HomeMy WebLinkAbout1996-007966 - reroof/reside/window ri
PERMIT
CITY OF ORONO PERMIT TYPE: I
2750 Kelley Parkway- P.O. Box 66 BUILDING
Permit Number:
Crystal Bay, Minnesota 55323 007966_ _
(612)473-7357 Date Issued:
SITE ADDRESS:
1220 Ti�NKAWA RD
CH
P. I . N. : 08-117-23-42-0001
DESCRIPTION:
RERi i�iF!RESIDE/WINDOW l
Building Permit Type SF-ADD/REMODEL
Building Work: Type RE-ROOF �
Census Code 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $7,000
Sale Fee $14 . 75
Surcharge ---------la_aQ
Total Fee $128. 25
I
CONTRACTOR: OWNER: - Applicant -
GUTTORMSON FRED
1220 TONK:AWA RD
+iRONO MN SS356
471-7911
THE UNDERSIGNED HEREBY REQUESTS PERM ISI+ I � MAKT!'
SPEC:I F I ED AND AGREES TO 00 ALL WORK
t tRONO ORDINANCES AND STATE 13F MINNESOTA `" #
L w,
Total Fee: 5� DateReceived:
D ate Approved:
Entered By: _ lf.A. Permit#:
CITY OF ORONO - BU LDhi tG PERMITAPPLICATION
ALL INFORINIATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
---------------- ---- --
THE APPLICANT IS: (circle one) OWNS 'OR CONTRACTOR
DRESS: �C ZIP:
JOE SITE ti C)� �
OWNER:
�1M i c pW �NE: (home)
NAME OF O '��� y (work) }-
MAILING ADDRESS: Z� "'` �`t'i;°� CITY: a??c�E� ZIP:
CONTRACTOR: PHONE:
MOBILE PHONEXAGER:
IMAILINGADDRESS: _S',6�^ CITY: ZIP:
STATE LICENSE: #
ARCHITECTIENGLNEER: 5���� PHONE:
CTTY: ZIP:MAILINGADDRESS:
REGISTRATION #
NAlvIE:
TYPE OF WORK: New Addition Accessory Structure
Move RemodellAlteration Land Alteration
PROPOSED WORK(describe indetail): c �C2
c
STORIES: SQ. FEET OF EACH FLOOR: �U
NO. OF BEDROOMS: Z GARAGE STALLS: ATT. Q DET.
car_
ESTIvi IATED CONSTRUCTION VALUATION(excluding land)
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 wor b rd -e with the approved plan.
APPLICANT'S SIGMA DATE:
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 SUBJECTS 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 section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested dam within the collecting Mate agency,political 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 supply
private or confidential dam;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative dam,pursuant to section 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored dam on individuals,and whether it is classified as public,private or confidential. 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 dam and informed of its meaning,the dam need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public dam upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making, certifying,and compiling the copies.
The responsible authority 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 inform the individual,and may have an additional 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the 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 recipients of
inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believe§the dam to be correct. Dam
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The 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 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 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 other 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.
6. Your full name is required to process this application or permit.
�'- f (3u4-L d?�'C315o�y
First Middle Last
P-CL
Address
City State Zip Phone
I unders ,my rights fated b ve.
Sig cure
DATE TIME
CITY OF ORONO Q CALLED IN U /l: /v rye
INSPECTION NOTICE )J,2-,2- SCHEDULED n-!-3'-9 S ` 3d 4m
PERMIT NO. COMPLETED �r
ADDRESS 42,-20
OWNER L1i4to r M ZQ n CONTR._"_U (A) 0 5�
TELEPHONE NO. q7 I - Q 9/
DESCRIPTION 10 022
W 01 F 11 MECHANICAL 18 EXCAWGRADING/FILLING
Q02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z�4LB12 WATER HOOK-UP 17 SITE INSPECTION
D
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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W [:1CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
QO LlCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR [-.' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Contr o s te:
Inspector.
White Copy/Inspector's Fi Canary Copy/Site Notice
DATE TIME
CITY OF ORONO U(Q CALLED IN
INSPECTION NOTICE /l SCHEDULED
PERMIT NO. COMPLETED
ADDRESS / LR
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
W
I 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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2
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2
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OAORRECT
ORK SATISFACTORY.PROCEED
� E: PROJECT COMPLETE
W WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Cont r o i
Inspector.
White Copylinspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN A7
INSPECTION NOTICE SCHEDULED _ d
PERMIT NO. 523 COMPLETED 4
ADDRESS
OWNER /��/ /Gh�7— CONTR.
TELEPHONE N0. 7
DESCRIPTION �'4 / O S
LU 01 FOOTING 11 MECHANICAL RI 18E)CCAV/GRADING/FIWNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
2 t_- NAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
S') COMMENTS:
QC
W
W
CC
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CC
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WORK SATISFACTORY:PROCEED
LOU
O PROJECT COMPLETE
C_. CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 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.473'7357
Owner/Contr site:
Inspector.
White Copylinspector's File Canary Copy/Site Notice