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Home My WebLink About1998-011087 - tear-off/reroof PERMIT CITY OF ORONO PERMIT TYPE: � �275CT Kelley Parkway- P.O. Box 66 '_`�?�i?=�� Crystal Bay, Minnesota 55323 Permit Number: ;:;�� i �Y;i��-�. (612) 473-7357 Date Issued: - - - " .,,?i';F=,j'Tf�= ( SITE ADDRESS: ��, _ �#=i�l�� =:� S��E_tY`�;: ._'•{.3 . ! . f`�l . . _._'"1 f;_—',•:::;`_ _—_'ti31 � DESCRIPTION: �E�=;�;—��ii�r f��'_Fzi:;��;F `�E..i.11r7131?� t"`.ul'fll;.'�• �'}'�`h' _. —Hf.�'�,':'i'.`[i�_E4�}:�._ L�117 �3�15'j+�—� �i ij'1:; 1 j•'��s �i�^�il,,tE_il— _�,-��f�� =t}t�� .��=�. ;��_i . �°r`=:I�=�.i�TI�?L REMARKS: . FEE SUMMARY: `.:t�i_i_.i=j!�i�i;;f �:_:L.f_'t �=._a'�� =N:, �_�.;` .t•'•�_' `-�s.j��:_;'�_.cj��F� _______ _�._�;.,; :iFf�.%(f �F��F? `.�i,+.«��j' � Zit� CONTRACTOR: - �,�:�� i�_�a-��. - °�=i . �I;_ . OWNER: :_�'i:;`y' (;"_,!(•:i�_: _� ;1?`i<<'=.=''•,:.` �';_;3 = i:!yi;'i�:, , :�h;i=i;�Y _��.,. �_��' =1 �.=�� _i4V(i �,_�t:;.,�— i,;i_`J;,.# �«F�"ti E€�{{_i iyi�:� LL�.��Lii,'i �_��'l�f��i{�3 . .. , ��'...�.�."' �,{�1�y,� uf� _ ..__..._ II,�' i„�i`vt,7-,iit',�t."}�',�',�, F-x i',��F�4' �"'��"'.°�iirt�_ . ._� G�G,,r j .. ...+.#. ...E'`? f �»£ t ..'2"•:�". s��' �" �F.Y �' .�'�.'_{�:_...�� __. � . e� i � � ; �. ._�l�" �` " �-—�—•— #..�VS �� ;.� ;.€",:�i;' `{ . , F T;�4`,�;.::' 1 � _ ? � t�4' �5�-- —��^S { 4�f,s �;VI�� '�#��`'-.�"''_., �{ ;��_C.. :v._�,s,�.. _.`� _ . ._ _ . _=y}t'}�"� .L _ __ . . . . _. ._ ��i-= r ,��a �a��;e!'}�F�r�� it_�z_ . :r�. �;:r�3�1� .Y.t- _.. . .?-.� s#-i ��_ i s.:., t f`,$�,;; t. _�!t`. :i _ � w � � ._ _ . _ _. ._... . w � _ � � - �J APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE Toxal Fee: $ Date Received: ` � Entered By: Permit#: � CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICAl�'T IS: (circle one) OWNER O ONTRACTOR JOB SITE ADDRESS: S� / �� Z�= NAME OF OWNER: �F,�,e/ �� /� PHONE: (home) , (work) MAILING ADDRESS: /S�5 ��„s �.�-kP ��TTY: ZIP: CONTRACTOR: �,�,e c/ 8��T— PHONE: y7 � 'S�S�_ CONTACT PERSON:_�m Tri'✓`Y MOBILE/PAGER: �g�-G a 3�/ MAII.ING ADDRESS: 3yo L e�F S T. CITY: Qlc'vrt� Z�: S�3 S-6 STATE LICENSE: # Z�/� ARCHITECT/ENGINEER �- PHO�TE: 11ZAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: ]c�2 0�F f' ti°� - �� l l''�f/1 ��v,e�GE 3� s'q, STORIES: / SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: _Q GARAGE STALLS: ATT. DET. � ESTIlVIAI'ED CONSTRUCTION VALUATION(excluding land): $ g.�� . 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 Ciry 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 acc�e with the approved plan. APPLICANT'S SIGNATURE: �l DATE: /`oZ - /� -�S� NOTE! Parade of Homes events require separa e 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 SLJB.TECTS OF DaTA Subd. i. Type of data. 'Ihe rights of individual on whom the data is stoced or to be scored shall be as set farth in this secdon. Subd.2. Information req�rired to be givw individaal. .1n individuat asked ro supply private or confidentiai data concerning hi�telf shall be informed of: (a)che purpose aad inrended use of the requested dan wichin the collecaag Stace ageary,polidcal subdivisioa,or srdtewide rystem; (b)whether he may refuse ot is legally required to suppty che mquesced data;(c)any Irnown consequence arising from his supplying or refusing w supply privace or confidondal dara;and(d)[he idendry of o�her pecsoas or enddes auchorized by state or federel law to receive the data. 