Loading...
HomeMy WebLinkAbout1999-011424 - reside/windows PERMIT �Y:IT�"Y OF ORONO PERMIT TYPE: 75C '�Iley Parkway- P.O. Box 66 Permit Number: '�!�'.'�"��`'` Crysta�� Minnesota 55323 `-'� ��r:`t� (612) 47 3�7 Date Issued: �Y��;.;_: -_:;_:t SITE ADDRESS: j.'—�'-!'r�: ',,�i`:-�j�'�Y{:t%�_�=�l1� `t11 _��'9 _ ' � 9 J_ — -:ri._..i 1,�:-�_� DESCRIPTION: �:�..:_:i Li�,��+T;v_:�t}Li:�: �:��:i 1 F��_-��� �'�y�rr�i�. ;y�=�� __;�"—f�I_�!}/�.�C'�$_i�l�+ F._.�i i��_���� i��:��r�i:: i;�:�� F��—::�i�.r �-; ���1�'��.�4:w t��_ts�� ���� t`=1�.f . �`.��'==3.�'ri�1=f-�?�_ REMARKS: FEE SUMMARY: , ��;�tl:•�;i'.�lTir:.� µ�1 :� ; t�ii:):i �i:i�i_' �Y'= �.�.�_j�� , f� � ��z:•� ��r -� '..a.� r ��ii ._�1 y. _f"�:�i �r ---------._�.�.<.: s i_iY._i� �`�� �.i..f.:�� . �.� CONTRACTOR: OWNER: -�� .=,- ,:; � �_�.:-��:- — .. ��_�:���_� �,�_����v�w 1�... w .^rt'iY-i�lj�ii:f..ii���� �"F-.3 _�h:li:�t I . .., _ _ .��`'�� a?� --= ''j'''y�y� i:.'v_ _ r''p �s ` ` {� t:.� `�' GL�'sis i{,i�; }if.;. .'_ ""!� i�- _}i._asi�'r.i_�_ !�?i.._ _'�S?.i��.=��°,�1��� �s�tl��T� �G{.2,�_}_ ��� t ..�t1i��•_i.'`:�._. �}5,,,� i°•i'f�� �.. . , ,..... .'�.F....,�'"??... ,.. . . ._'Y'.�..�io . _ . _ �-�f.r i�„ 1 i��`a,'� �^� !;'��—J'— �t_1 3 11_I f' # {:,��°i� - — 4 F t. 1 fF �s 3 i-;i, i.!': �ii F-'ti � ? ^ , �t� ` s F i:: T �,. +� � __._� �L � � . � -- _ L ,�i ,_, r�€�,����fHi�#{�:r'_ ,-���3F.t _ . , . � �� #„l�' :''.:. ' .._._ _ . .,_ �tJ�;_L}_�,�4; _ _�_, { �.:�', �. .�.(r!.,.�`d ���w . � ' i I i �_ -1 - APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � . ,�l otal Fee: $ Date Received: Entered By: ,� . Permit#: � Z CITY OF ORONO - BiTIIrDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. . (please print all information) THE APPLICAt\'T IS: (circle one) WNER O CONTRACTOR JOB SITE ADDRESS: � 9 9� ���,� 1� y c�o o � i��� ZIP: �✓ 3 � l NA1�IE OF OWI�'ER:�r� � ��c � o C,��� PHONE: (home) '�71 - 7 � 3 � r (work) '� MAII..ING ADDRESS: I a � � � h�-� u.90 ITY: M z�-�n ZIP: � � 3 � � CONTRACTOR: PAO�� CONTACT PERSOv:��w�: 7 s-�c--.--` MOBILE/PAGER: MAILlti'G ADDRFSS: � CITY: ZIP: STATE LICENSE: # ARCHITECT/El\TGINEER: PH0�1E: NIA.II..ING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � `�� ✓�� � � �-� STORIES: o� SQ.FEET OF EACH FLOOR: 12 °o NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. 3 DET. ESTII�i IATED CONSTRUCTION VALUATION (excluding lancn: $ �� a� � � � 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 Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work will b ' accordance with the approved plan. APPLICANT'S SIGNATURE: ^ s i�----DATE: �'-/Z - gg 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 al�� � �� . , . . Sec.13.04 RIGH'fS OF SUBJECTS OF DaTA ' Subd. 1. Type of data. 'Ihe righc�of iadividuai on whom the dara is stoced or ro be swred shall be u sec focth ia this secdon. Subd.2. InformaCon reqirired to be givm individual. An individual uked w supply privare or confidendal daa conceming himself shail be iaformed of: (a)the purpose aad inteaded use of the requaud daa wichia the collecaag State agenry.polidcal subdivision,or sacewide rys�em; (b)whe@:er he may refuu oti is_legally tequired co;upply the requesud data:(e)acy Imown coasequence arising from his suppiyiag or nfusing to supply privace or confidendal data:and(d)the idendry o(o�her persoas or eaddes authocized by srate or federa!law ro trceive the data. This requirement s6a11 noc apply when an individual is uked to supQiy invesdgarive dan,pursuanc[o secaoa 13.82,subdivisioa S,w a iaw enfoccemeat officec. The coc�missioner of revenue mav vtac- che nodc- rauired und-r chis subdivision in �he individua! income cax or orooectv raz refund instcucaons insuad of on those focros. Subd.3. Aecess to data by individual. Upon requesc to a resQoasible