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Home My WebLink About1996-008097 - tear-off � PERMIT ` CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 E,i�t��i 3��; Crystal Bay, Minnesota 55323 Permit Number: ,_,.,_ Date Issued: t'�;;,'.`}�� (612) 473-7357 i��,i;��,�.�t�, SITE ADDRESS: 77�� i�1t�RTH AC"-il�t €��i .i'�� ' . I . �I . � i�i=,—�. i i—�'_;—�:�.—i ri�i:�� DESCRIPTION: TE:��—+=�FF ��uil��i��a �='�rrnit. iy�� °��—t�DDfRE1�1+tG�L �;�.��. is�zs,�� i��:: Tyr�� Fit—'�;I.If�l� C:��-��us t�:�,�� .:�� t�LT . R�`�I D��l�T I�i� REMARKS: FEE SUMMARY: �n€�11�T I+=�N ��:', �i�t:� ��5� �i�t= �+�� . ��i :�.i�t'C�Ic41''�� . i� I�-��est.i 3a t•i��n --------�7�.s 7� T��it.�1 FN� �1�,�:r . :� CONTRACTOR: _ �;�,�,� i��}�{. _ ,_;-�- _ �_��: OWNER: �:hAi��DALL E�1=;�Er�l� I��:�°�_�°�:;�. �i;i r�,�:;7: t F`I E�'H�� :��+iVi�f i E f��'�7 ��ELi�i ir�!� L� :';�=f N��:=FTH ��M i..��i Fif�°=:EVI1�E t'It� �511_� =iE��i�l�� tiN ��+:;�:�. t:�,�,�i _ =:�i—:_;=�:=;1 . . _ _ . __ _ . _ . ._._ -�-�� ,r�r,�:;;�,—:� t�-�r � i—; ►; �: _ �}�;��i:- ��:�:;�i;�� ;E E_af�� i,-� r�;:�� ;:� ��: r�;=�_;�..��-:�{��:�;�� .,� _. .__.. ._. _ a� .E� . .E. .E_Y �E:�.___ . _ , _ .�-��..�._ � . ._. . . � . �._. '=,�'��::I�I�#3 �a�l�7 �i�:�h`E�':� T�� ;,�i� ��_� �:��i;`r�:: I i�i =��,Z�;T s�}�l�Ti'=`E_I r�}��=:F �Z i�! ;=3?L ��:I T'� +=�3 E�,t��_�� ,j�,��i.(1{f�;f15. � �f"�� •I }+—te' f f'_ %l� i t A�l��•«'��.}�t'{ �,4I�'1 C��.��li; 1_.�_C!_j}'. �"cL- ?;�»f�!.!!�_!d?L..l4 !�.�. II LJ AP L CANT/PER I E S1GNA RE ISSUED BY:SIGNATURE J , Total Fee: $ j S O, �S' DateReceived: �p ��,S c/� Date Approved: Entered By: Permit#: _��'1 CITY OF ORONO - BUILDING PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WII.L BE STARTED THE APPLICANT IS: (circle one) OWNER O CONTRACTO JOB SITE ADDRESS: � ZO � b cR-� �(�.V�/� ��ZIP: � ' NAME OF OWNER: � c� PHONE: (home) (work) MAILINGADDRESS: ��,� ( ��,CITY: ��o ZIP: CONTRACTOR: c� PHONE: �3� � � � � ILE PH /PAGER_S'� �j' O b 7 � MAILINGADDRESS:�� rn �..� CITY: ��s ev,r� .., ZIP: �( 1 � STATE LICENSE: # 2 0� �� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �� Land Alteration PROPOSEDWORK(describeindetail): � p �@�' STORIES: I SQ. FEET OF EACH FLOOR: 2 dO ' 2 NO. OF BEDROOMS: GARAGE STALLS: ATT. _{� D . ESTIMATEDCONSTRUCTIONVALUATION(excludingland): $ ��p . �° 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 accordanc with the approved plan. APPLICANT'S SIGNATURE: DATE: CD � I� 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. 9 h • f Sec.13.04 RIGHTS OF SCTBJECTS 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 secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting State agency,polidcal 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 supplying or refusing w supply private or confidendai data;and(d)the idendry of other persons or endries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the nodce required under this subdivision in the individual income tax or prooertv tax refund instrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or co�dential. 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 dara. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or additional data on the individual has been collected or created. The rosponsible 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 requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to 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 addidonal 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 notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)noafy the individual that he believes the dara to be correct. Daha in dispute shall be disclosed only if the individual's statement of disagreement is included with die disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administradve procedure act relating to contested 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 pemut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pemut or license. 3. The information may be shazed with other local, state or federal agencies to the extent necessary to process the pemut 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. ��. �, �ri.Y � v` Lc � v�- r 0.t�.61C9—� First Middle Last �� . � �� Address ? c�� cJIL� � �r� 5� �1 � �� ' � � � �' . C��y ' State Zip hone I understand my rights as stated ab e. Signawre �, . �. ✓ :.. DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�� COMP ETED r ADDRESS f� � �/ • �1/L� OWNER CONTR. TELEPHONE NO. ❑ FOOTING O PLUMBING RI O SITE INSPECTION ❑ FRAMING O PLUMBING FINAL ❑ EXCAVJGRADING/FILLING � ❑ INSULATION O MECHANICAI ❑ IAKESHORE/WETIANDS � ❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING 4i O FINAL O METER SET/TURN ON ❑ COMPLAINT � ❑ PROGRESS O SEWER HOOKUP ❑ FOLLOW-UP y ❑ OEMOL ❑ SEPTiC INSTALL. ❑ SEPTIC FINAI Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WO00 BURNER Z ❑ WELL TEST PUMP ❑ Q COMMENTS: � J W _ � Z 0 H � W a J O a � O � W � Q � 2 W � W � � d W � W O WORK SAT�SFACTORY:PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK&PROCEED V ❑ CORRECT WORK.CALL FOR REINSPECTION BEFOFiE COVERING �ORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR VWLL RETURN. STOP ORDER POSTED.CALL INSPECTOR. � INSPECTION FiEQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Cont Inspector - r 473-7357 Whih/Inspector's File Gnary/Site Notice ii CITY OF ORONO CALLED IN � TIME INSPECTION NO ICE SCHEDULED /9` `�� PERMIT NO. C��f 7 COMPLETED �_ AODRESS � � � OWNER �' CONTR. � TELEPHONE NO. rv.3 9.-_3 9.3/ � DESCRIPTION /�'o � �,.,,�./J � 01 FOOTINO 11 MECHANICAL RI 18IXCAV/ORADINCi/FIWNQ y 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHOREJWETLANDS Q 031NSUU►TION 2M25 VYOOD BURNER/FlHEPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WA7ER HOOK�IP 17 SITE INSPECTION � FlNqL 14 SEWER HOOK-UO 06 PROORESS � J O-SITE 27 SEPTIC MAINT. 21 COMPWNT �Q O!DEMO—FlNAL _ 15 SEPTIC INSTALL 22 FpLLpyy.UP = 08 PId1MBIN0 RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBIN(�FlNAL 36 fOUNDATION REMOYAL Z OWN TO MEET YOU:_YE8_NO v�, COMMENTS: o� W a � � O >. � O � W OC Q � Z W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next' i n 4 hours in advance.473-7357 OwnedContractor s • Inspector: '� YVhN�Copyllespector's Flle Canary CopyfSite Notfc