HomeMy WebLinkAbout1995-007464 - re-roof � T �
� PERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: `�-"' ` w����''='
Crystal Bay, Minnesota 55323 � -'�~
(612) 473-7357 Date Issued: - _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: �- - , , . ._ .: :. . . --
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APPLICANT/FSERMITE IGNATURE ISSUED BY:SIGNATURE
Total Fee: S DateReceived:
Date Approved:
Entered Bv: Permit�:
CITY OF ORONO - BUII.DI�G PER1tiIIT APPLICATION
AI.L Pi TF'ORi�IATION�ILST BE SLBI�IIT"I`ED�i 1��L BEFORE PL:�il�t REVIEW`VII..L
BE STARTED
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THE �PPLIC��T IS: (circle one) - O�ER`�R CONTRACTOR
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JOB SITE :�DDRESS: %� "l� •- c_-�, L�
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N��LE OF OW'�tER: �� r. l l ;�� � ll��,�� PH0�1E: (home) /��:. ; l
, (work) /� �. �
� � ' ZIP: .�',`�. � '�,� �
� i�. �� CITY: %�/��< < ,: .�
NIAILINGADDRESS:/�5� � � �� �� .� �
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CONTRACTOR: .��_ ��'' Pxo�+�: ,���.;�%.��
�� I�IOBILE PHOv�E/PAGER:
I�IAILING ADDRESS:
CITY: - Z�:
STATE LICENSE: #
ARCHIfiECT/ENGli�tEER: PHONE:
CITY: Z�:—.--
v1AILINGADDRESS: �G�TRATION #
N�vIE:
TYPE OF WORK: New
�ddition Accessory Structure
Move Remodel/Alteration Land Alt�ration
PROPOSED`VORK(describe indetail): ' % R l ' � � � %� "
STORIES: _________ SQ• �ET OF EACH FLOOR:
NO. OF BEDROOVIS: G�R�GE ST�I.LS: ATT. DET.
�ST��TED CONSTRUCTION VAI.UATION(escluding land): �
I hereby apply for a building permit and I acknowled�e that the inforr�ation above is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City
and with the State Buildin� Code; that I understand this is not a permit and �vork is not to start
without a permit; and that the wor��ill be in accordance with the approved plan.
�, �' : �
'���� � ;; � �� � ,��� � DATE• / � _ / i_ i i
:�PPLIC�'vT'S SIG�1A'T[TRE: ` ``� '
�VOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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DAT� PRIVACY ADVLSORY
In accordance with �i.S. 13.0-�. Subd. �. ''Rivhts oi suojects o� daca". we would iike to
inform ��ou that your request ror a p�rmit or license rrom the Ciry or Orono or any of its
departments may require ��ou co rurnisn cenain pri��ate or confidential information.
You are notified that:
1, i he informacion �•ou rurnish «�ill be used to determine ��our qualiitcation for the
permit or licensz requested.
2. You may refuse to suppl}� da�a, but refusal may require *�hac the City der.y tr�e
pernit or license.
3. The L�formation may be snared with other local, state or federal aQencies to t!:e
exter�t necessary co pr�::ess �.�� pe:m�t or (icer.se.
1, If vour ;equested pe:mic or license requires Council action to approve. some
inrormacion mav oeccm� oublic.
�, You ha��� ce,�ain ri�hts unde: �v1.S. 13.0^ (se� IO�10�'•�1r1�T paQ=) to review private
data on yourself.
6. Your full name is required to process this applicacion or permit.
PLEASE PRL�'T '
`� / ,/
� `rliddle Last
First ,
- , - ��, �� ,(- :? ,•
�addr�� )� ", . . �
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C ity
State Zip Phone
I understand my riahts as sta�ed above.
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Sianature
v , TEI.EPHO?YE-�i'T�7357• EAX-373-0510
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513.04 RIGHTS OF SIIB�7ECT5 OF DATA
gubdivision L Type of data- The rights �tion.viduals on whom the data is
stored or to be stored shall be es set forth in this se
Subd. 2. Information required
to be given in�iv��L An.individusl asked to
� ' su ly private or confidentiel data concerning amWit�l�un the collecting state agency,
PP
purpose and intended use of the requ em'd �b� Whether he may refuse or is legallY
political subdivision, or statewide sys �pwn consequence arising from his
required to supply the requested date; (c) a�y
su 1 ing or refusing to supply private or confidentiel data; and (d) the identity of
PP Y state or federal law to receive the data. This.
other persons or entities authorized by p �vesti ative data,
requirement shall not apply when an individual is asked to su ply g
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue me iart taX re°und instructions�nsteadh�s
subdivision in the individuel ineome tax or r� e
on those orms. . - -— � � .
Subd. 3.
Access to c�ata by in�iv��- UP°n request to a responsible
authority, an individuel shall be infcrmed whetbh�eC hP=vateeor eonfidentiel.e Upon his
individusls;
and whether it is clessified as p .1 � ublic data on
further request, an individual who is the subject of se to�mrl�v�aae if he desires, shall
individuels shall be shown the data withou�f an�y��a. �tQr � ����u� � been
�e i n for med of the content and meaning t he dats need not be �isclosed to
shown the private data snd informed of its meaning, u��t to this section is
him for six months thereafter unless a d�SPute or action p
� ending or additional data on the individu e h� gte or p blic datarupon request by
� P require the
responsible authority shall provide coples The responsible authority may
the individual subject of the �ta• �rtif n and compiling the
requesting person to pay the actual costs of making, Yi g'
copies. immediately, if possible, with eny request
The responsible authority shall comply
made pursuant to this subdivision, or with lida e �f Simmediateatcompliance eisu not
excluding Saturdays, Sur►dsYs and legal YS�
ossible. If he cannot comply with the request within that time, he shall so in�or h the
P have an additional �ve dSYS Within which to comply
individuel, and may �d le al holidays.
request, excluding Saturdsys, Sunda3'S g
Subd. 4. Proce�a'e when data is aot acc�sate or comQlete. An individusl TnaY
ublie or private data concerning himself. To
contest the accuracy or completeness of P in writing the respensible authority
exercise this right, an in�v�du� Shall notify
describing the nature of the disagresment be����,Pa e ore n omplet and att pt to
days either: (s? correct the data found to
notify past recipients of inaccurate or incomp�t�belie esdthe datalto be correct
the individual� or (b) notify the individual
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed dats- �ible authority may be apPeeled pursuar►t to the
' The determination of the respo
provisions of the administrative procedure act relating to contested cases.
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED o a.� /t� �3�
PERMIT NO. '� �' COMPLETED
ADDRESS ���s �—D v(��t �� ✓L�-(
OWN ER CONTR.
TELEPHONE N0. _
� DESCRIPTION �S C�t�SS `�'� ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE OVAL
Z04 WALL BD. 12 WATER HOOK-UP SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� ❑CORRECTVI�ORK&PROCEED :^. ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
G'CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
f 1 CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac o ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE _���p SCHEDULED —7—Ct� �
PERMIT NO. connP�ET �
ADDRESS���5 N1C� �l
OWNER CONTR.
TELEPHONE NO. oZ
� DESCRIPTION '� 1rC�
� Ot FOOTING 11 MECHANICALRI 18IXCAV/GRADING/FIWNO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04��D. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINA 14 SEWER HOOK-UO O6 PROGRESS
�
� 07 DEMa–SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d VORKSATISFACTORY:PROCEED - PROJECTCOMPLETE
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� C'CORRECT WORK 8 PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in tion 24 hours in advance.473-7357
OwnerlContract site
Inspector. -�
White Copylinspector's File Canary Copy/Site Notice