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HomeMy WebLinkAbout1998-010254 - tearoff/reroof _ �., .� PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 %:',_!��,i i I j,�i� Crystal Bay, Minnesota 55323 Permit Number: �^f�:;�i�;� (612) 473-7357 Date Issued: - �- - - I7L!y':'.'=1�; SITE ADDRESS: _�'�'� L�7 i�`.��_ i-�`v� t:'� �'. I .1'•�. . .r"'"� —� � �� ` L`}.:_`—�it�t3!- i . 1 f_�._,_ DESCRIPTION: T�a�3:���i�i�;°���,_���:F E�ui 3.=�; �,�a i='���r,ti t. Ty,=��= �`�;�—r=�}s��,'Ri�t•1iw+C��s... ����11+��i�'! t4`��ci'�.:. 7'}+�F`tJ �1�_'�.f_�f_fl' t_�1l�l.�lS t�i�t��� l�����k t-i+i . �:�'_�.L Lr'�I���fi� REMARKS: FEE SUMMARY: �Ft�t_!�t7'T I���„ �1 � �:i ii t ��.�:=N ;ar� �s�.�� . �i� '�:i r 3���'E%�i,,�,�, :c � . . , ----------�.��.� �';�t.�:+} i�=�t� ���. �� CONTRACTOR: OWNER: — t=:F�,=�1 i r:��i+. — ��#��`r��;G �::t:I'i"H _��.�_� �_`�:���� �?�:�� E_����E���_t �.a�,� ���__��; u.?�—t��'�i i L c - .� � __--.-.--,-•• � - - � - - - ��"{!_ �.��'�����i,'� 1 S �4�__�1 �+.`_3�'.`�:4� �-t`�:st�_•'-�!��"�'•`� +"�v 4'{!•i.L�w =,�,F_f�`•� ! 3_t . �;'�jt;.` �'i.}`_= i'1i_.F-l� I j'��'-'�:i f`v,v��°is`��V ! '� :'��`�(:�i t=T��'..� :;�J�: i-D:�h`�`.:_; I I�i I�I_j f==ii...r.. t�:;'i_�i=iR:, ��v =�:�i;`T{_:3' t'�:E_t:•��-`��.r'���(vi:c-, #a� 1 i� ;:;i._i_ t�:,�!�`.. j',�: e E�. {'•t 'i — �y — {�� i ��-i ,� 'sr. � c i ts:!�'-�;� � �-. L ����?�_•'•�}3_1 �_E�"tL}�.��i?t�.w��`_= r'itv.1 ��s � . 's � r_;`' . �? ..�__��..i�t�� �:_. s�L'-1��{�.� _ ._��� !':�.��,_ ,.f . i__.4 ! _ . � /) APP A %PERMtTEE SIGNATURE ISSUED BY:SIGNATURE � - � � Total Fee: $ Date Received: Entered By: Permit#: j0,?s CITY OF ORONO - BUII.DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) TFIE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR . JOB SITE ADDRESS: � �o'r��/2�G �� ZIP: ��9� NAME OF OWNER: �'� PHONE: (home) �7/—D�7 4S � , (work) �1/�?,P � MAILING ADDRESS: � �/2/G AY� CITY: D/ZD�'I v ZIP:_�� CON'I'RACTOR: � PHONE: CONTACT PERSON: MOBILE/PAGER: MAII,ING ADDRESS: CI'TY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: r--- PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move � RemodeUAlteration ✓ Land Alteration PROPOSED WORK(describe in detain: ,�.1%� t'.�1���/��d �1� �� O� �� STORIES: / SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: _� GARAGE STALLS: ATT. �_ DET.��. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /�(,l� � 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 Buildina 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 SIGNATURE: DATE: .� � NOTE! Parade o Homes events equ re eparate permit approval by Police Deparlment and City Council 60 days prior to th event. on permitted events will not be allowed. � Sec.13.04 RIGHTS OF SUBJECTS OF DAT?, Subd. 1. Type of data. The righcs of individual on whom che dara is scored or to be scored shall be as set fanh in this secrion. Subd.2. Iaformation reqirired to be given iadividual. An individual asked to supply private or confidenaal data concerning himself shali bt informed of: (a)the purpose and inrended use of the requested data within the collecang rtare agency,political subdivision,or statewide system; (b)whedier he may refuse or is legaliy required to supply the requesud data;(c)any lrnown consequence arising from his supplying or refusiag to supply �„ � privace or confidenrial data;and(d)[he idendry of ocher persoas or enades aurhocized by state or federal law w receive the data. This requirement s6all „'r► not appty when an individual is asked to supply invesdgadve data,purruanc to secdon 13.82,subdivuion S, W a law enforcement officer. - The commissioner of revec�ue mav place the noace reauired under this