The URL can be used to link to this page

Home My WebLink About1996-008300 - storm damage/chimney PERMIT 'rCITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �� • y � ; Permit Number: ��d �� - Crystal Bay, Minnesota 55323 �?��=�:_��i� (612)473-7357 Date Issued: i�;«:�i�,�_��, SITE ADDRESS: :;�.7:' LY�Z t�: f�iJE _T E �'. I . t�. 17—i �.7—'�_:—tk:::—i rt y:_:7 DESCRIPTION: '-:�i_��t�i ��i�t��I��Hltfit�E`� E��.�il��it-�� F`i�,r��it. T�p� '�=�=—�i�if�iF�C:i�i�=�17EL E;E�; l��it�� Wt��'�:: iyF�� ;�'�'�H��E E�I:=:1"It�i� C:�•�-�s�.�s C:�_:�� .=�4 A�T . �;�°3IQ�l�TIt�►._ REMARKS: FEE SUMMARY: V�TL��TIE:it�i ��, i_�i�t; ��s� F�N �'�`� . 7.� '=:�.�rch�a��k_ ------ —{ �-� ��'� t �.� �i41 i.G{� �L''Y ��S i �..�_. . .G�� CONTRACTOR: — r��=�p 1 i c��iT. — :�T . L I C: OWNER: h(��t�—f_��=,1_1I°I ��9_��'�'=.T C:�r� �.;:?�.�=,h.:=:i ;�i 7i rr,:W�i�=; �i�;''t�lt�f T��xi� ��;.;�_�;; t�:��t1f�IT�Y V��W �t=� =��.7:�� LY;iI{,�: H�� :t if;h�'�;�I i �F #�t,� �.��,:;:,,i i.:��;►��P�+�t �t� ��:_,��1 t:i��1'.�:� �371—i�.t�,:�•� �.71—t_�.:��. 3 t—!C. �_�I��F P.��d�.."!f�� :�iG i��"i� tt�_d,.t��{�:_; ! ::� �'��ti��j�-,�� l �_i(Y� i;.I �`�I{-,`}�.,�- -'i-i�' �ii-.3�•�i... ��'f�'Fit_I3e'°�.fi'1�".�1I t:-. '��F'E�:I F I Ef? ��l� �s:�h��'a i�=� t�� €�?_L f�;��i�'��:: I t�a =�T�'i��T �::��ft��=`?:i�i�i�_� _�:I T�+ ��.;. �;I Y:; ;�� +::��,`�w�+t��:i t:+FiC?I;;��:`:r�.�E::�� A L� '=;T�TE tr�F i��I t�!l�E:':,��1�'r? :,t 1�_�_:;�.�,�c; �:2_1C;3� REt�i��:Fi��`�r=:��°�; . � � J� �V" 1 � � APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE � f � � 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 CONTRACTOR JOB SITE ADDRESS: ��3 G y�i� f�1/� ZIP: 'J`�5 3� 1 � � ,� NAME OF OWNER: T/�I �j�l�L« l�l��IV PHONE: (home)� f D � � (work) MAILING ADDRESS: ��73 �y R(C, �1� CITY: D�Dll9p ZIP: �5 3 q ( CONTRACTOR: M C�—�SU,VI'l �Ng� C'D, PHONE: �71- 66 $� CONTACT PERSON: 4 E� S�{01/E�,(� MOBILE/PAGER: MAILING ADDRESS: 1�800 GG�uNTRt/ �I�iG' l-IV CITY: $tl/�NSV//.L� ZIP: SS 337 STATE LICENSE: # �oD��7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 1vAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�)� Land Alteration PROPOSED WORK(describe in detai�: ( -��1 �� Q�� /�'�( .�1> � l�'�r I�� ,2od�1S w�7�� r� �" STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��(,7 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 witho�t a permit; and that the work will be in ac rdan e with the approved plan. APPLICANT'S SIGNATURE: DATE: ��-�J��/� 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. 6 � •� � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righrs of individual on whom rhe dara is stored or to be stored shall be as set forth in rhis secaon. Subd.2. Information required to be given iadividual. An individuai asked to supply private or confidential data conceming himself shall be informed of: (a)[he purpose and intended use of the requested data wi[hin the collecting§tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requesced data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidendal daca;and(d)the idenuty of o[her persons or enaaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgative dard,pursuant[o secrion 13.82,subdivision 5, [o a law enforcement officer. The commissioner of revenue mav place the noece required under this subdivision in the individual income tax or vrooertv tax refund insavcrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or co�dential. Upon his furcher request,an individual who is the subjecc of stored private or public data on individuals shall be shown the data wiehout any charge to him and,'if he desires, shall be informed of the contenc and meaning of that data. After an individual has been shown the private data and informed of i[s meaning,the data need not be disclosed to tum for six months thereaher uniess a dispute or acdon pursuant to this secdon is pending or addidonal dara on the individual has been coilected or created. The responsible authoriry shall provide copies of rhe private or public data upon request by the individuai subject of rhe data. The responsible authoriry may require the requesting person to pay che actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immedia�ely,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding SaNrdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate oc complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shail within 30 days either: (a)correct rhe data found to be inaccurate or incomplete and attempt to noafy past recipients of inaccurate or ineomplete data, including recipients named by che individual;or(b)noafy the individual[hat he believes the dara to be correct. Data in dispute shall be disciosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested 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 fumish 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 pemut or license. 3. The information may be shazed wich other local, state or federal agencies to the eztent 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 on yourself. 6. Your full name is required to process this application or permit. i1�l��} v►�L �-�� s/��!/C L L F�� Middle Last S,4 /�� - Address Ciry State Zip Phone i I understand my rights as d abo . � Signature D TE TIME CITY OF ORONO CALLED IN 7 INSPECTtON NO CE SCHEDULED 2 //=3 0 PERMIT NO._ • dD COMPLETED � �� ADDRESS � OWNER CONTR. �'L��i�-� TELEPHONE NO. _ '�/�7/ � O�O� � DESCRIPTION � 01 FOOTINO 71 MECHANICAL 18 EXCAV/(3RADING/FIWNQ y 02 FRAMINCi 13 MECHANICAL FINAL 19 LAi�SHORENVETLANDS � 03 INSUTATION 24l25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK•UP O6 PROGRESS ~ �SITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP 2 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL � BINO FINAL 28 CEDAR S GLES 36 FOUNDATION REMOVAL � OWNE�ONTRACTOR TO MEET YOU: YES_NO �''�Ca�AMENTS• y W a� �► ` � � � j < O �, ` r � O � W �I � 6 Q � Z � W � W � � d ❑WORKSATISFACTORY:PROCEED - PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFtCATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHiN HOURS. ` pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR =CITATION ISSUED ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspe tion 24 hours in advance.473-7357 OwnedContractor . Inspector. 1 White Copyllnspector's File Canary Copy/Site Notice