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Home My WebLink About1999-012085 - tearoff/reroof PERMIT C��Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 " � ;f�.::; ,Crystal Bay, Minnesota 55323 Permit Number: y (612) 249-4600 Date Issued: , .,tY}_-��4�u, SITE ADDRESS: _:�:��, _�.'��.;:..�_ . �1;�3 �-�'•��` .i — y � — — DESCRIPTION: s�.:',�;._,;:.�:��:�:;,_�:�;� ,�:��i,��-?a!"!=a i=:=�E'iF I Z t• �'r��; �_;1=.._�-�rk�J i n°�t�F_��.�`�. �:{S y �_.i 3 Y"�� G:F��:}:; �f L:�� f;'�'��.;,,�{,,°i— �_.:. .��;y i.�C„�:j .i:t d=f� '-�?._� . t';L_:��'�!`;?i f-3'•.._ REMARKS: FEE SUMMARY: . . ..'_ 'v.s!, { t4:i`,( � .L�1 i i � i f L;,i:_:,'iF= j'?��'t_ . . .. . � � �. i�. � _.. `_'�",.�i��_.. .___..__.__. ._s'.� , �_�*��i �_��- . -�. . _ � CONTRACTOR: OWNER: -- �;�:��:�;. �S„{-��_E i,,, ""' __`i`�:t:;-€ �`��t;�,3-1€•j±y �,=,�.:��, __T t;�i t,#i�;`-��';��;',t . .',:� . =`�..''`'V, _ ._ _ M .�: ,._:� _.. __ .� -. :. �` i'I; �.r��:hl'Y.:e��.��3 �"'t�``°_.��1� �'1�.�y;6_��w•�� '��:3 .�. _ _``� . � � .. .._ t .� ..._ _ FI'`'{..}'{ °�s 3 . w ._ ,._-__ _ - =;�"°�€:��'I�� ;�a �;s;:;°��-�:_� T�_� i,.:l�4 r;l..?� ��_. . . !" _ . ... _ _ _ . . ��:��5�_a �:+-: . . _.._� _ . , ,_: � ; ::1t�L.. �. ��3 i �: _ ,.. ._. ..�.:�, .___ 1`z'':_:sy�_� '—�' s.t35t:-?`�XS.L�.�: rrtrli .., s �� E .� Sw'�" _. . ,.___.'—� i . . _ . ___._ _4� _ _ _ —� ' t;yls�t .., ..��E _ . t i i� ''^t�„; � .. . _. I � � A � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � Total Fee: $ `r�� 3 � Date Received: • Entered By: Pernut#: /,�, �' ,�� CITY OF ORONO - BUILDING 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.�R CONTRACTOR JOB SITE ADDRESS: -�j �j �� ' � � ) � � ZIP: � � �( � NAME OF OWNER: �_�j< 0.�.. �,-�� S c J,� PHONE: (home)(��1-- �� -US Z ' (work) (�� 2/. S S�� - 3 cn / � MAILING ADDRESS: �4 3(p L�� rc�� . � CITY: l,�c��i 2�,-1� ZIP: s�c> " / CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: rJAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration \/ Land Alteration T� PROPOSED WORK(describe in detai�: � � � CC O� STORIES: �_ SQ. FEET OF EACH FLOOR: -7 y� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. k ESTIMATED CONSTRUCTION VALUATION (excluding land): $�_� 0 � 0 C 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. �-,. APPLICANT'S SIGNATURE: -� � � _ DATE: 1 � Z NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. * . Sea13.04 RIGHTS OF S[JBJECTS OF DATA Subd. 1. Type of data. The righ[s of individual on whom[he data is stoced or to be stored shall be as set forth in this secrion. Subd.2. Information reqirired to be given individual. An individuai asked to supply private or confidendal data conceming himself shall be informed of: (a)the purpose and intended use of the tequested dard wi[hin the collecdng rtate agency,polidcal subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply[he requested data;(c)anY 1m°wn consequence arising from his supplying or refusing to suppiy private or confidendal data:and(d)the idenriry of other penons or enriries authorized by state or federal!aw to receive the data. This requirement shall not apply when an individual is asked to suppiy invesrigadve dara,pursuant to secdon 13.82, subdivision 5,to a law enforcement o�cer. The commissioner of rovenue mav place the noace rewired under this subdivision in the individual inc_o_me tax or propertv taz refund instcucdons insread of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, privace or confidenaal. Upon lus further request,an individual who is the subject of stored private or public data on individuais shall be shown rhe dard wirhout any charge to him and,-if he desires,shall be informed of the content and meaning of chat data. After an individual has been shown the privare data and informed of its meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or action pursuanc to this secuon is pending or addidonal data on the individual has been collected or created. The responsible au[horiry shail provide copies of the privace or public data upon request by the individual subject of the data. The responsible authority may require the requesdng person to pay ct►e actual cosu of making, certifying,and compiling the copies. The responsible authority shall compiy immedia[ely,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 dme,he shall so inform the individuai,and may have an addidonal 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 conceming himself. To exercise this right,an individual shall nodfy in writing the rosponsible authority describing the nacure of the disagreement. The responsible au[horiry shall within 30 days either: (a)correct the dara fou�d to be inaccurate or incomplete and aaempt to noafy past recipients of inaccurate or incomplete data,including recipienrs named by the iadividual;or(b)notify the individual that he believes rhe data to be correcG Data in dispute shall be disclosed only if the individuai's statemenc of disagreement is included with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating 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 wiil 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 tnay 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. (. Your full name is required to process this application or permit. First ��d�e Last Address • City State Zip Phone I understand my rights as stated above. . Signa ce DATE TIME CITY OF ORONO CALLED IN � (r�/h�v' 1 INSPECTION NOTICE r' SCHEDULED PERMIT NO. �a�� coMPLETED ��`� ��--- 1 ADDRESS '^'�� t—iUt�YX'a.��J� �— OWNER CONTR. �"�� TELEPHONE N0. � DESCRIPTION �� ~ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W � FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WAL�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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: . a � p ' ' e �, lr� C�t' �� o �� 0 � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN INSPECTOR WILL RETURN i- CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector�'��A-:� �� 1 White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E (� SCHEDULED /a"�'9'`�' � PERMIT NO. ��`v� COMPLETED ��- �dv ADDRESS ��o L1 �lY1C�S'�I�1 ��. OWNER �1<S�� CONTR. TELEPHONE NO. ��- ��7 C��'� � � DESCRIPTION �� r t�b-� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO D COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d�WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector. ��v� �c� �9.3 White Copy/lnspector's File Canary CopylSite Notice