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Home My WebLink About1997-009125 - tear-off/re-roof f PERMIT CI�Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - - -- Crystal Bay, Minnesota 55323 Permit Number. °:`,ty}.��'.�.�``�'�� (612)473-7357 Date Issued: i_j��.j,� f,j.;. SITE ADDRESS: _°�°, _ .-_.=�T�-i =:`r��,;`�� .—. ; ,r ___ . _ ' _ __' '__.{..: .;{.I'�.} DESCRIPTION: — - _,3 - -- ;y:__ - _i� . __. .. . _�i. . .�.i._ . ... t`>>.,il L��.II.I'� . _. :i�i.,T•—„!• r�'_ _�;�'.'_'_`•i�-i_,',Ct;�k��_;:_t'=i L::,J'{ :��7 ��— �.s.=�:i'�•, j+. �_ x';�—�:-i`i_i�1�' [, r=��S`_��'� { F i}�'r� c�,..�t} 3"'i!._ ( . ��y��°.L'..�.t!:!`�t ! 1.£"��.._ REMARKS: FEE SUMMARY: . r�:;�f;�:; ::+�di�� , _c_:;�, �;��_ �=j W��- ��;:�i: . ' _ '-:i a�s r i-�c!1'�s%� �•=' r,i� r ��..�..�� ti...L�bO:4b �i�i l,.ri j, 1"i_�F�� :.�'v.{Y7 _`�. �TRACTOR: _ .. _ — OWNER: i-�-- ... ... ... ._"T.. � . __. ..._��..,� �,�._,� ___�_. � .. _ t��l�?��'i"`��1� ��'1'� _ _ _ „.,�,R��tl,..__. .... ;�'_�`��'� _;?;_f:ie.`.-. i;';=� r��'�;=`':''.._ _ ' . _ � _ = _ ._ = � _ _ _ 1:= ._ ,_.- — _ _< <�n _ _ _ .. ��'"ic:. . ''v � _:. `� . ..} .._ :�' __ _if_: i � L _.. . ._ _ .. _ _. . . �.. .?., .� . ..__<.i ri L�t�_I;.__. .__. . . _ _ : �. _ _..� _ , . � . ,._. 'r�3r�C..�u; t'r�"t m r_ f,:." _.._i :^�?4€.t f:�.._ .s._`1—' =+'_� ��_� —_.#__ .. _, .i��. .,. . _ r. .w ._ . �Y °„ . ..__,- .._ .,— -;T�5..; r?i__ _ :��i .— _, , _, .. � . i !'i i : ":. ., . • — �e . , � 3 � i. ,- #_?�._ ,q,_: i_i�-.;�i ; �',��i't.;,�'_ ='t�`,��} —,I i»t _.� f . .,�. ._�_ _� . . _ _.�_;i R't,� _:�,`". r _� •?# i. .�':. _k . _. . � � � C�n�� APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE r _� Total Fee: $ DateReceived: R DateApproved: Entered By: � Permit#: 9 �� CITY OF ORONO - BUII�DING PERMIT APPLICATION yw,� r � o�� cy,�� -y ALL INFORMATION MUST BE SUBMTTTED IN FULL BEFORE PLAN REVIEW WII�L BE STARTED THE APPLICANT IS: �(circle one) ONTRACT JOB STTE ADDRESS: s3�Sd N��"f�l �/1 Dr`e �2__ ZIP: NAME OF OWNER: e r/ ,UP PHONE: (home) �7��56 �� (work) MAILINGADDRESS: �3��o N� S�o�e D� crrY: D/'o�� z�: SS"39� � PHONE: � CONTRACTOR: _ ��i��oD�"/iV��' MOBILE PHONE/PAGER: MAILING ADDRESS: �/00 G��C�el�o�` /.3�� _CITY: ��P ZIP: STATE LICENSE: # /�� ARCHTTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: N�,�: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move ltemodeUAlteration Land Alteration PROPOSEDWO1tK(describeindetail): %e� ��r1�� /�e.��'�1�� ``�f�/� ✓ STORIES: St�. �'� (��EA�FI�t)OR: - - NO. OF BEDROOMS: � GARA�`E S�'�I.Ls: ATT. DET. ESTIMATEDCE�N�TRUCTIOi'�VALUAI"IC�1�F�ludingland): $'oZ�O � I hereby apply for a buil�ing permit and I acknowledge that the information above is complete and accurate; that the wc�rl� v�ill 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 permtt; a€� t1�t the work will be in accordance with the approved plan. APPLICANT'S SIGNATLTRE• DATE: �o jr�;�9=_ NOTE! Parade of Homes events require sep ate 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 SIJB.JECTS OF DATA Subd. 1. Type of data. The rights 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 confidendal data concerning himself shall be informed of: (a)the pucpose aud 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�efusing to supply private or confidendal data;and(d)the identiry of other persoas or en[iaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5,to a law enforcement c�fficer. The commissioner of revenue maY place the notice required under this subdivision in the individual income taz or propertv tax refund instructions instead of on those fornts. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whether he is the subject of stored data on individuals,and whether it is classified as public, private cr cod�fiden[ial. Upon his further request,an individuai who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be infoaned of the content and meaning of chat data. After an individual has been shown the private data and informed of iu meaning,the data need notbe disclosed to him for six months thereafrer unless a dispute or acdon pursuant to this secdon is pending or additional data on the individual has been coilected or created. The responsible authoriry 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 ta pay the actual cosu of making, certifying, and compiling ttze copies. • The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivisir�n,or within five days of the date of the request,excluding Saturdays,Sundays and legal hoiidays,if irnmediate compiiance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to eomply 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 aublic or private data concerning himself. To exercise this right,an individual shall noqfy iu wridng che responsible authority describing the nahire of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt te nodfy past recipients of inaccurate or incomplete data, including recipients named by fhe individual;�r(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 de�erminadon of the responsible authoriry may be appealed purSuant to the provisions of the admuustrative procedure act relating to contested cases. DATA PRTVACY ADVISORY In accordance with M.S. 13.04, Sub�.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 dep�nments may require you to furnish certain private or confidential information. You are notified that: 1. The informatian you furnish will be used to determine your qualification for tLe permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pernut or licease. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit ar license. 4. If your requested percnit or ]icense 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�ermit. �� ,� .��^�,-y �'�,.�,�� _ � � . G�- Fi t Middle � Last �/�� X�..� ��' o R 1�� v�� Address 1� �' � �,�,,,�,"� �c�l i"\ �L1/'� �S �/.� , �=.�`�� i�, State � Zip Phone I understand my rights as stated above. _._ _ _..... _ _ . / _..... _ ......._ . '� .. . .. �y 7�r, ,.�� Signamre . U . _ DATE TIME CITY OF ORONO CALLED IN - S� ��I INSPECTION N�TICE scHE�u�E� 7 .� /9 7 -�.� PERMIT NO. �a-5 COMPLETED �� l I ADDRESS -3� �'C� ` ' OWNER CONTR. TELEPHONE NO. � �'-� J�C'�(c � DESCRIPTION �o.�:��z*� � 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �Q 02 FRAMING 73 MECHANICAL FINAL 19 LAI�SHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = INAL 14 SEWER HOOK-UP O6 PROGRESS � ITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMd—FINAL 15 SEPTIC iNSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w 0. � � O � � O ti W � Q � 2 W � W � � d �ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � C CORRECT WORK�PROCEED -. ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. -- pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDEA POSTED.CALL INSPECTOR -7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 OwnerlContractor ' e Inspector. White Copyllnspector's File Canary CopylSite Notice