HomeMy WebLinkAbout1999-011694 - tear off/reroof ' ' PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �-�_� :: ;",_ ._.
Crystal Bay, Minnesota 55323 Permit Number: :
Date Issued: _�' ' '.'TJ�'_ _.
(612) 473-7357 '�_t:�s'.w`:'r_���
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: '
FEE SUMMARY:
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CONTRACTOR: - i���-�� z�=ti;-;=. -- : . �._i��' .OWNER:
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APPLICANT/PERMITEE SI TURE ISSUED BY:SIGNATURE ��
. � �
��{ f 7 Date Received:
Total Fee: $ �, - —
Entered By: ,�'� Permit#: �//,. -�i
ORONO - BUIY.DING PERMIT AI'PLICATION �
cx� oF �
All in_formation must be submitted in full before plan revie�v w-ill be started. .
(please print all information) . :
�HE A.PPLICAIr'T IS: (circle one) Oti�NER OR CONTI�ACTOR �
JOB SIT'E ADDRESS: /�, �b` .�Lc�a/'� �� ZIP: �`�3��/ �
� ��� ��'�t �/�`c,��, PHONE: (home) `/`�l- ����-��
NAI�iE OF Oti�'ER: � 7 I '
(work) �
I�LATI�ING ADDF.F,SS: /,rSO /l�ce��f�.�r� .,/�i�-_ CTTY: C;r�';��c ZIP: ; 5 "� < <
,- i -J;�,., ?
CONTRACTOR: C�/P5 -�/'/� ���<<�' �c ? �' PHONE: -� - �- �> ��/ �
CO��'ACT PERSON: ��i'er�� 0�3ILE/PAGER:
MAII�I\i'G ADDRESS: ��b /3� /��� •�c�_ CTTY: ��'� �o�;' ZIP: -��5�
STATE LiCE�'SE: # �,c;�.�.SS�;�! �
ARCHIT'ECT�E�GTI`TEER: PHOti'E: �
�7AII�Itii TG ADDRESS: CTI'I': ZIP:
�r�ME: REGISTRATION#
TYPE OF ��'ORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED'4'YORK(describe in detai�: �� o�F �' ��C�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GA.RAGE STALLS: ATT. DET. � _
• . �� � � �
EST .n'i IA,TED CONSTRUCTION VALUATION (excludi.ng 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 Ciry and with
the State Build��� Code; that I understand this is not a permit and work is not to start without a
permit; and thac the work will be in accor _ nce with the approved plan.
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APPLICAi�'T'S SIGNATURE: �`�,<%�- -=�.--- �" DAT'E:
NOTE! Parade of Home� events require separate permit approval by Police Department and
� Ciiy Counci160 days prior to tke event. Non permitted events will not be allowed.
. ". .
Sec.13.Q4 RIGATS OF SUBJECI'S OF DA?A •
Subd. 1. Type ot data. The rights of individual on whom the data is scored or ro be swced shall be u sec fo�ch Ia this secaoa
� Subd.2. Into�maHon reqmtrcd to be givm indiridual. .1n individuaI uked to supply priva�e or coafidendal daa coaceraiag himself shaIl
be iofocmed oE: (a)the purpose and iarecded usa of che requesred dan wichin the colleceag 3tate ageary,poliaal subdivision,or smc�wide rysLm;
(b)whe�tec he cray retuse or is,le3aUy eeqti�r.d co suPplY.che rrquesc:d data:(ej aay l�owa coasequence uising from his suPPIY�S or refusiag to supply
privac�or con:;der.esi dac�;ar.d(�che ideadry of och:rpersoas oc eaddes auchorized by snce or federal law to rr::ive tae da�a. This requiremecc shail
aot apply when an iadividuaI is uked w supply iavucgadve dact,putsuaat w ucdon 13.82,subdivision3.oo a law enloccemeat ofF[cec. .• . •
'Lhe eenrttissioner of rcvenus mav otace the nodc� t-auir-d und-r this subdivision in the individuai income �oc orooertv rax refund
icuccucdocu inscead of on rhose focros. •
Subd.3. Access to data bv iadividual. Upon�equesc to a responsible auchoriry.an iadividaal shaIl be informed whethec he is the subjecc
of srocsd daa on iadividuals.aad whecher ic is ctass�:d as public,privat�or conF.dendal. Upoa his fur�her cequest�aa iedividual who is the subje.c
o!stored privace or public data on iadividuats shall be shown ehe daa wichaut any charge to him and;if he desires,shall be infocmed of the conteac
and meaaiag o[chu data. Aher an individual has been shown the privace dan and iatormed o[I�s meaaiag,che daa nead not be d'uclosed oo hica tor
siz mondu thecsafcet unless a d'ispuce or acdon pursuanc w this secdon is pending or addidoeal dara on the individual has been eollec�ed or erea�d.
