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Home My WebLink About1999-012243 - reside PERMIT CITY OF ORONO PERMIT TYPE: ,2750 FZ'elley Parkway - P.O. Box 66 _ - Crystal Bay, Minnesota 55323 Permit Number: (612) 249-4600 Date Issued: _._„_ . _ ',:C� • " SITE ADDRESS: =�k :_. ._ ':_�:,'_'. i�.`? _. .��i;-.,_ ..... . � �_ _ _ {_� 4 _ DESCRIPTION: � � . __. __ .. _ _ ... :��'_ .�_._. =�l.,f' _ ."s?i'•._ ?`='1'(i:7. _ `,s'r`�=. T."t�t�..i��i . .__. 'i1_!(J".�4_ I�,�i.;1 ! i�`_;'fa:. 'u;t'_�1 .:. . . -: 1-i'�—'_� {,�:i� t_._ii'��_=`:� _i"tt�s:� :�.��f�. �`I i . �`.__��',.t�_!\( � i,`�w',�._ REMARKS: FEE SUMMARY: .—._.._ . . . _. _��'�i : __ , ii:_:_, — —._=' �'=''�� +_�'`'1 . �_ _ _..'F�,!"_'^;."=iw:: ��i �~ '-�+: � i�3�i..� 7 �'��F�_ �........�_�.—�.�.�{ec.s.�� CONTRACTOR: OWNER: - — . � , _. :�. =.��i_ _.. _.. . __ ::W�::. ;,;_r;�,�;�:-� =:�,:�:.=, t�.,=�;-�°T�: �=;i::.�;:�:= :i=; _. .�-��'•;°-' r;;:s _ _ �`N� E1�t�+.:tF�`;��t�� €-#��:�.�� -,_'.�;�._�;:'I'�� r`�.�°x't I _==.F�. .4. . }�_ ;}�k-�:�' ►��... r-;;:�.�� i.•! 4 .v�� ., M � �, � � �. �-��c`:T F�E�� P�C� ��flE�;:.; �'�,;� €„��t �r� ► '.:.��. �� =n . . T�. ,r�s f t�_ �, � # � c � �.�: : . , , ,. ... _ , , �-� —. ._ . Y ,..,. ' R_!;i`€i��€�� #_j�'1�?��t��.�� '��'f t"��#i'�� #,�}" ��'3� - r�.� ' #e i; , i i�= ��. { t r ... f . � � �r ..F . ._. .. ..._._ . _ ., i i_..+_ .. . _ 4 .+_.. a .,.t ,..... .,_t �,-. W . � � 1.LR.J��► D�-��=�UJtU�a�l� �C' �E'��y�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE '`Total Fee: $ �7� �.j- 7� Date Received: ��-�- �� . � Entered By: Permit#: /�v?y`3 CITY OF ORONO - BUII..DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all inforncation) ----------------------------------------------------- ------------------------------------------------------ THE APPLICANT IS: (circle one) ��OR CONTRACTOR JOB SITE ADDRESS: � 135 �l o�n� SN�'� Df2. Z1P: �539.� NAME OF OWNER: 1�O�ERT � �t30#�A ��5�HONE: (home) (��z�y71-IlGS (work) (�I 2� 3`71-2�S3 MAILING ADDRESS: 3►�S 1�of�1N Srl�RE DtZ CITY: O Ro NU ZIP: �S��! CONTRACTOR: �BBY CHRIst'iANsoiJ/c+:A�6 �RsoN PHONE: q� ��Zlv��«pIC� I�EAR5oN� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: � STATE LICENSE: # ARCHITECT/ENGINEER: � PHONE: MAILING ADDRESS: CITY: ZIP: rJAME; REGISTRATION# TYPE OF WORK: New Addirion Accessory Structure Move Remodel/Alteration_ � Land Alteration PROPOSED WORK(describe in detain: (�e s��d.a.. ho�sQ c.�� Cecic��' shc�.Ke s� c.0�+ured �i eid S�or�e STORIES: a SQ.FEET OF EACH FLOOR: a��O NO. OF BEDROOMS: � GARAGE STALLS: ATT. 3 DET. O ESTIMATED CONSTRUCTION VALUATION (excluding land): $ oZS�d�� — I hereby apply for a building pemut 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 SIGNATLTRE: �l�mr-�`WCn�i��cS�1 DATE: I a-(�-y 9 NOTE! Parade Q f 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. Y J Sec.13.04 RIGHTS OF S[JB.fECTS OF DaTa Subd. 1. Type of data. "Ihe righrs of individuai on whom the data is stored or to be stored shall be as set for[h in this secdon. Subd.2. Information reqirired to be given individual- At►individual asked to supply private or confidenrial dara concerning himself s6a11 be informed of: (a)the putpose and inrended use of the requesced data within the collecdng�tau agency,political subdivision,or sratewide sysum: (b)whether he may refuse ot is legally cequimd to supply the requesud data;(c)any known consequence arising from his supplying or refusing ro supply privau or confidendal data;and(d)[he idenriry of ocher persons or enrides authorized by state or fedeial law to receive rhe data. T'his requiremeat s6a11 not apply when an individual is asked to suppty invesrigarive dara,pursuanc to secdon 13.82,subdivision 5, co a law enforcement o�cer. The commissioner of re�enue mav ptac the nodce reauired under this subdivision in the individual income tax or propertv raz refund instrucaons instead of on chose forms. Subd.3. Access to data by individuaI. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public,private or confidenaal. Upon his fur[her request,an individual who is the subject of stored private or public dara 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 chat data. After an individual has been shown[he private data and infonned of its meaning,the data need not be disclosed to hicn for six months thereafter unless a dispuu or acdon pucsuant to this secrion is pending or addidonal dara 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 authoriry may require the requesting person to pay the acwal costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of dte request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within thac ritne,he shall so inform 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 data conceming himself. To exercise this right,an individual shall nodfy in wricing the responsible authoriry describing the namre of the disagreement. The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurdte or incomplete and attempt to nodfy past recipients of inaccunte or incomplete data,inciuding recipiencs named by the individual;or(b)nodfy the individual thac he believes the data to be correct. Data in dispute shail be disclosed only if the individual's statement of disagreement is included wirh the disclosed data. The deternunation of the responsible authoriry may be appealed pursuant to the provisions of the administtadve pmcedure 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 Ciry 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 fumish will be used to detemune 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 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. (, Your full name is required to process this application or permic. First Middle Last Addross C`Ty S�y� Zip Phone I understand my rights as stated above. . C�Q.b��v-�- CJ. �=��y � Signamre DATE TIME CITY OF ORONO CALLED IN 1��/� ^ INSPECTION NOTICE. / SCHEDULED � fl /n =4 0 PERMIT NO.�.�.Z`f'3 C MPLETED �� ' ADDRESS � �l,�.S� �• OWNER�,��'i CONTR, TELEPHONE NO. '�7� "' ��cl `-�'+ � DESCRIPTION �� t� 01 FO TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O�"'0�11V5 TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAI.L 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 v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� �.WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContractor sit • Inspector. White Copyllnspector's File Canary CopylSite Notice