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Home My WebLink About1997-009193 - tear-off/re-roof . PERMIT �� CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 w;;;_: --�-° � _ i..�.!_F,C.��'�t_ Crystal Bay, Minnesota 55323 Permit Number: �'._;�__,:�_, (612) 473-7357 Date Issued: r ;� ,;,r�,�f SITE ADDRESS: f-�.�:s=� ��.�r =�t� -.. . - :a.-1 - - =—;�=.—t".t:i i:: DESCRIPTION: !':�i(:'.-�'-F-,��f�'-`f!�:j=: ��=..,i 1 i f:i 1!?'? �'�'i'f!:�,'f. �1"a.'=''=•' '_�i-`t-?IJ�'i��'.�lii_��= F�!J_ �t�i i"�`=t �i,rti_i f'Y:. � �1-�y_'' �.`.`�'I_IS i;— (_v.11•�14= t_�;st.i�� _��+ f�L� . ;;'�`;��,�i�I`•�i .L�i L REMARKS: FEE SUMMARY: .__ri � i:t�� , - (7t1r1 — F •`_�t�-.�:^ ��t�+ `t'�;!]. "%s- `�,5,,,#1'_�"i;a='+=1 W? '��.�,y' =("'+ ��..�_........ _s..��: I �_�t.� f }-�;'�:a �?_=� . �'�-, CONTRACTOR: OWNER: –� }';��-�:� }_�;i s. — . . ."�:€°,:` �°°}�;t�;' �.::E�r _-__.�.. �:�'+- '-'-°'��"tW� �1;� �t. _ .�,,=: ��'–�..� '.�`� � – �. � �r=. � . . :_..�... : .��._._.7 . i �w.:_�,vr f 1�.._f.� . .._` ��`� �a �:•`- s _ . �"}_:_�_�s t`i j',� j c _., ;��': 'F t i � . _.._ . .. , ..'!�..., : f�W .. ..._."?�_.. 3.e ,. .n.f.. . __. ..._. . . _ .�,_+1"��M.�r k i" � �'�: :-:r'.'�:i F�_.. ....... i F.�i 4 F �,i,+ � x 3`v i'l. F•{': �..i ...' �' �'y ..�. : x.. F . -r' n: . _.:.«�.. . . . _. . i.. _. ...,.�L_ _� .:�. - :! �.. ...'! .. ....�.' . .'_..�_ .. _ . . i"'�w..,_. ';`_ . . �.._ ,. . �1:,•;.., . .. . .�. . . ivt ?iv2 ( ; :..i�;_�°�� •�F �� ' ' _ .. . _ . -� '•�..,, .--•�i•:.... . . � -�- , L _,�,.._:;�I� _� .s..: �• -i;.;c_ .__ :i1'4_s � � ,��.A _. . �.� .� _ , _ _ ___. _. .... .. _:,�i� r�..i'! i3.. .._�. t . ._ . � ,�� :;ITF i � ��+�'[i`f..�� _ APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � Total Fee: $ Date Received: Entered By: Permit#: 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: � i�, �. � � �� i. � � , !; > [`/P . ZIP: _- - �� ., NAME OF OWNER: �-<<,�-,�,�� v��;,,� PHONE: (home) �}��) -,1��?I C! (work) �' - �a �' MAILING ADDRESS: `�{;::�: '_E=, �` 'j�- 1�,: CITY '_ �� ;. ZIP: � - , CONTRACTOR: ��.�f.� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: !�s!�'� PHONE: MAILING ADDRESS: CITY: ZIP: rJAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ,�, Land Alteration PROPOSED WORK(describe in detain: �k -�,(- w. - - Te��.r� ��-� c;.�, l ;'�,,., �. Y�._��--. STORIES: ; SQ. FEET OF EACH FLOOR: � --'`` ` ' NO. OF BEDROOMS: " ; GARAGE STALLS: ATT. DET. � ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ I ��z�: '-' 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: � /�,,,.�� , - DA'TE: �' :':`� �� - NOTE! Parade_Q, Homes events require separate perntit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. � a Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the pucpose and intended use of the requested data within the collecting'state agency,polidcal subdivisioo,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising fmm his supplying or refusing to supply priva[e or confidendal data;and(d)the idendry of other persons or enddes au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investieadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the noace reauired under this subdivision in the individual income tax or propem tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject of stored data on individuais,and whether it is classified as public, privace or confidendal. Upon his funher request,an individuai who is the subject of stored private or public data on individuals shall be shown the data wichout any charge to hun 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 acrion pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform[he individual,and may have an addicional 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 concerning himself. To exercise this ri¢ht,an individual shall notify in wridng the responsible authoriry describing the nature of[he disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienrs of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual thac he believes the data to be correcc. Data in dispute shall be disclosed only if the individual's statemen[of disagreement is inciuded with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng 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 confidential information. You are notified that: 1. The information you furnish will be used to detemune 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 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. �-,� �� o�.,. /, �, .,..�� First Middle Last ,'_�`r • _f y Address � • ' �/ ,� _ i - /�i�"/_ / ii.`6 1 ' --�'., �'=' � � City - State Zip Phone I understand my rights as stated above. / `% i � f�';�,`,. i � � �:c Signature DATE TIME CITY OF ORONO CALLED IN _'��' / INSPECTION NO ICE SCHEDULED � -�/ S 7 =3�— PERMIT NO. �l COMPLETED �_ �_ ADDRESS OWNER CONTR. TELEPHONE NO. _ '�`�� —C�8/a � DESCRIPTION ./Z�.�.,-�.� � 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/ORADtN(3/FILLINQ Q F 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q NSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINCi FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � WORK SATISFACTORY:PROCEEO = PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVEflING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-, pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ==CITATtON ISSUED ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the i s tion 24 hours in advance.473-7357 OwnerlContract r ite Inspector. White Copylinspeclor's File Canary CopylSite Notice