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Home My WebLink About1998-010770 - tearoff/reroof PERMIT �� EITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 `��'==�-'��=` Crystal Bay, Minnesota 55323 Permit Number: :;�s;��f t} (612)473-7357 Date Issued: i-��;��:i�_�:�� SITE ADDRESS: _;�.�= �I�,�I h��:�':�i E�Et� H�'fi�. �:� �`. � . i°�. . i i`—i 1%—'=�:—zi�—i.;t;�.� DESCRIPTION: !�r��=t:3_t�r:r�?�.�td_il�(F +i.�1..�= i��21'�'� �"�c`�'fil�.�• ! Y�`H'` s�'F �i";�E�JJ'�•4..f��tGL_ i�,_;i ?��l.i-�� l,;��rs.: T��N �;t�—•i=+;�i�!i= t�=,-��.�� .:�_�,:�� .��f'� ;�f_T . �°E`�iIGFt�i�T;��.. REMARKS: FEE SUMMARY: �Zi=��=_f tH! f�_�F� �L� �yI lt,t ��. �;�F� �•`�`,� , �� _.'tyi'�! f%si''-1s�' ---�,� �:� �,��t._t 1 �f-,F_ �1 tt,�`�[!f: CONTRACTOR: OWNER: - �� =��f- - T I��1�°;��►i� i=��:{�11_�'=�i :=��c.�i,.�� i.T i�T t�,�(�:�;I lfii;� }��.�`� ;�3�1 i�,j}'i '.`'°;:�� y�s:i'_--t 3. ::f,.— .F � i= {'; ' `�!Y t i^}L_',, j'_� Y`'_;!`t"'��`�'}4{r+.. I�f�j ;•f�;��..I-„_ ;1'"�� .�i•��._ .�.� d' 1.`_ii��;�M�� ! :_ (i�� i�{Jt:. :;" s � 'Y��' r"1 `s`;��';' E'i�s,;` t_ _ � . � _ . . n:—— ' ' ' t � =��'`t.C:.��' '��.� ?—#+.�.il i �..-;�`;fi-F._r !�'s�l [i6m' �;i_[ i� _n,�', s;, = f E,i i:�� t. _'r t�" '.._�.`-.f�!__- 'a;;i'i� ��;=.___. C. i��` _ . l�t;;i�li:�i�:'s _�`i'�1�i-i��4t�.--- ;;��fl�' `�� t �� _F` f�_��€"}�_}_+ .�i-� r�_iT`s_a�ij�l�� i�isilr �-,.��_ j{-�'.`='<<`I'�;:' • � � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � -C.�, ` Total Fee: $ Date Received: Entered By: Permit#: /yb 7 '70 CITY OF ORONO - BUILDING PERMIT APPLICATION �ill information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: �L/yS �r i.'��e `��--rl �u�T ZIP: SS_� `'1/ NAME OF OWNER: �� t7-�c yN /e��o�. PHONE: (home) (�la -`{l/-�� 3 7 (work) MAILING ADDRESS: �d rvu aa vc��-� CITY: (,ci�z y zd� ZIP: ��3�/ CONTRACTOR: tV'/ � PHONE: CONTACT PERSON: MOBILE/PAGER: MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: � � � PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New ddition Accessory Structure Move emodel/ teration� Land Alteration � PROPOSED WORK(describe in detain: S�n � + � w� (�� -� �- -s� � a ./`c�_ �� r 2 .� STORIES: I �z-- SQ.FEET OF EACH FLOOR: G�y� �' a�� ' NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. r-- ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ '�� ? J I hereby apply for a building permit and I aclrnowledge that the inforination 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 pemut 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 7 /`'J� � NOTE! Parade o�'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. : , , Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or m be stored shall be as set fo�th in this secdon. Subd.2. Information req�rired to be givm individual. An individual asked to supply private or confidenaal dars concerning himself shall be informed of: (a)the purpose and imm�ded use of the requesred data within the collecdng State agency,poGtical subdivision,or statewide system; (b)wherher he may refuse oY is legatly required to supply rhe requesud data:(c)any irnown consequence arising from his supplying or refusing to supplY privau or confidential data:and(d)the idendty of other penons or entiaes authorized by state or federai law to receive the data. This requirement s6a11 not appty when an individual is asked to supply invesrigadve data,pursuant ro secuon 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav alace the nodce rewired under this subdivision in the individual income tax or urooem taz refund instructions instead of on those forms. Subd.3. Access to data by iadividual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classitied as public,private or co�dendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and;if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the privare data and informed of its meaaing,the data need not be disclosed to him for six months thereafter unless a dispute or acaon punvant to this secdon is pending or addidonal data on the individual has been collecud or crea[ed. The responsible authoriry 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 ro pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any roquest made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannoc comply with the request within that time,he shall so inform the individual,and may have an addidonal five days withia which to compiy with the request,excluding Satucdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compteteness of public or private data concerning himself. To exercise this right,an individua!shall noafy in writing the responsible authoriry describing the nature of the disagreement. 'fhe responsibte authoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and auempt to nodfy past recipienu of inaccunte or incomplete data,inciuding recipients named by the individual;or(b)notify the individual thae he believes the daca to be correcG Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant w the provisions of the administradve 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 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 shared 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 application or permit. Ci a r�l �� M � ✓� l l c�'�-s� � Fint Middle Last y� i i `�r �1.� . Address (�;,� � �`�- �/�� S� 3� I �o��-�-f 7 ( �Sa- 7 City State Ztp Phone I understand my rights as stated above. , � I /' -4�-� � � ''�--- s;g�� D TE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED '� ��' �. PERMIT NO. �O 7�J O COMPLETED � h ADDRESS '�'�� OWNER �/�.��.,x� CONTR. TELEPHONE NO. '7"��' O '7.Z ?---� � � DESCRIPTION �y 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAL D. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED _ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.475-7357 OwnerlContract it : � Inspector. White Copyllnspector's File Canary CopylSite Notice