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HomeMy WebLinkAbout1999-011644 - tearoff/reroof PERMIT CITY OF ORONO PERMIT TYPE: 27Sl� Kelley Parkway- P.O. Box 66 : Crystal Bay, Minnesota 55323 Permit Number: ,=:;:_:±�,y�:T���t; Date Issued: t_��. ������. (E12)473-7357 �-?�r�:_;J',�^: SITE ADDRESS: DESCRIPTION: :i�;�f:��Wr�=:'�°r i�t�,r_�� `�!il >>�Il?'w I'+.`1'�fi��• I `{�:,.i `_;i=--�if(it'!�';=i`,�_E�t�L._ �'',1 �i�j i i�� 3;3 i�i;�1:; �jr;��„; ^ p;�L:_..t;'I_P 1_i F- _�ii�!;'.a {���fE�c ;.j.:=;..+ f-���' . ':`W���f�#u'1�-#'_ REMARKS: FEE SUMMARY: 1;�r-:1 l 1r� t ;i_{�y �•:._:i: �i.�=.=i= �''=':= . ;:`–� . ==� `_�t�����!–�:��=�7:'= � =.,l i aF�*_,i '-f,=�= —______ -f:,""i i:i CONTRACTOR: OWNER: < -- . , 4=� i:;1�,�. — �-_�'�° {�`=�._�_ �°=���.rai�i�i _��_ _ . _ _. _ -,� s ',��;7;� �'.,};u f�l�is ijvi�i _ – _ i 1i_i_if �=%j s E-�C� i���.���'v"�>I�l��.�} :! � T'-+ ,��E — —;:���: . . -- .� }:F.�r� - _ '� � . . . �� . _ ��.�'E�'� �.� #1 E _ . i- : �- �r-., �..,, .� n � ;� t ; -r 4�#f, �t ._ �`s � r.; 4#'{ e ...� �;' ,3 { . _.._.._ . �E _ { �_ ... w . c. , � _. — — :+ '; ; . . �:.. -..: . ;.. ..�, �r. ��.t . � . . i_tF ��� i i�'7 � �"' '-�{ _� �.� . i� � � °" � � F—. ... j�� F .. , .. x . _ ... , , 3 '.::� _ f_� F v _ :.. � �d f .. : • ,-z I _ _ S � � � � ; � . . . . ...._... ... . . . . .. . _. ..� .+_4 .;:,_ft F`e,.�. `'-.'.»1°`s .,f?�._f'�...._�. . .: . � J • (ii�N-Q.x,� APPLICA PERMITEESIGNATURE ISSUEDBY:SIGNATURE Total Fee: $ ,3 4-/a Date Received: �/3'� y Entered By: Permit#: /(o�� � � CITY OF O ONO - BZJII..DING PERMIT APPLICAT`ION � ! All information must be submitted in full before plan review will be started. . � � (please print all information) . T'� APPLICAi`'T IS: �� � (circle one) � OtiVNER R CONTRACTOR � � � 1' �' v Z�: J� �� Jos srrE �nxEss: 3 5 s� �-r �2� � l� e- 1 � NA1biE OF OS'V�'ER: Ar�. G K-•'+✓1 �r J PHONE: (home)�"?� - 01 cl ) �}�2-E-c1) (work) '� `�4 - 9�(�— MAILING ADDF•ESs: 3 s5ti1 L�-i�e��c. �� CITY: �rL�rt-O zIP: SS 3`�' ) CONfiRACTOR: �'�' PHONE: . • . CONTACTPERS0�1: � MOBILE/PAGER: . MAIL,liti'G ADDRFSS: CITY: ZIP: STATE LICEi�'SE: # � ARCHIT'ECT�El�'GIi`TEER: PHOti'E:. �� NIAII�ING ADDRESS: CTTY: ZIP: � HAME: REGISTRATION# TYPE OF ti�ORK: New Addition � Accessory Structure Move Remodel/Alteration Land Alteration_ PROPOSED tiYORK(describe in detai�:�e ro� q �'a T�� STORIES: I ��= SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: Z GA.RAGE STALLS: ATT. DET.X � . • . . . . a EST .11�i IATED CONSTRUCTION VALUATION(excludi.ng lan�: $ �� d� — � 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 City and with the State Buildi.*�� Code; that I understand this is not a pemut and work is not to start without a permit; and th�c the work will be in accordance with ihe approved plan. DA . � Ci � APPLICANT'S SIGNA � NOTE! �arade o,�Homes events require se rate permit approval by Police Department and , � Ciiy Counci160 days prior to tke event. Non permitted events will not be allowed. • t Sec.13.Q4 RIGATS OF SVBJEGTS OF DATA ' . a Subd. 1. Type o[data. The righcs of individual on whom che data is stoced or w be srnrcd shali be u set for�h ia this secdon. � Subd.2. Informa�oc reqtnrcd to be girm indIridual. �1n iadividuaF uked w supQly private or eoafidendal daa concecaing himself shali be informed o`: (a)che purpose and iarended use of che cequared daa wichia the eollecang 3tate ageary.poliacal subdivision,or sa�wide rysrem; . (b)whet�u he taay reFuse oT is legally cecry'tr.d to suPPtY.the tequesred dsra:(c)aay fmowa eaasequeace uisiag frum his supplyiag or reti�sing to r.:pply privat:or coci.;deaca!daa;ar:d(�the ideadry o[o�h:c pecsoas ocenddes aucharized by sate orfedaral law to ceceive the daca. This requiremeac ss�ii aoc apply w�en an ie.dividual ts uked to siipply invesagadve dan,pursuant w secaoa 13.82.subdivisioa S.oo a Iaw enfocsemeac officer. . . - Ttte eor:unissioner of reyenus mav olac-the noac- rauird und-r this subdivision in the individual ir►come ta�c or orooeccv taz refuad Insccueaons inscead of on rhose fomu. • , . � Subd.3. Aecess to data by indiriduaI. Upon requesc w a respoasible auchoary.an iadividual shaii be infonaed whaher he is the subjeec o[stored dsa on individuals,aad whecher it is etassified