subdivision in the individual income rex or oraaertv tax refund instTucdons instead of on chose forms. � Subd.3. Access to data bp individual. Upon request to a rosponsibte auchoriry,an individual shall be informed whether he is the subject of stored darn on individuals,and whe�er it u ctassified as public,private or co�denaal. Upon his further request,an individual who is the subjecc of scored private or public dara on individuals shatl be shown che data wichouc any charge W him and,-if he desires, shalI be informed of the content and meaning of chat dard. Aher an individuaI has been shown the priva�e dara and informed of iu meaning,che data need not be disclosed co him for six monchs thereaiur unless a dispute or acdon pursuan�to rhis xcaon is pending or addiaonal daca on[he individual has been collected or creaced. The responsible authoriry shall provide copies of the private or public dara upon mqueu by[he individuai subjecc of rhe data. The responsibte authoriry may require[he requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsibie authoriry shall comply immedia�e[y,if possible,with any reques�made pursuant to chis subdivision,or wichin five days of the dace of the request,exciuding Sacu�days,Su�ays and legal halidays,if immediate compliance is not possible. If he cannot compty wich the requesc within chac time,he shail so inform ehe individuat,and may have an addidonal five days wichin which to comply wich the request,excluding Saairdays, Sundays and legal holidays. Subd.4. Pzocedure when data is not accurate or complete. An individual may contest the accuracy or compte[eness of public or pmate dara concerning himself. To exercise chis right,an individuat shall nodfy in wricng rt►e responsible auehoriry describing the nacure of the disagreemenc. The responsible authoriry shall within 36.days either. (a)correcc the dam faund�be inaccucate or incomplete and atcempt to nodfy past recipienss of inaccurdce or incomplece data, including recipiencs nam�d by che individual;oe(b)noafy the individual thac he believes the data to be coaect Data in dispute shall be disclosed only if the individual's stacemen�of disagreement is inctuded wirh�he disctosed data. The determinarion of the respoasibte authoriry may be appealed punuanc w the provisions of the administrarive procedure act reladng to conrested cases. DATA PRIVACY ADVISORY In accordance wich M.S. 13.04,Subd.2, "Ri�hhts 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 furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to suppIy data, but refusal may require that the City deny the perm.it or license. 3. The information may be shued with other Iocal, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to app.�ove, 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 permi[. --- __ _ Fics � � vliddle La3r_....._.-.- - � /G Addresso/ „,��� � `� / �//`� /�/J � � C/ Ciry ate Zip Phone I und tand my ri�ht stated above. ignam � ATE TIME CITY OF ORONO CALLED IN '� �� INSPECTION NOTICE � SCHEDULED % � %���v PERMIT NO. � COMPLETED _� � ADDRESS � ` `- `� ti OWNER;1�^�.u-f' � CONTR.•.—{d�---e.� TELEPHONE NO. '��Z� ' C��`I C-�� � DESCRIPTION ,/���J ly 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/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 FI A 14 SEWER HOOK-UP 06 PROGRESS � EMO-SITE 27 SEPT�C MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�.�ES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � C ORRECT WORK&PROCEED ,= ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext i ction 24 hours in advance.473�73�J7 OwnerlCont ac n site Inspector. White Copyllnspector's File Canary CopylSite Notice