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Home My WebLink About1998-010001 - repair damaged flue PERMIT CITY OF ORONO PERMIT TYPE: 27;i0"Kelley Parkway- P.O. Box 66 Permit Number: �'�-`'=��`�'�'�` � Crystal Bay, Minnesota 55323 Datelssued: :s�'si€'�if'� (612)473-7357 :.�:_:r'�_f=;'�:__ SITE ADDRESS: ?��7�; �.Y�I�f�:i.} ��`� .Tt� �' . I .;�f . � _:—� 1i—�=�—;:'�=--i�it;i � DESCRIPTION: �:��°�I�° �;�t�f�;�;�r� ��t i� ��.�? lj�it;=� r=`��r��it• TYF=� °��i=—ta!:��'�.�,�t��13�.L E;�.a i 1��i►.-t�� ;i�=�►'�:; T'{F=� t�°�'F`L.F-t:�:� ��;I'��1�1 P,li� t=��-�:��;•� t_�,��;� �:��. fi��.T . ��Ii:1�f�J�TI�L REMARKS: FEE SUMMARY: �t}�`;i I 1��T i�if.� '.�J::;; �f_)�} �_%!�� _r.:.+ ��'� . �'C :��I.{S'i}_!�`�„{''�i=' ��.... �� !`G ___, m...:i�:s � i�i�.r�_I,J, :"Y� "';}�'� , ll� CONTRACTOR: — �� ;,_L��t. — °�;, , i..I= ,OWNER: �'��l_L�t` ��'1�ii�t i:i-#�.ti(�,iE�' `_�►-'�.�': �,[#.:=�t's 1�:;:�::_: _ :�.;�i %�i�ti,` �..'s=� �;iT�;� ��.�::�`�� `•17;� l,.Y�Is��= �'d� �i�`t"�� OEFi1;t�.»`i� �'��% ��!=� !_!Fi!_i�'�(t_f �1�.� t.'_��:'�,�1 i,��.,•_'.� ��t.?'-1,;_'•_•: =�.�'`�F�..y,:=' ,: ,�i,':� ! t��;l� 'i-,[ !=;�3��''.��`� i` !z}i i�_ (ITi!4 f"t_. C��-:;;.� 3 �=�: �`F H E�... i.��:��'iY1�:�=�i ;'{�'� f�"'f� t r�'.4F� w't .�. �_�` �. I'��'� �?�3,_ � .i'. �'L �. . ._. _... �.`i � £ `�=f='F�_:I F i E� s�t�l�� s�l=�:��'�� i'�� I� :.��+t=,°��:: I t�E __}�#�'I t,�='� C��=�i•��-`�I�ai�{�l�: �:��.1�� =�� S��I;`3" }��€= i«ii=i':_i�''.�t�i _i t�:T�'�Sf:t;l' '�,'.�� 1�'��.� �t�� . 1_i�- ��f',!!'�.r:-,:-;i_i 1 �-'�, i�-�i��M!)�^�;�i �.:#_,�,):- �1f�{��#„)��'�.i�IF,�C�! :� . � L � � � � � PLICANT/PERMITEE SIGNATURE (� ISSUED BY:SIGNAT E � Total Fee: $ Date Received: , Entered By: 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 O �ONTRACTOR ,, -- - �__+__--- JOB SITE ADDRESS: �� Y G��1��;J � ''�L ZIP: NAME OF OWNER: l..�=� �� PHONE: (home) (work) 4Z-� �C��3 MAILINGADDRESS• ��'��7�..� �Y�i��'�'G> �i��!r--�� CITY• t��vrJ,:> ZIP: CONTRACTOR: �I�f!��.�=�l'��i I<°.� i�-+�ti�^�,�:Y �::�<<.�_;,;�.�:,�; PHONE: ��O ',�'�"�;� CONTACT PERSON: .�a,�/ ,(�n✓��;w�� MOBILE/PAGERQ��7-�Z�i MAILING ADDRESS: F'v.��x 2 4 0 ��S CITY: ��O�t<�� .;' ZIP: ��Si24- STATE LICENSE: # '3 �iL� ARCHITECTlENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 1VAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration R�PrI�/� PROPOSED WORK(describe in detain: lQ��'�'%�� ''/'%'Ro� �L�/� �� 5�'�TL°�� J°L'`�r;`, STORIES: = SQ. FEET OF EACIi FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTliI�IATED CONSTRUCTION VALUATION (excluding land): $ L ��v� �'�' 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 accordance with the approved plan. , �! �_. <<-_ :� - APPLICANT'S SIGNATiJRE: �� '4 ` `� DATE: ✓ � {' � NOTE! Parade of 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. � � Sec.13.04 RIGHTS OF SUB.TECTS OF DaT�. Subd. 1. Type of data. "Ihe righcs of individual on whom the data is stored or to be stored shall be as sec for[h in this secuon. Subd.2. Information reqirired to be given individual. An individual asked to suppiy private or confidendal data conceming himself shall be informed of: (a) the purpose and incended use of the requesced dara within the collecang'stat�agency,policical subdivision,or sratewide rystem; (b)whether he may refuse oY is legaliy required co supply the requested data;(c)any 1a�own consequence arising from his supplying or refusing to supply • privace or confidendal data;and(d)the idenriry of other persons or endoes auchorized by state or federal law to receive the data. This requirement shall no[apply when an individual is asked to supply invesri¢adve dara, punuanc to secdon 13.82, subdivision 5, to a(aw enforcemen[officer. - The commissioner of revenue mav place the noace reauired under[his subdivision in the individual income tax or propertv tax refund inscrucrions insczad of on chose forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whe[her he is the subject of stored data on individuals,and wherher ic is classified as public, private or confidenaal. Upon his further request,an individual who is the subjecc of stored privace or public data on individuals shail be shown[he data wichouc any charge