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Home My WebLink About1996-008201 - reroof iv PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: ;;(.;�;•��•.. Crystal Bay, Minnesota 55323 _ q1 2) 473-7357 Date Issued: (_) ;:�:�;;:96, SITE ADDRESS: 685 OLD CRYSTAL TAL BAY RD N CHP . P.{.{.: DESCRIPTION: REROOF Building Permit Type !NST-ADD RE!*1ODEL INSTITUTIONAL- CensusBuilding Work Type REMARKS: FEE SUMMARY: VALUATION ,0 Base Fee $762 . 25 Su!'rt-1c!rge --------IVA(—) Total Fee $802 . 25 CONTRACT OR: - Applicant -- OWL� NER: _.. M _ ,`°;O_:�' I f�G 17808528 a�ifl!i..'I:O MIDDLE SCHOOL 1603 99TH LA 685 OLD CRYSTAL BAY RD N BL A I NEMN 55434 ORONO MIN 55366 (612) 780-8528 449-8306 THE UNDERSIGNED HEREBY REQUESTS STS PEhMl'=SION TO MAKE THE REAL IMPROVEMENTS SPECIFIED y PE .IEIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH A ?_ CITY OF L_ E_lRE_!NO ORDINANCES AND STATE OF MINNESOTA BU I Lt i I NG CODE; REQUIREMENTS . �J APP ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE `� �� C. Tc*.- Fee: $ �D '� DateReceived: Date Approved: Entered By: Permit#: ',Z v I CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL IiNFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED ----------------___---------------------------------------------------------------- ------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTO,R� JOB SITE ADDRESS: 6�T OLP CKVY 7,4L MY A04.0 ZIP: NAME OF OWNER: 0 20 N o 15 D 4 7,'7 3 PHONE: (home) y y j - 3 3 D L (work) MAILINGADDRESS: 615'- 04 CIZY5,74t, 3Ay fRn CITY: Lo,-)6 ZIP: 5—3SC CONTRACTOR: M 4- 5 Ra.Fi j, ''v PHONE: -790 -M-9 MOBILE PHONE/PAGER: 670 --75-00 MAILING ADDRESS: 161S- c� `f '4N C CITY: ,3�-4 I ti e #N,vZIP: SS V y 9 STATE LICENSE: ARCHITECT/ENGINEER: M4 /12ctV-1 Cc7S PHONE: �1 Z- � Sb- 0787 MAILING ADDRESS• Z,1-77-5- 1 s1 4 5 o U 9t`4 CITY: 57 C LJ u o ZIP: S S NAME: REGISTRATION # 1 -7V07 TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe indetail): he'-"Ou'e 5Q reP7 of'- R-o�r OAJ z 47 0"IVO .klpv�C sCfJO" If r iNsu«,,-w STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED 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 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: fu*:60- �,DATE: 72U A74 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. 1 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights 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 confidential 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 identity of other persons or entities 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 section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions 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 whether 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 action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority 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 costs of snaking, certifying, and compiling the copies. The responsible authority shall 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 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 additional five days within which to comply 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 authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including 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 data. The determination of the 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 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. 6. Your full name is required to process this application or permit. ,if�1)VY�� ✓Ql�l�{ y ' i)C 1, L,' First Middle Last 6C)u0J4 e, L Address �lN{f ,� � v 730- YY ?--3 City State Zip Phone I understand my 'ghts as stated above. -fl� V Signature �DA_TE/ TIME CITY OF ORONO CALLED IN �/ /s-1 INSPECTION NOTICE SCHEDULED 3 PERMIT NO. &?Ot COMPLETED / s' ADDRESS...62 9--5_(1)fL OWNER CONTR. 4� TELEPHONE NO. DESCRIPTION &/. LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 2 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W CC J O O W cc Q Z W Z W O WORK SATISFACTORY.PROCEED PROJECT COMPLETE W C CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473'7357 OwnedContr ct si e: Inspecto . 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