HomeMy WebLinkAbout1992-004506 - re-roof/gutt/patio door PERMIT �
� CIT'Y OF ORONO ���nnr� -rv��:
1335�Brown Rd. South • P.O. Box 66 �.��T �}���4'
Permit Number: t�t�e�.�t�t�,
Crystal Bay, Minnesota 55323 Date Issued: (r7/i�,/'���
(612) 4?�-7357
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CONTRACTOR: - A����lic�nt. - OWNER:
� '_�I NGER C:i���!'=;TRI�C:T I t�i�, I N�:. f��:7F.�.�ai� GARF'ENTER _1'I M
. ��7� NATHAN LAhlE hi �.:�;Jt� hTH aVE N
P'iA�LE �F;i►VE I�(N ��_;F.'� Li�l�l�; LaF�:E MIW 5�=:�F�
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APPL NT%PERMI SIGNATURE ISSUEDBY:SIGNATU E
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, CITY OF ORONO - BQILDING PERMIT APPLICATION
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iotal Fee: $ Date Received:
Date Approved•
Entered By: Il.
Permit n.
ALL INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN RE`7IEW WILL Bg STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) O�dNER or CONTRACTOR
JOB SITE ADDR$SS: �,/ }��i .. C�G3%'l�%f���.�ia Z IP: :3 � �.J �
(wark) �.�� t, t�L=•f 7
NAME OF OWNER:s71 //1/1 � 1 �1�Vr I �C� l��t�.�.�i� Y PHONE: (home) �1�i -3�5�
MAILING ADDRESS: ��a4'o� • �d�,,,•n��I'��� � CITY: ���d�C?' ZIP: :;i�������
� PHONE: y"'3 J- �{�OG�
CONTRACTOR:�/V�f�r jv f�r�T t�� �- _
r�,zzzNc �nxEss: /� ��"� � �lG��u�iv cz�t: �iu�►i�� 1=���� zzP: �;�.� �� �%
STATE LICENSE: � ��'>' ; �� /�/_� �
ARCHITECT/ENGINEER: PH��'
MAILING ADDRESS: CIT`i: �TD=
N�y: REGISTRATION �
TYPE OF WORR: New Addition Accessory Structure biove
Demo Remodel/Alteration �� Renovate Land Alteration
PROPOSED WORR (describe in detail) : iVe�.� ��rIYC�C� � �'�c uteH=�TT�t1 �nr �^
STORIES:�_ SQ. FEET OF EACS FLOOR:
NO. OF BEDROOMS: G�iRAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $�/�- ,��C�'
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 will be in accordance with the approved plan. -
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APPLICANT'S SIGNATURE: �' —"= '2 � ` DATE:7 ��� �' �I� _
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` � Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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�'Y��` On. the North Shore of Lake Minnetonka
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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 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 wi3.I 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 , s�ate or
federal agencies to the extent necessary to process the permit or
I.icense.
4. If your requested permit or Iicense requires Councii ac��or.
to approve, some information may become public.
5. You have certain rights under ri.S. 13.04 to review private
data on yourself.
6. Your full name is required �o process thiG application or
permit.
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First � Middle Las
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Address
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City State Zip
,�3 i�%,��,
Phone
I understand my rights as stated above.
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BUILDING&ZOtiING—473-7357 • AD}t[NISTRATION&FINAVCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSItiG
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SI3.04 RIGHTS OF SIIBJEC'I5 OF DATA � � �
gubdivision L Type of data. The rights of individusls on whom the data is
stored or to be stored shall be ss set forth in this section.
. Subd. 2. Information req�red to be given individuel. An.individuel asked to
• ' supply private or confidential data concerning himself shall be informe�g� a aen he
purpose and intended use of the requested data within the collecting g �'�
political subdivision, or staiewide system; (b) �o�r�o�equence arising from his
required to supply the requested date; (c) any
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by state or federal law to rece� �e�ve data
requirement shall not apply when an individual is 8sked to supply g
pursu8�t to section 13.82, subdivision 5, to e law enforcement officer.
The commissioner of revenue m8 oiert t� re�und instruct onsuinsteadhos
subdivision in the individu8l income tax �r r �
on those orms. . . ..._.� . .. .--� -
Subd. 3. Access to �ata by in�vid�a�- Upon request to e responsible '
authority, an individuel shall be inf°f ed as h blic,pr vateeor confidential.e IIpon his
individu8ls, and whether it Ls classi P
further request, an individual who is Lhe subject of st trae�mri�ae if he desiresa shall
individu�als shall be shown the data withou�fan�y��t� �ter an individuel has been
�e informed of the content and meaning t� �ta need not be disclosed to
shown the private date and informed of its meening,
him for six months thereafter unless �au�e h� been collected or c eatedtioT�e .
, pending or additional data on the in
responsible authority shall provide co�p•iesThe hresponsibler a hO�l�t I17S�T qu�i'i'estthe
the individuel subject of the da certif n and comp�ing the
requesting person to pay the actual costs of msking, Yi 6�
copies. immediatel it possible, with any request
The responsible authority shall comply ' Y�
made pursuant to this subdivision, or within five �Ys,r°mediate8 compliance isu not
g ys� and le holidays, i1
excludin Saturda SundaYs �
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and may hsve an edditional five days within which to comQly with tlie
request, excluding Saturdeys, Sundays and legal holidays.
Subd. 4. Proced�se when data is not ac�c�ate or complete. An ��mself. To
contest the accuracy or completeness•of public or private dat�eon�rning e 8uthoritp
exercise this rig1it, an individuel shall notify in writit�g
describing the nature of the disagreemenL The responsible authority shall within 30
days either. (s) correct the data found to be inaccurate or incomQlete and attempt to
notify past recipients of inaecurate or incomPlete data, including recipients nemed by
the individuel; or (b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed onty if the individusl's statement of disagreen►ent is
• included with the disclosed data. � 8 ��ed ��t to the
' The determination of the responsible authority may pP P
provisions of the administrative procedure act relating to contested cases.
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DATE TIME
CITY OF ORONO CALLED IN �� y—g Z
INSPECTION NOTICE / � SCHEDULED �- S � �
PERMIT NO. ��� �Y' COMPLETED �� �_
ADDRESS �f���� �n ��� /v
OWNER C�e�-4�.��v CONTR. .4-� �-+�c�-� ��Q=�
TELEPHONE NO. .J� �� �r�' � `�1 G'
� DESCRIPTION ��-�yy�-��.� — �EY.vL'
lL 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
� 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOILOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO _
� COMMENTS: u-�Z
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d WORKSATISFACTORY:PROCEED ❑. PROJECTCOMPLETE
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� CORRECT WORK&PROCEED L– ISSUE CERTIFICATE OF OCCUPANCY
W -
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r_ pHOTO TAKEN
�NSPECTOR 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
OwnerlContr o ite:
Inspector. �
White Copyllnspector' File Canary CopylSite Notice