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HomeMy WebLinkAbout1998-010857 - tearoff/reroof` PERMIT �L�ITY OF ORONO PERMIT TYPE: - � 2750 Kelley Parkway- P.O. Box 66 �"'"�`'='�'�!'���' Crystal Bay, Minnesota 55323 Permit Number: �?l t�i�=�,' (612)473-7357 Date Issued: _ _��?��.�u�``=�� SITE ADDRESS: �.��.=i�� M'Hi�:r�:: ,���_° w-ii E'"`. � . �� . . 11,.`_'i i? s..._—:.i�—l3(�:�:1 DESCRIPTION: i�=�r;f��:"��'+;E�°�_+�=►� Li:.rt 1. 1.��i!?'� i`ut'tii I.�• �7`='r= `;�`_�i}1'�.'!�;�"E;��ii�'�L i=�i.}_ �iTf�1��a I,�E_i�'(�:. �y';_+_ �:`�—��`1T(!_!1= i-''—'}�'7 t�= —s—'sj s= .��.:�•4 i-i;� . !?�`W��E.���`:I�t-�� REMARKS: FEE SUMMARY: 4.��-?��1�;i�i«il;� �•i[k_: =:.��=,+ j"._s;_ ��_� , =f t :�,4.t�'i F���.}��j�, �t-, --------__��.�.� -[';M,;.�7 ��:� ��°` . �,�, i—����=i i r•��f-;t. CONTRACTOR: OWIyEF�: �' — ;�i�;,'-�;t�►• h I����:: ��t;ii e '~'��:�:: !_'jj�-+: c�_�� i�i;�°i�i�yl i �'��`� _ _ _ =�. �-� �-�'��f ;E y — —� rai:t� ;}>i = �•,—'', ��j,� ���t �j�:. :•L' €y�_ C a �>�;—:�—t';�;;_: ,€}- i `- �i�H� i.: ..��:.�=4 u� F-i� .._�� ?=�°r�s_�=�T:= . �r+.�•i I�;=;i � _ °��,..�_ �..: __ t�°,_:=:i_ _. ._ . _. . Pd:":�� ._..:_ � :_ _ _ . � ��'�'�'�� ' ' i i �t . ' ti• r•l -.. ' - iL. '=;a�`F t �- `_� �t,i i tn T1 t ��I i 4;1 , 's:,�t; =��z. ..�s� i� 's"� . � .. .�: �_�,__���� . _ . �_ . Ifiv '.. _ =:: � _ _. ��'L.. �.�=�:E �u � ; . .t �..�.. �: r a: > :�_ . . . . w. __ . . _. _ .___ . , _ .. � _. a- � n �-,-- ipi�4_��vl_t �ri°(J�E�{i�;tvt_�°_� :��s`j ��1��;4"� '�'s;= sr;j:,�;���,_:��i#��i `��_i�4..�'13�;.� _�_i��=� �'i�;st�_`;`;��.. f._� . . .. . � J 1 � APPLICANT/PERMITEE SIG ATURE ISSUED BY:SIGNATURE � , - Total Fee: $ Date Received: Entered By: v'.,� Permit#: �'(� �,5� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- �.---��., THE APPLICANT IS: (circle one) �OWNE R CONTRACTOR � JOB SITE ADDRESS: %�L'C' �`�lr�� O%-� �' � ; j ``�"��., / �' _ �� /� C.��f� �� ZIP: _ � , NAME OF OWNER �'�� /�G?/c�� �l�`� PHONE: (home) ��� �� �� (work) ��,��� ,_ ��7� x MAILING ADDRESS: /�C�C� � '/C ,�.� CITY: `�`��1/,�� ZIP: ��j S��� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CTTY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: 7`���%�' ��� ��� STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: Y' 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: i � ����-<-- .��,�G�� DATE: ��/' 'f� -� � � �,��� /li�''.�.L�� 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 D,�TA Subd. 1. Type of data. 'Ihe rights of individuai on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information req�red to be given individual. An individual asked to supply private or confidendal dara concerning himself shall be informed of: (a)the purpose and intended use of the requesied data within the collecting'state agency,polirical subdivisioo,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 priva�e or confidenrial data;and(d)the identiry of other persons or enriries authorized by state or federal law to receive the data. This requirement shall noc apply when an individual is asked to supply invescieadve da[a, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propertv taz 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 whe�her 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 hun 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 iu meaning,che data need not be disclosed to hun for six monrhs thereafter unless a dispute or action pursuanc to this secrion is pending or addidonal data on the individual has been collected or created. The responsibie authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesring person to pay the ac[ual cosu of making,cettifying,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 requesc,excluding Saturdays,Sundays and(egal holidays,if immediate compliance is noc possible. If he cannot comply with the request wi[hin that time,he shall so inform che individual,and may have an addidonal five days within which to comply wi[h 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 complereness of public or private data concerning himself. To exercise this right,an individual shall noufy in wridng the responsibie 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 norify past recipients of inaccurate or incomplete data, including recipients named by che individual; or(b)nodfy the individual that he believes the data to be coaect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the discfosed data. The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act reladng 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 fumish 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 Ciry deny the permit or license. 3. The information may be shared with other local, state or federal a�encies to the extent necessary to process the pernut 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. /�--/�G� � /�L�G%'��G c�;�-, First Middle Las[ ��D O ����� i%� Address 1 �� � �`� — �� �� � �� /'�.� , J,L�,� C/ � ,ti � ��i'O��!'(` i! `� Ciry State Zip Phone I undersyand my rights as stated above. � � �✓� �,f �;�-, z—�-��-�-� � ���� - Si nacure DATE TIME CITY OF ORONO CALLED W �'D -Zl9d' INSPECTION NOTICE SCHEDULED �' � a PERMIT NO. /�?�-5� COMPLETED ADDRESS • OWNER �" CONTR. TELEPHONE NO. �7-� -�O `�J(a � DESCRIPTION /�vJr�m�' � 01 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 7 SITE INSPECTI � Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 BING FINAL 36 FOUNDATION/REMOVAL Q OWN RICONTRACTOR TO MEET YO�ES_NO Z � COMMENTS: a �— � � i,t�o0 � t�,e'�� Y1 � �-i � �� v'� ` G� � � o � �" � " -u e i S r�'� — �D ul C�� � ' i'V\ l ) i' Q � � W � °� e Q � — C� `�-z� S e� ,r"i ►� ��` G� � w � r'�� �j�tn. � c� tf`i L/ t° W � j d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W C� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contracto it - Inspector. ��� White Copyllnspector's File Canary Copy/Site Notice