HomeMy WebLinkAbout1999-012057 - reside/replacw windows , PERMIT
, � CITY OF ORONO PERMIT TYPE: � - -: ��;
2750 Kel ley Parkway - P.O. Box 66 ;�,�,';�^`�:'�'"�
Crystal Bay, Minnesota 55323 Permit Number: ' _ _
(612) 249-4600 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��
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� Total Fee: $ jj'�N SS Date Received:
Entered By: � Permit#: �QS'7
CITY OF ORONO - BUII.DING PERMIT APPLICATION
All information must be submitted in full before plaa review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
t�
JOB SITE ADDRESS: 3 � z � - G I¢�� /U, ZIP: SS 3�6
L Yoy' �/°9
NAME OF OWNER: l3 �e� l � `�'�e�' PHONE: (home) �-��'��
� (work) ��� - S/ 5�3
MAILING ADDRESS: 3(� �- 3' - 6 t /��� /U CITY: p�o� o ZIP: S S 3 5'C
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration � Land Alteration
PROPOSED WORK(describe in detain: �e ���e t�� ����, t � n � S i�PS
o � ��� w;�'4 4.'.. e 64e /�c� �o� w;..�/o�v
STORIES: I SQ.FEET OF EACH FLOOR: - � � � S 9 • ��`-
NO. OF BEDROOMS: Z GARAGE STALLS: ATT. �_ DET.
00
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ z G �O.
I hereby apply for a building permit and I acl�owledge 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 will be in accordance with the approved plan.
APPLICANT'S SIGNATLTRE: G�'° h- /�%`-"�— DATE: /D z ,� °� �
NOTE! Parade qf Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events witl not be allowed.
Sec.13.04 RIGHTS OF S[JBJECTS OF DaTa
Subd. 1. Type of data. The rig6rs of individual on whom the data is s[ored or to be stored shall be as set forth in this secdon.
Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and inunded use of the requested data within the collecdng�tate ageacy,polidcal subdivision,or sracewide system;
(b)whether he may refuse oY is legally required co supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
privau or confidenrial data;and(d)the idenrity of other penons or enddes au[horized by state or federal law to receive the dara. This requ'uemeat s6a11
not apply when an individual is asked to suppiy invesdgadve data,pursuanc to secdon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav piace the nodce reauired under this subdivision in the individual income_tax or proaertv taz refund
insnvctions inscead 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 whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the dara wi[hout any charge to him and,-if he desires,shall be informed of the content
and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acrion Qursuant to this secrion is pending or addidonal data on the individual has been collected or created.
The rosponsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the acmal coscs of making,certifying,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 compiiance is not possible. If he cannot comply with the request
within that dme,he shall so inform the individual,and may have an addiuonal five days within which to comply with the request,excluding 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 conceming himself. To exercise this righ�an individual shall nodfy in writing the responsible authoriry describing the namre of the disagreement.
The responsible authoriry shall wichin 3U days ei[her: (a)correct the data found to be inaccurate or incomplete and attempc to nodfy past recipients of
inaccurate or incomplete data, including recipients named by[he 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 statement of disagreement is included with the disclosed data.
The determinadon of the responsible au[horiry may be appealed pursuant to the provisions of the administrarive procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Riehts 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 fumish certain private or
confidential information.
You are notified thar.
1, The information 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 shared with o[her local, state or federal agencies to the extent necessary to process
the permit 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.
(. Your full name is required to process this application or permit.
First Middle Last
Address
C�ry State Zip Phone
I understand my rights as stated above.
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signacure —
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��'Zb" g �Re�
PERMIT NO. � �GS� COMPLETED C� Z ���-�
ADDRESS 30 Z S C'�c� (Ld S c X
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION ��•^�Oaws ,� S�oiNG
LV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 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
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector. ��G�`��-`��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN /' 'Jr'
INSPECTION NOTICE SCHEDULED � ��/
PERMIT NO. /o?O�'� COMPLETED �� � ��''�" / ' --��
ADDRESS�5 G� ,� G�rrt• �J•
OWNER G���r��� � CONTR.
TELEPHONE NO. '�`�'`� 9/D `j
� DESCRIPTION .�a�.'��fi�.��,��,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q RAM�IN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� D�TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector���°�Z �� `---�
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTJI�CGS..7 SCHEDULED /l—1 �-C "C��
PERMIT NO. / COMPLETED J �'l—Q `� c/'- "�-'�
ADDRESS ��� � ��f�--
OWNER CONTR. ��� "
TELEPHONE NO.
� DESCRIPTION l�li��O�N�
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
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� BEFORECOVERING PERMANENT
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INSPECTOR W1LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR i� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlC ntractor on site:
ector.�i'�%1 �.�� G�r.�ti/ �
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � ZZ-{.17 � �n /.Y►'1
INSPECTION NOTICE SCHEDULED �' ��
PERMIT NO. ( �� av�� COMPLETED `��� j'3�
ADDRESS ,P��� �� X7�L� l�t"(n-'
OWNER I�IG �� CONTR. �', C �k.-�.
TELEPHONE NO. �C�— � / U c�'
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� DESCRIPTION f"i S i��i�i
l� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING�J
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 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
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PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
L'STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContraC r on�
Inspector.7�'%> !/�
White Copyll�spector's File Canary CopylSite Notice