The URL can be used to link to this page

Home My WebLink About1998-011074 - tearoff/reroof/window PERMIT � G1TY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - _ -;,..:�i�:��t� Crystal Bay, Minnesota 55323 Permit Number: a-.. ., Date Issued: ' ` ;`"�' `� - (612) 473-7357 ___. _. _. . - _. SITE ADDRESS: =r'1,x� � w�,_#?yi,f L_3-ij:,.� {—°i ��i..s! i'��i . % . F`• , , _i:.^"� 9 i�;—•�`'.j—'.�e.:i—'t�i_7:,,;i DESCRIPTION: ;��;�<<�=i�,��;:��f:_�r.r;::3;-�:;�w� �:s s 1 i+�1 il'� �'�='1'ii'11�• �j�C•u •�;j=—f=�E;i}i!i'•'%=�*�!_��si..�.. �;�t i j, .[�_f i ::�� :`:.�;'F:; ��;�'+t::= =°�—�!�:�_��_�� il'=;�'� #_s'tt�:� y.:�.4 Fi�_! . t+:��k�t�.��_�i� REMARKS: FEE SUMMARY: `�%�f,.i:� E I�_.�f�4 ��;�; i�;i it i �;:�� =;�:� �s��'� . �:.� :��it'��flc=!'jr: ----___ �.#..�.t.�s.� T z��t.-; 1 i-�s� c�`'� . �� CONTRACTOR: OWNER: — �C:�� ; :_�,;�. — :=`jri�.:.��4r i: :�=�1�t� 7 �.�`t. I i�l(,;i�i Lr-ft��.`' �,L€};;'' }:c:E;_:�!_ 111�� ='�_ _ _ ..i.1':—s;;:is�„� _ ; ._ _-,;� ,_.., €�� ;.; _ -r�__ _ .�,.t� �. . .�� >� -. - - TN� f!�'v�3�fi��I�C��= I��.k�� i�.t�;�.� ' _ � °,.�:_. ,:.; ., - . . -;. , �=t��._ . ._ ." . _ . . -�s .— , t s s�J��•^ �" �#a �_ _ _ �_ ..., i i �... . _. �. . .%_ ' �ld � a� 3 ;•"• �t t`: il : '.=:�f-:;��' j.��7 �,t,�� i-;�`,';L.�_'�' 1 :_t �,}t„,i taL..�_ �:if�. ,�'•. �f'� ; ? ��s:-, a_�tai;=.•3 .?';.�f ___ .. _ . . . . .'__[ �:��`�` s�l�.. � 1_I�.£_ l:!_t 5+., �..t'�. .,��.�...�.= 3-�!''�� _�9 .�'�^1 1 � �...��'" i"i_.,' ..... ._ . . . ....s t i 1...�J f#'.�.1 �,}_%!.:`•i� �?_ �r*.»i E 1 • � 'w�• � i ' �.- APPLICANT/ MITEE SIGNATURE ISSUED BY:SIGNATURE � Total Fee: $ Date Received: Entered By: ,C�� Permit#: �/�% 7� CITY OF ORONO - BUII�DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------_.�-__---- ------------------------------------------------- THE APPLICAi�'T IS: (circle on OWNER CONTR.ACTOR " ___--- / ' -J-- JOB SITE ADDRESS: �� !.v�� ' --e. ��G� ZIP: J -3 5_� NA1�TE OF OWNER: � c��'! /7��t`i r,W- PHOivE: (home) � '� - �,�',�'� (work) MAILING ADDRESS: �/ � `,.� ��4-�� " ITT'' �>� .�, _�. ZIP• �,;- � 51 CONTRACTOR: PHO�tE: CONTACT PERSON: MOBILE/PAGER: MAII.Itii'G ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHO�'E: MAILItii TG ADDRESS: CITY: ZIP: rJAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration � Land Alteration � ; / PROPOSED WORK(describe in detain: ' c�v , �2� � .�� '�'� LCi� �t - �� ' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �_ ,, ,�(;�`. EST�IATED CONSTRUCTION VALUATION (excluding land): $ � < < 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 pernut and work is not to start without a permit; and that the work will be in accordance wit� the approved plan. ' I NAT'URE• ( �� / ,t�,�,� , DATE: !� �� %� _ APPLICANT S S G . , ��, - . NOTE! Parade Qf'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. . Sac.13.04 RIGHTS OF SUBJECTS OF D�TA Subd. I. Type of data. The righ�s of individual on whom[he data is scoccd or�o be scored shalI be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaai data concerning him.self shall be informed of: (a) the purpose and in[ended use of[he requesud daa wi[hia the collecdng Stace ageacy, poliacal subdivision,or statewide ry5tem; (b)whecl:er he may rtfuse oT is legaliy required ro supply�he requested data;(c)any known coasequence arising from his supplying or refusing to supply private or confidznaal dan;and(d)the ideaary of other persoas or enddes auchocized by su[e or federal law to r�ceive che dara. 