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HomeMy WebLinkAbout1997-009555 - tearoff / reroof PERMIT � ' CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: - SITE ADDRESS: .�-i DESCRIPTION: _ . :. _ .. .__ .... ., :...��,•.:: :L_, :. ,'-- _._ .�.`.`.��! _ . ._'i'..,_. _ �;+t-`r:a _;f—i..3;.t��Si�.i::ir�E_���'.,:t_. _. �. �. �'t3 1%i':. ., _;i`''. , , _ ;— _y�t�:I— _ �;...._.` ._. . '•_ .,.'•.�:a�_�i� _ �:+:��:., t�: �.'x (�(._ . . 't'.":'��1 L!`.�'y l��'�4 REMARKS: FEE SUMMARY: {-�.=..._._ . .�r.' . . r'' . _.. -._ti' : ._._���._._ jy—�"'ei;.'• — . CONTRACTOR: OWNER: �- . . , � �.�-,�-f* - _ ._�.� ��;�: - - :�:- - - � .� ,� ._(,_,, �-..,. y �s g � � _ ; � „ � ���#++. �.#�S ,., �,�' .. ._,8}..�r ��4��'F�r t :t tLw by � ' ... .. . . .... . k.j � . . - � .. ' ; ...�. •:_ ii _ . _ . _ .. . , «�.... . _� � f �..._... .... .. ..,_ a � ; x:� . � _ . :_ _ '_ '.. � .» . ..».t :«' �,. . . .__,. '�t . � +w;�"`�,(�;�'�� ' ' "`�' �`s.i"'.�'i•``� �t.. �'�%"`��f �"'`.�.�_ .fr �.' .�, �. . wt�"' � - �9 ' .r��o t� } 1 1�+ i t r i,.P ...L ... . .:,,'t ��E'4��i'}�+.. .... _ «'I�'�$� ��� '{,.�.. ,4=,.��M��£ . . ... . g � . .. .. . ..:Li � , ��,,.�, v�`,": ', ,. ,, . �_i . ��. e , .... .�, .. . , .-, ,..�c. - ... ._ '���- L _. . _ _ - _ k ., . �. . _ - - ' . � ' � APPLICANT/PERMITEE IGNATURE ISSUED BY:SIGNATURE , , � . ' Total Fee: $ !j�`j .,z Sf Date Received: � Entered By: ,�j.. Permit#: �S"��� CITY OF ORONO - BUII.DING 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 R CONTRACTOR JOB SITE ADDRESS: � ����lZl� ZIP: SS3�o Y NAME OF OWNER: �An�P��R PHONE: (home) � z� �S (work) �2� 13 MAILING ADDRESS: �3 S�i�� CITY: �rbnD ZIP: �l� CONTRACTOR: Seaxvvv�,� � PHONE: `1�`�-313�O CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: -7S ��c,� �� CITY:�cs,_`�,.�ZIP: ss33 ] STATE LICENSE: # �� ARCHITECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOS�D WORK(describe i det i�: ,� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1CeD 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 ' ccor nc w the approved plan. APPLICANT'S SIGNATURE: DATE: )o•2z•9� 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. 5 � , . Sec.13.04 RIGHTS OF SUBJECTS OF DATA 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 secdon. Subd.2. Information required to be given individual. An individual asked to supply private or co�dential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal 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 w supply private or confidential data;and(d)the identiry 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 reverrue mav nlace the notice rewired under this subdivision in the individual income taz or orooertv tax refund instntcrions 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 individaals,and whether it is classified as public,private or confidendal. 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 individua(has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months therea8er 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 pmvide 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 making,certifying,and compiling the copies. The responsible authoriry 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 nodfy in writing the cesponsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)wrrect ihe data found to be inaccuiau or i�omplete and attempt to notify past recipients of inaccurate or incomplete data,including recipienu named by the individual;or(b)nodfy the individual that he believes the data to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. The determination of die responsible aud�ority may be appealed pursuant to the provisions of the adminisuative 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 otlier 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. . First Middle Last Address Ciry State Zip Phone I underst my ri as stated above. � Signature 6 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /V'z�'9� /=� PERMIT NO. QS SS COMPLETED ADDRESS /3�`� �'��� �2 OWNER CONTR. =�s TELEPHONE NO. � DESCRiPTION _ ��—�v�� � Ot FOOTINO it MECHANICALRI 18IXCAV/(iRADINC�/FIWNf3 y �FRAMINCi 13 MECHANICAL FINAL 19 LAI�SHOREMIETLANDS p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP O6 PROGRESS F` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBiN(3 RI 23 SEP11C FlNAL 35 HARD COVER REMOVAL � 10 PLUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j � �WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W C' CORRECT WORK 8 PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING ` PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN INSPECTOR WILL RETUfiN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION FEQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnedContra s Inspector. �- White Copyllnspector's File Canary Copy/Site Notice