ `• - L" . .I _ .i, . . . _i „ ,"•.�'". __ �'S`. .� i, '" _ . _� .__. _ , .. -... - T.__' __,_ �. , _ . - �_� w � ._� � a E '3. . !-� .� .. .3 ( i p.. 7�3 - _..,'t � � t i E ..� . �,.�a ._�_ _. ..__.._ . ._ . ._.•._.. . ... ;.1 .. . ..,._.� �'.. ..� , 1..- �..,_ `: . . .. _ . _ _ . _.__ ., . _..._ .. . . . . . ... _ m . .� '~��' `� � ._. � �.. .� .w.'._''''.". ?-�t�(�. � , _.� . '_ . .. .'"_�.., � � � 3 p ._ ' ' . . _ ' _ ....�.,�..._. _ ' % : • � . : :_. e? -. i L .. . ._ . ._ _.. .. , . .. .. .. . ... _ ._.. .,... . . � � � . ,� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � I � Total Fee: $ Date Received: Entered By: � _ Permit#: /,Z/ 3 5 CITY OF ORONO - BUILDING PERMIT A1'PLICATION � . ; All in�ormation must be submitted in full before plan review «-ill be started. . � (please print all information) : THE APPLICANT IS: (circle one) O�VNER OR(CONTRACTO� JOB SITE ADDRESS: � 3 �J� �o j< S t ZIP: ���3 S � � G�i,�- I�'AI�� OF Oti��R: 1�l�� �1�v ��'��� PHONE: (home) �73 - ����— (work) � �IAII�Pi IG A�DF.ESS: S���-4% CI1'Y: ZIP:_ ;-ij�I,t1 t�l)�)A�ii`VLi di li+"iVlU�L'�'��l�Li,�NC. C /�-� CONfiRACTOR: `}100 EXCELSIOR BLVDo PFIONE: ���- 3� ���� ry 554161�iOBILE/PAGER: CONI'ACT PERSO�: � � ' MAILI\G ADDRESS: CIT'Y: ZIP: v STATE LICE�'SE: # �C5 G' � � ARCHITECT/EIITGI�i'EER: PHOti'E: 1�1I�Itii'G ADDRESS: CITY: ZIP: �TAME: REGISTRATION# TYPE OF tiVORK: New Addition Accessory S�ucture Move Remodel/Alteration Land Alteration PROPOSED'4VORK�describe in detai�: t�`�`�°rr � �`2�� Y �u �� ..�rKf� L yL�t'f�5' � �/r+�✓!1 �j,0:'`.�5 J:l �a e�.� �i�7 � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GAItAGE STALLS: ATT. DET. � . ESTIi�TATED CONSTRUCTION VALUATION (excluding land): $ 3 � �7s � � I hereby apply for a building permit and I aclrnowledge 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 Build:n� Code; that I understand this is not a permit and work is not to start without a permic; and thac the work will be in accordance with the approved plan. ^ �C DA1E: l �—(�" `�� APPLICAs'r'T'S SIGNA'I'URE: � �� NOTE! Parade o 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 STJB.JECTS OF DATA • Sabd. 1. Type o[data. The righcs of individual on whom[he data is scoced or ro be stor:d shalI be as sec forch in this secrion. 5utd.2. Information reqirircd to be given indiridual. An individual uked to supply privare or confidendal data concerniag himself shaIl be inform:d oF. (a)the purpase and intended use of the rsquuted data wichin the colIecang Sat�ageary�poliacal subdivition,oc smmwide rysum; (b)whecf:e:he tray r_h:Se or is,legally requir.d to supply,the r.quesud data;(c}any 1�own eaas:qc:eece arisiag from his supplyiag or r:fiuing to supply privau-.or coaP,Cer.�al daca;ar:d(d)the ideariry of ather pecsons or e.^.ri�es au�.orized by st�ce or federal law ro r.ceive the da�a. This requiremeac saall not apply wten an ir.dividuaI is asked to supply invesdgadve dam,pursuaac to secdon 13.82,subdivision S, m a taw enfor�emeat ofncer. . 'I�e cenmissioner of rcvenue mav ptace the nodc- r�uir-d und-r this subdivision in the individual income ez or orooertv taz cefund inscrucdans�nsuad of on chose lorms. Subd.3. Aecess to data by individual. Upon tequest to a ttspoasibie authority,an individual shall be infocmed whecher he is the subject of stor.d dan on individuaIs,and whe�her ic is etassited as public,pmace or canF.denaal. Upaa his furcher requesc,an icdividual who is che subjecc of stored priva;e or public daca an individuais shall be shown che daa wichouc any charge to him and;if he desira,shall be informed o[the eontenc and meaning of�hat daca. After an individua!ha.s been shown che private dan and informed of ic�meaning,che daca need noc be disclosed to him foc six mondu theceafur unless a d'upuce or acaon pursuan�to this secdon is p<nding oc addidoaal daa on the individual has been eollecmd or creamd. The rspocuible au4':oriry shall provida copies of che privam or pubtic data upon requesc by the individuai subjecc of the daca. 