HomeMy WebLinkAbout1998-010524 - add door garage PERMIT
CIT�F ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: �:,L;;�_�f�;:,;�
Permit Number: ��1�_����:t�.
Crystal Bay, Minnesota 55323 --� ;-,� • -
(612) 473-7357 Date Issued: �_}� , a:..�!�_����
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICA T/PERMRE IGNATURE ISSUEDBY:SIGNATURE
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Ts�tal�e: $ � ��J'� Date Received: �
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Entered By: Permit#: /C: �� � �
CITY OF ORONO - BUIIIDING PERNIIT APPLICATION ;
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � � .
JOB SITE A.DDRESS: J ��(�' �j �f�,�t�'T(�� �� ZIP:
� NAME OF Oti'VNER: � `1' � I � /L� �; S PHONE: (home) "
(work)
MAII�ING ADDRESS: %7 ����j��,�-��c:��� I�crrY:��',� , o z�: �: : ;
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CQl`I 1 i\t>C 1�R: � r Ptl�l\1.�: ������ �
COti'TACT PERSON: � U MOBILE/PAGER: � i
MAII��G ADDRESS:�7�� I—�EvvGF� L��-,�CITY: �l�tJp �z�Tt� ZIP: 55.3 / �
STAT'E LICENSE: # ZDOZc���'
ARCHITECTlENGINEER: PHO�tE:
�iAII�ING ADDRESS: CITY: ZIP:
I�iAME: REGISTRATION#
TYPE OF tiVORIi: New Addition Accessory Structure
Move � Remodel/Alteration �C Land Alteration
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PROPOSED SVORK(describe in detain: �4EJi7 j�oi2 lN �,'i���
STORIES: SQ. FEET OF EACH FLOOR: � -
NO. OF BEDROOiVIS: GARAGE STALLS: ATT. DET.
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ESTII�iATED CONSTRUCTION VALUATION (excluding land): $ ��.
I hereby apply for a buildin�pemut and I acknowledge that the information above is complete and
accurate; ihat the work will be in conformance with the ordinances and codes of the Ciry and with
the State Buildin� Code; that I under n� this is not a permit and work is not to start without a
permit; and tha[ the work will be ' acc�dance with the ap roved plan.
APPLICANT'S SIGNAT'URE: (� t DATE: 7 -Z� — 5�g
NOTE! Parade Qf Homes events require separate permit approval by Police Department and
� City Council 60 days prior to the event. Non permitted events wi11 not be allowed.
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. � . � , - ,
Sec.13.04 RIGHTS OF SUBJECTS OF D?,T?a
Subd. 1. Type of data. The righ�s of individual on whom the dara is scored or to be swred shall be as set forch in this secaon. -
Subd.2. Information req�red to be given iadividual. .1n iadividual asked to suppiy private or conhdenaal data concerning himsdf shall
bt iaformed of: (a)the purpose and iac.nded use af che requesr�data wichin the eollecdag�tate agency,polidcal subdivision,or sntewide rystem;
(b)whaha he may ctfuse or is legally nequir_d to supply the tequested dat;:(c)any]rnawn coasequeace arising ftom his supplying or refusing to supply
privace or eonndendal dara;and(d)che idendry of other persoat or enad�s aachorized by scate or federal law to receive the dara. 2his requirement sSall
noc apply when an individual is asked to suppty invesrigarive dam,pursuan�to secdon 13.82,sutidivision 5.to a law eafoccement o�cer. � �
The eommissioner of revenue mav olace che noace r-auired und-r this subdivision in the individua! income tax or orooerev aa refund
inscrucdons inscead of on chose focros. .
Subd.3. Access to data by indiridual. Upon request to a responsible au�horiry,an individual shall be informed whe�her he is che subject �
of scored dati on individuals,and wherher ic is clusified as public,Qrivate or conFdendal. Upon his furcher requese,aa iadividual who is the subjecc
af stored piivate or pubtic dam on individuals shall be shown the dara wichout any chacge ta tiim and;if he desires,shall be infocmed of the coatenc
and meaning of that dara. Aher an individua!has been shown[he private data and informed of iu meaning,the dara need not be disclosed m him for
six moncfLs chereaiur untess a d'upute or acaon pursuanc to chi.s secaon is pending or addidonal data on the individual hu been collected or creaud.
The rosponsible authoricy shall pcovide copies of the privace or public da�a upon cequese by�he individua!subject of ehe dara. 'Ihe responsible auchority
may tequire the requesring person to pay the actual coset of making,ce�tifying,and compiling the copies.
The responsible aurhoriry shall comply immediately,if possible,wieh any requesc made pursuant to chis subdivision,or wi�hin five days of
the date of�he request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
wirhin that time,he shall so inform the individuat,and may have an addidonal five days within which to compty wieh the request,exctuding Saturdays,
Sundays and legal holidays.
Sabd.4. Procedure whea data u not accurate or complete. An individual may contestthe accuracy orcompteteness of public arprivate
data concerning tianself. To ezereise this right,an individual shall nodfy in wridng�he respocssible suthoriry dtscribing the naaire of the disagreement
Zhe responsible au�horiry shall withict 30 days either: (a)correct[he data found to be inaecurate or incomptete and attempt W nodfy past reeipiena of
inaccurate or incomplete dara, including recipient�named by the individual:or(b)nodfy the individual that he believes che data to be cocrect Data
in dispute shatl be disc(osed only if the individual's statemenc of disagreemcnt is inctuded with che disciosed data.
The determinadon of the responsible au�t►oriry may be appealed punuant to the provisions oF the admirusaarive procedure act relating to
contested ea.ses.
DATA PRIVACY ADYISORY �
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 Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You ue notified that:•
1. The infocmation 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 shued with other local, state or federal agencies to the extent necessary to process
' the permit or license.
4. If your requested permit or license requcres Council action to approve, some information may become
public.
5. You have cenain ri¢hts under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full nazne is required to process this application or permit.
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Signamte .
ATE/ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE � (/ SCHEDULED ? -�'i �
PERMIT N0. �G �� 7 COMPLETED �'I f�'_1
ADDRESS � d•
OWNER CONTR. �
TELEPHONE NO. '7'� �J " cS'�c�C�
� DESCRIPTION .
� 01 F TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 2 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 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �II wORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pHOTO TAKEN
INSPECTOR WILL RETt1RN �
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
Owner/Contra n i e:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice