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Home My WebLink About1997-009017 - wnd/door/re-roof/etc. . . .. . � ' T -T -/T T �� - T� -� PERMIT CI�TY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - _ _`°� �°�= Permit Number: �_'v`` Crystal Bay, Minnesota 55323 •�°=':='�-'y� f (612) 473-7357 Date Issued: �_��'. �':.-ri��_ SITE ADDRESS: _� - . iw�W;��';� _��►��'� �:r;� '�, .. � -.— _ .: - - - - - - - ..; �.�� : r:;, � � .�..�_.. : : :_..-. DESCRIPTION: ;-��.. — _ . ..,_ ._ .� �;�s=r;�_.. _ _ . .;�:_— =;�_;�_:;—; _ �.`_<<.t 1 �.�:�1`s•':� j''t�}'I5�1-Y�^ �v��r� W+�'-i�l�}�a`1�`%�!'�r�_��'��._ �.�1� �3_S 1 i��«S �Fii„F�'�•, I ��r..;+k:� ��f.�..!�E..�{y!"':`i�/r i i,f.iy}��:i,°��_ t I 3 i.Ci�'�7y_ 4.�:� �i� � . ?+if 1��"i�� --='+l:�_.S _ _. • REMARKS: FEE SUMMARY: �'r-:�. _ . .� �.�..:. . r} , :�::�_j�_ ' r� r� .�.��_,:�.'� - =.•�._ �=:.__ _ . . _ =�i.��-FM�-�,�,�� . _ ___ �•'=i; r i'° _ _ :�.4...�,�:,: j 7�i�..`i t �'�_? ��'�i.�: �'L CONTRACTOR: OWNER: � �,e. > ' � =-�-.= -- _ . ._ . _ r=`�r°�::.. �.;��;�;�.;},;- _ �, }i �"�'i.# W.�� C.. _.._ . _ „l;��, . _.��.wl�i;r �i(�;, i`i"�!i•:.6 c -;:,.! _. _ ' _ ! �i�-i� i.�.� .._�_�T .�. .._�. �.,�_,..._ _` _.>��i=..... �_� . '.._. .,'.._ _. .=:i�W>�� . _ •`'.� �:,�.., _. :_`.`__. !__:`��°�; `t��t.,.i�'^ 1 �'..".:� t�.�'�_% �'.t`!.�"..�:... {;__ _�v� �i�_.�_ �+:2.. . . :� � �"._.` _ �...` �' _.�. .. �_ _. .. _ i i� . ._._. rt }�. - {_9� t .. ..��.... � ., �r r:».�-. .�i w , .... .� — . — gT;�t_�,}_� !ryi'1�,, i.�d 6 L.'-'�: ..,, , #� t � . t:t, L i�i t... �i�F� �'��`i�� _�i" €°��.. �s..:_ � �i:.7 r�3 . _.._�i�`:4(_.� " �_�_. �... _ � ,,�?-,� , � �. .. APPLICANT/PER SIGNATURE ISSUED BY:SIGNATURE • ' � ,-' Total Fee: $ � 0• �� Date Received: Entered By: � Pernut#: �L�� 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 R CONTRACTOR JOB SITE ADDRESS: .2��'V /✓�r+�_.S'�e. �•-i v�. ZIP: S'•5�,3!�� a�, T��k.`' LSz L�� NAME OF OWNER: µ'�r�t cy�;�J (�c...-ks � PHONE: (home) (work) �!7 6 — 5t C�3 MAILING ADDRESS: 8(� Co Qc� L CITY: � P( ;� ZIP: S.�3s5' CONTRACTOR: �.v,� ;� 1��.-�cS PHONE: � ` ��6�.� CONTACT PERSON: %pn1 ��t, ,�� MOBILE/PAGER: �f 0 -- 6 S� c f� MAILING ADDRESS:��L _ CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: N �}- PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �'�/�� w;^��6�s , C�aor.s , S:d�N 9 , ^" v��f'c� ,�/ / �/� p /� �— �►'iM e� l�'de+/'G+O!/g �nl � �,��,iiy� G[T `ar M.�sT O�t/h,��4St STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L��Z6� 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: S�� Z 9� �� NOTE! Parade o�Homes events require separate permit approval by Police Department and City Couracil 60 days prior to the event. Non permitted events will not be allowed. 5 ► + Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The tights 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 confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting 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 supplying or refusing to suppty private or conf'idenaal data;and(d)the idendry of other persoas or enddes authorized by srate 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, to a law enforcement off'icer. The commissioner of revenue mav olace ihe notice reauired under this subdivision in the individual income tax or oronertv 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 confidential. 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 chazge 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 its meaning,the data need not be disclosed to tu►t�for six mondis thereafter unless a dispute bc action pursuant to this secdon is p@�ecling qr,additional daCa 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 authority may require the requesting person to pay the actual cosu of making,certifying,az►d compiling the copies. The responsible authoriry shall comply immediately,if possible,wjth any request made pursuant to this subdivision,or within five days of the date of the request,excluding Satur�ays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infornt the individual,and may have an additional 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 da[a conceming himself. To exercise dus right,an individual shall notify in writing the responsible authoriry describing the nature of the disagr"eement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurete or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipienu 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 authority may be appealed pursuant to the provisions of the administrative 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 fumish 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 ottier local, state or federal agencies to the extent necessary to process th@ 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 I.ast Address C��y State Zip Phone I understand my rights as stated above. Signanire 6 DATE TIME C�TY OF ORONO CALLED IN '"�/�v�y-� INSPECTION NOTICE SCHEDULED � /7 � f�' ' �'� PERMITNO. �C�/�7 COMPL� o � (`p " ADDRESS `� � ` c=tX-•�-�. �S�IJ 7'��.�t�I� OWNER ��_ � � �� CONTR. TELEPHONE NO. ��C�% ^ '`�lG'�% ✓ , � DESCRIPTION [�1� ��. !'.'�„ W � � 01 FOOTING 11 MECH CAL RI 18 EXCAV/GRADING/FIWNCa �Q 02 FRAMING 13 MECHANICAL FINAL /9 LAI�SHOREJWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q =�FINAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEMO�SITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEM�FINAL 75 SEPTiC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � O � � O � W � Q � Z W � W � j d : ORK SATISFACTORY:PROCEED W ROJECT COMPLETE � t CORRECT WORK 8,PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O C'CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFOFECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -- pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance.473-7357 Owner/Contra o ite: Inspector. � White Copyllnspector's Fil , Canary CopylSite Notice