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Home My WebLink About1998-010729 - tearoff/reroof • PERMIT � CITY OF ORONO PERMIT TYPE: � - 2750 Kelley Parkway- P.O. Box 66 �"��-��=-'��-'�`��_ Crystal Bay, Minnesota 55323 Permit Number: ;a;�t:�';�°� (612) 473-7357 Date Issued: i a��i'i it_,i��;w; SITE ADDRESS: i L�,�i�f ��}��!'t�� i�� fi� (:� �"'` i ,7'v , , I F�— F � —�..-'7�_...1„�:i�';�i DESCRIPTION: E r y�i�lF�i E;F'�,:;_61_!� ��E 9 l. .t�:I'_!�'.� �`�-?2'fi'!i�• �f�`;= C';�-—;=1iJ1!i�`.!'�'!�_i�.�i��_ i�;�.�i j 3�i t f�� !�l��3��:; l�y pN h`—�'i�![�ti= �.:�'�1��.�� t.:E.-�F�i' S�.iS� i'��3 . �i��_'1�.:�'_�ji?-6 i"�f._ REMARKS: FEE SUMMARY: i'f��l 14•�� ; 3 I_t�,{ �;��, .�.'i i:i i�++_�".��3� �Yi? �i i� . �•`_'4 . �� )'i z_. . "�i i"�'• •_��. ..��{�.v:� s._SF? .�.{�i�sa�i �k�i i_.rl i �"F=i� _��_�.�1�,r 1 ��i , ��i CONTRACTOR: - �?��^1 i��.��t. - `=�-i . L�'= .OWNER: .Tt:;�tw;,;'� 1�'s{� `i, �-!t= :t:�`i_:l" j.��:�:_::>�,:�.ii '_'iif :� _'�.`_=: ��,`�t::�;:'�:i=i�,i t#t;i=;��. �.��;;�,; ��i=�:�1�u`:��J I�_F�:: �'v`E i� i I��=z =�i�=�i� i"N ��°�1 +�� i:�;;�l:�.'��;� }�fi„ ��f�.� i«ig;'t�3f�,ii i �r�;f �:�,�;s�,::i t:f�,3.:L? �_'��__'��_� ��i i�,_,,�_,:�,:� �� !1"fl;f,,;��-t::��,t-ii�l-�'t i"i`.i:�.4'��Y� E`:L t�"3�,'._��`.; �`!=f�i��'`}i _ ';i 9�if',( !:_f i°ii-;;=:,�- �t=�-'. :i w.r�i_ _'';t-`�`:�.i.��i':1�-,#� ! �- �---••�— :,'"'_. _' _ . -.-,---. '._�I''��. t;- T�t;� t-�f��'s� :;�.��'�''�:-� �� t�FM� {:�,_l_ ':�:.'h.��. �i�� ,� �;T; � c i_ij f E ,��s� t R t�;�� ; (-� __ t�i#`Y €�ij' ;5 , i4t_if,l!_i 1_�Fif�i T�.. t`,�t:t-;'_: �';tv�.% -�!-, ? �:. i�t�- i•s_i•vi;ii�'.�:i�lT W� �t}€ ��i�°°t�s E ,_� �:-_ h-°;��; '( .`, +�`. . - . / � �V � , 1 �AL�� / , APPLICANT/PER TEE SIGNATURE ISSUED BY:SIGNATUR� �, � ' Total Fee: $ Date Received: Entered By: Pernut#: °�= � � CITY OF ORONO - BUII.,DING PERNIIT 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 JOB SITE ADDRESS: r/�Cf /V��;� ��. ZIP: NAME OF OWNER: �G��'V�- ��C�s"o-� PHONE: (home) �� -44l�4 � (work) MAILING ADDRESS: 1�� ,�r,*r�a�'�.�. `�t�, CITY: ZIP: CONTRACTOR: �'�� c6 PHONE: S3�-_.�SZi C� CONTACT PERSON: �l � �' Trn b��d��e�� BIL. AGER: fi'=.�7.��F 2 MAILING ADDRESS: y,,2dd' &u.Ks�,�� l�ve ��ITY: � ZIP: �� STATE LICENSE: # �j��s�5�� 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�: I�-�zz�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �X�� 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 pernut and work is not to start without a permit; and that the work will be in accordance with the approved plan. � DATE: �—�� APPLICANT'S SIGNATURE: �.�. � -�;� NOTE! Parade qf 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. . � Sec.13.04 RIGHTS OF S[iBdECTS OF DATA Subd. 1. Type of data. The rights of individual on w6om the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information req�rired to be givw individual. An individual asked w supply private or confidendal data wncerning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecting§tate agency,polidcal subdivision,or statewide system; (b)whether he may refuse oY is legally required to suppty the requesud data:(c)any lmown consequence arising from 6is supplying or retusing to supply private or confidential data;and(d)the idendry of other persons or enddes authorized by state or federal law to receive the data. T'his requirement shall not apply when an individual is asked to supply invesrigadve dars,punvant to section 13.82,subdivision 5,w a law enforcement officer. The commissioner of revenue mav place che nodce rewired under this subdivision in the individual income tax or provertv caz rofund instcucaons instead of on those forms. Subd.3. Accas to data by individual. Upon request to a rosponsible authoriry,an individual shall be informed whether he is the subject of stored data on individuats,and whecher it is classified as public,private or confidendal. Upon his further reques4 an individuai who is the subjecc of stored private or public data on individuais shall be shown the data wi[hout any charge to him and,-if he desires,shall be iafocmed of the conten[ and meaning of rhat data. After an individual has bcen shown the private data and infocmed of its meaning,the data need not be disclosed to him for six months thereafur unless a dispute or acdon pursuant to this secdon is pending or additioaal data on the individua(has been collected or croated. The nsponsibie authoriry shall provide copies of�e private or public data upon request by the individual subject of the data. The responsible authoriry may require�e roquesang person to pay the actual cosu of making.certifying,and compiling the copies. The responsible au[horiry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform[he individual,and may have an addidonal five days within wtuch 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 accutacy or completeness of public or private data conceming himself. To exercise this right,an individual shall noafy in writing the responsibie authority describing the nature of the disagreement. The nsponsible authoriry shall within 30 days either. (a)correct the data found to be inaccurdte or incompleu and aaempt to notify past recipientc of inaccurate or incomplete daca,inctuding recipienrs named by[he individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shail be disclosed only if the individual's statement of disagreement is included with rhe disclosed data. The determinaaon of the responsible authority may be appealed pursuanc to che provisions of the administcadve procedure act relating to contesud 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 aze 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 Ciry deny the permit or license. 3. The information may be shued 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. l�I �l l � ""(� Fint /M' iddle Lasc ��Q� � rJ 7G K ��'' � � Add � //� JV J.�'�oZ� �J�—��6 Ciry State Zip Phone I understand m ri hts as st above . ��J � � Signature qATE. TIME CITY OF ORONO CALLED IN � � � Y INSPECTION NOTICE SCHEDULED � �' � "- �� PERMIT NO. �G'7.?i COMPLETED « ADDRESS // C� � C�C��y, !S)� � OWNER CONTR. � �. _� TELEPHONE NO. ��J � �3`>�f�� DESCRIPTION��l��r� � 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING y 07�FRA�R� � 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 05 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE O CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance.473-73rJ7 OwnerlContract Inspector. White Copyllnspector's File Canary CopylSite Notice