to him and,�if he desires, shall be informed of the content and meaning of chat data. Afrer an individual has been shown the privace data and infoaned of its meaning,the data need not be disclosed to him for six monchs eherealter unless a dispute or acdon pursuan�to [his secrion is pending or addidonal data on the individual has been collecced or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of[he data. The responsible authoriry may require the requesdng person to pay the accual coscs of making, cervfying, and compiling the copies. The responsible authoriry shall comply immedia[zly, if possible, with any request made pursuant to this subdivision,or within five days of the date of che request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is noc possibie. If he cannot comply with the requesc within rhat time,he shall so inform the individual,and may have an addidonal five days within wtuch to comply with the request,exctuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest thz accuracy or completeness of public or private data concerning himsetf. To exercise this right,an individual shall noafy in wriang the responsible authoriry describing[he nature of the disagreemen[. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomple[e and attempt[o nodfy past recipients of inaccurate or incomplece data, including recipients named by the individual; or(b)nodfy the individual tha�he believes the data to be correcc. Data in dispute shall be disclosed only if the individual's statement of disagreemen[is included with the disclosed data. The determination of the responsibte au[horiry may be appealed pursuant to the provisions of[he admuuscrarive procedure act relaang to contesced 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 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 fumish 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 (availabie upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. ,� J aN Jv.��Pn ��;��,�.� Firsc �tiddle Last i �s7 i�r�213 1nIAy Addressr��v�P./ �f tt/ J ._`7 1�Z l`��%l'- n�i G� C Ciry Stare Zip Phone I understand my�hts as stated above. �,ii �c../ vi ,� , Signa[ure gATE TIME CITY OF ORONO CALLED IN �/��`��' INSPECTION NOTICE SCHEDULED 3/�B i0 :3a PERMIT NO. %f�00/ COMPLETEo" � � ADDRESS r� rl d -�i-A `�'�- OWNER CONTR.....� � c�— TELEPHONE NO. �� '�� '-� 3 � DESCRIPTION�.1�i�i l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/ IREPl1�CE 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a 0 �� a � O � r,� � �� W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. CpHOTOTAKEN INSPECTOR WILL RETURN �;CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for th ext tion 24 hours in advance.473-7357 OwnedContractdr ite: Inspector. � White Copy/inspector's File Canary Copy/Site Notice ATE TIME CITY OF ORONO CALLED IN lc:� INSPECTION NOTICE SCHEDULED ��12� %/ `•�o PERMIT NO. OMPLETED +�t N ADDRESS =�--�1� ` �� OWNER CONTR. ��i�� TELEPHONE NO. '��J '�-Z 3 � � DESCRIPTION .C,�� it.r�cez� � � Ot FOOTING 11 MECH ICAL R 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � C MMENTS: � 1 �n�'h.�r N.�.S d� t 0. 0 2 O S P.rG< <o �jC? e u e s � 3 No� �e -�- �, S�-� �� 0 � W Q C� �'�v a�� — � �t K�e � u r �iD `�' - f � � i�� f�'Ut e w � � a W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � C CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor � inspector. � White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN /71��j-�'j�' TIME INSPECTION NOTICE SCHEDULED �'9 �� PERMIT NO. /�-%G�L� COMPLETED ADDRESS :��7�7f�� a-�-� CLv-' � OWNER CONTR. G��f__l�r��'%i�1�2t� TELEPHONE NO. ��G � �� 3 � DESCRIPTION — � � 01 FOOTING 1 ECHANICAL RI 18 E AV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q ��'FTf�JCC'' 14 SEWER HOOK-UP 06 PROGRESS � "'�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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W 4 � J O � � O � W � Q � Z W � W � � d NORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN INSPECTOR WILL RETURN G STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i pection 24 hours in advance.473-73�J7 OwnerlContract o it Inspector. - White Copyllnspector's File Canary CopylSite Notice