HomeMy WebLinkAbout1998-010749 - patio door PERMIT
. �I'TY OF ORONO PERMIT TYPE:
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2750 Kelley Parkway- P.O. Box 66 Permit Number: i;�i�i'�.:�.°;-�
Crystal Bay, Minnesota 55323 i
(612)473-7357 Date Issued: ;_a�=�f� �j^_�;_;
SITE ADDRESS:
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APPLI ANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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• Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 13 3 7 2 e.s� Pc� r��� C��-�� ZIP: S S 3 6`�
NAME OF OWNER: 1�� �°e r� ��"� PHONE: (home)�6/d���-"S��D
(work)
MAILING ADDRESS: �3 3 � �es�c�.��'��h�� CITY: (�ro� v ZIP: S5"3� `�
CONTRACTOR: Se-) � PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: 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�: ���1�� ���� �O a'�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �dd
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: DATE: � I( ���I�
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.
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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 req�dred to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the putpose 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 la►own consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the idendry of od�er persons or entides authorized by stau or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply invesdgative data,pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of reverme r2v nlace the nodcp reauired under this subdivision in the individual�ncome tax or orocertv taz refiutd
insavcrions instead of on those forms.
Subd. 3. Access to data by iudividual. Upon request to a responsible authoriry,an ic�ividual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or co�dential. Upon his further request,an individual who
is d�e subject of stored private or�blic data on individuals shall be shown the dara 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 aot be
disclosed W him for six months thereafter untess a dispute or ac6on pursuant to d�is secrion is�pe�ing or addiaonal data on the individual has been
coUecred 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediaocly,if possible,with any cequest made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Su�ays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that ume,he shall so inform the individual,u►d may have an additional five days within which W 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incompletc and auempt to�tify
past recipienrs of inaccurate or incomplete data,including recipienu named by the individual;or(b)noafy the i�ividual that 6e 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 dara.
The determinaaon of the responsible authoriry 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 �iry of Orono or any of its departments may require you to furnish certain
private or confidential information.
You aze 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 Ciry deny the permit or license.
3. The information may be shazed 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.
First Middle I.ast
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signawre
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DATE TIME
CITY OF ORONO CALLED IN " 1'-1� •'�
INSPECTION NOTICE � �J�� SCHEDULED 9 �� C� �7�
PERMIT NO. � COMP TED � �
ADDRESS / �3� �I--�--r(�
OWNER ?�-�'`� z a-u� CONTR.
TELEPHONENO. � 7�" ���'� �l `fy�'�� �� X �v20�
� DESCRIPTION��� �'�����?L��t`'Z-�GtJ�
� 01 FOOTING 11 NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMW=� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMM TS:
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� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN L�7 PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor o site
Inspector. �-
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �0- Z- f�cU
INSPECTION NOTICE �y� SCHEDULED -_J1-LSL -j �o �'
PERMIT NO. � COMPLETED
ADDRESS �.3 3 7 .�Z� �� C��C���
OWNER �d2� -�-{/�� CONTR.
TELEPHONE NO. �• -� � - � y'
� DESCRIPTION �� ��'�'��i l��.n��it,8-rv x `j���
� 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 0� INAL 14 SEWER HOOK-UP 06 PROGRESS
� (S�7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
❑ INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Call for the next in ction 24 hours in advance.473-7357
Owner/ContraCt � sit :
Inspector. �
White Copylinspector's File Canary CopylSite Notice