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HomeMy WebLinkAbout1997-009473 - tear-off/re-roof PERMIT � '�`�Y OF ORONO PERMIT TYPE: _ _. _ 2750 Kelley Parkway- P.O. Box 66 �:� �, j =`��- Crystal Bay, Minnesota 55323 Permit Number: � .�, (612) 473-7357 Date Issued: ; � - SITE ADDRESS: ��.:a.��. i._�a�::�w��'.�,.:��-� "_.�;�� DESCRIPTION: _. _ _��_:E� �.�:::�.�-��:a :�:��'r��iT. ..�$L. . . ..__ . .� ._�;�._r�i..—!!;.'�l=a:�_r4'�1E�=i'�� ...�i�7 y S {i i f i }I�i�i 4'�`. �.i isN.:: �-'L....%{�ii_:4" _.._..��1;� �.:�t't;��;� , �'�.:,_;�:.�. !�:t_?� . �i':-'._:I�'i=1E(''—�; REMARKS: I FEE SUMMARY: �ti��._� . �_ r_�:r . ._ _=;�� ;:r:�,�;�:� _.______ "�� . � CONTRACTOR: -. _ . . .. -- - . . � OWNER: I ._�.L .._ ._.. _ . ... ... . _ .w c�`��!'..F.>�t'.i.�aS! . _?—?` . ._ ^t_��• r-r r _ _ _. ,. ... . '.'r 6a:n? _. . . . t:_�e,j�j 5 ��_.... :�..._ . .. . ....,,,... � �, . . .. .. . � . . . . . .. . ... .':'. � : I ....j. ,. w _ W. », . . . �i'#�' �.1j��P�„3�!�;'_;,�t�s�'�,���1 � 't:i}"�'�`i� �",�.�.�y�,,;sj,;.. i , _ _ _ .. F #` . '__ v ,�,� :'.. , .��': �"f � `�.._. . �.f�f•J.�1�V �i'"!�� ��1� �� f���� C.f�3 ,C"t�.t.,. ,.S i � : i ( ' T �¢`��:3 t 1'"� ,� ; �.�`�' . ��t���t+€�;� C�����4���t�':�_ �.��_:_ _ :��'�. �i� _��.� ��mw.. � �. _� _ _�:..t?�.�� ..}_. Y . _ � �° ' , , Lp . _ .: _.._ _. .... . . . ; � ,� �- l� � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , • - Total Fee: $ Date Received: l�'� � - �� Entered By: ��-� Permit#: 'i y��� CITY OF ORONO - BUII.,DING 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 CONTRACTOR JOB SITE ADDRESS: i' �h��l ,�,�.�-�-�—.-�, �� . ZIP: NAME OF OWNER:_� _��;�;�.�1 PIiO�TE: (home) y � .� ��3 7 '— ' (work) MAII..ING ADDRESS: �-� /� ,n. c �=; - CTTY• ZIP• �-\ ; J CON'TRACTOR: ��..-f' �- -�-Gr�'�'' PHONE: `S C�C� %�� f�' j'.� CONT'ACT PERSON: i � MOBILE/PA�GER: MAILING ADDRESS: ��G/ f.��:� }� �`i-,� CITY:�;�vt�.;� ZIP: �� c> STAT'E LICENSE: # ..�/5 ��� � ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NANIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move � RemodeUAlteration Land Alteration PROPOSED WORK(describe in detai�: ;✓LC% �--,�`� ��� ' � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � � ESTINIATED CONSTRUCTION VALUATION (excluding land): $ ��C� �� I hereby apply for a building permit and I aclalowledge 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'SSIGNATURE: C��'�t/� ���'�2`'��' DATE: �ll /,��� NOTE! Parade of Fiomes 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. i. Type o[data. 'Ihe rightt of individual on whom the dara is stoced or ro be stoted shall be as set forth in this section. Subd.2. Intormatton reqirired to be givm individi�aL An iadividual acked ro supply private or confidendal data concerning hi�telf shall be informed of: (a)the purpose and inrended use of the:equesud data wiehin the collecdng state agency,poGdcal subdivition,or statewide rysum; (b)whether he may refuse ot ic legaily requicrd w supply the requesud data;(c)aay imown wnsequeace arising fivm his supplying or refiuiag to supply privace or confidendal dara;and(d)the idendry of other persoat or enddcs authorized by srate or federa!law to ceceive the dara. 'Ihis requirement3ha11 not apply when an individual is asked W supply invesdgadve dara,punvant to secdon 13.82,subdivision S,to a law enfoceemeat officer. The commissioner of revenue mav olace the norice iewircd under ehis subdivision in the individual income taz or orovem taz refund inscrucaons iascead of on[hose forms. Subd.3. Accas to data by individual. Upon request to a responsible authoriry,an individual shall be inforwed whether he is the subject ' of stored data on individuals,and whethec it is class�ed a�s public,private or confidenaal. Upon his furthec iequest,an individual who is the subject of stored private or pubtic data oa individuals shall be shown the dara wirhouc any c6arge to him and:if he desires,shall be informed of the content and meaning of that data. Aher an individual has been showa the privace dara aad infocmed of its meaaing,the data aeed not be disclosed oo him for six months thereafur unleu a dispute or accon pursuanc to[his ucaon is pending or addiaonal data on the individual has been collecud or creaad. The responsible authority shall pmvide copies of the privare or public dara upon request by the individual subject of rhe dara. The responsible authoriry may requue the nques6ng person to pay the actual cosu of making,certifying,and compiling the copies. T6e responsible authoriry shall comply iaunediately,if possible,with any reqvest made pursuant m this subdivision,or wichia five days of the date of the cequest,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he canaot comply with the request within that dme,he shali so inform the individual,and tnay have an addiaonal five days within which to comply with the request,excluding Sadudays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or eomplete. An individual may contest the accuracy or completeness of public or privam data conceming himself. To exereise chis right,an individual shall nodfy ia wriring the responsible authoriry describing the nature of the disagreement The nsponsible authority shall withia 30 days either. (a)correct the data found ro be inaccucate or incomplete and aaempt W noafy past recipients of inaccurate or incomplete data, including recipients narned by the individuai;or(b)notify the individual that he believes the data ro be correct Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included wich the disclosed data. The determinaaon of the responsble authoriry may be appealed pursuant to the provisions of the admiaisaauve procedure act relaang w 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 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 other local, state or federal agencies to the eztent 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 applica[ion or permic. �� � � � ' First Middle p� Last /�C /' l30 �- .S� .�"� � Address � r,� `�S� ��� G 9�9 r 9�� �i��-���--- �%�..�--L. � Ciry Stare Zip Phone I understand my rights as stated above. ��' . �T- ''�2�/�'�-`�-t--� ./r7 ' Signamre DATE TIME CITY OF ORONO CALLED IN '' -I' � INSPECTION NOTICE SCHEDULED /U�- �- �✓ PERMIT N0. �� � � COMPLETED � ADDRESS � �5`S a/�-��c.��-�� � --��v OWNER L���--' CONTR. C�.G ,�il-Q.�rna.-r� TELEPHONE NO. c, .3 l�— �1�� z' � DESCRIPTION ` � 01 FOOTING 11 MECHANICAL RI � 18 EXCAV/GRADING/FILLINC� �Q 2 FRAMING � 13 MECHANICAL FINAL 19 LAI�SHOREM/ETLANDS � 03 ULATION 24/25 WOOD BURNER/FIHEPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAI 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMa—SITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED W - PROJECT COMPLETE � C CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI.FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -- CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnerlContract i e� Inspector. White Copyllnspector's File Canary Copy/Site Notice