The eesponsibte au@cariry shallprovide eopies of�he privu:or pubtic daa upon cequest by the iadividual subject o[che daa. The cespoasible authoriry
may require the nquesdng person to pay che accual eoscs of makinY,cerdlying,aad eomp�ing che copiu.
'Ihe responsible auchoriry shall eomply imnsediate(y,if Qossible,wich auy requat made pursuant to this subdivision,or wichin five days of
the da�r of che requesc.ezduding Sacurdays,Sundays and legal hotidays,if irsunediace compGance is not poss3le. It he eanao�comply wuh the requesc
wi�hin d�ac drae,he shall so inform the lndividual,and may have an addidoeal five days wi�hin wtuch to comply with the requa�exctudia'g Saturdays,
Sandays aad legal holidays. . .
Subd.4. Procedure whea data is not aecunte or eomplete. M individual may eontest the accuracy or compteteness of public or private
daa eoneeming li�msell. To execcise this righ4 an indtviduai shall noafy in wridag the respoosbte aurhoriry desen'bing the maire of the ditagreemenc
The retpoasible auchoriry shall wi�hia 30 days eieher. (a)comecc rhe daa found to be inaccurace or incomplete aad acumpc to nodfypast recipiencs of
Inucucate or incomplece daa.inctuding�ecipieacs nuned by che individuat:or(b)aodfy the individual thac hrbelieves�he data w be correec. Dati
in dispuce shal!be d'uclosed only it the individual's sracecnenc of disagreement is induded wirh the d'uclosed data.
The decerminacon of the responsible auchoriry may be appealed pursuanc to the provisions of the adminisaadve procedure acc relaang ro
eontesced cases. • •
DATA PRIVACY ADVISORY �
In accordance with M.S. 13.04�Subd.2, "Ri�hhcs of subjeccs of data",we would like to inform you that youc request
for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You aze notified thar.
1. The information you furnish will be used to determine your qualificadon 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 shazed wich o�her local,stace or federal agencies to the ettent necessary to process
the pecmit or license. �
4. If your request�d permic or license requires Council acdon to approv�, some informatioa may become
. public. � � • � . � . � . �
�3. You have certain rights under M.S. I3.04�(available upon request) to review private data on.yourself.
6. Your full name is required to process this applicacion or permit.
Fust �tiddle Lasc •
Address �
Ciry Sa[e Zip Phaae
I understand my ri,Qhcs as stated above.
Signacuro
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE�' ,,.p� SCHEDULED
PERMIT NO. 1 U�� COMPLETED � E' � �` 'S
ADDRESS ��S`� /lO.. /LI Or'
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION � �'��� �'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q FI A 14 SEWER HOOK-UP O6 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �t7 CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector. � �2 � v��
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN � �/��7
INSPECTION NOTICpE. SCHEDULED /D 5r' �a:�
PERMIT NO. / � COMPLETED
ADDRESS �-JS • C� •
OWNER CONT ,�,1�
TELEPHONE NO. �7� -�De�J�
� DESCRIPTION r /�f a ��py� ^ ��'h r�/��
� 01 FOOTING 11 MEC NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL
BING FINAL 36 FOUNDATION/REMOVAL
OWN CONTRACTOR TO MEET YOU _YES_NO
D CO MENTS:
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� ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cj PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED. lLTO AR ANGE ACCESS.
��. ���� 333�
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site: C�'���`�'f� S�/- d 3 D�
Inspector. Q�rs
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN -�� ��
INSPECTION NOTICE SCHEDULED
PERMIT NO. �1 !0 4y COMPLETED
ADDRESS �� � ��'
OWNER CONTR.�1C� �
TELEPHONE NO.
� DESCRIPTION �����'/
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 AM�NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q�FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� COM TS:
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RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
_ C RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V E OVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �=CITATION ISSUED
❑ iNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i 2a hours in advance.473-735
OwnerlContr cto on t -
Inspector.
White Copyllnspector's File Canary CopylSite Notice
D TE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �/99 � :
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. ��` �'��� �
� DESCRIPTION /����
� 01 FOOTING 11 MECHA CAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 5 FIN 14 SEWER HOOK-UP 06 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J BING FINAL 36 FOUNDATION/REMOVAL
� OWNE ICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� �EFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. �'� ����1��
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Call for the next ins tion 24 hours in advan 7
OwnerlCont ct o ite: -
Inspector � _ -_ -
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White Copyllnspector's File / Canary CopylSite Notice