HomeMy WebLinkAbout1993-005085 - new ftgs for deck PEI�MIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 E��1IL�_%1_���G
Orono, Minnesota 55356-0815 Permit Number: i_�����f_��
(612) 473-7357 Date Issued: ���r.�,�, �,�:Y;
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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~ CITY OF ORONO - BUILDING PERMIT APPZICATION
Tota1 Fee: $ Date Received:
Date Approved:
Entered By: � Permit�:
AI�L INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI,AN REVIEW WILL B$ START�D
(See Check-off List Enclosed)
-------------------------------------------- �.�,.---------------------------------
THE APPLICANT IS: (circle one) OWNER o�C�NTRAC�
JOB SITE ADDR$SS: �.20`�� �ii/+������.�� 1NDf�"� � �r'�i�:���ZIP: .��-rj��j�
F (work)
N�ME OF OWNER:
!��(�j�Y�P►��,�. PHONE: (home}
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MAILING ADDR.ESS: �t�`�. � �- �� ;� � �..:'a�'"'. �;s>� CITY: tr'i �._#��� � ZIP:
CONTRACTOR: ��a i Y^� P.����r �, t � . , �'�;�.,.. PHONS: �a-� (_i ��� �
MATLING ADDRSSS: �/I DO �XCI , r'. ..�vc� ✓ cz�: .S�-�-� zzP: � . -. � ;�,
STATS LICEIJSE: � 1 D�J
ARCHITECT/ENGINEER: PHONE:
MATLING ADDRSSS: CITY: ZIP:
NAME: RBGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
n w t� S ��r d� �I.�i I�" i� vu� ''� 'v�
STORIES: SQ. FEST OF EACH FLOOR:
NO. OF BSDROOMS: G�GE STAI.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ ' l�� �� `�`"'
I hereby appSy for a building permit and I acknowledge that the information
:bove is complete and accurate; that the work will be in conformance with the
�rdinances and codes of the City and with the State Building Code; that I
snderstand this is not a permit and work is not to start without a permit; and
�hat the work wil 1 be in accordance with the approned p lan. �
APPLICANT'S SIGNATDRE: r�! ' r/� DATE: L/ ��oL�
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l� � CITY of ORONO
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r 3i Post Office Box 66•Crystai Bay,Minnesota 55323•Municipal Offices
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• - • „'�o` On tlze Nortlz Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
Iicense from the City af 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 wil.3 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
Iicense.
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��
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
�� ����
First Mid le Last
30_�� P��. � 5 -
Address
SLp � � Ss�/��
City State Zip
6/� %�� 6�/�/
Phone
I understand my rights as stated above.
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Signatur
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING .
.. . ;�
�.p,4 RIGSTS OF SIIB.TECTS OF DATA .
gubdivision L Type of data. The rights of individuals on whom the data is
stored or to be stored shall be ss set forth in this section.
'�� ��vidu,ai. An.individual asked to
. Subd. 2. Information requiced to be gi
� .' su ply private or confidentiel data coneerning himself shall be informes gte a aency,
P
purpose and intended use of the requested �t whether he may r f e or is legally
political subdivision, or statewide system;
required to supply
the requested data; (c) anY kr►own consequence arising from his
supplying or refusing to supply private t8te o=lfederal law to receive the data•1tThis-
other persons or entities autwhen anbndividuel is asked to supply investigative date,
requirement shall not apply
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lert taX re°una�tructio uinsteadh°S
subdivision in the individuel income tax �r r�
on those orms. . - - --- � -- - ,
Ac� � �� � ����y Upon request to e responsible
Subd. 3. �
authority, an individuel shall be informed whether h r vateeor eonfidential.e Upen his
individuels; an d w he t he r i t i s c l a s s i f i e d a s public, p u b l i c d a t a o n
further request, an individusl who is the �b�ect of e to himrland, if hs desires, sha11
individuels shall be shown the data witho Of�hat datga. After an individual has b�en
�e informed of the eontent and meaning t� �� need not be �sclosed Lo
shown the private dats and informed of its u���action pursuant to this section is
him for six months thereafter unless a �p n request by
� ending or additional data on the individusl has ateeor public datarupoeated. The
� p require the
responsible authority shaIl provide copies o t e P o�ible authority may
the individual subject of the data• The �P ��rtifying, and comp�ing the
requesting person to pay the actuel costs of malcinB,
copies. lmmediately, ii pcssible, with anY request
The responsible authority shall comply � S of the date of the request,
made pursuant to this subdivision, or within five �y immediate compliance is not
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request �t�withintw ch tohcorr►P1Y fw h the
P have an additional five y5
individuel, and mgY �d le al holidays-
request, exeluding Saturdays, SundaYS g
Subd. 4. Proced�a'e when data �s not accurate or complete. An individuel maY
himself. To
contest the eceuracy or completeness�of public o lnriv`�ai�t�eonr���ble authority
exercise this right, an indiv�duel g� notify �ible authority shall within 30
describing the nature of the disagreemen� �e r�P°
days either. (a) correct the data found to be inae��ei°�u�gpeec pients namedtby
notify past recipients of inaccurate or incompl
the individuel; or (b) notify the individusl ��du�,�s�temen tof dis8�'eement is
Data in dispute shall be disclosed only if the m
• included with the disclosed dats. � BQpe�led Qursuant to the
' The determination of the responsible auihority to contested cases.
provisions of the administrative procedure act relating
J�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ���—
PERMIT NO. °•�� COMPLETED
ADDRESS � a�S � �. U t�.v
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �C� �l S � C�G
��1 OOTING 11 MECHANICALRI 16 ELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWET�ANDS
Q
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME
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W� WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
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.47�73�J7
OwnerlContra r,p�site:
Inspector. U
White Copyllnspect 's File Canary CopylSite Notice