'Ihis requuemenc shall noc apply when an individual is asked to supply invesdgadve dard,punuant to secdon 13.82,subdivision 5, to a law enfoccement officec. The commissioner of rcvenu- mav place che nodce reauired under this subdivision in the individual income tax or orooertv taz refund insttucaons instead of on chose forms. Subd.3. Access to data by iadividaal. Upon request to a responsible aurhoriry,an individual shall be informed whe[her he is che subject of scored data on individuals,and whe[her it is elassified as public,private or confidenaal. Upon his further requesc,an individual who is the subjecc of smred private or public dara on individuals shall be shown[he dara wirhout any charge to him and;if he des'ues,shall be infocmed of the contenc and meaning of chat data. Afcer an individual has been shown�he private daa and informed of ics meaning,the data need not be d'uclosed to him for six mondu thereafur uciless a dispute o�acaon pursuanc to this secdon is pending oc addidonal dan on the individual has been collecced o�created. The tesponsible auehoriry shall pmvide copies of che privam or public daea upon requesc by rhe individual subject of the daa. The responsible authoriry may nquire the cequesdng person to pay the actual cosu of making,certifying,and compiling ehe copies. The responsible authoriry shall comply immediately,if possible,wi�h aay request made pursuant to chis subdivision,or wichin five days of the date of the request,ezcluding Saairdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannoc comply wieh the requesc wichin chat time,he shali so inform the individual,and may have an addidooal five days wi[hin which to comply wi[h[he request,excluding Saturdays, Sundays and legal holidays. � Subd.4. Procedure when data is not accurate or complete. An individual may concesc[he accuracy or completeness of pubiic or private dara conceming himself. To exercise chis right,an individual shall noafy in wricing rhe responsible authoriry describing che nature of the disagreemenc. The responsible auchoriry shall within 30 days ei[her: (a)correc�the data found ro be inaccucate or incomplece and atumpc to nodfy past ncipienu of inaccurate or incomplete data,including recipiencs named by the individual;or(b)nodfy the individual thac he believes[he dara to be correct Data in dispute shall be disclosed only if the individual's statemenc of d'uagroemenc is included wieh the disclosed dara. The decerminaaon of the rasponsible authoriry may be appealed pursuanc to the provisions of the administradve procedure act relacing to contesud 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 thar. 1. The information you furnist�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 the City deny the permit or license. 3. The information may be shazed with ocher local, state or federal a�encies to the excent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. S. 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 permi�. T� �� 7crr 5/ - First Middie Last 3yv L��-f- ST Address �,e�� „�t� ss3 s� ��G s� -sa Ciry -- Srr�e Zip Phone I understand m ri ts as stated above. Signature � DATE, TIME CITY OF ORONO CALLED IN c WSPECTION NOTICE SCHEDULED /l� ' 3� PERMIT NO. //Q �'�7 y COMPLETED ADDRESS /S`7--J ` � � /3�� • OWNER CONTR. � TELEPHONE NO. '� �E= -� 1�.5� � DESCRIPTION ' �� h� �� lL 01 FOOTING 11 MECHANICAL R� EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WA BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINAL ,Z, 14 SEWER HOOK-UP 06 PROGRESS � 0 EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W � a � J � O � � � O � W � Q � 2 W � W � � d W ❑WOFKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTO TAKEN INSPECTOR WILL RETURN �P ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED INSPECTION REQUIRED. Call for the next insp�ction 24 hours in advance.473-7357 Owner/Contracto te: Ins ector. �� P White Copyllnspector's File Canary CopylSite Notice