'Ihis requiremen�shall noc apply when an individual is asked to supply invesdgadve dara,pursuanc to secdon 13.H2, subdivision 5, [o a law enforsemen�ofFicer. Thz commissioner of re�•enu- mav plac- the noace reauired under rhis subdivision in the individual income nx or orovem rax refund insc�vctions inscead of on chose forms. Subd. 3. Access to data bv indiridual. Upon requesc to a responsible au�horiry,an individual shall be informed whether he is the subjecc of stored data on individuals,and whe�her ic is classified as public, private or confidenaal. Upon his further requesc,an individual who is che subjecc of stor:d private or public data on individuals shall be shown che dara wichout any charge to him and, if he desires, shall be informed of che concznc and meaning of�hac dara. Afrer an individual has been shown che privaee data and informed of i�s meaning,the data need not be disclosed to him for six mon�hs[hereaher uniess a dispute or acaon pursuanc to this secdon is pending or addidoaal data on the individual has been collecced or creared. The responsible authoriry shall provida copies of the privace or public data upon request by the individual subjecc of the data. The responsible authoriry may require �he requcsring person to pay the actual cosu of makinz, cerrifying,and compiling the copies. "Che responsible au�horiry shall compiy immediately, if possible, wich any request made pursuant co this subdivision, or within five days of the dace of rhe request,exciuding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he canno�comp(y with the requesc wichin rhat dme,he shall so inform che individuai,and may have an addidonal five days within which to comply wich the request,excluding Sacurdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or completeness of pubtic or private data cor.cerning himself. To exercise this right,an individual shall noafy in wridng[he responsible auchoriry describing[ho nacure of the d'uagreement. The responsible au�horiry shal(within 30 days either: (a)correct the data found to be inaccurate or incomplece and attempc to noafy past recipients of inaccurace or incomplete data, inciuding recipien�s named by che individual; or(b)nodfy the individual tha�ha believes rhe daca to be correcc. Data in dispu�e shall be disclosed only if the individual's stacemenc of disagreement is included with the disclosed data. The decerminaaon of the responsible au�horiry may be appealed pursuant to the provisioos of the adaunistrarive procedure act relaring to contested cases. DATA PRiVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request for a pernut or license from the Ciry 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 determine your qualification for the permit or license requested. 2. You may refuse to supply data, buc refusal may require that the City deny the permit or license. 3. The information may be shared wich ocher local, state or federal a�encies to the eztent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain ri�hts 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 perm.it. Firsc �tiddle Last Address Ci�, Srate Zip Phone I understand �;hts as state above. i � � �' � �� Signacure D TE TIME CITY OF ORONO CALLED IN /i � INSPECTION NOTICE SCHEDULED / 9 /� PERMIT N0. //n �7� COMPLETED t�, q ADDRESS '`� • OWNER CONTR. �� TELEPHONE NO. ��3 �� 6 � DESCRIPTION /i��-�ir�J-J � 01 FOOT NG 11 M HANICAL RI 1 S EXCAV/GRADING/FILLING Q � FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 $ITE INSPECTION 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 ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: a eall � �ou. � � � 0 �. � 0 � W � Q � Z W � W � � d �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN iNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAL.L INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr on�it�: Inspector. V White Copy/lnspeclops File Canary Copy/Site Notice