HomeMy WebLinkAbout1998-010096 (replace siding) PERMIT
CITY OF ORONO PERMIT TYPE: �-,�;��i_,_;��ti;;
2750 Kelley Parkway- P.O. Box 66 - �
Crystal Bay, Minnesota 55323 Permit Number: :'�i��-``='�=�
(612)473-7357 Date Issued: �}�� ����''��=�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT-PERMITEE SIG ATURE ISSUED BY:SIGNATURE
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Total�Fee: $ Date Received:
�Entered By: Permit#:
CITY OF ORONO - BUII..DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: �,��/UU �Ja��.,s��� � ZIP� �j',3` 6
NAME OF OWNER: .��x ��.�, � PHONE: (home) ��'j� B �j 7�rr
(work)
MAII.,ING ADDRESS: ,.��'�O� ��,�,�p CITY: �y,a,�a ZIP: .�..1–�'3' �
CONTRACTOR:,���rI �.��/'2�c.r� PHONE: �'2 P �'�o7v`1�
CONTACT PERSON: ,� i( M�OBILE/PAGER:
MAILING ADDRESS:��D�' �r �k.svi.`l/a 1Ir�CITY: ' ZIP: �_`�
STATE LICENSE: # —
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: �� ,S', '�,�u� /vr x� 1 �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
a�
ESTI�l�1ATED CONSTRUCTION VALUATION (exclud.ing land): $ �/'��C3 �
I hereby apply for a building pernut 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 pernut and work is not to start without a
permit; and that the work will b � rdance with th approved plan.
APPLICANT'S SIGNA �: �t�'—��I '- ��
NOTE! Parade qf 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.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set fonh in this secdon.
Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidendal dara conceming himself shall
be informed of: (a)the purpose and incended use of the requesred data within the collecting'state agency, poliacal subdivisioo,or statewide rystem;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any I�own consequence arising fmm his supplying or refusing to suppty
• private or confidendai data;and(d)the idenary of other persons or enaaes authorized by state or federal law to receive che data. This requirement stiall
not apply when an individual is asked ro supply invesrieaave dara, pursuant to section 13.82, subdivision 5, to a law enforcement officer. -
The commissioner of revenu� mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund
inscrucdons 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 whe[her it is classified as public, private or confidendal. Upon his further request, an individual who is the subjecc
of stored private or public dara on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the contenc
and meaning of chat data. Afrer an individual has been shown the privace data and informed of ics meaning, the dara need no[be disclosed to him for
six months thereafrer unless a dispute or acdon pursuanc to chis secdon is pznding or addidonal data on the individual has been collecced or created.
The responsible 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 requesring person to pay the actual coscs of making, certifying,and compiling the copies.
The responsible authoriry shail comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of
the date of[he requesc,excluding Saturdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot comply with the request
within[hat tirne,he shall so inform the individual,and may have an addiaonal five days within which to comply wirh 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 himseiF. To exercise chis right,an individual shall nodfy in wriang the responsible auehoriry describing che nanire of the disagreemenc.
The responsible authoriry shall within 30 days either: (a)correc[che data found to be inaccurate or incomplete and attempt to noafy past recipienrs of
inaccunte or incomplete data, including recipients named by the individual; or(b)nopfy the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individuai's statement of disagreement is included with the disclosed data.
The decerminacion of the responsible auchoriry may be appealed pursuanc to the provisions of the admuuscrarive 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 pernut 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 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 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 (availabte upon request) [o review private data on yourself.
6. Your fuli name is required to process this application or perm.it.
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First �liddle Lasc
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Address —�
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City State Zip Phone
erstand y ri;hts as stated above.
ig mre
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION I�OTICE � � SCHEDUIED �-'
PERMIT NO. C� COMPLETED
�' �-, � �
ADDRESS
. ,
OWNE ; �' ONTR.
TELEPHONE NO.
, �,
� DESCRIPTION � - � 1 c,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETL4NDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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D COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL REfURN �, PHOTOTAKEN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7 7
OwnerlCon ct r o ite:
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Inspector
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