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Home My WebLink About1995-007262 - tearoff/reroof PERMIT � �ITY OF ORONO PERMIT TYPE: � 2750 Kelley Parkway- P.O. Box 66 Permit Number: � v� � ��.,,: :.'y+r!'u�•e'•::_:i Crystal Bay, Minnesota 55323 � _ ��`y_ (612) 473-7357 Date Issued: SITE ADDRESS: DESCRIPTION: _- . ._ . . . . .._.. _ .. . .. . _ � F.i V"�'�-.�E' �, 4 �S__'� ' '._ -e3}!�. � *( =�� +�� :o '. ..�M1.^•i "' � '� , • • , . . , �:•._ : -� :;: • �. : ' w . . _ f �.... __ . .... ._._. _ ._ _. ._ .. . . _ . _F. __ . . .. .. .... . _ . ._ �+: •. ! .-:< •-�-� t.:r.::i: ' _ ' .., I `e�.�P��' C:: :k'�_ I " " �'t:{! . L'i . .�=•L" REMARKS: _.__. _ - �;� , _ ... . . _ FEE SUMMARY: _ ." . . ��:_..-.._ ." __: . � . _<<� _.:�. �_. ._:.. `-'Fsf� '_._...-................. •�: i t�.r:� —�=F-' y:�.�+_ i CONTRACTOR: OWNER: - � . - - - . — _._ . . ��-� ,. .`�:,.: . -:- - - - - - .��._ ��-: . : _ . .. . ._.. . . . . _.. .�`�'S_". � '4 — - - — 's�d";' ;J. � . : . .�� t»i ri y�. ��... A 7 4 .� �Y sy^'� k� � i#�-�� f��fi=�"r k s ...:�k l z._...�_� #�,��'RT•_' ��t�t�. _.r'_ �;� ,s..� t.l-��=-� T��. �.a.:.e��_ ,� ., s,�_t'�k_, .,._;;� � :,x ,_W;�� _ '=.��`�:�,.��`.�F�'i ` '� .,��t��.`:�: �T�� t�,i�� t..l.. %!°��;' �� ;`�`F=;t�:�� '.�':�'��`__.I��:� �� -� �:�..�.. � �:�T�` C`t� � � ��:��l�a�i�� ;W��'�I� ��'�� #�� `�=T��E� �'t�= P��I�'�t�F;w R��T��s�.�I I...C��.��:�� °:� F��:��.�I��.�1��T'.�. L � � � � �� i �� APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE '�'� � � � DateReceived: Total Fee: $ .� , Date Approved: Entered Bv: Permit#: ��'�,[,-z� CITY OF ORONO - BUIIIDING PERIVIIT APPLICATION ALL INF'OR1vIATION�iUST BE SLB�iITTED Ti�1 FULL BEFORE PLAN REVIE`V`'VII..L BE START`ED THE APPLIC��tT IS: (circle one) O�Vi�tER OR CONTRACTOR �� i l(� /)�"t'�-, J�'+�� , ZIP: �r JOB SITE ADDRESS: /!/ �D�-- � ,� > �1%/ -- �� N�iME OF OWi�1ER: � � �m �i �iV� ✓� PHOiVE: (home (work) �� 7 - �I I� �f' iV1AILING AD)RESS: �1 �� (i/`('�5�',U�� Q, CITY:�/ �u n � ZIP: �`� . CONTRACTOR: �v r�-z PH0�1E: NIOBILE PHONE/PAGER: MAILINGADDRESS: CITY: Z�: STATE LICENSE: # ARCHII'ECT/ENGINEER: PHOivE: vtAlLl�i 1GADDRESS: CITY: Z�� y�: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration I�nd Alteration PROPOSEDWORK(describeindetail): �.�, ir.o�%�G / � �� nC� To � �., � �^�, U s�, STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: _ 1 GARAGE STALLS: ATT. DET. r ESTIMATED CONSTRUCTION VALUATION(escluding land): $ ��Q C> . ��J 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 Building Code; that I understand this 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. , � � � �: �� y APPLICANT'S SIGNATURE: /�..�"��'��S �--- ��' DATE: � � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . � � Sec.13.04 RIGH'I'S OF SUBJECTS OF DAT� Subd. 1. Type of data. The righu 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 co�denrial data concerning himself shall be informed of: (a)the purpose and 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 refusing to supply private or confidential data;and(d)the idendry of other persons or endties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav piace the notice required under this subdivision i❑ the individual income tax or propertv tax refund instnictions instead of on those forms. , Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or confidential. Upon his further request,an individual 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 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 acdon pursuant to this section is pending or addidonal data on the individual has been collected 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 authority may require the requesting person to pay the actual cosu of making, cemfying, and compiling the copies. The responsible authority shail compiy 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 immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonat five days within which to compiy 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 public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify pas[recipients of inaccurate or incomplete data, including recipients named by the individua(; or(b)nodfy the individual that he believes the data to be correcL Data in dispute shall be disciosed only if the individual's statement of disagreement is included with the disclosed data. The detecmination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating 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 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 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. 5. 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. � �C��.n. ��'��` First Middle Last �� G /'l�G� � ..�J �-�.- .,. �Address �� ,f� � �� ,��Lj �J � y � ' - City Stace Zip Phone I understand my rights as stated above. � � :/� Signature ✓ D TE TIME CITY OF ORONO CALLED IN d� �S-�� INSPECTION NOTICE SCHEDULED �'r' a� PERMIT NO. ��Z�%'�� COMPLETED �, � ADDRESS .��7C� � q��!,t�.e_i�� OWNER �ii.. �� CONTR._ ,�-� TELEPHON�E NO. "z�'7�-`7� Ct=i' � ON 1�'��_.?�T� �..- -' 11 CHANICAL RI 18 EXCAV/GRADING/FILLING Q 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 0 LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � � a S � SS � J O � � O � W � Q � Z W � W � � d � ❑W KSATISFACTORY:PROCEED C PROJECTCOMPLETE W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN C: CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContr c on i : inspector. — �`�I White Copylinspector's File Canary CopylSite Notice