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Home My WebLink About1995-006831 - reroof PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- PO. Box 66 Permit Number: EJ,JILDiNG Crystal Bay, Minnesota 55323 (612) 473Date Issued. SITE SITE ADDRESS: 2318 FJLTVE CH TN : 17-117 -4A-00E6 DESCRIPTION: RFRITIOF Poilding Permit Type !.---Y=-400/REMOOEL E-Ui. ldin.:74 Work Type PF-RC:11.iFf :17 I:J1&OC:VC) REMARKS: g .112 35 75 FEE SUMMARY: 71 VALUWITON $1 , S00 $3 00 Surc,hzirge Tot&k3 Fee . T./E, CONTRACTOR: OWNER: - !F.:1...n L._IVAN T 2:7-: °LIVE AVE ORONO m s 5:391 471--7779 THE uNDERSIGNE0 HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS:F sPEcIFIED AND AGREES TO DO ALL 1 ''FIrSTRICT COMPLIANCE WITH ALL -CITY u n-'0Nn ORDINAWEs ANO STATE OF MINNE-JurA .BUILOING CODE REQUIRFMENTS- ‘f\ APPLICANT/PERMITEE SIGNATURE ISSUED BY.SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ _65. "75— Date Received: Date Approved: Entered By: . A4 Permits: 4;A / ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) or CONTRACTOR c� JOB SITE ADDRESS: 2 ) / 1 '/J P ZIP: 317 1 (work) NAME OF OWNER: Pc .344 / It /J u PHONE: (home) MAILING ADDRESS: (-4-73 1 � D � i�v t' CITY: 'Q)yz4/47 ZIP: <----c:1-1c( CONTRACTOR: S4Q v1 P PHONE: MAILING ADDRESS: -C4 ✓1/ CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: Sd1 4, P PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration Ofd fbc) PROPOSED WORK (describe in detail) : P4 {) PC/ 46 ) 10 t- bt ( 7e STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. /apo .cry 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 SIGNATQRE: i-2t3--144 -4I/III;1 DATE: 3 cd Ilxw . . <,cif? CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONO On the North Shore of Lake Minnetonka 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 to review private data on yourself. 6. Your full name is required to process this application or permit. r ( i'( /< ar7 First Middle Last Ct( f ,...) p / PE Address / //� a 2e Zr ,/ // . -S 0 / City State Zip c/ ? / 777 177 Phone I understand my rights as stated above. / / ' Signature BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING 513.04 RIGHTS OF SUBJECTS OF DATA _ Subdivision 1. Type of data. The rights of individuals 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 concerningdhimself the be informed state agency, PP Y purpose and intended use of the requested may he refuse or is legally political subdivision, or statewide system; (b) �ownrfrom his required to supply the requested data; (c) anyand consequence the arising from ofs supplying or refusing to supply private or confidential data; other persons or entities authorized by state or federal lao w tosureyeiv ethe data data, This. requirement shall not apply when an individual is pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma .lace the re°arid iistructions insteade•uired under hos subdivision in the individual income tax or ro on those orms. • --- Subd. 3. Access to data by individual Upon request to a responsible authority, an individual shall be informed whetherheP is ivateesubject of or confidential.ed data on Upon his individuals, and whether it is classified aspublic, data is further request, an individual who is the subject of set toe private him if he desires, shall n individuals shall be shown the data withoutof any data. After an individual has been Se informed of the content and meaning the data need disclosed to shown the private data and informed of its meaning, neednot beeis section is him for six months thereafter unless a dispute or action pursuant pending or additional data on the individual hasbeen or public created. The require the by responsible authority shall provide copies ofthe private authority may the individual subject of the actualhe •cosh of me aking, certifying, and compiling the requesting person to pay _ copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five daysrequest, immediate of of the date complianceate of the not excluding Saturdays, Sundays and legal holidays, if ossible. If he cannot comply with the request within that time, he shall so informtthe individual, and may P have an additional five days within which to comply al holidays• request, excluding Saturdays, Sundays and legal Subd. 4. Procedure when data is not accurate or data complete. e. An individualTo contest the accuracy or completeness of public or p the responsible himself. To exercise this right, an individual shall notify in writing authority shall within tY describing the nature of the disagreement. The responsible 30 days either: (a) correct the data found to be inaccurate ata including or incompeec and anamedttempt to by notify past recipients of inaccurate or income the individual; or (b) notify the individual that he believes the data to be correct. t. 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. ,8i \ „, I cv aIA Z.t�a ) I rf -I - ;5:v;; % 3uib�I CI pibi l S 7Nitds ohz 1--7 ;44 S/ ( Za.91 l M 1 -.77i- I / Sd277 A ' .c.0 l '/z ; \ I �oF/ _D-90 IV -71 ' / �iZ / .2/6)0v .1X..6 0-70 fv-21t/GO 01 '° 'o,, °)/S;ZA .Zybi -Y14/-6/e/,1 a/•/*/1 i I 3.4,01 ) antZ / , 1".iin dc1 DATE CITY OF ORONO CALLED IN - 9 s 3" �o pm INSPECTION NOTICE �� SCHEDULED C3-a3-95 - `YI PERMIT NO. cosOMPLETED ./V�enc) ADDRESS — /P OWNER -111 ' ' - CONTR. TELEPHONE NO. 4 7 / " 77 7 9l DESCRIPTION LV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WA BD. 12 WATER HOOK-UP 17 SITE INSPECTION • .4100 14 SEWER HOOK-UP 06 PROGRESS I,• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LW 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ccLU a cc J O CC O U. W CC ti W W CC dORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Lu W CICORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73557 Owner/Contract r sit Inspector: White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED 5-=-2.2-0.2— 2%10 ADDRESS -2-3/4 0/eve Ave OWNER CONTR. TELEPHONE NO. DESCRIPTION Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. ' COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL d 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO C MENTS: cc 4 ,c is �ce� 6 % al-t,,,A c(._ l ',--#012( ---- A-ms+ -t>. putvexcc0 u. Li.. (-470, cc GOA 1----,-,_4" Oftc;2-e_S- A cAP $--i7 /1/14° . z W cc 0 14 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE tu 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V( BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra •r on site: Inspector. i �� White Copy/inspectors File Canary Copy/Site Notice