HomeMy WebLinkAbout1998-010345 - roof repair/storm , PERMIT
, . CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: �'`����_�'��''`'�`
Crystal Bay, Minnesota 55323
i;.�tx:_�.�
(612) 473-7357 Date Issued: i_��,i i;;;����t;�;
SITE ADDRESS:
�;i�:i i r�i���TH °=�H+��i=;E C��
t_�
�'. i . E�f. , i_7;i—;, j,?--��''��—�:�i—t_it i 1:=,
DESCRIPTION:
�i=�[�� �F�=°�i�:''��i�W��s.'•i
�.,��ilf�i?-��� F'���.ri�i#. T���Y `=�I=—t��:��`�i�Et#}wj�s��
�<<.��, ?���j,i��� ���f��:: l"yc�t� F�.F'L�t':F" E.?�I'��TI���
_�,��-��E�:� =;_F;�� �.:=;ti. r�l_� . ��`�:I#�Et�i Ii��.
� '
REMARKS:
FEE SUMMARY:
�:''r';�.�_��i I�_;�,( ��t�zi;
wi.���:-, ,=�:� ".�1 .t;fi�i
_. . _ .,
� , - , - __� �.
_�_{1 [rlr:�'-iW .._____�_ '_�i
� I�i 1.�1�, i HF+ y�i�'}l�
I
CONTRACTOR: OWNER: — t�����1 i c���+. —
i�li�`���=�;!i i c;#;°�;t_:�
�,:��ci; s�iW+�Tr '4;HF�+�°� ���;
i 1}�I i��it.J f��y ���_�`!.l
:i�'1—-s i=��`=1
��F� i it�si;�(� '- r- ^E- �r��;;�—•�; —,�=-y(Ef=� .�—;�. - - s I 3�i i=:'€:._" -;�-ly '"'� �I r.i—>���;;..��,,;_,,;�:
i . _ 7� i'ti`�=4.�.�Ir•�i��.J a t_ _��E 3?�i_,_=i^'•= !'�. �"!�[._�'��1 _��E � i'�P••.._ _� _ �C!��'.._ �. !� ... .E._:4 _
.. s����f. 3 �' i �i� '..�—�jr'vF? F-ji r������� � �,,,� �}a�,f i��i�� `��_Ii i�i�., •{F'4 ����i'i�7 �,N t.i�.�li!�"�E....�r�i'�{o_.�. Y:f� i I 5 I"!{j.. _•.� � •!t �_��
� 7_i?Z'!�l��i'_€ '�i1�.��4N��Ei_��`=� i��`.EJ =��(-���. =_ii" ��_€+�f�='��i��i r� ���.f�i.._�ti'•i�y;� �` _�,t`_ `1s iS' :T i�`4'i��� ! �: . �
� r�
-o
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
: �
� Total Fee: $ o��•.� Date Received: ;�:��/��
/' Entered By: � Permit#: /L�3��
.
CITY OF ORONO - BITII�DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) t OWNER QR CONTR.ACTOR -
JOB SITE ADDRESS: ��Q'�-� ��� ��-�C'��' (�i� - ZIP: ���3�f l
�
NAME OF OtiVNER: ��U C� �� �•"�'_S�J�U ti� PHO�TE: (home) �}�Z I^�'�� `j
� (work) �-��-� �(� � ,
�,mTG aDnxEss: ��f 8v �',S l�� p� � crrY: ��V�9- ��}-- ��- z�: ` �
C0�1TR.ACTOR: PHO�TE:
CON'TACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITI': ZIP:
STAT`E LICENSE: #
A.P CHITECT/ENGINEER: PH0�1E:
�IAII,I�i tG ADDRESS: CITY: ZIP:
N��; REGISTRA.TION#
TYPE OF `VOR�i: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: j�%Z'I�-/`'J ����(� ��f��"ll�� ('�
�zl`�����E= ��1�'i'� -
STORIES: I SQ.FEET OF EACH FLOOR: Z-� �C Z�� `
NO. OF BEDROO�I�IS: GARAGE STALLS: ATT. DET. )
ESTII�i IA.TED CONSTRUCTION VALUATION (excluding land): $ SOC� c�C� _
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 Buildin� Code; that I understand this is not a permit and work is not to start without a
pemut; and that the work will be ig�ccordance with th approved plan.
, �
APPLICANT'S SIGNATURE�� �'� ��C �-�` .�— DATE: C�(o-G � -��
��
NOTE! Parade o Flomes events require separate permit approval by Police Deparlment and
City Counci160 days prior to the event. Non permitted eve will ot be allowed.