aurhociry,an individual shall be informed whether he is the subject of swced daa on individuals,and whether it is ctassitied u public,private or confidenaal. Upon his fur�her reques�aa individua!who is the subjecc ot score�i private or public dara on iadividuals shall be shown che dara wichout any charge ro him and;if he desires,shall be infocmed of the contenc and meaning o!chu data. Afur an individuat has been showa t6e privare data and informed of iu meaniag,the dara need not be disclosed oo hiea for siz mondu themafcer unless a d'upuu or acaon pursuanc w this secdon is pending or addirional da�a on the individual has been wilected or created. The responsible auchoriry shall provide copies of che privare or public da�a upon request by rhe individual subjecc of rhe da�a. The responsible auchoricy may requiro the requesdng person to pay che acmal coscs of making.cadfyin3.and compiling the copia. 'Ihe cesponsible auehoriry shall comply immediately,if possible,wich any cequest made pursuant w this subdivision.or wirhin five days of the date of che tequest.excluding Sanirdays,Sundays and legal holidays,if immediate eompliance is not possible. If he cannot comply with the request wichin that dme,he shall w infortn che individual,and may have an addidonal five days within wluch to comply wich the request,excludiag Sacurdays. Sundays and legal holidays. Subd.4. Procedure whea data is not aeeurate or eomplete. An individual may contest the accuracy or completeness of public or private data conceming liunself. To exercise this right,an individual shail noafy in wridng che respoatble au�horiry describing the naare of die disagreemeaG The responsible authoriry shall within 30 days eicher: (a)correcc the data found ro be inaccurdte or incomptete and attempc to nodfy past ncipients of inaccurcte or incomplete data,including recipiea�s named by the individual;or(b)nodfy the individual that he believes the data to be correct Data in dispute shall be disclosed only if the individual's sta�ement of disagreemenc is included wirh the disclosed dara. The decerminadon of the rosponsible auchoriry may be appealed puauant to the provisions of the adminisrndve procedure act relating to concesud cases. • 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 City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notifipd that: 1. . The infotmation you:furnish will be used to deteri�inc'your qualification for the perm.it 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 wich o[her local, statz or federal agencies to the extent necessary to process the pennit or license. 4. If your requested pecmit or license requira 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 pecm.it. � 1.� �A r-� �= � � � � C. 1 (� k �uq� �tiadle �� �� �( d � ns.� �dKu��� z �-i a- D���� /�I .�t/ �5"�3� `{ �/-- 7 7 3 � Ciry Sace Zip Phone rstand my rights as stated above. , fl ` L� Sig re ATE TIME CITY OF ORONO CALLED IN .�� INSPECTION NOTICE SCHEDULED �� // :�,�U PERMIT NO. � COMPLETED �� . O� ADDRESS �'�`�d �,,,;`.--�.�t*�'<�.c'r -.�:�.°�rl� �.- OWNER � G�> CONTR. TELEPHONE N0. �7� - ��J�� � DESCRIPTION _ �2t �,��,� C� .�-� ���f,����_;;� � 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 Z 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FINA 14 SEWER HOOK-UP 06 PROGRESS � O-SITE 27 SEPTIC MAINT, 21 COMPLAINT J 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 � C MENTS: � � -��2c� � i,�S�! c�/l 2 Cdr.�zP1� r o �/re� ��S �f�-SS'.C� ��lc t� <3 '' �� c���� . -E' � 0 � W � Q � z W � W � J � �l /ORKSATISFACTORY:PROCEED �iOJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑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 OwnerfContractor on site: Inspector.��_��u='�� White Copyllnspector's File Canary CopylSite Notice