The URL can be used to link to this page

Home My WebLink About1998-011017 - tear-off / re-roof► PERMIT �ITY OF ORONO PERMIT TYPE: - - '50 Kelley Parkway- P.O. Box 66 �;;; ;__�; i ;.�;-; i.;rystal Bay, Minnesota 55323 Permit Number: ;_;; s;_;; � � (612�473-7357 Date Issued: _ w __ = SITE ADDRESS: '•ti�`� �'.;�.__ . ;-;v'` , - - f F.t _ .'-4 % f—..._.—_..._._..f,r��_: DESCRlPT'I��: -.�.. . =��-�_ ;�,�:-. ..-��:�% _. . - . �.�•� E +�'%_' -�i- aj a;_i r;-�'�(°�i t1 �''4.._ :i.�7 j,i�i i(°.7 i�k i'i:. � 4��.t b.�: � �"S��'f'S:_i 5Yi�" �....-.:��1.-� ::._ �`�._:j:,� ' :�- i�i = ;"�i_iv < n- �-. -� + { �� .:, �- .. :..._:� .- �`§�t I REMARKS: -__^-.____ -�_�__�_---- --- -- - _ FEE SUMMARY: - : i�7�i�v �:.'r' �-��:t� I �ii��, � i� ��!.': " . ' _ '.. . . .. , _. _ _ j -.S.�is W i..i_'��0-�i� _�...__._..�.� ;�5 i - I Ti:Y.��_ I , •�+ �'�•lt�.T�l,.s CONTRACTOR: OWNER: -- ��i i��. _.>?: - .,-i;�,':'�_:��i� "l�;=;::�i•��°�� ;`r::=i �:::L�i_'. �;:1;� rr,�;� ' _:i {_4�-._. ._ . .. . .. _ ". ...�.c -- �-.--t..- ,�.-:,——, ..;__ i't.��_ �ti'•i� +t-!-':-� � .�..,�..f.r ,.��,_•:��`r' i.. i�� ._ _ . _. . ._ _ �_� ,'{'��' . ;yi- `:;7-;- f i. i. ° ._:i _ .t'..°•� € ;_ ° ' t`-- _. ._._. ._ t t_"�s._. , ._. ..._,_ . t ..._ _ . ��.� . . '.i:". .:�._ . . . _,,...,- --. _•,- .r .. � _ . . . _.- - - -.. - �_�^"`;. f i` ' :: ::,.,.�"• . ...... ,__..._ . _ _. _ . ..... ._ i.ii__•' •�'� : _..i;„,,_ _. , _. _.'�: _.._ `;P�ii_... .. . . . .._. _ , " :L. : __ _. �€-.�} p t,4.i ; i .�4 i i}.°-. :`y i !t,t-'` ;:} i �';: .� ! ` : ..��.. ,_ . .`. , .. . �-,. ,.. _... _ _. _ _ _ !_1`s.:,_3;`•S�t _'-�.�1��l,i,i S�_.. -5�1'I} `.�. t �-� i.E�. #..E` `��. ... . `• t•.# ._ _ ___.._ i.J� t_-S_;'___ . .t_;v° i I '�..,`_. !.._, . , _ . L � � �7��' /` �... - _ � z�r� �/ ��. � APPUGAN i PERMITEE SIGNATURE ISSUED BY:SIGNATURE Total Fee: � Date Received: Entered By: Pernut#: ��T� `�; 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 APPLICAI�'T IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � '" 5L � �.-� Z�: S�� / NAl��E OF OWNER: � z��/JZ�z�-u-��r.'�-� PHONE: (home) �7l —�'l � C� (wo�k) -tir .4-- 1�IAII.II�'G ADDRESS: ' � = �.�-�1�u CITY: �.1/E-e-�c.��: �,Z 3�� CONTRACTOR: !��- ' t PHONE: CONTACT PERSO�': MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHIT`ECT/E�'GINEER: PHONE: MAILni'G ADDRESS: CITY: ZIP: N�y�; REGISTRATIOv# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detai�: , <� .,' . �� a.. �;Z- l STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. a z- EST�IATED CONSTRUCTION VALUATION (excluding land): $ .� 5�`z` `� ,� E�` -' I hereby apply for a building pernut 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. � J�, .� APPLICANT'S SIGNATUR�� 1/��C-?z'�e �e� I�<< ',c��,� DATE: j/— � _��'� NOTE! Parade of Homes events require separate permit approval by Police Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF DaTa � Subd. 1. Type of data. 'Ihe righcs of individual oa whom che data is scoced or co be scored shall be as sec forth in this secdon. Subd.2. InFormatioa reqtrired to be given individual. An individual uked to supply private or confidenrial dara concerning himself shall be informed of: (a)�he purpou and intended use of the requesied data wirhia the collecdng§tate ageacy,polidca!subdivision,or s�atewide rystem; (b)wheeher he may refux oT is legally required�o suppty che requesced data;(c)any lmown coasequence arising from his supplying or ref�sing to supply private o�confidendal dara:and(d)the idendty of oeher persoas or enrides aurhorized by state or federal law to receive d�e data. This requ'uement shall not apply when an individual is asked to supply invesogadve daa,pursuant m secdon 13.8?,subdivision 