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Home My WebLink About1999-012067 - tearoff/reroof PERMIT CITY OF ORONO _ _ 2,�50 Kelle Parkwa P.O. Box 66 PERMIT TYPE: � :i�:v� Y Y ' :�:`'s t�,;' Crystal Bay, Minnesota 55323 Permit Number: _ _ ` (612) 249-4600 Date Issued: SITE ADDRESS: _ _ �_�-�. _ _ . .. . :•� r -- ... . . . . . �—�� 1` _.� _ ;_,�.:_ = DESCRIPTION: _ -,�=:;. - �,_�:- - i=��j11.}1 �1"}�� °r��;��;f=�' � s ' •-. . . �+::_��::{_E'•:;,�i�:;`iy_�9��i�i_ t-��,y 9 ' ;1 �:=ii �;':_i i�F:. '=1-'.,.-;M �:.i`_.�:`;_�{_i:- _='?'1=l�,,�•� _.F�E�'fr� 4.;�t;. ��t_� . f�:t.:..��_'�'1V�1�'.�_ REMARKS: FEE SUMMARY: - ._ ....__ ."-�, =��7 . ��'r <�:r F.. .,y.;,-.,"• '� I —��.> > , t:", •_:-_ , : , ., _ � CONT AC�O�i : .__ _ _ _ :: _ ��^ ; . .,_ OWNEF� ,..w : �,',z .��,�; �:•� `... _ F s.€v.i_ F � __ _ _ .. _ _ � _ . . ._._... . ., . .. _ , .., �": __';1��#�_ _fE.� .{. � _ _ R•,;j �y°; xy .ci`_ ' _ .. . ._ ,_. _ . . �°it t i�.:l k ' ,'.; . _�...y:;. .. . �. �1 a._. . ._ _ _ �'� '— — — .� _ . . F .., � r ��"4� �+��€�,��,�'��i��:� ��'.�"t"��r�'�' ��#.�g`�'�""�'�"• � 1 :� ' , . ,__ __ _ . .. a _ .___ . . .. _ . _ � , ,. �� k . . ,� _ , , , .-�, 7 .� s,� . �: +�:_.._* •�. . ._ .<. ._ _ . _..� � _, 3 � :��{.r#:��»f. . �. ..._ :-��.3�'"C�yt�'_... �RfW� ��_� 'Hf t_ S�#�, .I'-. s i — � i — -'# Iw.1,-3. »�. .?._ ! .: .?4._.... _. ._ . �i `+�;: ��t�:ta��^� �_� _ ._ _:r�° ��.� :*�fl�"�. ;��' i��°��:=.��,t_i,%�..�.��`�� ..r��,., �-��. _ . _..:r . �"... . �, . . . f _ _.. - L � � � � � � � � �J �' � i a � APPUCANT/PE ITEE SIGNATURE SUED BY:SIGNATURE Ci�� r � Total Fee: $ `�`�. l� Date Received: i Entered By: a: Permit#: �Z., d(a'7 CITY OF ORONO - BI.JII.DING 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 O ONTRACTOR JOB SITE ADDRESS: ��7� !'v ' �J �� ZIP: NAME OF OWNER: �� "�� PHONE: (home) L �3 �� 7� (work) MAII.ING ADDRESS:a-,J/.7 N� S/�D/Z� I�Z CITY: Q�Z z�/U o ZIP: CONTRACTOR: I.J' �� SI�2 r� �'Ol��/�UGTI0IJPHONE: �7�— Co�� / CONTACT PERSON: ff/L MOBILE/PAGER: ��—y/G8' MAILING ADDRESS: ��,� �.��vwoo��/�crrY: /��•v z�: 5 5��/ STATE LICENSE: # �3�9 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 detain: ��lfl� D�/� � �P�"�- �� pr STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � b �� 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 pemut; and that the work will be in accordan with the approved plan. , . /� 2�� APPLICANT S SIGNATURE`� DATE. NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. , � Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as sec forth in chis secdon. Subd.2. Information reqtared to be givea individual. An individual asked to supply private or confidendal data concecning himsetf shall be informed of: (a)the purpose and intended use of the requested data witt►in the collecring�tate agency,polidcal subdivision,or stacewide sysum; (b)whether he may refuse oY is legally required to supply the requested data:(c)any known consequence arisin3 from his supplying or refusing to supply private or confidentia!data;and(d)the idenrity of other persons or enrides authorized by sta[e or federal law ro receive s�e data. Tlus requirement shall not apply when an individual is asked to supply invesrigadve dara,pursuant to secrion 13.82,�ubdivision 5,to a law enforcement officer. The commissioner of ro�enue mav place the nodce rewired under this subdivision in the individual income rax or proaertv tax refund insttucaons 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 whecher ic is class�ed as public,private or confidendal. Upon his further request,an individual who is the subjecc of stored private or pubiic data on individuals shall be shown the dara wi[hout 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 data and informed of iu meaning,the data aeed not be disclosed w him for six months thereafter unless a dispuu or acdon pursuanc w 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 subjecc of the dara. The responsible authoriry may require the requesdng person to pay[he accual costs of making.cerdfying,and compiling the copies. The responsible authoriry shalt compiy immediately, if possible,with any request made pursuanc cn this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immedia�e compliance is not possible. If he cannot comply with the requesc within that time,he shall so inform the individual,and may have an addidonal five days within wtuch to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accurdcy or compleceness of public or private data conceming himself. To exercise[his right,an individual shall nodfy in wriring[he responsible aurhoriry describing[he nature of the disagreemenG The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplere and attempt to nodfy past recipients of inaccunte or incomplete data, including recipients named by the individual;or(b)notify the individual thac he be(ieves the data to be correct. Data in dispute shali be disclosed oniy if the individual's statement of disagreement is included with the disclosed data. The decerminadon of the responsible authority may be appealed pursuant to the provisions of the administrarive 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 pemut or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified thar. , 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 e�tent 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 �t Address Ciry Stace Zip Phone I underst y ri as stated above. . � _ Sign re �� DATE / T�I E CITY OF ORONO CALLED W —��-✓2 /� (/` � INSPECTION NOTICE/ SCHEDULED �`'= - �.�� PERMIT NO. /�CY� COMPLETED � � ADDRESS . � l� ,f�� OWNER �n�-G CONTR. TELEPHONE N0. � �� - L� � �,� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO D COMMENTS: � W a � � O � � � �1/I S �,�'��`� P�Ll �l �C�S � W � Q \ A Z C'd�✓`�,� ��.5' ,`.ry c� W � � W � � d �WORK SATISFACTORY:PROCEED ROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �., pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor on site: Inspector.��-!�1�C��t/�-� White Copyllnspector's File Canary CopylSite Notice