HomeMy WebLinkAbout1999-011625 - tearoff/reroof �� � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �-��._:.I€��...�=i�i.a
Crystal Bay, Minnesota 55323 Permit Number: ..:s� ��.��
Date Issued:
(612) 473-7357 i��?i i i:=;,r''=;,=;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — ��,c,��� �=;�,-�t. —
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APPLICANT PERMITEE SI URE ISSUED BY:SIGNATURE
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Total Fee: $ �� 4� D Date Received:
Entered By: Permit#: ��— �
CITY OF ORONO - BUILDING PERMIT APPLICATION � �
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A,ll information must be submitted in full before plan review will be started. .
� (please print all information) . .
T�iE APPLICAt�'T IS: � � (circle one) . OWNER OR CONTRACTOR � � . .
JOB SIZ'E ADDRESS: /���. 1�,4Rtt . DQ�vG' ZIP: .553��-
NA1�IE OF 4ti'Y��R: �.cc�c��e. C� ,�wf-L PHONE: (home)�'7at -31 �•�-
. (work)
MAILl�i 1G ADDF•ESS: �'�f� � TJ.¢ t� k��- CITY: �o�ct-��. ZIP:�S3 69�
CONTRAC3'OR: . PFIONE: .
CONTACT PERSON: MOBILE/PAGER:
MAILItii'G ADDRESS: CTTY: ZIP:
STATE LICEri'SE: # �
ARCHIT'ECTlEi�TGIi`'EER: PHOti�: � ��
MA.ILING ADDRESS: CTI'Y: ZIP:
� NAME: REGISTRATION#
TYPE OF tiYORK: New Addition Accessory._Structure
Move RemodellAlteration Land Alteration_
PROPOSED tiYORK(describe in detai�: �''e�r o f'� o!�' .�`�i<�9�es -�
re� � ti��Qle
STORIES: 1 SQ•FEET OF EACH FLOOR:
NO. OF BEDROOMS: �� GAR.AGE STALLS: ATT. DET. �- � , .
, . . dO
EST .I1-i IATED CONSTRUCTION YALUATION(excludi.ng land): $ 2 3 0o f •
I hereby apply for a buildino permit and I acknowledge that the informadon above is complete and
accurate; that the work will be in confoimance with the ordinances and codes of the City and with
the State Buildi.n� Code; that I understand this is not a per�mit a.nd work is not to start without a
permit; and thac the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �,. �-P� Ql �� DATE: �-��'-� �
,
NOTE! Parade o,�Homes events require separate permit approvai by Police Department and
� City Counci160 days prior to the event. Non permitted events wiil not be allowed.
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Sec.13.Q4 RIGFiTS OF SUBfECTS OF DATA '
Subd. 1. Tj�pe o[data. The righ�s of individual oa whom the data is stoad or oo be stncsd shall be u set foc[h ia this secaoc.
• Subd.2. InfocmaCon required to be givm iadividual. ?�n iadividual uked to supply pciva�e or caafideadal dan coacerniag himseif sbail
be informed o` (a)�he purpose aad intended use of the requured daa wichin the collecaag Scace agenry.polidcal subdivisian,or sntewide sysum;
(b)whecLer he tray r.."use oY u.legally teqiiir_d to suppty.ttse crquesLd data:(c}aay Imowa coatequeace uising from his suppiyiag oe ret�sing to suppty .
privac�or eoa::der.caI da�;aad(d)c4e idendry a[o�herpecsoas ecenddes aucfiarized by snce or federil law to rec:ive t�e daca. This requirtmeac shalI
aot apply when aa ir.dividual is uked to supply[nvesriganve daa,pursuaat to ucdaa 13.82,subdivuioa S.oo a law enfaccemeat ofhcec. .� . • �
The eec:�missioner of rcvenue mav olaee che nodc� r�uir-d und-r this subdivision in�he individuat income ax or orooectv tax refund
tnst►vcaons insusd of on chose forms. •
Subd.3. Aee�ss to data by iadividual. Upon tequesc w a iesponsbie auehodry.aa iadividual shail be informed whechec he is che subject
o[stocsd dsa on individuals.a�whecher it is class�:d u public,priva�e or conhdenaal. Upoa his ltirsher requesc.an iadividual who is tha subjeu
o!stoced private ar publie daa on iadividuais shali be showa�he dan wirhaut any charge to him and;it he daira,shall be infocmed of the eonteac
aad meaning ot that data. Aher aa individuai has been shown the private dara and inlocmed of Ics meaaiag,the daa nead aot be disclosed oo him for
siu moad�s thereaher unless a dispure or acaon pursuant w this secdon is pending or addidooal dam on the iadividuai has been eoliecc.-d or ereamd.
The iesponsibie authariry shallprovide copies of che privac:oc public da�a upon nquest by rhe individual subject o[che daa. The responsi'ble zu�oriry
may require the requesdng penon to pay che actual coscs of making,cerritying,and camp'iling che copia.
The respocuibie auchoriry shaIl comply imraediacety,if Qossib[e,wich aay tequest made pursuanc w this subdivisioa,or wichin five days of
the due o!�he ceques�excluding Satucdays,Sundays and legal holidays,If immediate compliance it not possble. If he eanaat comply wirh the requesc
wichin dut dme.he shall so Worra the individual,and may have an addidonal tve days wi�hin which to eomply wich�he ceques;exctuding Satucdays,
Sundays and legat holidays. . .
Subd.4. Procedure whea data is not accurate or compiete. M iadtvidual may contest the accuracy o�eompieteeeu of public or pri��ate
dan eoncerning h'uaseit. To exercise this righ�an individuai shatl aodfy Ia wridng the respoasibte auchoriry descn'bing the eamce of the disagreemeac. .
'Ihe respoasible auchoriry shall wi�hin 30 days eieher: (a)correcc the data found to be inaccunte or incompiete aad acumpc to nodfy past recipiencs of
inaccutace or tncomptece dam.including cecipieacs named by the individual:or(b)noal�r the iadividual thac he believes rhe data to be coccecc. Data
in dispace shall be d'uclosed oaly if the individual's stacemenc of disagreemeat is induded wirh the discloud dara.
. The decerminadon of the responsibte aurhoriry may be appealed pu�suanc to the provisions oC the adminisaaave procedu�e act relaciag to
eontemd cases. � . •
DATA PRIVACY ADYISORY �
In accordance with M.S. 13.04�Subd.2, "Ri�hts of subjects of data",we would like to inform you that youc request
for a permit or license from the Ciry of Orono or any of its departments may require you to furnish certain private or
coafidential informatioa.
You ue notlfied that:
1. 'Ihe information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to suppiy data, but refusal may require that the Ciry deny the permit or license. � �
3. The information may be shared with ocher local;scace or federal agencies to the extent necessary to process
the permit or licease. �
4. If your requested permit or license requira Council action to approve, some iaformatioa may become
. public. � � � . . . .
�S. 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 applica[ion or permic.
Fusc �fiddle Last •
Address �
Ciry Sate Zip Phone
I underscand my rights as scated above.
Sigcucure
DATE TIME
CITY OF ORONO CALLED IN 7-��-y9 $•� a
INSPECTION Ng C SCHEDULED 7�3 91 �I� O a
PERMIT NO. /T � COMP TED
ADDRESS���� ��� -��e
��'��,.t,��i CONTR, ��-- �����
TELEPHONE NO. �' 7� � I o�S
� DESCRIPTION -
lL 01 FOOTING 11 MEC ICAL RI 8 EXCAV/GRADING/FILLING
Q�� FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03�INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 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
� 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEN S•
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� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W�CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ` pHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice