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Home My WebLink About1997-009703 - remodel PERMIT � CITY OF ORONO PERMIT TYPE: _ 27�0 Kelley Parkway- P.O. Box 66 _. ECrystal Bay, Minnesota 55323 Permit Number: (612)473-7357 Date Issued: . T� ADDRESS: _ � ".�=�. . . SCRIPTION: . , . -, := . - , :.. . ;�: �-�� ' _ ._ _ . � _ ._s{ { � ._ , ��- .. . .=t:� � � . �` .- R�;._.. REMARKS: FEE SUMMARY: �'. _ . ..� . ,. _ _ .� � : .._ .y<, _, :._ ._. : . _ , _ . _________ _ —� _ CONTRACTOR: � - . _ _ :� OWNER: -f ; . .::-.,: : :_:,�, :.� i-� .;�; _?. � '�;: ;' ; .� C. ' r ... ;, =_ _ _ . ... ` _ _ _ "�'y,�{� { :iL;�7S� �'l�'.f`�.j k �. �..�� { y 2� �>�� ...xF 5.+_'�`;+�� i�_i��i ��,,� �`'i:�'S7'" '"�.f..�' i t�"��# �, ..[.._ ,. �. . � �! ! << .��.,'� ��.+8.��....,+�{ tfi.,.�.,�i.... i . . .!A �' Y .!»�E ��N �r;�=;��:i;��:�� t�3�� 1"�� "� ��.,.9... ,�s t��`��: � ��`�# `:_��`�'f:��' �":+�i��-`*��.��f . . ==�...�., ��'�Y ��". f��l�}r„�3�i�%�:. �„I��}},.f �'u{� /��1 F �'• 'M1t��• .€�.tT" !� �'"�'xb„��b^k t%J i� �'�� E�.i�I„J`z�'" .e.. ] x ��s � �� _ ��4�. ��' k�i� .��F;e� �� i'�i;��s.. . �� .� �'�_ '�I � � �� -�' � �� APPLIC T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � , . ' Total Fee: $ /,,,'`:3,;f� Date Received: • Entered By: �� Permit#: _�j,�%�'" �_? 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 CONTR.A��Q�� JOB SITE ADDRESS: �' >,� /; -�;;- ✓;�r�, ; . ZIP: -� . � NAIVIE OF OWNER: % , - ., PHONE: (home) , - . �..�_; �, (work) MAILING ADDRESS: -, , i; ,�� ; '„ CITY: �•�,�-,, _/� ZIP: >j_ � .� CONTRACTOR �,� � ',��, ,._ =�,::�: , '^ PHONE: -�_. - _ ;t� , CONTACT PERSON: � ��; ; i'��.-. -,�; MOBILE/PAGER: �= - - , -_ ' MAILING ADDRESS: �:. .�; � • CITY: r'.--, - - ZIP: ;�, �� -� STATE LICENSE: # .,;� ARCHITECT/ENGINEER: �,, ,�,. PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �� Land Alteration PROPOSED WORK (describe in detai�: r.�;�r� � ��r'�;�,�� =,,;�,,;:,.;;-� �„ �,�T y��-� , _� ,,. _ -� ' - " 'i ��, '-C '�G�- .,�sirL iJe�i/.'_�, Y�y '—�"`"'{� �-��tf�i�J>i�" <iN�'.� �� / /' / , > / _. � ..�i.� . _i, i %>��''�i ` /i�, i�i;!i1J�'A/.f- r, STORIES: / SQ. FEET OF EACH FLOOR: ;,f NO. OF BEDROOMS: ; " GARAGE STALLS: ATT. � DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� ;, 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; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: > �� ' ; �, DATE: - �-: '; 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. ' ,_ �'�� z� � �. � _ " ir/�s/�.� � S .� �_ - .. . � , Sec.13.04 RIGHTS OF SUBJECTS OF DATA • Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or conf'idential data concerning hunself shall be informed of: (a)the purpose and intended use of the requested data within the collecring state agency, political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his suppiying or refusing to suppty private or confidential data;and(d)the idendry of other persons or entines authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, ro a law enforcement officer. The commissioner of revenue mav nlace the notice reouired under this subdivision in the individual income tax or orooertv tax refund instructions 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 whether it is classified as public, private or confidentiat. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the private da[a and informed of its meaning, the data need not be disclosed to him for six months thereafrer unless a dispute or acuon pursaant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person ro pay the actual costs of making,certifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant[o 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 request within that time, he shall so inform the individual, and may have an additional five days within which ro 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to noRfy past recipients of inaccurate or incomplete data,inc(uding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to conrested 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 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 furnish 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 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. y ��L�i�r /v%�, �r� /ri�,'i!' _ First Middle Last r;i:/i� � ii,d y9�� ,/� -- Address � �, ��;� �'-` �':s'Y/ ; j�%`i%--��' �� City State Zip Phone I understand my rights as stated above. ,-%" , . .�� Signature ` � 6 DATE TIME CITY OF ORONO CALLED IN �S�-—9—�—a INSPECTION NOTICE SCHEDULED / — �o � % 3 �S PERMIT N0. 9 743 COMPLETED '� � ADDRESS � �� G�'n �lv OWNER Q�ci.C�h G� CONTR. � ��PJz.D�� TELEPHONE NO. �-3 9— �ys 7 � DESCRIPTION �it-��c- /t..2.� �t.c% � 01 F O 11 MECMANICALRI 18IXCAV/GRADINO/FIWNQ � 2 F NO 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z p4 Wqil gp. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWEA HOOK-UP O6 PROGRESS ~ 07 D MO—SITE 27 SEPTiC MAINT. 21 COMPLAINT J �Q 07 DEMQ–FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � � WORK SATISFACTORY:PROCEEO - PROJECT COMPLETE W � �CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN INSPECTOR WILL REfURN ❑STOPOROER POSTED.CALL INSPECTOR ��CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnerlContract si : Inspector. White Copyllnspector's File Canary CopylSite Notice