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HomeMy WebLinkAbout1996-007882 - re-side �• P�RMIT � C�TY OF ORONO PERMIT TYPE: � 2750 Kelley Parkway- P.O. Box 66 �:t,i�l�t j��jf� Crystal Bay, Minnesota 55323 Permit Number: ;7R, ,��;.;^a (612) 473-7357 Date Issued: ;`��f.l,�,,`_�� SITE ADDRESS: .�`�.�_�' ��t'��i�i���_�t_�L� ��' .T�; F'. I . ��. , 17—�. �.:—�=:::—�.�—i�t�c��°� DESCRIPTION: �;�—:_:T�E , E�u i I��i n� �Y�,rn i t T y��� '=;�—H��::i Fi�l�1+�1i�t�L �:�.�ilcfirr�� W�i��k: 3y��� RE—�F,IC�E {:�nsus �_{���� �k:;�� t�i_T . ��°=;I��h�'T I A+ REMARKS: FEE SUMMARY: v�Ll1t�T►�:?t� ��.'i,;=�i'�` uct�r' ��-?� �1'�`� . i� '•��L�ii'C�"'�ctl"�E= —_____ _`�F� t?� ���ft.�!� ��t� W�z°{7�; ?f�; CONTRACTOR: — t�����I i c�i�t. — OWNER: ���i��i t:.:i;��T iWEF �i i�INE'=;t��T�� �7'�:1�.�,:�,�; �;�C3E�'=�+�:rtd C:t i�;T�:�: :j I 1,=� '=�t�I�i�L I NG �UE �i 7=� '=�HAI1'r'�,���i�i�� �il� �1I?�r�t�i�'iraLI�_; h�lwl �,��.�,��. i`iF.i::�t�f�={ �i��t ��;:;.�,� i;r�1',�:i ,7;='1—h�t�',?i:� :��?t;_C)t 1:=��� S�. 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I _J ) PLICANT/PERMIT SI NATURE ISSUED BY:SIGNATURE � ITotal Fee: $ DateReceived: Date Approved: Entered Bv: Permit#: CITY OF ORONO - BUII.DING PERNIIT APPLICATION ALL INFORNIATION�IUST BE SUB�IITTED I�t FULL BEFORE PLAIv REV�W WILL BESTARTED -- ----------------- ----�- THE APPLIC�'�1T IS: (circle one O`�iVER CONTRACTOR JOB SI'I'E ADDRESS: ^< I 7� �/,��U��V�--�--- Z�: NAME OF O`VNER: ��(� ��'S �►, r� ���S�� � _ PH0�1E: (home) �7/- ��� (work) _y 7S-�c�� �' NIAILINGADDRESS: �',y'iv,�, CITY: Z�: CONTRACTOR: ,P��y�_� � +'� ��` PHO�IE: Z„�� - G o2 � MOBILE PHO�IE/PAGER: iViAILINGADDRESS: 3//� �Sn�//��9 /��ITY:� _, /'� ZIP: STATE LICENSE: # �� 7 ARCHTI`ECT/ENGINEER: PHONE: MAII.ING ADDRESS: CITY: Z�� NAi�TE: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodellAlteration _� L.arid Alteration PROPOSEDWORK(describeindetail): �, ��� �i �� � �� ��� v '�tii ) r �(' yv� `�/J��,'•Y'- 'Ca_v i C� ��';��' i v� �.�.m iYr�i✓� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /� p/ � I hereby apply for a buildin� 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 Ciry 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 SIGNA'I'URE: � DATE: � �?S-�'��--- 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. . � Sec.13.04 RIGHTS OF SUB.TECTS 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 secrion. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning hunself shall be informed of: (a)the purpose and intended use of the requesced data within rhe collecting'state agency, polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to suppiy private or confidential data;and(d)the identity of other persons or enrides authorized by state or federal law to receive the data. This requirement shall not appiy when an individual is asked to supply investiganve data, pursuant to secdon 13.82,subdivision 5, to a law enforcement officer. The commissioner of revenue mav p(ace the notice required under this subdivision in the individual income tax or propertY tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whecher it is classified as public, private or confidenaal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data 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 not be disclosed to hun for six months thereafrer unless a dispute or acrion pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual st�bject of the data. The responsible authoriry may require the requesting person to pay the acruai costs of making, cemfying, and compiling the copies. The responsible authoriry shall comply immediately,if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so infornt the individual,and may have an addicional five days wi[hin which to comply with the request,excl�ding 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 concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing[he nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of inaccurate or incomplete data, includine recipients named by the individual;or(b)notify the individual that he 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 data. Ttte determination of the responsible authority 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 Ciry 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 pernut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pernut or license. 3, The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut 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. ; ._� '�, �'G First Middle Last 3/l � >r� P ll� ��� � Address nl �%'�• ���?i-��� ��- Ciry State Zip Phone I understand m rights as stated abo . � ��� Signature % DATE TIME CITY OF ORONO CALLED IN 7 3 �- ��C INSPECTION NOTICE SCHEDULED � '�— .?r'--r�- PERMIT N0. ������ COMPLETED ADDRESS� � /�7� �%L � ' t t z �` < <C� <'l� OWNER � G��i�CE-�..;2�c��n/ CONTR.��r`, i?.-�,C�f'Lc�iL�= z�/ TELEPHONENO. 7'Z� �� � a �� i� � DESCRIPTION �C-�' `-�.�t�� � 01 FOOTINC3 11 MECHANICAL RI 18 DCCAV/dRADINQ/FIWN(3 �Q 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALI BD. 12 WATER Ii00K-UP 17 SITE INSPECTION � 14 SEWER HOOK-UO O6 PRO(iRESS 0�5 FINAL �; J 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAtNT � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �n /� /� � a �' 4L(.Lc1� ,�rC.��l-L-� �` C j� C_ �c z i( -�i' �--- � �iYt.3�� .� r O / � /-��� 4 L; � �s''C�,2L� , O . k W � Q � ? W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO AR ANGE ACCESS. Call for ne ns tion 24 hours in advance.473-7357 OwnerlCont ct on site: Inspector. � White Copylinspector's File Canary Copy/Site Notice