(p � [ v
.�
'
.,
Sec.13.04 RIGHTS OF SUBJECTS OF DaTa '
Subd. 1. Type of data. Th�riehcs oF individual on whom[he data is srored or co be scored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given indi�idual. An individual asked to suppty privace or confidandal daca concecniag himseif shall
be informed of: (a) the purpose and inrended use of the requesicd dara wichin�he collecang�tar�ageacy, polidcal subdivision,or sracewide rystem;
(b)whe�her he may refuse or is legatiy requir.d co supply[he rquesced dara;(c)aay Imown consequeace arising from his supplying or refusing to supply
private or eonEdendal dara;and(d)th�idenary of other persoas or enddes au�horized by state or federal law to receive the data. This requirement shall
noc apply when an individual is asked to suopty invesdgadve dam, pursuan�to secdon 13.82,subdivision 5, to a law enforcement officer. -
"ttte comrrussionPr of revenue mav place dte nodce r�uir.d und�r this subdivision in the individual income tax or orooem taz refur.d
instrucaons ins�ead of on those forms.
Subd. 3. Access to data by indi�zdual. lipon requesc co a responsible au�horiry,an individual shall be informed whe[her he is the subjecc
of scor_d dara on individuais,and whecher ic is class�ed as public, privace or confidential. Upon his further requesc, an individual who is the subjec�
of stored priva[e or public dara on individuals shall be Shown�he dara wi�houc any charge to him and;if he dzsires, shall be informed of che con[enc
and meaning of�hat data. Afrer an individual has been shown che privat�data and informed of iu meaning,the data need not be disclosed to him for
six mon�hs chereaiter uriless a dispuce or acaon pursuan�co [his secaon is pending or addidoaal daca on the individual has been collecced or creared.
'Ihe rsponsible authoriry shall provide copies of the privace or public data upon requesc by the individual subjecc of[he data. The responsible auc�oriry
may require[he tequesdng person to pay[he acnlal costs of m3king,cerrifying,and compiling the copies.
The responsible au[hority shall comply immediaccly,if possible, wich any requesc made pursuant to chis subdivision,or wi�hin five days of
the date of che request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannoc comply with the r.quest
wichin thac time,he shall so inform the individuai,and may have an addiaonal five days within which[o comply with�he request,excluding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may concest tha accuracy or completeness of public orpri�•ate
dara concerning himself. To ezercise chis ri¢hc,an individual shall noa"ry in wridng che responsible au�horiry describing the nacure of the disagre:menc.
The responsible authoriry shall wichin 30 days either: (a)correcc the data found to be inaccurate or incomplete and aaempt to nodfy past recipiencs of
inaccurzte or incomplete data, including recipiencs named by the individual; or(b)noafy[he individual that he believes the data to be cocrecc. Data
in dispute shalt be disclosed only if che individual's sc3temenc of disagreement is includzd with che disclosed data.
The de�erminarion of the responsible auchoriry may be appealed pursuanc to the provisions of che adminiscrarive procedure act refadag to
contesced cases.
DATA PRIVACY ADVISORY
In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you thac 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 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 tha[ [he Ciry deny the permit or license.
3. The information may be shared with ocher local, state or federal a�encies to the excent necessary to proeess
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 ri�hts under M.S. 13.04 (available upon requesc) to review private data on yourself.
6. Your full name is required to process this application or permic.
�'����'i�''��f �����%��.-, �.-��r�M
Firsc �tiddla Last
�y�cJ �-%�r�i�-1 �l�i>rt— a r� ���
��°;�y�i� �-i���..-z-�,v� �>�� I � �f�l— `����
Ciry Smte Zip Phone
I uader"s"t d my ri�hts as s ted a ove.
C� • � �J �
�
�� ���c' , ,l��`-�--
S� �, �
, . ,
DATE TIME
CITY OF ORONO CALLED IN - � ��
INSPECTION NOTICE . , SCHEDULED _s��� /l� �c_?c�
PERMIT NO. � COMPLETED
1
ADDRESS ��f�� ;'��. Zr2-�
OWNER d,�✓..��c.e_�-N CONTR. u��•�
TELEPHONE NO. �F�7/ - ��� 5 i
..E..e.�=.��
� DESCRIPTION �..�-p�,�� �J— � � � c�. �P:�
� Ot FOOTING 11 MECHANICAL I 18 EXCA /GRA G/FILLING�
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL ,�1��
Z04 WALL BD. 12 WATER HOOK-UP 7 SITE INSPECTI
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS ��
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
s
W
a
�
�
O
>
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W � A�ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� C CORRECT WORK&PROCEED [- fSSUE CERTIFICATE OF OCCUPANCY
W
� f7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
L_ CORRECT UNSAFE CONDITION WITHIN HOURS. �. PHOTO TAKEN
INSPECTOR WILL RETURN
i ', STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
I I INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the n t inspection 24 hours in advance.473-73�J7
OwnerlContr c ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice