HomeMy WebLinkAbout1992-004678 - siding/windows . � � �'ERMI'�g
, CITY OF ORONO .
1335 BROWN RD s, Box 66 � PERMIT TYPE: ���,� t��?,�t�?��
CRYSTAL BAY, MN 55323 s�:�����.�
��ermit Number:
473-7357 Date Issued: 1_t)r`�t�r,j'�t'=
SI�E ADDRESS:
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CONTRACTOR: OVy�V�R: � �'�' ��=�'' ' �
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APPLICANT;PERMITEE SIGNA UR ISSUED BY:SIGNATURE
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� CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ �:�. 1 �� � Date P.eceived:
Date P.pproved:
Entered By: � C.�� � �
Permit p: ��,;'1 i�'
ALZ INFORMATION MUST BE SIIBMITT� IN FIILI+ BEFORE PI.AN REVIEW WII�L B$ STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: /��G(. J�����t"r;;c� �[ �- L'i�vltr��� ZIP: ,=4�`s ��'%
(work) �?��..� -��c�.'��
N� OF OWNER:
��r�.t t'S �• L�/P���✓ PHONE: (home) �3�'7/".�'�--3���_
p� l - r-� f
I�iAII,ING ADDRESS: / �(�i ���^Jt������:r�� JC d• _ CITY: GJ:�£'G'�i.�� ZIP: �i-s_�//
CONTRACTOR: C�3•�'h'/G`i ��:1�••+v' PHONS:
Z�iAILING ADDRESS: CIZ'Y: ZIP:
STATS I.ICENSE: �
ARCHITECT/ENGINEER: PHONE:
MATLING ADDR$SS: CITY: ZIP:
N��: RBGISTRI�TION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate � Land Alteration
PROPOSF.D WORR (describe in detail) : /U��= � ���� <�N � G-.�b).� •� -r-
� - I��r� � �;:��d��� ��
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STORIES: � SQ. FEBT OF EACH FZ,OOR:�GL�:J - /17i�1•� ✓ru�> L!�'
NO. OF B�DROOMS: � GARAGB STALLS: ATT.L DET.
ESTIHATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �S��
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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 wiI 1 be in accordance with the ,approved plan. . •
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APPLICANT'S SIGNA ;,.,� - DATE:��"(y " ys�
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CITY of 4RON0
Post Office Box 66•Crystal Bay.Minneaota 55323•Municipal O�ces
•
� - � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to inform y�ou 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 Iicense 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 other Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become public. �
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
�J���-5 ���� Gli�,���
First Middle Last
/'�/[� �fi'o4D Ulct�,.�..� f� �
Address
�i��.v� 71i1�v � ��3�' /'
City State Zip
G a'- �'7l- 7G.�`2
Phone
I understand my rights as stated o e.
/�'
Si tu e ,
BUILDING&ZONING-473-7357 • ADMCVISTRATION�FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING -
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�.0.4 RIGHTS OF SIIBJEC'TS OF DATA � �
Subdivision L Type cf data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
gubd, 2, Information required to be g�r� ����' An.individual asked to
• ' supply private or confidential data concerning �m i,t�1�'�n t�l�e collecting stat age�,
purpose and intended use of the req t med �t whether he may refuse or is legally
political subdivision, or statewide sys ' �o� consequence arising from his
required to supply the requested dats; (�) anY �d (d) the identity of
supplying or refusing to supply private or confidentiel date;
other persons or entities authorized by state or federal law to rece�e�e�ve data
requirement shall not apply when an individual is asked to suQply g
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue mg rolert tax reound uistructionsuinsteadhos
subdivision in the individusl income tax �r
on those orms. . . . ___ - -
Subd. 3. Access to dsta bY ����- IIP°n request to a responsible �
authority, an individuel shall be informed whether h=�teeor eonfident al.e Upon his
individuels; and whether it is classified as public, p ublic data on
further request, an individusl who is the subjecc�g to himrland, if he desires, shell
individuals shall be shown the data without any
�e informed of the content and meaning of that da t� ��n d not be disclos d to
shown the private data and informed of its u���8ction pursuant to this section is
him for six months thereefter unless e �SP
, � pending or additional data on the indi�f uh h�a�eor p blic datarupon request by
responsible authority shall provide copies The res onsible authority may require the
the individual subject of the data. P eertif n and compiling the
requesting person to pay the actusl costs of making, Yi g�
copies. ' lmmediately, if possible, with any request
The responsibls authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot eomply with the request within that time, he shall so inform the
individual, and maY have an additional five daYs w�thin Wh��h to comply with the
request, excluding Saturdeys, SundeYS and legal holidays.
Subd. 4. Procedia'e when data is not accqrate or complete. An individual may
� contest the accuracy or completeness�of public or private data concerning himself• To
ht an individual shau notify in writing the responsible authority
exercise this rig , nsible authoritq shall within 3 0
describing the nature of the disagreemenL The respo
days either. (a) correct the data found�c�e� �e��ei°�u�g Pec pients namedt by
notify past recipients of innecurate or P
the individusl; or (b) notify the individual that he believes the data to be correcL.
Data in dispute shall be disclosed only if the individuel's statement of disagreement is
• included with the disclosed data. esled punuant te the
' The determinetion.of the responsible authority m o contes ed cases.
provisions of the administrative procedure act relating
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE � SCHEDULED �� f .�
PERMIT NO. � -� � c MPLET� /0-�/- s Z / �
ADDRESS � a�
OWNER ��� CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 5 F AL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� C7 CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. rpHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contrac r on sit •
Inspector.
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