5,w a taw enfoccement officer. The cammissioner of revenue mav vlace che nodce rewired under this subdivision in the individual income tax or orooertv taz refund inscrucdans inscead of on rhose forms. Subd.3. Accas to data by individual. Upon requesc to a responsible au[horiry,an individual shal!be informed whe�her he is the subject of stored da[a on individuals,and whecher it is clau�ed as public,private or confidenaal. Upon his fucther request,an iadividual who is the subject of stored private or public data on individuals shall be shown ehe dara wirhout any charge to him and;if he desires,shall be informed of the content and meaning of diat data. Afu�an individual has becn shown the privare data and informed of its meaning,the data need not be disclosed to him for six monchs thereafter unless a dispute or acaon pursuanc to ehis secdon is pending or addidonal data on the individual has been colleceed or crea[ed. The responsible auehoriry shall provide copies of the private or public da�a upon requesc by�he individual subject of the daca. The responsible authoriry may require rhe requesdng person to pay the acmal coscs of making,certifying,and compiling the copies. The responsible au[horiry shall comply immediatety,if possible,wich any reques�made pursuant to this subdivision,or wichin five days of the date of the request,exciuding Satucdays.Sundays and legal holidays,if immedia[e compliance is not possible. If he canaot comply wirh the request wi[hin fiat ame,he shatl so inform the individual,and may have an addidooal five days wi[hin which to comply wich the request,excluding Satucdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or completeness of public or private daca conceming himself. To execcise chis right,an individual shai!nodfy in wridng the cesponsible aurhodry describing the nature of die disagreement The nsponsible authoriry shall within 30 days either: (a)correct the data found to be inaccurste or incompiece and atcempt to nodfy past recipiencs of inaccurate or incomplete daca,including recipienes named by che individual:or(b)nodfy the individual that he believes[he dara to be cocrecc. Data in dispuce shall be disclosed only if ehe individuai's stacemenc of disagreemenc is included wi[h the disclosed dara. The de[erminaaon of the rasponsible auchoriry may be appealed punuanc to the provisions of the adminisaarive procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri¢hts 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 aze notified that: 1. The information 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 City deny the permit or license. 3. The information may be shazed with ocher 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. Firsc yiiddle Lasc Address . Ciry Smce Zip Phone I understand my rights as scated above. Signature DATE TIME CITY OF ORONO CALLED W �� a 3-�1�1 D; Ctiri INSPECTION NOTICE�7 SCHEDULED //-a� -98 :�% PERMIT NO. �f / COMPLETED � � ADDRESS ! . �. OWNER��'-��c..�-�%� CONTR. TELEPHONE NO. ��'cS��/ G� � DESCRIPTION ��- � 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRADING/FILLING ��FRAMING R 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS '' 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL O 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z D COMMENTS: � a � 51�� w�-..� 5 r �e 1�o v-e c� o ��se� V��I � 2`� /��ov-Q �' � � — �ZiPcr�� F-t�t�l�l.�G 0 � w � Q � z W � W � � �� ty� /C]WORK SATISFACTORY:PROCEED L PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR f:, CITATION ISSUED � INSPECTION REQU�RED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor on ' e• Inspector. White Copyllnspector's File Canary CopylSite Notice