HomeMy WebLinkAbout1998-010094 - repair garage wall PERMIT
CITY OF ORONO PERMIT TYPE: �-;;;�F i 3;��s;;
;;756 f�elley Parkway- P.O. Box 66 Permit Number. 4'��:'�'`�'�
Crystal Bay, Minnesota 55323 Date Issued: i-�4;> 1 ��``=�;_�
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE S TURE ISSUED BY SIGNATURE
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Tot,�l Fee: $ Date Received:
• Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT 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 CONTRACTOR
JOB SIT'E ADDRESS: ��� .5�.j� �rvcv� ZIP: S S^3 9 /
GJi�Fy z.� f"�P , �X rt•
NAME OF OWNER: �!� .,l er ��no% /�ifSSo,GksTPHONE: (home) y�3 `a J�5�
(work)
MAILING ADDRESS: �/yo S. �3/���-�t �CITY: ��yZ�T�t ZIP: s s�9/
CON'I'RACTOR: ��,Q,e y 1�k,
/T PHONE: �7'�� - Sf�.�9
CONTACT PERSON: 7"/io�ri9s ��',?,e y MOBILE/PAGER:
MAILING ADDRESS: .Sg)p G� t3i-�1�t�!� CITY: dyf��Jrl e i.e�STis ZIP: .5 S'3 6 S�
STATE LICENSE: # 7 S�S�'
ARCHITECT/ENGINEER: /�F c� �'✓ � PHONE:
MAILING ADDRESS: CITY: ZIP:
NAlVIE; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: ,���i9 i�Q � .e���rt�e ��32 �s G�c
GJ,g�/ �-r-o� C�.���e� l��.yr �G e �4r�J���'eo So.�-c � s�D.•rf
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,�e /�t Su.L�T� �e S�Cc f".Qoefc
STORIES: SQ. FEET OF EACH FLOOR: /I�d�✓�
NO. OF BEDROOMS: GARAGE STALLS: ATT. _�_ DET.
ESTI�I�IATED CONSTRUCTION VALUATION (excluding land): $ ySo c� "�
I hereby apply for a building permit and I aclmowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Building Code; that I understand this is not a permit and work is not to start without a
pernut; and that the work will be in a e with the approved plan.
APPLICANT�S SIGNATLTRE: �r DATE: y/.� —� �
NOTE! Parade of Homes events require sep rate it approval by Poliee Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
�
. �
Sec.13.04 RIGHTS OF SUB.TECTS OF D�TA
Subd. i. Type of data. The righcs of individual on whom the data is stored or to be scored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a) the purpose and in[ended use of the requested dara within the collecang'stace agency, political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supp(y the requested data;(c)any lmown coasequence arising from his supplying or refusing to supply
• priva[e or conndenda!data;and(d)the idenary of other persons or enriaes authorized by state or federal law to receive the data. This requirement stiall
not apply when an individual is asked to supply invesdeaave dan, pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. -
The commissioner of revenue mav place che nodce reauired under this subdivision in che individual income tax or propertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon requesc to a responsible au[horiry,an individual shall be informed whethec he is the subjecc
of scored data on individuals,and wherher ic is ctassified as public, private or confidenaal. Upon his further request, aa individual who is the subjecc
of stored privace or public dara on individuals shall be shown the data wichouc any charge to him and, if he desires, shall be informed of the content
and meaning of[hat data. Afrer an individual has been shown[he priva�e data and informed of iu meaning,the dara need not be disclosed to him for
six monchs rhereafrer unless a dispute or acdon pursuanc to chis secdon is pending or addidonal data on the individual has been collzcced or crea[ed.
The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the accual cosu of makine,certifying,and compiling the copies.
The responsible authoriry shali comply immediately, if possible, wirh any request made pursuant to this subdivision, or wirhin five days of
the date of che request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot comply with the request
within chac ticne,he shall so inform che individuai,and may have an additional five days within which to comply with the request,excluding Sarurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall noafy in wricing the responsible au[horiry describing the nantre of the disagreement.
The responsible authoriry shall within 30 days ei[her: (a)correct the data found to be inaccurate or incomplece and attempc to noafy past recipiencs of
inaccunte or incomplete data, including recipients named by the individual; or(b) no[ify the individual[hat 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 determinarion of the responsible authoriry may be appealed pursuant to the provisions of the adminisa-aave procedure act relaang to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri;hts 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) [o review private data on yourself.
6. Your full name is required to process this applicacion or permit.
�/�o��-s �r'.��r�s ��.��si
First Middle Last
Sg�s CJ ,�,e.���h� .��
Address
/yl��.ze T.f�� Sr� /LloT- .s"s 3G �/ �/�� - SS�s�
�ity State Zip Phone
I understand my rights as s d abo e.
Signacure
�
DATE TIME
CITY OF ORONO CALLED IN �/�'l� �}` =C�
INSPECTION NOTICE SCHEDULED �'�%!� � �� /� /���r�!
PERMIT NO. ' G c coMP�ET �_ �_
ADDRESS D ��-r� �S
2
OWNER��—d'r���t��° CONTR. �=-ti�tt
TELEPHONE NO. `� � � :�y�l
� DESCRIPTION
� 01 FO TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 W L� � 12 WATER HOOK-UP 17 SITE WSPECTION
Z
Q 14 SEWER HOOK-UP O6 PROGRESS
� -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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED pROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED i: ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� 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.
Cail for the next i spection 24 hours in advance.473-7357
Owner/Contrac�i�si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice