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Home My WebLink About1998-010418 - re-roof PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66J LD T NG'i Permit Number: Crystal Bay, Minnesota 55323 (612) 473-7357 Date Issued: - . ..C '_ 0t,! SITE ADDRESS: Nk-; T[ '4-t' H . .. .. . DESCRIPTION: T* PEC :-AC D -REF-JO-iDJtEI- B L4 i I d i A 92 1T E N'T I T REMARKS: FEE SUMMARY: y is-,i a CA L I i cA CONTRACTOR: OWNER: zZf';j t U .-T M 1 ,672 C-32 rf 'H SH TR MIJ H i- 'J f 414 4 jfq Li M.. TI SINED HERE- Y THE r-!L- L iV El WITt C:T T y Fi T IN STRICT C i I V1 L I A t','!C- m ALL A- CiNIC-1 i,-;C-,f:,FE----" ill 'DID 'Ll j t-.j T -TrITC* C T A A,P-JI'D OF M N NEE CRONC, IAR4;UIlt,4"r'VJ -1-i I ) - -- REQ1 Vi APPLICANT PERMITEE SIGNATURE U ISSUED BY:SIGNATURE 1 cT6t21 Pee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR. JOB SITE ADDRESS: ys/S Aj P MORE -DR ZIP: 5 51 3 6 � NAME OF OWNER: A0 L l) A L&Ec H T PHONE: (home) (work) MAILING ADDRESS: 45AA4 CITY: ORO& _ZIP: 6 CONTRACTOR: -oNtC-/AtPkj YEAaZ T S6cl A Lr PHONE: 117 a--q o? CONTACT PERSON: R L�,'p,�ug4jt MOBILE/PAGER: �,�1 -Y 7 3 MAILING ADDRESS: 6760 tuo obEb Egt) CITY:A1ML x—T-A1,3rA ZIP: STATE LICENSE: # go 1 36 7& - ARCHITECTlENGINEER: PHONE: MAILING ADDRESS: CITY: - ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move ' - Remodel/Alteration Land Alteration PROPOSED`YORK(describe in detail): /Q6- —k O d STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2,1-6 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. APPLICANT'S SIGNATURE: DATE: NOTE! Parade Qf 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 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of datal� The rights of individual on whom the data is stored or to be stored shall be as set forth is this section. Subd.2. Information equired to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose aid intended use of the requested data within the collecting State agency,political subdivision,or statewide system; (b)whether he may refuse or is leg lly 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 identity of otherpersons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is as:ed to supply investigative data,pursitant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of r venue may place the notice reauired under this subdivision in the individual income tax or Property tax refund Instructions instead of on those fo Subd.3. Access to da by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and,whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public dam o 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 individual has been shown the private data and informed of its meaning,the dam need not be disclosed to him for six months thereafter unless a dis ute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall pi vide copies of the private or public data upon request by the individual subject of the dam. The responsible authority may require the requestingperso to pay the actual costs of making.certifying,and compiling the copies. The responsible autho ty shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exciudingaturdays.Sundays and legal holidays,if immediate compliance is notpossible. If he cannot comply with the request within that time,he shall so infor�the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure w en data is not accurate or complete. An individual may contest the accuracy or completeness of public orprivate dam concerning himself. To exe ise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall wi ' 30 days either: (a)correct the dam found to be Inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete dam,in lading recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dam. The determination of a responsible authority may be appealed pursuant to the provisions of the administrative 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 informs ion you furnish will be used to determine your qualification for the permit or license requested. 2. You may re a to supply data, but refusal may require that the City deny the permit or license. 3. The informs ion 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 +ourself. 6. Your full name is required to process this application or permit. FkOAl 7- First Middle Inst Address Cay, State Zip Phone I understand my rights as stated above. Signature I DATE TIME CITY OF ORONO CALLED IN 1-20 3• d 0 INSPECTION N TICE �(// SCHEDULED 7-2-L 3� PERMIT NO. ICCOMPLETED /V ADDRESS 0 ✓ � OWNER L CONTR. TELEPHONE NO. 7 2-- DESCRIPTION tU 01 FOOTING 11 AECHANICAL RI 18 EXCAWGRADING/FILLING LL 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 12 WATER HOOK-UP 17 SITE INSPECTION 05 FINAL 14 SEWER HOOK-UP 06 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: W a ac J O cc O W cc Q Z W z W d � ARK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C, CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance.473-7357 Owner/Contr o' ite: Inspector. �� White Copyllnspector's ile Canary Copy/Site Notice