HomeMy WebLinkAbout1998-010466 - tearoff/reroof _ PERMIT
+ CI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t:E���_�-#}�'��
Crystal Bay, Minnesota 55323 Permit Number: t����;�,;�„�,
(612)473-7357 Date Issued: ;;;�•�j�:,���;w;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — �;,,���, ��.�a�t. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��
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- Total Fee: $ 1a2�-4� Date Received:
Entered By: ,(�G� Permit#: /n�/��v
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
A.11 information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------- --------------- --- --------------------
'"_"``_ .
THE A.PPLICANI' IS: (circle one) OWNER O CONTRACTOR �
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JOB SITE ADDRESS: ���� �C���� �� L-� �Ll/-JZIP: _��J � ,
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NAME OF Oti�NER: L ��c c�� �i. , � C� � PH0�1E: (home) C ���5 �
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(work) SlP' �/ - -J 9� /
MAILING ADDRESS: ����'�''��� ��/�E"�,�`��CITY: l�t,�� /<e,. ZIP: -��;S��
'�� � � � � �y _ �
CO�ITRACTOR: f `��l-�[s'/�✓�o%, r��.J�S PHO�IE: �'c��� :�"�c� J
CONT'ACT PERSON: �i✓ :T`�J�'/�C MOBILE/PAGER:��� /� �' %`% �
MAILING ADDRESS: S�C' / �" . �-�� •� J� _ CITY:�L���J%%���T�..�IP: S���l��
STATE LICENSE: # /7�"�
ARCHITECT/ENGINEER: �r---�� PHONE: --
MAILING ADDRESS: CITY: ZIP:
l�JAME; REGISTRATION#
TYPE OF `VORh:: New Addition Accessory Structure
N1ove � Remodel/Alteration k Land Alteration
RK describe in detai / � �°`-� ��' �''� '� � �� �� '" � �
PROPOSED�VO ( �•
STORIES: SQ. FEET OF EACH FLOOR: �
NO. OF BEDROOVIS: GARA.GE STALLS: ATT. DET.
EST .NIA1'ED CONSTRUCTION VALUATION (excluding land): $ ���
c -�
I hereby apply for a buildina 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 Buildin� Code; that I understan 's is ot a permit and work is not to start without a
pemut; and that the work will be in a ordan e with the proved plan.
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A.PPLICANT'S SIGNATLTRE: � - DATE:
NOTE! Parade Q Homes event require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
_ iy `
Sec.13.01 RIGHTS OF SUBJECTS OF DAT?,
Subd. 1. Type of data. The righcs of individual on whom[h�data is stored or to be scnred sha11 be as set forth in this secdon.
Subd.2. InformaGoa reqirired to be given individual. ?.n individual asked to supply privace or confidzaaal data concerning himseif shall
bz informed of: (a)the purpose and incended use of the reques�dara wichin[he collecdng 3tac�a,eacy, poliacal subdivision,or sratewide system;
(b)whe�fier he may refuse or is legally required co supply the r.quested data;(c)any lrnown coasequeace arising from his supplying or refusing to supply
priva[e or con�idendal dara;and(d)the idendry of o[her pecsoas or enrides aurhorized by sc�te or federal law to receive the data. This requ'uemeot shall
no[appiy whan an individual is asked to supply invesa¢adve dara, pursuanc to secaon 13.82, subdivision 5, to a(aw enforcemen[ofricer. -
lltz commissioner of revenue mav place che norir r�ouired under this subdivision in the individuai income tax or orooem taz refund
inscrucrions insczad of on those forms.
Subd. 3. Access to data by iadiridual. tipon rcquest to a responsiblz auchoriry,an individual shall be informed whe�her hz is the subject
of scored dara on individuals,and whecher it is ciassified as pubiic, privace or conFdenaal. Upon his furcher requesc, an individual who is the subjea
of s[ored priva[e or public dara on individuals shall be shown che dan wi�hout any charge to him and,-if he desires, shall be informed of che content
and meaning of[hat data. Aher an individual has been shown[he privace data and informed of ics meaning,tbe data need not be disclosed to him for
siz monchs thereatter uniess a dispu[e or acaon pursuane to this secaon is pending or addidoaal data on the individual has been collzeced or crearrd.
The responsible au�horiry shall provide copies of the privace or public data upon requesc by the individual subjecc of the data. 'Ihz responsible authoriry
may require [he requesring person to pay the actual costs of making,cerafying,and compiling the copies.
The responsible auchority shall compiy immediately, if possible,with any request made pursuant to this subdivision, or wichin five days of
the dace of tha requesc,exciuding Sacurdays,Sundays and legal holidays,if immzdiate compliance is not possible. If he canno�comply with the reques�
wi[hin chat dme,he shail so inform the individual,and may have an addiaonal Five days within which to comp(y with the requesc,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple�enzss of public or pri�•ate
dara concerning himself. To execcise�his rieht,an individual shall noa"ry in wricing che responsibla auchoriry describing the nacure of the disagreement.
The responsibie authoriry shall wichin 30 days eicher: (a)correcc the data found to be inaccurate or incomplete and attempt to nodfy past recipien�s of
inaccurdta or incomplece data, including recipiena named by the individual; or(b)nocify [he individual that he believes thz data to be coaect. Data
in dispute shali be disclosed only if the individual's sc3temenc of disagreement is included with[he disclosed data.
Thz decerminarion of the responsible authoriry may be appzaled pursuant to the provisions of the admicusaarive procedure act re(adng to
concesced cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request
for a permit or license from the Ciry of Orono or any of its deparcments may require you to fumish 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, but refusal may require that the City deny the permit or license.
3. The information may be shared wich other local, state or federal a�encies to the extent 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 onyouurself.
6. Your full name is required to process this application or permit.
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Signacure
D TE TIME
CITY OF ORONO CALLED IN �' - �
INSPECTION NOTI E SCHEDULED � � �
PERMIT NO. 0 � COMPLETED
ADDRESS b D d �
OWNER CONTR.
TELEPHONE N0. �Pe2� 0 ��1-s ,�a��h'/
� DESCRIPTION
� 01 FOOTING 1i MECHANICA 18 EXCAV/GRADING/FILLING
�MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENT :
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W� ❑W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra n e:
Inspector. -
White CopyllnspectoPs File Canary CopylSfte Notice
DATE TII�E
CITY OF ORONO CALLED IN 2/2� r���Q
INSPECTION NOTICE scHe�u�E� �
PERMIT NO. U Co C� COMPLETED �_
ADDRESS � -e �
OWNER � � ONTR.
TELEPHONE N . b � g ' a �-�-�
� DESCRIPTION
� 01 FOOTING 11 M ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 M HANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
�OS FIN�AL 14 SEWER HOOK-UP 06 PROGRESS
� -07-DEFIO-SITE 27 SEPTIC MAfNT. 21 COMPLAINT
v 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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��ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTiON REOUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance.473-7357
OwnedCont site:
Inspector.
White Copyllnspector' File Canary Copy/Site Notice