HomeMy WebLinkAbout1997-009392 - tearoff/reroof - � PERMIT
` CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: _ : _ �.;_�$.��_:
Crystal Bay, Minnesota 55323 Permit Number: �:,, ,:.w H,:.��;�
(612) 473-7357 Date Issued: -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: ::.,_::_,�; .. � _ ..,;. . � � . ';..=�� OWNER:
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APPLICANT/PERM EE SIGNATURE ISSUED BY:SIGNATURE ��
' ' TotaI Fee: $ Date Received: �
� Ent�rcd By: � .�-�� . Perrnit#; � �,�=
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�C� CI OF ORONU � B�C.J��D�G� P�R.NIIT APPLI ATIQN
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All inYormatian mast be submitted in t�ll befoare plan review will be started.
(pdease print all tnformatian)
--------------------------------------��_-------------------__.---------______-------- - ---------------�--------------
THE AFPLICAN'T IS: (cirel� one) OWN�R O C�NTi2ACT0�2 r
J4$ SiTE ADDR.�SS: �� C T-� ,� „� ,C,.�•C`_, _._._ ?TP: ��� /
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NAM� C1F OWN�',R: J� '� � 1,��� FHONE: (hame)��
_ ,
(work)
MAILING ADDRES5• � ' L�'�. '��LITY: "� �' ��;,�ZiP: ---
C4�N'I'RACT4�.t: �1�� � �'�t° pHONF: � �,�, ��
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� � U ' _�NIO�ILE/PAGER:
COiV''I AC T FERSON:�; � ''(`� -
1VIAT�.ING AT)UR�:SS:�l -�(�-l���t' `.:� CYTY: j� ; �' �ZIP': ��-�--��
STATE LICENS�: #, ��
ARC�TECT/ENCINEER: p�ONF� _
�CITY: ��P: .
MALI.L�i� ADU�SS: ___ _._ .�_._...... --
NAME: �, - ItE�ISTRATI(}N�� _. ---
TyPE OF WORK: New Addition ____ Accessory Structure
Move Rem�deUAlteratian I.and AlterRtinn
PR4PCIS�D WOR.K (describe in detar�: �� ' Y �' )`,�j�Gt,�,. r'C� �
� ���' C��_�� ��_►�� � �L i �i��;�F��—� -�.--. ------
�TOR�'.S: �Q. FEET 4F EACI�i+'L4a�t: --
Nf�. O�' $EDRUOMS: GA�AGE STAI�LS: ATT. DET,
ESTIMATEI� CQNSTRU(:TYpN VALUATION {excl�yding land}; $ ����� ��
I hcreby apply for a building permi[and I acknowl�dge ttaat the information above �s camplete and
accurate; that th� wark will be in confarmance with the ordinances a.n� cades of the City and with
the State Ruilding Code; that I under ttus is not a permit and work is nat to start with�ut a
permit; �nd that t��e work will b n ac�c3r an e vvith thc appmved plan.
,
APPLICANT'S SIGNATURE:�� �ATE: �f� �`.� 7 --
NOTEl Farade , Hames events r�equire separute permit approval by Police DepaMment and
Ctty Cour�c�I 64 days priar to the event, Non permttted events wtll riot be allvwed.
Sec.13.c?.�Rl(�HTS UF SIJB.TECTS UF Ll•�Ta
Subd. l. Type uf d�ta. The righec of individual on whom Lhc data is stond or to bc s�ored shall be as s=t furL4 in chis s:cdun.
Sukxi.2. EafonnaUon required ta be piven indlvidual. An individual asked to supply privat�ar confid:^dal dara co�lccrnuig himself sh�l
6o informed oP: (a) the purpoze nnd inronded use of the raques:ai d�cs wiehln the co(leeung tca�aSency, polidcal subdivision,or aG�cawidn sy3tem;
(b}whethan c�may refuso or is lagaEly r�quircd�n supply rhe requesca�l dacq;(c)any known consequencc arisiag fror.�hi.:supplying or refusing cn suppiy
privat�or co�d�cirial daca;and(d)the identiry o!other persons ot entities aut2torizcd by stace nr fcdnrdt law to rec:i��e the daca. 'iiii.s requiraruent shall
❑��apply when Ari individual is asked co supply invesdgaCive data, pursus,'�t to stCfion 13.82. 6u�!I�isinn 5, eo a law enfotccmen[o�cer.
�P COt11fi115FlaTl:r Ot IGY�RS}�.mav fsce che norice re uired uncier ehi.z �ubdlvlStn� ��the indi�13U11 f!'��me Llx 0� P�cttV t1C [CfUnd
j�yt�e:ci0�5 iRscead ui o�l U1n e oRns.
Subd, 3. Access to data hy ictdlvldtsal. C7pon rtquast ro a resp��nsiblc au�honty,an indivi�ual shalt be tlfumied wh�ther he i3 chc subject
of srored dae�on lndividuals, and wherhe�i�is classified as puhlic, priva�e or confidenrial. l;pon his Pattt:rt requ:sc,an individual wha is the subject
af stortd private or puDtic daca on individusls shall be shnwn Ghe da�wi�hout eny chargc to him and;if he desir.s, shali hn inPorn;ed of the content
and mcaning o!��at data. After an individual l�as bcen shown�he privam dtu�nd inforrr�ed nf ics mrani�i�;, �hc d=�need not be disclused t�him for
elx monchs �heteafter unlcs3 a dispuu or ac[ion pursuan<<o chis section is pending or addiqnnai ��t�on thc individual has been collact:d or created,
The resp�naibla anth�nry gk�1�P�Q����cupi:s of the private or Puhlic data�3pon raqu:st by cha i��dividual sub}ac[of ch:daw. The rasponsihlc aurhonry
may require thr. requescing person to pay ehe actual cu3rs of making, cernfyin�. a�id compiluig the coPi�s.
The responsibla authoriry shall cornply intmcdintcty, if passiblo,wich any raquest madc pursuanc ro this su6division,or within five days of
the dete nf the requese,axctuding 5acurdays,Sundays and legal holidays,iF immediacz comrli�ncc is not�ossibte. If he cannoc cnmply wi�h[he requesc
wi�hln that sime,he aha{l ao inform�he individunl,and may hdve an addidonal five days wieliin which to cumply wi:r,�tie request, exeludins Sanirdays,
Sundays an�legal h�iidsys.
3uhd.�- I'roCeduce when data is not accurate nr complote. An LzdiYidt�al may conu�c tha uccuracy or campin�ens3s of pubtic or pn��ate
3a���ncerr�ing him�clP. Tu exercise[hEs nght,xn iudividu�l shall nocify in wricing the responsible authnriry describirg�he n3n�re of�he disagceement.
The r�spansibla au�hority sh3ll wi[hin 3U deys ei�her. (a)c�rrecc�ho data foi�nd to be inaccura�e or incumpletc ar.d arccmpt tu nori�past r�cipiencs of
inaccurn�a or inco�uplece dsta. including recipienes namcd by c�te individual;or(h)noti(�� the individual diat lid helieves the dats to be correet. T)ata
in di3pute shall be disclnsed only if the individual's staromma� be a��caied'enursuaoc�eo� P o�si n�s ofsihe administracive pr�cedure a�c relating to
The deccrmiziacion af cha rasponsible aurhority Y FF F
contosced cascs. '
DA'TA P ACY A V�SORY
In accordance with !v1.S. 13.C14, Subd.2, "�i?��s of subjects pf data", we would like to inform you that your request
for a permit or licensc from the City of Orono or any af its departments may reqnire you to furnish ccrtain private or
Con�idential informa[ion.
You are notified that:
1, The infvrmatiort you fiirnish will be us�d co determinc your qualificati�n for thz pern�it or Iieense rcyuest�d.
Z, You may refuse to supply data, hut refusnl niay require that the Cicy deuy the pennit or license.
3, The informatio� may be shared with o�t�er local, scacc or federal ageneies to tne excent neeessary to proccss
thc permit or license.
4, If your requ�sted pec�it or liccn.5e requires Council aetion to approve, some information tvay become
public.
5, you have certain rights under M.S. 13.a4 {available upon requcs�) to review privste data on yourself.
(, Your fuU namc is required to �rocess this application or pennit.
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D TE TIME
CITY OF ORONO CALLED IN /v 9
INSPECTION�10���i SCHEDULED y��t g � ���—
PERMIT NO. `�' COMPLETED
ADDRESS �'�/'1 3 �.��.,,. , , l.L��-e �
OWNER ��..✓ CONTR. �����
TELEPHONE NO. �7,ZS - 2 3� .��
� DESCRIPTION
� 01 FOOTIN� 11 CHANICAL RI 18 D(CAV!(3FiADINQ/FIWNO
F 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS
NSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION
� ps FlWq� ' 14 SEWER HOOK-UP O6 PROdRESS
_
� 07 DEMa—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC�NSTALL. 22 FOLLOW-UP
= 09 PLUMBW(3 RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNOATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �ORK SATiSFACTORY:PROCEED - PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WiTHIN HOURS. r, pHOTO TAKEN
INSPECTOR WILL RETURN `
❑STOP ORDER POSTED.CALL INSPECTOH
!:CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnerlContractor
Inspector. �
WhNe Copyllnspeetor's File Canary Copy/Site NWke