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Home My WebLink About1999-012168 - tearaoff/reroof PERMIT C��Y ^F ORONO PERMIT TYPE: 275� Kelley Parkway - P.O. Box 66 .- s.'��:_:'`"`' Crystal Bay, Minnesota 55323 Permit Number: . �:��._-:-,, (612) 249-4600 Date Issued: _ __ - _ SITE ADDRESS: _ _ . .��t:=�: . . . .-.. .. . ._ . i 1-3 — — — — t.— — . . . . . . �_'`—_ _ . — __�—:.f.—,— �:�_�` .... DESCRIPTION: .... _ _. �.r» .. .,..._:_. � µ.F��i�'��('"� , . ,_._ �;�,.. .... t i�:1�' i i.-;=.2�°,= i'��'_'t�E1�1�.4.� � �;-'a..�+ »�*.7?� i-!`��'!S�?�"_F�t=»i') _. ...._ L f_�;L}i�`i Wl�il��:, i a�i.:H.i t"1.�-,�'r..b!7_iiN{w _=��;7'�; `y F�i:..fr_' -tr� Jr•� �i.... � . iY.+_•�'i?{'�i�i 3 .�.?'��.... REMARKS: FEE SUMMARY: � ��_�,:_��_ CONTRACTOR , _�._.�=_ � _ �_ � — -- OW.NER: _ ,_ ._. .: , ; ��:�:_� : � �ri;�r:��w _ . . .!Y•�'_! ....t.._�"'.. ._ _.��._ . �1 _. ._ _ . _ i .. .. _ .�.. _ . .. . .. . . . .�_ ... ._ . L. +� �'�'.��.#:`•� ' ��`. _ . .,. . .. . . _ � . .. . . '..'�"l ' ..��r`�" ir�L"'� . .. . .. ' ' " ,. ... .iyi eiif:i LL'_`IY�L: . ':'` ��-'.�3. �._ ..:: i �' _y' � ._.,_.. _ ... a . .. .�_ � (� y�� + ��'ss�:.-t-:�— �i' _ - � _-� '- : �� ; 1� �" •' i'� .. ��#�,�_��# { s_f .`gi�E:.r. � �"'_ T"��. ._. ._ . �. ._�f`� i `•� . _ . ._._.. ._ _ _.. .__ __ _ , _ . — _�_-. _ . . . �i—�.�..I i I E;:_a �3�i#� r�{.��.__ , �_ _: ,.F . .._..m . _,.:t .. . .��}� ':�T:I�:{ t�:��::•��=`�?:�? :_ ._ . ._ . , . .._. � , '� ,�,;� � �`= } -� t"��-�_:� �a' �°-� - , .�- :i�� .t 1;� {� �,� � ,,_: _ �: . . r." � . > . .. . . ._ u._, ,_ ..�. : . _ . . _ . _ ., . . : ._., . . .. .._ _. �I�i� , - � ._.. . ._. � G�" l ��'l /rI NT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE � Total Fee: $ � `�� .S�' Date Received: Entered By: c Permit#: /:�/��c-� �— 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 OR CONTRACTOR � � � �� n JOB SITE ADDRESS: =��`� �`� 1��:� Q T ��v ZIP: NAME OF OWNER: � � ' ..� PHONE: (home) `�?2 z_o�� (work) MAILING ADDRESS: C�`f S�U ��r� �CITY: � ZIP: ; CONTRACTOR� 0��,,� i L c,r.�� j� PHONE: (�/Z �f 3 I /2-G'o CONTACT PERSON: �e� �✓10� MOBILE/PA ER: �� Z �� y F�f� � MAILING ADDRESS: i 3�15�( F✓c,,�f�Q� C-d� CITY: �,� l�e ZIP: 33� STATE LICENSE: # Z�?j�, ARCHITECT/ENGINEER: PHONE: �1AILING ADDRESS: CITY: ZIP: �;AME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: +Q�r o�� Q�C �5�;.�4 ti^o v � � ��l Z �� ! L� � � c v-o J) ��►1 s'�.�1 �,�.ct= r�� b .1 �'7s�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � c,, S p n _o� 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 Building Code; that I understand this is not a permit and work is not to start without a permit; ard that the work will be in acc r ance with the approved plan. APPLICANT'S SIGNATURE: N� V'��- DATE: Z �1� NOTE! Parade Qf Homes events r uire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 1' � Sea13.04 RIGHTS OF S[JB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom rhe data is stored or to be stored shall be as set forrh in this secdon. Subd.2. Information reqirired to be aven individual. An individual asked to supply private or confidenrial data concerning himself shail be informed of: (a)the purpose and intended use of the requesred data wi[hin the collecring'�tate agency,political subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply the requesud data;(c)any imown coasequence arisiag from tus supplying or refusing to supply privace or confidendal data;and(d)the idenriry of o[her persoas or enrides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve dara, punuanc to section 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of re�enue mav alace the nodce rtwired under this subdivision in the individual inco_me tax or vropem taz refund insttvctions instead of on those forrtts. Subd.3. Access to data by individual. Upon request to a responsibie authority,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is ctass�ed as public,private or confidendal. Upon his further request,an individual who is the subjec[ of stored private or public data on individuals shall be shown the data wi[hout any charge to him and,if he desires,shall be informed of the content and meaning of[hat data. After an individua!has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereaher unless a dispute or action pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the acmal cosrs of making,certifying,and compiling the copies. The responsible au[hority shall comply immediately,if possible,with any request made pursuant to this subdivision,or wi[hin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediau compliance is not possible. If he cannot comply with the request withict that time,he shall so inform[he individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccutate or incomplete and attempt to nodfy past recipienu of inaccunte or incomplete data, including recipienu named by[he individual;or(b)notify the individual that he believes the data to be cocrect. Data in dispute shal!be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act rela[ing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data ,we would like to inform you that your request for a permit or license from the City 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 detemune 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 with other local, 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 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. First Middle Lasc Address C�Ty State Zip Phone I understand 'ghts tated above. f - �l� Signature �, DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE( Z�� SCHEDULED -� a� � PERMIT NO. COMPLETED l� � ADDRESS f C'� � OWNER CONTR. �7 � Lr' � TELEPHONE NO. !I u� �60'`► � DESCRIPTION E?,�^�,d 1 ��',f�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FfNAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � � d � �ORK SATISFACTORY:PROCEED L"] PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,_, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �, CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContracto n si - Inspector. White Copyllnspector's File Canary CopylSite Notice DATE _ TIME CITY OF ORONO CALLED IN f��"t f�7' 3�j INSPECTION NOTIC j{ SCHEDULED '22—� 3� �'a PERMIT NO. �� v COMPLETED —Z'z--�� 0� ADDRESS �Q �-� �I C�'1,�Z �Z��''Z-� � �- OWNER�! IR�/��t/ G` CONTR.� �l �R�-��"'`� _ TELEPHONE NO. 7�� DESCRIPTION ��R�.�U�C-- 0��/-� /�l.(�_ /i�G� ~ 11 MECH t� 01 FOOTI IC L RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 O6 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o �ov Ls �a�� 0 � W � Q � Z W � W � j a � ORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ;, ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTOTAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector./��'l�-G-�'C'�.�3 White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � �'� INSPECTION NOTIC Q� SCHEDULED � p - � ��' �' PERMIT NO. �2'��" COMPLETED / — 3-g9 ,l=DG ADDRESS k ��` ��'� ��'��,� -, OWNER CONTR. '��r,�.�r�.% TELEPHONE NO. �/� � -�� 5�� `� � DESCRIPTION `� � -� �� _ l� 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINALi 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 � � O a � O � W � Q � Z W � W � � GW �JORK SATISFACTORY:PROCEED r�ROJECT COMP�ETE W� ❑CORRECT WORK&PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN �, CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector. /� (G�-�-�u-�� White Copyllnspector's File Canary Copy/Site Notice