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Home My WebLink About1998-010510 - partial re-rf/re-sid PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 '=�€�'�.'t='`w'- ,,(Gr��al Bay, Minnesota 55323 Permit Number: i s i i==��;_t (612) 473-7357 Date Issued: i��;:'j�:�°�:: SITE ADDRESS: �`_i i' ��}i'I'{=� _�l�f i�1�. u'r�-s' ._!'tj C's . i . ��. . _ -"'i t�—t`.�:—�.�:—t li_li:�_� DESCRIPTION: �ti F'•t�. ? i�"7 L.. ��'�'�'�t�"F+�'iY L��_'!f...k � i�'=��a 1��=i�=� E=`�i�r�ai�• T•f��N L�r=—�+i=tC1!n:�tti;i�t�� F-�t.Z i i 1;,�'s��r �,s!��i i'�:; ��'G�� i�-—�ti I_:t_E�:. __�t-►•��j C:��,t�� . HL! . r�`��_�'��EN�"I t�` REMARKS: FEE SUMMARY: t��;�.t i�;7��aC� �;�::; �;t;st:� �;;y;�,V ;,��_ �?.;1 , ?� =;�t;'_�':�E�«r_ _______ _�.��'` �('�_;i:.�1 F'ti W �.;r. . t;,i i CONTRACTOR: OWNER: �' '��`�=`� �'=�'�� — ;-�r��T =�i c�,�� _�i s_; r��;�:}� �_,�i{,��;�;� r.�;� a�i��,t�v�� 1i�( �.�;,°��. :�?1-t'i`��:_ �:-, �: �, :-��-,-.�. ... .-.-. �,-�-, .-.:, - ,- .. _ t !i#. fl'��.�r C1�'��'��i.t i��i a��<T Fit,={n':%��{= s``E-l�;;`#E`� ��f_��t�! #�� }`3=�{'.•.;�' i;��.: �``�a�._ "��``'•:�_',.._;*1=i'•l�:= i.' .. 3t.._ li i � '«. .�.z. _�. _ _ . . . _ . . �-�� • L,, r.-.,,•. :•. . �' . . t ,.,. { :s:.. 'e �.+- ' .i i•: i _�3-� f._k" =s._� s-;Gw_ rs -��;`:.,�� _f I;EI_7 r�i_� ;;.;Iri:.'`'. � s'v _ . . . : (:� i_.�_i�l� i_�r,'r;';`.�t:_. � i ! i�r .-:�_�_ '�:�!�, i�f� i�ii;;:��vl� i.iS�:iJ i�v%-i�'��` ' Hj'��J =� ! N�� .3�' #'I.i! .€�!.._'d�E_i i;� ,_.�`_��'�..L'�.��!'•� �_F_��,'� ��.'.�"_=1�;r�';r i:il��_� . J � � PPLICANUP RMI E SIGNAT RE ISSUED BY:SIGNATURE v • ' . � � - To�al Fee: $ � �� Date Received: � � Entered By: � Permit#: ' ,.'. a - ; CITY OF ORONO - BIJII�DING PERMIT APPLICATION ; All infornaation must be submit#ed in full before plan review will be started. . (please print all information) . � THE�APPLICANT IS: (circle one) OWNER OR CONTRACTOR�.� � . � JOB SIT'E ADDRESS: 3r�� c�. � }-��12� �'� . ZIP: �3 � , . ' NAME OF OWNER �� A � P�iONE: (home) 1 " � � (work) MAILING ADDRFSS: �,-��l� �(o: �o� �crrY: z�: ; 1 CONTRACTOR: ��L� PHOivE: �� i CONTACT PERSON: MOBILE/PAGER: � ; MATt,TNG ADDRESS: CITY: ZIP: ' STAT'E LICENSE: # . ' : ; AP.CHITECT/ENGINEER: PHO�TE: � MASI�ING ADDRESS: CITY: ZIP: I�,'AME: REGISTRATION# � ; TYPE OF tiVORb': New Addition Accessory Structure Move � � Remodel/Alteration Land Alteration PROPOSED'4VORK(describe in detain: 1� 1�{�U�1 � STORIES: SQ.FEET OF EACH FLOOR: • � - NO. OF BEDROOiVIS: GARAGE STALI.S: ATT. DET. ' - .� ESTTiYiATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be ' conformance with the ordinances and codes of the Ciry and with the State Buildin� Code; that I n rstand this is ot a permit and work is not to start without a permit; and that the work will b ' cordance ith th approved plan. APPLICANT'S SIGNATURE: DATE: �� I ��_ NOTE! Parade Q Flomes events require separate permit approval by Police Department and � City Council 60 days prior to the event. 1Von permitted events wilt not be atlowed. � - � Sec.13.04 RIGHTS OF SUBJECTS OF DATA � � � ` Subd. 1. Type of data. The righct of individual oa whom the data is scoced or to be stored shalI be as set focth in this secdon. - Subd.2. InformaCoa requnred to be givea iadiridual. An individuat azYed to supply privare or confidendal dara concecning himseif shall be infocmed of: (a)the parpose and inmaded eue of the requared daca wichia the collecdng State agency,polidcal subdivision,or sratewide rystem; (b)whethec he may refuse ot is legally tequir•d to supply the requested dan;(c)any Irnown coasequence arising from his supplying or refusing to supply privar_or confidendal daca;and(d)�he ideadry of other persons or enddes a¢chocized by scate or federal law to receive the dara. Zhis tequiremeat shall not apply when an individual is uked to supply invesrigarive data;pursuan�to secdoa 13.8?;subdivision S,to a law enforcement o�cer. � - The commissioner of revenue mav olace che naace r-auired und-r this subdivision in the individual income rax or orooem taz refuad insc�ucdons inscead ot'on chose fo�ms. Subd.3. Aecess to data by iaditiidual. Upon request to a«sponsible auchodry,an individual shall be informed whe�hec he is che subject � of scnred data on individuals,and whuher ic is dass�ed as pubtic,privace or conFdenaal. Upon his fuether requesc,aa individual who is the subjecc of stored priva�e or public dara on individuals shall be shown che daa wichouc any charge W him and;if he desites,shali be inforsned of the concent and meaning o[chat daa. Ahec an individual hu been shown the privace data and iaforased of iu meaaing,the data need not be disclosed to him for siz monchs ehereaher uniess a dispute or acdon pursuanc to rhis secdon is pending or addiaoaal data on the individual hu beea collected or ereaud. The responsible authoriry shall provide copies of ehe privace or public data upon cequese by che individua!subjecc of che dara. The responsible authoriry may require[he cequesdng person to Qay che accual coscs of making,cerdfying,and compiling the eopies. The responsible au[horiry sEtiall comply immediacely,if possible,wich any nquest made pursuant to this subdivision,o�wi[hin five days oF the dace of the request,excluding Saturdays,Sundays and Iega1 holidays,if irnmediate compliance is not possible. If he caunot comply with the requesc within that dme,he shall so inform[he individuai,and may have an addidona!five days wichin which to comply wi�h the request,exc[uding Satutdays, Sundays and legal holidays. Subd.4. Pcocedure whea data Ls not accurate or eomplete. An individual may contest the accuracy or completeness of public or private da�canceming himsetF. To exercise chis righc,an individual shall noafy in wridng the respoasibte auehoriry describing the nantre of the disagreemen[. The responsibte authoriry shall wit}tin 30 days eicher: (a)correcc the data found ro be inaccurate or iacomplete and attempe W norify pasc recipienu of inaccurate or incomplece data, including recipie�cs named by che individuat;or(b)nodFy the individaal that he betieves the data to be cocrect Data in dispuce shatl be disclosed only if the indi�•idual's statement of disagreemen[is included with�he d'uclosed daca. The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of the administraave proceduce act reladng to contesced ca.ses. DATA PRIVACY ADVISORY In accordance wich 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 Ciry of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 shazed 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 nnay become public. 5. You have cercain 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 pe "c. � 'C.�� . pi�� fid e � � � . � Address 1�7� � O� � Ciry Scace Zip Phone I un rs my ri�hu t ted abov _ Signature . DATE TIME CITY OF ORONO CALLED IN 9-/�-9� INSPECTION NOTICE SCHEDULED � -�r /D� PERMIT N0. /O.S'/b COMPLETED ADDRESS �'��d � S�'� �/1./ OWNER ,,��ivriZ�' CONTR. � TELEPHONE NO. �` 7� "' �5�� DESCRIPTION �— � 01 G 11 MECHANICAL 18 EXCAV/GRADING/FILLING 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfUFiN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr �n site: Inspector. White Copy/lnspector's File Canary CopylSite Notice