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Home My WebLink About1997-009071 - tearoff/reroof PERMIT CIT,�Y OF ORONO PERMIT TYPE: = 2750 Kelley Parkway- P.O. Box 66 - � � j��`3�-'� Permit Number: ��:�:'+::'��'s Crystal Bay, Minnesota 55323 Date Issued: (612)473-7357 � = - - SITE ADDRESS: _,...—.:.. .. _ _ _ _ ,�_ _ ._., � . . _, ._s:��-. .._ , _� . _:: - :..: ;�;-,=,— —— — — — . . ... . ,. :_ ti �_. �: _r�� DESCRIPTION: ��i.,(.l .C+�I il'� i'`��'[�:j,�'.r�:�{:f��Vy� . ._.�. __ _ ��._,i;��F�!=�`-`'.��'�F_�I�'�.�. -r.._. _ .C::-+.-- �:1_�(1 �i„J 3 j':=:i �,f�_;�)'::. ! ;•, _, f�.�'.-•.,:_l�,,,�4. _ =•1 a i,(•� '�:ir:i;r=+ ,'.'F�.:� �i�t . t�:``=��:_=�:,�3;-;�._ REMARKS: FEE SUMMARY: 4_':�':1r_' 3—`�'� �S—`•.?+�F . P� .:}��f'f e;_.i �l F,= _..._........_�__ �' x �'��e :z,t.�i :� :. _�.��.�,.,. CQNTRA�TOR: _. ._ _� . _ �,. _. ;;; — ,� OWNER: �_.' _.. • •_ .:.... . . �v��.� {i'S_i_. 1 1��(v _ _�.;-�..:.. .`.��` .. _. "' ' _. ......_. . W_�_E:� .. .- . _. .. . .... .�3 i��.i:..[�!��•i.� Lt�� _ .�... _ i�+�i?'t '{ i".� ��"€i��il�� t��'[ �E iE;t`•`. �:i-�i �ri.� ��":_'::_ —r�� . 4.:i.' �:�•— i . _ .f-� ��Y .. _:_ ... _ 's� i�i`�s6-i ;.,I ,`! . ? t >. '�f�,�t-,: r ..�. ' Cf F-'�r- � :e�' �- _ }:.3.. E,:�_ _ . ; . .: , �:.� . ._ _ _._. . _�. ___. . . _ .r # .._ . W_':"'; :._.._� : _ ;v . ��, F, 3�, i i '�J�... . . , � ,..� � .A. . ._: �,�w_ : , e.� �. _�,._._. _ _ _ .. . �tt� �- ' _ y :'��":_..._�_.. �S.� s'1�`I?..} T'[�„3. _:._�... '_� F._�_' '.�"��f� ;:�..�. .!'•.�. .�.S . .... ;.. t�..�5.... :..'?i'v',4_•� 3.'.t #I� . ..._.,.. _ ��.f. . t.,.. '� - . . �3. f � .,�:;' ._,'— }. fp �{. l}}��Lp 1 3"� } 'r t.i �,.t L; i€ t_ »i';`± . . .. . ,.. . _. _ . . _.. .. .. _. ., . _ . ��7 ,;�3R 14��l�'�f ` . �. 3.._�t��S ,{ry��. � ��..,�.. r ..�ti..! . ....i ._.!'� . ' L � � '� � _� � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � . -' Total Fee: $ Date Received: �t Entered By: Permit#: �� 7/ CITY OF ORONO - BiJII.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) OWNER OR CONTRACTOR JOB SITE ADDRESS: �� J�a�i rc.ZIP: NAME OF OWNER: �-� �-2�,2� _ PHONE: (home) (work) MAILING ADDRESS: `3 550-�v.for��t e� �i'��,LE�� f�� ZIP: CONTRACTOR: � �r�5��r C D+�.S`4T u G+ic�� PHONE: �?�'^'re9 7 � CONTACT PERSON: .,� C=i. 4�.F v- MOBILE/PAGER: !o`�^O(7 MAILINGADDRESS: Z��to re�c.e ��r�c.._ CITY: �n�-�, ZIP: 331 STATE LICENSE: # S-�2 ) ARCHI TECT/ENGINEER: !v � � � PHONE: MAILING ADDRESS: CITY: ZIP: N�jME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration Land Alteration PROPOSED WORK(describe in detain: �L°lir' �� . " Q�JO� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. OU ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ 3O�?O `- 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 Stat�`Building Code; that I understand ttus 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 SIGNATiJRE: ��>/� DATE: 6 /1 �? NOTE! Parade Qf H^ omes events require separate permit approvaZ by Police Deparlment and � City Council 60 days prior to the event. Non permitted events will not be allowed. � _ • � Sec.13.04 RIGHTS OF S[JBJECTS OF DATA Subd. 1. Type of data. 'Ihe rights of individual on whom the data is stored or to be stored shall be as set focth in this secdon. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidenual data conceming himself shall be informed of: (a)the pucpose and intended use of the requesud data widvn the collecting�tate agency,political subdivision,or statewide system; (b)whether he may refuse oY is legaily required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idenriry of o[her persoas or endaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppiy invesdgadve data,pursuanc to section 13.82,subdivision 5,to a law enfarcement o�cer. The commissioner of revenue mav alace the nodce required under this subdivision in the individual income tax or nroaem taz refund instrucrions instead of on those forms. Subd.3. Access to data by individual. Upon request W a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is class�ed as public,private or confidentiat. Upon his further request,an individual who is the subject of stored private or pubiic data on individuals shall be shown che data wi[hout any charge to him and;if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuant to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or pubiic data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compIling the copies. The responsible authority shail comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the request within that rime,he shall so inform the individual,and may have an addidonal five days within which to comply wirh 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 concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagmement. The responsible authority shali within 30 days ei[her: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccunte or incomptete data, including recipients named by rhe individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed on(y if the individual's statement of disagreement is included with the disclosed data. The decermination of the responsible au[horiry may be appealed pursuan[to the provisions of the administradve procedure act relaang 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 City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you fumish 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 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. g. 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 permit. � � � �e� F�� Middle Last �7C� ��'� �- ��-Vr-P Address /rn , / 2 [L— � / • �V l�/ J T Ciry State Zip Phone I under tand my rights as stated ab ve. Signacure �AT TIME CITY OF ORONO CALLED IN /// 9' INSPECTION NOTICE SCHEDULED �� PERMIT N0. �i'/�''!/ COMPLETED ADDRESS D ,�r• OWNER CONTR. ��c-.J TELEPHONE NO. �7h�- �0 9 '7 6 � DESCRIPTION_ �� 01 FOOTINQ 11 IOfECHANICAL RI 18 DCCAV/ORADINO/FIWNO y � 73 MECHANICAL FlNAL 19 LAI�SHOREJWETLANDS Q 031N ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FlNAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT J W W DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION HEMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED W� = PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ` ❑STOP ORDER POSTED.CALL INSPECTOR �=CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance.473-7357 OwnerlCont�� ite: Inspector. � White Copyllnspector's File Canary Copy/Site Notice