'I�a respaasible authoriry may requir_che cequesang person to pay[he acncal eoscs oi making,cerdfying,and eompiling che eopies. The responsible authoriry shall eomply immcdiactly,if Qossibie,wich any tequest made pursuant to this subdivision,or within five days of the date of the request,ezcluding Sacurdays,Sundays and legal holidays,if immediate compliaace is notpossiblt. If he canaot comply with the r�qucst wichin dsat dme,he shal!so inforrn ehe individual,and may have an addiaonaI Five days wichin wfiich to comply wich the request,ezcluding Sacurdays, Sundays and legai holidays. Subd.4. Procedure whea data is not accurate or complete. An icdividual may eonc:sc the accuracy ar complec�ness of public or pri�ate dam eonceming titmsetf. To exer.ise this right,an individual shaIl noafy in wridng the responsible au�tioriry describing rhe eacure of che disagreemenc 'Ihe responsibie authoriry shall within 30 days eitFer: (a)cotnct the data found to be inaccurat�or incomplete aad aa:mp�to nodfy past recipiene�of inaccurace or incample�e data, inctuding recipieacs named by the individua.l:or(b}noafy the individual thac he believos[he dact to be cocrect Dati in dispuce shall be disclosed only if the individual's stacemenc of disagrcemen�is induded wi[h the disclosed data. The de[erminaaon of the responsible au�horiry may be appealed pursuanc to the provisions of the adminisaarive procedure act relaang to eoncesc-d cases. • DATA PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjeccs of data", we would like to inform you that your request for a pemut or license from the Ci[y of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. "Ihe information you furnish will be used to determine your qualificacion for the permit or license requested. 2. You may refuse to suppty data, but refusal may require that the Cicy deny the permit or license. 3. 'Ihe information may be shazed wich ocher local, stace or federal a�encies to the excent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, sonne information may become public. 5. You have certain ri�hts under M.S. I3.04 (availabie upon request) to review private data on yourself. 6. Your full nazne is required to process chis application or permi�. ��U�GL� �,q_ �7 � �� � F t �fiddle Lasc � 9-�ll�� �X�� �f�� .�%✓.!� Addreu — 5 • G - P �./�! 53`_�'� �G/�-> �'�� _��Y� Ci--� Scate Zip � Ptioae I understand my ri;hts as stated above. i ���-,--� ��� r���,« DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �`�� � PERMIT NO. I Z� 3� COMPLETED �1��+-Y"� �%' 3Ci ADDRESS ���� �� X � , OWNER CONTR. �L�GZ_ ��`�1r1 �j TELEPHONE NO. �I I�! 7a-�-� � DESCRIPTION C7'l 2��� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNEflICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: z w a � � O � � O � W � Q � Z W � W � j d �Z(1NORKSATISFACTORY:PROCEED ��' OJECTCOMPLETE � ❑ CORRECT WORK&PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor n site: Inspector.� ` �✓�- �� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ''-� PERMIT NO. COMPLEf ���-- ADDRESS `��_��_� � OWNER TELEPHONE NO. CONTRACTOR ��-] , >; DESCRIPTION ��'`^ ���"� J�s�'� � � � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL� ❑ LAKESHORFJWETLqNDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/fiEMOVAL 2 OWNERtCONTRACTOR TO MEET YOU:_YES_NO ---._. � C � �: � � a GS� !'►+�r� '' D ,L vl � r� �E � � O � � O � W � Q � � 2 W � w � j d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. U pHOTOTAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ' ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z 9-Q6QQ OwnerlContractor on site: ' Inspector. White Copyllnspector's File L_ Canary CopyfSlte Notice