HomeMy WebLinkAbout1998-010400 - tearoff/reroof PERMIT
;CI�Y OF ORONO PERMIT TYPE:
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2750 Kelle Parkwa P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: �}l�j��s;�-}
(612) 473-7357 Date Issued: ;��=�r��`:;?'�%<<�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICA T;PERMI GNATURE ISSUED BY:SIGNATURE � '
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Total Fee: $ �U .�J� Date Received:
�ntered By: �� Permit#: 7`G�/o a
CITY OF ORONO - BUII�DING PERMIT APPL�CATION
All information must be snbmitted in full before plan review will be started.
(please print all information) .
THE APPLICANT IS: (circle one) OWNER OR ONTR.ACTOR� �
JOB SITE ADDRESS: ��� N� �!� J/i'. Z�:
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� NAME OF OWNER ��� Y�'Tt'iDte�. PHO�tE: (home)
(work)
MAII,ING ADDRESS: ��D �./� or� �r: CTTY: w��_zIP:�3�_
CONT`RACTOR: `�tn(',�i1� ��rP��StS PHONE: ��''���6_'S
CON'TACTPERSON: ��,�,,,, (C��_MO ILE/PAGER: �`� g 2`��°
MAILING ADDRESS: 2 Q�� �t rc.�t. (�!v� �CITY: 1� '<r oY ZIP:r�
STATE LICEI�TSE: # 7.t�b�2�-z�{
AP CHITECT/ENGINEER: PHONE:
MAILT�i tG ADDRESS: CIT'Y: ZIP:
rJ�ME; REGISTRATION#
TYPE OF tiVOR�i: New Addition Accessory Structure
Move � Remodel/Alteration Land Alteration
PROPO D tiVORK(describe in detai�: Qrr�.e��c, Y w�.'���a� r t �°�`"- So''`�'`—
W Or�G� "_v` ��, � c�- ^ v Fj avr t r %�. � ►�'-v�' Z �y ' Sl�,'� �-�
STORIES: SQ.FEET OF EACH FLOOR: �
NO. OF BEDROOiVIS: GARA.GE STALLS: ATT. DET.
da _ .
ESTliI�IA'I'ED CONSTRUCTION VALUATION (excluding land): $ I ZUO'—
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 Buildin? Code; that I understand this is not a permit and work is not to start without a
pemut; and that the work will in a ordanc with approved plan.
A.PPLICANT'S SIGNATURE: DA'I'E: (v 2
NOTE! ,Parade o Homes even equire separate rmit approval by Police Deparlment arad
� City Counci160 days prior to the event. Non permitted events wi11 not be allowed.
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Sec.13.0:RIGHTS OF SUBJECTS OF DATa
Subd. 1. Type oE data. The righcs of individua!oa whom[he data is stor•d or to be smr�d shal[be as set foru`�in this secaon. �
Subd.2. Information reqirired to be given iadividual. An individual asked to supply private oc coaFdendal dara concerniag himse(f shall
be informed of: (a)the purpose and inr:nded use of the reques�data within the collecdng Etar�agency,polidcal subdivision,or satewide system;
(b)whecher he may refuse or is legally tequir.d co supply tfie r.quested data;(c)any}�own coasequeace arisin3 from his supplying or refusing to supply
privac;or eonndendal dara;az:d(d)th�idcnary of other persoas or enrides au�horizzd by sc3te or federal law to r.ceive t�e data. This requ'ucment shall
no�apply whan an individual is asked to supply invesdeadve daa,pursuanc to s:caon 13.83,subdivision 5, to a Iaw enforcemea�ofrccer. -
Thz eommissioner of revenu� r�av olace t}te nodce r_auired und�r this su6division in the individu:l ir.cone nx or orooem c3x refued
ins;rucaons ins�zad of on chose forms.
Subd.3. Access to data by iadi.iduaI. tipon requesc to a responsible au�horiry,an individual shall be inforraed whecher he is the subject I
of scored daa on individuals,and wherher ic is classified as public,private or eonfidenaai. Upon his furcher request,an individual who is the subjecc
oF stored private or public dara on individuals shall be shown the dan wichout any char3e to tiun and;if he d�sires, shall be informed of the cancenc
and meaning of chat dara. Aher an individu�l h�s been shown the privace data and informed of iu meaning, th�data need not be disclosed to him for
six monchs thereaiur uniess a dispute or acaon pursuan�to this secaon is pending or addinonal dac3 on[he individual has been collected o�creaced.
The responsib(e authoriry shall provide copies of the privace or public data upon cequest by the individual subjecc of the dan. Tne responsible authoriry
may requir the requesdng person to pay the accual cos�s of m�king,cercifying,and compiling the copies.
The responsible au[horiry shall comply immediately,if possible, wich any rzquest madz pursuant to[his subdivision,or wi�hin five days oF
the date of the roquest,excluding Sa�urdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wich the request
wichin that time,he shall so_inform[he individual,and may have an addiaonal five days within which to comply wi[h the requesc,exctuding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or camplete. An individual may contest the accumcy or completenes5 of public orprivate
dan conceming himself. To exercise chis rieht,an individual shall nori"ry in wridng che responsible auchoriry d�scribing the nacure of the disagreement.
The responsible authoriry shail within 30 days cicher: (a)correcc[he data found to be inaccurate or incomple�e and attempt to nodfy pasc recipieats of
inaccurdte or incomplece data, including recipiencs named by che individual;or(b)noufy the individual thac he believes che daca to be coaect. Data
in disputo shall be disclosed only if the individual's sc�temenc oE disagreement is included wi[h the disclosed dzc3.
'Ihe decerminaaon of the rzsponsible authoriry may be appzalzd pursuant to the provisions of the admirus[raave procedure act reladng to
contesced eases.
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 pernut or license from the Ciry of Orono or any of ics departments may require you [o fumish certain:private or
confidential informacion.
You aze notified that:�
1. The information you furnish will be used to determine your qualification fo: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 a�encies to the excent necessary to process
' the permit or license.
4. If your requested pennit 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 request) to review private data on�ourself.
6. Your full name is required to process this application or permi[.
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C[�y Srate ip Phone
I erst d my right as st above.
Sig r
DATE TIME
CITY OF ORONO CALLED IN �t�..�3/�%�'
INSPECTION NOTICE SCHEDULED �/1.3�1' ��.
PERMIT NO. ,�(,��LC� COMPLETED
ADDRESS�_�L`�L �`- �1 f�• � � �
OWNER CONTR. �.�c-��.�.�
TELEPHONE NO. ���/ - �%G'�o JM
� DESCRIPTION ��
l� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FR 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. �2 WATER HOOK-UP 17 SITE INSPECTION
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Q �INAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W i WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED 1=. ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContractor on ' e: P
Inspector.
White Copyllnspector's File Canary CopylSite Notice