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Home My WebLink About1996-008324 - tear-off/re-roof PERMIT 'GI�Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 E:t!�E [i;��:� Crystal Bay, Minnesota 55323 Permit Number: t�{}__;:__�,� (612) 473-7357 Date Issued: t 3;=;:`:�;i�i`��. SITE ADDRESS: ='��'} L.I�1��t.�°��T��+�! H�l� i � - - - - �. . �`�i. , 1 ?-1 �.7—',;==:—[i:�:—C�Citj.�, DESCRIPTION: ?`E?�R—s i�'F!�iE—f;1r�t:EF E�ui I��aa�� F't��rr�i i- Ty��N '=,F—f�G�4��;��t�i(�FL E��i. 1_�_�i�-t� W�v��:: �y F�r� F;�--��;i�i�:F� I_::�}"S.':s;�; t_;;��t'�::? .��,:';! c�i,._� . ;'!_'=;T!�'1-';?T?':_ I REMARKS: � � FEE SUMMARY: t1�Lt i�.�7I��fl`� ��i 3�� E'�t5+� F�� :?1 .i)i i ' ��:��c 1-��i�� ;i y __---------_—• �- , T��t•�!1 �� ;�'i , ..��,ti CONTRACTOR: Q,�J(i,�{�_._F�'-_�..�_ — ��?fi•�'��;�-�s�� -- :�C�=;��: L�v I��I�'=;E�_1t�i �� ;��F��t�l�# i 1C•1 ��:;��I d:j 1 _�_�d•,•.:� 1 f� � I r� L tl � i s� f��C1��1 ��l ��_� f�?'` '•.G T�l;� F'�L_i'�:� .�.#�5��...4 i'..�_^�4 ! Y� .#� t it#v�R'==I,:�t�� i�h��r �:�_�: ,r°= i fi t=� ;� }�°�,`_;�_� '�:F'��T��C; c:�;�C� ��i;��-:°=y ��_i kit=i ��! �:�:c�°�:: i;,� �=:j�;;t;�� ::►�►t�;I�`:._#.t':t��:�.. +�I i� ti:�__i_ i:T:`t� ip�� L i;t��w��l�ri !��tiG I.�s!'-�i��:�=� ��VI1 ��THTE �r�� e Ii��t��°=��Ts� ��!�I�.�Z#�ai; c_:�s��z� ��.�:��f y�°�C•1t_t�. � °_ . � � � �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � f ' - Total Fee: $ °��'=��`'S� Date Received: Entered By: �f) Permit#: �..�� . 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 OR CONTRACTOR � _. �.., ZIP: S"S��7 / JOB SITE ADDRESS: � 5 % � ��,r��is�r� i='L'> NAME OF OWNER: _�-�� J r. -�� •�J ��-�r" PHONE: (home) �{l�-��/t�f (work) �;.; <' c" �' ��f MAILING ADDRESS: +;5 33 �-� ��.;�.;,;T f�r� j�'�� CITY: �,_<< �� , ZIP: �S"_i�, � CONTRACTOR: �-.,� � ;f PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAIVIE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ✓ Land Alteration PROPOSED WORK(describe in detai�: ��'r , �� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `>��'C. ` � 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. - �'.. j;. APPLICANT'S SIGNATURE: ��,� �-, _.. � � � DATE: ;��' _�,�- `i( , NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 6 `� � . � Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information required to be given individuai. r1n individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and inte�ded use of the requested data within the collecting'sta[e agency, polidcal subdivision,or statewide system; (b)whether he may refuse or is legalty required to suppty the reques[zd data;(c)any i�own consequence arising from his supplying or refusing to suppty priva�e or confidendal data;and(d)the idendry of other persons or enriries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked co suppfy invesagative dan, pursuant to secrion 13.82, subdivision 5, to a law enforcement ofFcer. The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or prooertv tax refund inscrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subjecc of stored data on individuais, and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject of stored priva[e or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the contenc and meaning of that data. Afrer 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 action pursuant to this section is pending or addiaonal data on the individual has been collected or crea[ed. The responsible authoriry shall provide copies of the privace or public data upon request by the individual subject of the data. The responsible auchoriry may require the requesting person to pay the actual cosu of making, cemfying, and compiling the copies. The responsible au[horiry 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(egal holidays,if immediate compliance is not possible. If he cannot comply with the reques[ within that time,he shall so infornt the individual,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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipiencs of inaccurate or incompiete data, including recipients named by the individual; or(b) notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant ro the provisions of the administrarive 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 fumish will be used to deternune your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that [he City deny the pernut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary [o process the pemut or license. 4. If your requested permi[ or license requires Council action to approve, some information may become public. 5, You have cercain 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. 1 -�-f�� '�_�� `;�-_� r � 1, �' ��' ,� First Middle Lasc > j� � vr,�� S�+-� /'''�< — Address ,, � _ , � ._ c_ �� /��-i�,� = - ,"j ,/ !��— C,�� - / C�h, State Zip Phone I understand my ri�hts as st�ted above. , , , - � �-' ; � � , � �,� '�l � ;rz_�-, � � � ��-- -_ Signature DATE TIME � CITY OF ORONO CALLED IN �'' �'B INSPECTION NOTICE SCHEDULED �' �' �l�: c�/ PERMIT NO. �3�� COMPLETED ADDRESS� `�,`Z,3' . �.-u=--..✓r�i�. ��r-c - OWNER � � .�.Q.l�,c�i CONTR. y�� TELEPHONE NO. � 3.�'CJ.�C� �f � DESCRIPTION, ,Jl �Jr �-�-� � 01 F NC3 11 M HANICAL RI 18IXCAV/GRADINO/FIWNQ 02 FRAMINCa1 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 0 TION 24/25 WOOD BURNER/FIREPLACE 34 THEE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL• 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEMO--SITE 27 SEPTiC MAINT. 21 COMPLAINT J W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBIN(3 RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W Zc W � � d � WORK SATISFACTORY:PROCEED � PROJECT COMPLETE � L COARECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor`.en-�ite Inspector. �-- � �' White Copy/lnspector's File Canary CopylSite Notice V CITY OF ORONO CALLED IN � TIME INSPECTION NOTICE SCHEDULED /o/./96 PERMIT NO. COMPLETED _� _Q� ADDRESS -3 ' OWNER ��/��.� CONTR.�,,�0,/ TELEPHONE NO. J'J.2 -O�� DESCRIPTION .lt o /r �ro-� � 01 FOOT1Nd 11 M WWICALRI 18IXCAV/ORADINC�/FIWNO �Q 02 FRAMINO 13 MECHANICAL FlNAL 18 IJ1i�SHOREIVVETLANDS Q 031NSULATION 24/25 W000 BURNER/FlREPLACE 34 TREE REMOVAL Z 04C Wai i an 12 WATER HOOK-UP 17 SITE INSPECTION ti� FINAL 14 SEWER HOOK-UO O6 PROGRESS J 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPWNT �Q p7 pEMp—FlNqL 15 SEP11C INSTALL 22 FOLLOW-UP = 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBINO FlNAL 38 FOUNOATI�1 REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YE8_NO y COMMENTS: o� W � � . � � ( O � � � l.i \ l. � Q W � Q � Z � U' -' �D(� S i W � � ' �� PS c P� � � �WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W /u CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O�O CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONOITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOFi ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance.473-7357 OwnerlCon site: Inspector. White CopyAnspector's k Canary CapylSite NoNee