HomeMy WebLinkAbout1997-009357 - repair roof damage PERMIT
CIT�Y (�,F ORONO PERMIT TYPE: _
275� eliey Parkway- P.O. Box 66 ___._. .�. ._.
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued: _
SITE ADDRESS:
DESCRIPTION:
- =.; �',==. ��`__ �- __. .. ..-.�.-_
,� _ c��.::' ..._,e7. —(`s — _ _� "r�i.�'•�. `°t_i'[�3=_'�—__
._ i � .__ �:'��
— .i_ -r' L�7...._..L.�"�ii f�
REMARKS:
_ _. _ i _ .,_ .. _ _ -
� .. _ ,. .::.: . . . ._ � . _
_,; . . . , , : ._ _.. . _ _ .. _
-�; =
�, , , , .., , . : :�
FEE SUMIIAARY:
.:_.�.fi'�;`_ _. . , - _ _`-'`-`
-. - -;r
_ _ ,_ _ . _,. . -�
___ ,. � .;�+ - : �-
_•..... : -._...
�:- _ -
CONTRACTOR: -. OWNER:
�_ :.��..- - -. ._ ._... _ __
: , _.:: _
� ;
..; : ._ : �. � 3 � , � .t�, _ .. �
. � �.._ _ .. _ _
_. , . . . _ i�=- '-!�''`"`;`,-,�-`-` '`'-'
I - - �. 3��� . . _ _
j �.. � . ...' .�.. :._.. .. _ .. ...,: ,: _ . .. . _ . ��, j .. ... ...... ��- — — �
' ���_. �. . _ ..,.'. .�... !. . : ,....... �� . ' . . r ��� ,.. _ .. , . . . ...... , ._._ ,_.. _. ... ... , ....
i _ _
_�_. . ._ ..r _ ' ' t f '
'.�.. � ' f ,�3l�,«: t'��..�.� E �i . . Y•. .... ... i .. .... .. �...a.. . _:... .. ... . . , ..»..... _ _ +�'{
�.�. ...._ ...4 _ _,....: . . .._.....� . �._ ._. _ :..«�.._ :.�_- .."•. S.' . _ .
'Z .�_
"r�i�. :ii " .i t .i�: i '
i r . ^
L r ? �, ��w. �. .e, . _E F' _ _ ..._ _ _i_ .. _ ... �. .... _. . , .. . �
i — '
PPLI PERMITEE SIGNATURE ISSUED BV:SIGNATURE
� o `- -J��
,,Tct.`1 Fee: $ Date Received:
.
Entered By: Permit#: �i =� �- '7
-r
CITY OF ORONO - BUII�DING 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 SIT'E ADDRESS: y�9U I-��qkW oo d � - ZIP: ��.3�
NAME OF OWNER: �dC� �oo k.L PHONE: (home) �—
(work) ��� � 02/�
MAILING ADDRESS: sc�.v►1� iAs A�J o�v CITY: �IQO/JD ZIP:��;{�
CONTRACTOR: ,SGt. L ' � �
, � PHONE: JaZ�SS^�/�
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: Z?,Z� L,-�u}- 35- 'U� 5.�� CITY: ZIP: �,Sz/o�
STATE LICENSE: # ,3/vZ 6/
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: ,� o ��i�f'i��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
a�o
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� �
I hereby apply for a building permit and I acl�owledge 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 acc rd ce with the approved plan.
APPLICANT'S SIGNATIJRE: o�✓ DATE: 9�q�
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.
/ �{�
���iZ l'c,��� (��)v,,v-�-� -{iu�� �,��.vt � /t��Zv �s s-�5 C�./L c-�� �t.(,�,.�----
���z- 5 7
� �
i �
Sec.13.04 RIGHTS OF SLTB.TECTS OF DATA
Subd. 1. Type o[data. 'Ihe righ[s of individual on whom the data is stored or oo be stoced shall be as set for[h in[his section.
Subd.2. Information req�rired 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 csques�ed data within the collecdng Etate agency.poliacal subdivision,or statewide sysum;
(b)whether he may refuse oY is tegally required to supply the requested data:(c)any lmown consequence arising from ius suppiying or refvsing to supply
private or coafidentiai data;and(d)the identi�y of other persoas or enrides authorized by state or federal law to ceeeive the data. This requirement shall
not appty whea an individual is asked w sapply invesngadve daa,putsuanc oo secdon 13.82,subdivision S,to a law enforcement officer.
The commissioner of revenue mav olace the nodce rewiced under this subdivision���h�individual income tax or prooenv tax refund
inscrucaons insuad of on those forms. ' � �
Subd.3. Access to data by individual. Upon m�uesc to a responsible authoriry,an individual shall be informed whether he is the subject
of soored data on individuals,and whe[her it is class�ed as public,private or confideaoal. Upon his further requesc,an individual who is the subject
of swred private or public data on individuals shall be shown the data wirhouE any charge to him a,nd:if he desins,shall be informed of the content
a�meaning of that data. Afur an individual has been shown the private data and informed of iu meaning,the data need not be disclosed Lo him for
six months thereafter untess a dispute or acdon pursuanc to this secaon is pendiag or addiaonai data on the individual has been collecud or created.
The tespoasible authodty shall provide copies of the private oc public data upon request by the individual subject of the data. The responsible authoriry
may require the requesdng person to pay the actual cos[s of making,certifying,and comp�7'ing the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or wi[hin five days of
the date of the requesG excluding Saturdays,Sundays and legal halidays,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 witt►in which w comply with the request,excluding Saturdays,
Sundays amd lega(holidays. , '
Subd.4. Procedure when data is net accurate or compiete. An indivisival may contest the accuracy or compieteness of public or private
data concerning himself. To exercise this right,an individual s6all noafy in wriang the responsible authority descn'bing the nature of the disagreemenc.
The responsible authoriry shall withia 30 days'either. (a)correct the data found ro be inaccurau or incomptete and suempt w nodfy past ncipientc of
inaccucate or incomplete data,including recipients named by the individual;or(b)noafy the individual that he bdieves the data to be corcect Data
in dispuce shall be disclosed only if the individual's staument of disagreement is included with the disclosed dara.
The determination of the responsible authoriry may be appealed pursuanc co the provisiqns of the administtadve proceduro act celating 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
confideatial information.
You are notified that:
1, The infonnation 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 Ciry 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.
6, Your full name is required to process this application or permit.
�S 1'�1s�! aMA[o n�
Firsc /n d /`� / �D�/ Middle �� �� 1-� —
� h
�d���,�� L�.� a�,�►� �s3� z �a� 'Ss"y.� �-
City Stace Z�p Phone
I understand ' ts stated above.
Signature
DATE TIME
CITY OF ORONO ca��Eo w ��- '�l�' `i'J � ' 1.r-
INSPECTION NOTICE SCHEDULED /D - � �i 91 /: �� 'Q.a,
PERMIT NO. ^J� COMPLETED �_ �
ADDRESS f ��v
OWN ER CONTR.
TELEPHONE NO. ���" 5�`I�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM��ITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-iJP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
ti
�
Q
�
Z
W
�
W
�
�
d
W � WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ; CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O I-' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
l CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
; STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
INSPECTION REQUIRE CALL TO ARRANGE ACCESS.
Call f e t inspection 24 hours in advance.473-7357
OwnerlContr r it :
Inspector
White Copyllnspector's File Canary CopylSite Notice
DATE TI E
CITY OF ORONO CALLED IN �D a3-�7 $'• �-� cc
INSPECTION NOTICE ? /f SCHEDULED / -�- 7 -3�
PERMIT NO. �J S/ COMPLETED �_
ADDRESS T�g�
OWNER � CONTR. ��d�'i . � CG.�S�.yi
TELEPHONE NO. 70��- S� y�
� DESCRIPTION ��%�0 �"'
� O7 FOOTINf3 11 MECHANICALRI 18IXCAV/GRADING/FIWNG
2 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNEFUFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP O6 PRO(3RESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PIUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
�
�
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
W C'. ORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
= CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspect' n 24 hours in advance.473-7357
OwnerlContracto
Inspector. �-
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN /,t -l'9� %�
INSPECTION NOTICE SCHEDUIED % -iv `17 � '. c�a�,
P E R M I T N 0. i'.�`> 7 COMPLETED � �
ADDRESS � v -��' G�
i �
OWNER / � CONTR.�f �1C'�, '-n��j1'.���
./
TELEPHONE NO. � ��� � 5 �S�6
� DESCRIPTION /� �
� 01 FOOTIN� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINd
y 02 FRAMING 13 MECHANICAL FINAL 19 LAf�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= FINA� 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINd FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z QWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEf�TS:
a � C�l)lM,. 3 l�( � t/
�
J
O
� 5� ��
�
0
�
W '� -,
Q T' � — wiM G
�
z
W
�
W
�
�
d i=WORK SATISFACTORY:PROCEED -_ PROJECT COMPLETE
W
� C ORRECT WORK&PFiOCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t i spection 24 hours in advance.473-7357
OwnerlContract on si e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice