HomeMy WebLinkAbout1996-007880 (replace deck boards) PERMIT
C��Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ,��'szl%�,_f_i�i;i(;;
� Permit Number: - -
Crystal Bay, Minnesota 55323 ";-';';='`=`':_'
(612)473-7357 Date Issued: f��.,.�,;�:^,f�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — �;�=��1. � c:�3��:. —
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PUCANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE , ��-�C.
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�otal Fee: S DateReceived: `�� �J- y(�-
� Date Approved:
Entered Bv: ,l'� _ Permit#: -�`��'�
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CITY OF ORONO - BUILDING PERNIIT APPLICATION
ALL INFORIVIATION MIJST BE SUBil�1ITTED IN FULL BEFORE PLAi�t REVIEW WILL
BE STARTED
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THE APPLIC�i:�TT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE �DDRESS: `�j �� � C��G C'J ��� � ZIP: �j S3 � �
NAiti1E OF O`Wi ER: � r e ��✓) PHO��: (home)������
(work) i � S9'-
VIAIL�TGADDRESS: �j�S���CO �•-�/ CITY: Z ZIP:S
CONTRACTOR: � / PHONE:
MOBILE PHONE/PAGER:
MAILINGADDRESS: �� , __CITY: Zg'�
STATE LICENSE: #
ARCHTI'ECT/ENGINEER: PHO�tE:
MAILING ADDRESS: CITY: Z��
N��1E: REGIS'IRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration �� Larid Aiteration
PROPOSED`VORK(describeindetail): C � ��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTL�I�TED CONSTRUCTION VAI.UATION(eYcluding land): ��a���
I hereby apply for a building permit and I acknowled�e 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 permit; and that the work will be in accordance with the approved plan.
APPLIC��1T'S SIGNATURE: DATE: � ''Z � ���
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.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. 'Ihe righcs of individual on whom the data is stored or to be stoced shall be as set fonh in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data conceming himself sha11
be informed of: (a)che purpose and inunded use of the requested dara within the collecring�tate agency,polidcal subdivision,or statewide sysaem:
(b)whe[her he may refuse or is legally required[o supply the requested dara;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)che idenary of other persons or enddes authorized by srate or federal law to receive the data. This requiremeni shall
noc apply when an individual is asked to supply invesdgauve data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
'I�e cornmissioner of revenue mav lace the norice re uired under this subdivision in the individual income raz or ro ertv taz refund
instrucaons instead oi on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shail be informed whecher he is[he subject
of stored data on individuals,and whecher it is classified as public, private or co�denaal. Upon his further request,an individual who is[he subject
of stored private or public dara 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 dara. Afrer an individua!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 action pursuant to this secaon is pending or additional data on the individual has been collected or created.
The responsible auchority shall provide copies of the priva�e or public data upon request by the individual subject of the data. The responsible authoriry
may requiie [he requesting person to pay the acrual costs of making, certifying, and comniling the copies.
The responsible authoriry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision, or within five days of
the date of the request,ezcluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that ricne,he shall so inform the individual,and may have an additional five days wi[hin which to comply wieh the request,exe(uding Saturdays,
Sundays and legal holidays.
$�bd.4, Procedure�vhen data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himself. To exercise[his right,an individual shall norify in writing the responsibte authority describing the narure of the disagreemen[.
The responsible authority shall within 30 days either: (a)correct the data found to be inaccunte or incomplete and actempt to nodfy past recipienrs of
inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individuai that he believes[he data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act reladng to
contesced 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 fumish will be used to deternune your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may r�quire 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 fuil name is required to process this application or permit.
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nders�d m n ts as stated above. �
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Signatu
� DATE TIME
CITY OF ORONO CALLED IN � -����
INSPECTION NOTICE f/ SCHEDULEO �� ��7
PERMIT NO. ��/ ��� COMPLETED �_ �_
ADDRESS , ��� j'����-c=a �41
OWNER� L(Ly�r���'z�.'�� CONTR. ✓
TELEPHON E N0. �7�- ��'�9
� DESCRIPTION /"�
� Ot FOOT1NCi 11 MECHANICALRI 18IXCAV/GHADINO/FIWNQ
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
ti� FINAL 14 SEWER HOOK-UO 06 PROGRESS
J 0 ITE 27 SEPTIC MAINT. 21 COMPIAINT
�Q 07 DEMD—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
2 09 PLUMBINC3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED -] PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAFiY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDiTION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
r CITATtON ISSUED
❑INSPECTION FEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContra n i e:
Inspector.
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