u public,pdvat�oc eonP.denaal. Upaa his furchec cequest�aa iadividual who is the subje:c of stored privace or:public daa on.icdi+viduals shall be shown ehe dan wichaac any�charge to him uid.'if he des'�re;;s�all be In[ocmed of ttie eoacenc and meaning o!chat daa. Afuc an individual has bxa shown the pcivate dara a�id infocmed ot I�meanieg,che daa nead not be dixloxd oo him for siz moad�s thereafur uniess ardispuu or aeaon pursuant w this secaon is pending or addidooal daa oer ehr individual has beea calIa`-d or erear�d. Ihe cespoasibtc autkociry shall'provide copies of che privar-.or pubtic daca uFon request b�Qie individuai subjecc o��se dara: T�e respoan'ble auchariry may require the�cequesdng person to pay the accual eosts af making,cerdfying,aad eomp�ing the eopia. 'Ihe responsible auchoriry shal!eomply immediscely,it Qossibie,wieh aay cequat made pursuanc to�his subdivision,or wichin five days of the date o[the reques�,excluding Saturdays,Sundays and legal hotidays,if inunediate compliaace it not possible. If he canaot comply wirh the requesc wichin dut dme.he shall so in[orm the individual,and may have nn addidoaat five days wiehin whieh m comply wi'ch the cequest,eacludin'g Saaudays, Sundays and kgal holidays. . . Subd.4. Procedure whea data L�not aceurate or eomplete. M individual may contest�he accuncy or completeness of public or privace daa conceming l�im�mself. To ezeocise chis right,an individual shail noafy ta wridng the reapoasffile audwdry descdbing the nanin of du disagreemeec . The nspoasibte authociry shall wi�hia 30 days eieher. (a)correcc che dsta found to be inaccunte oc incomptete aad aaempc to aodfy past recipiencs of Inaccunte or ineomple�e data,induding recipieacs named by�he individual:or(b)aoafy the iedividual thac he believes rhe data to be correct Daca in dispuce shall be d"uclosed oaly it the individual's stacement of disagreemeat is ine(uded wieh the d'uclosed daa. The decerminadon of the rasponsble auchoriry may be appealed pursuant to the provisions of the adminisaaave procedure act reladag to contemd ases. � . • � DATA PRiVACY ADYISORY � In aecordance wich M.S. 13.04,Subd.2, "Rirshcs of subjecu of data",we would like to inform you that your request for a peruut or license from the City of Orono or any of i[s departments may require you to furnish certain private or confidencial information. You aze notified thar. 1. The information you furnish will be used 4o determine your qualificadon for th�permit or license requested. 2. You may refuse to supply data; but refusal may r�quire that the Ciry deny the permit or licease. 3. The information may be shazed wich other local,stace or federal ageucies to the eicent necessary to precess the permit or license. � 4. If your requested permit or license requires Council actioa to approve� sonne informadoa�y:;become . public. � � � . . . . . �5. You have certain rights under M.S. 13.04�(available upon reqnest) to review private data on.yourself. 6. Your full name is requircd to process this application or pecmi�. Fust � Middle Last • Address � Ciry Sate Zip Ptioae I understand my ri�ts as�stated above. , . , � , , .. . , Signaarc CITY OF ORONO CALLED IN D7j.3 9,� �T� INSPECTION NOTICE SCHEDULED �,z�,�:� �3,��� PERMIT NO. coMP�ETEp ADDRESS OWNER CONTR. TELEPHONE NO. �7�-- ���� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 0 AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 = 09 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 � � J O >. � O � W � Q � Z W � W � j d � �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WOAK,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 ins ti 24 urs in advance.473�73�J7 OwnerlContr tor n s' - Inspector. White Copyllnspector's File Canary Copy/Site Notice '�^� DATnEy� TIM CITYOF 1O CALLEDIN 7T-- � .��' INSPECT : NOTICE SCHEDULED t• f� 7-�:l PERfiIIIT N . G►1 �y y COMPLETED ADDRESS 3S S LI L-�Y�C 1�Ue. OWNER ,�c�.r�.,1 l CONTR. ��� TELEPHON E NO. y�� - � �� I � DESCRIPTION �� W O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 a � J O � � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next ins ection 24 hours in advance.473-73�J7 OwnerlCon cto sit Inspector. � White Copyllnspector's Canary CopylSite Notice