HomeMy WebLinkAbout1990-003231 (building- finish int. garage) PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��f�I L_CS i�wU
Crystal Bay, Minnesota 55323 Date Issued: i't�=;�;�=;�.
(612) 473-7357 C�`��`�y�,�`_�ti
SITE ADDRESS:
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CONTRACTOR: OWNER:
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�tP.11TEE SIGNAT iRF ISSUED SIGNATURE
� " ` CITY OF ORONO - BQILDING P$RMIT APPLICATION
Total Fee: $ l �(i,�" Date Received:
Date Approved:
Entered By:
Permit#: ��
j.�T.T. INFORMATION MIIST BE SIIBMITTED IN FULL BEF�RE PLAN RF3VIgW WILL B$ STARTED
(See Check-off List Enclosed)
----------------
THE APPLIGANT IS: (circle one) OWNER o CONTRACTO
JOB SITE ADDR$SS: ���� ��r�C� �-���-�� ZIP:
twork) y'7/�-���3
�� �F ���. �� i��j PHONE: (home) �71-`7.�9"7
MAILING ADDRESS: 3 a�5 �;��C..b C�z l� CITY: ZIP:
CONTRACTOR: l,(��ST L�,fl-K� ����� PHONE: ���/- C��v S��
:KAILING ADDRESS : ���,��^_�AZ� CIT�'��.� : ZIP: �5 3�y
TYPE OF WORR: New Addition Accessory Structure� Move
Demv Remodel/Alteration Renovate_� Land A1 eration
PROPOSED WORR (describe in detail) :�Ji 5,�, ��� � ���—��^� ����`
���� .
STORIES: � SQ. FEET OF EACH FZ�OOR: p�o� X ,3U ��?/3¢G
NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. . S�
ESTIMATED CONSTRIICTION VALIIATION (egcluding 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 wbrk is not to start without a permit; and
that the work wil 1 be in accordance with the approved plan.
APPI,ICANT'S SIGNA�'��'— q � �r-� . .�/� DATE: � ��O
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'�' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Officea
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� � - � �, On the North Shore of Lake Minnetonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
Iicense 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 Iicense requested.
2. You may refuse to supply data, but refusal may reguire that
the City deny the permit or license.
3. The information may be shared with other iocal , state or '
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Your full name is required to process this application or
permit.
� i c/!//3�l� � ��i�A�
First Middle Last
�� .L��x ��y
Address
��i.���c �,�,� �,/�,�.� Ss`-3 S"�
City — State Zip
�l'7�- o��s3 � .
Phone
I understand my rights as stated above.
,
.
Signatu e
BUILD[NG&ZONING—473-7357 • ADM1N[STRATIOIV 8c FINAIVCE—473•7358 • PUBLIC WORKS —473-7359
ASSESSING
. �
57.3.04 RIGHTS OF SIIBJECTS OF DATa
Subdivision 1. Type of d��- The rights of individu8ls on whom the data is
stored or to be stored shall be es set forth in this section.
Subd, 2. Information required to be given in����" An.individual asked to
� suooly private or confidentiel data concsrnin� tBmWi�in the collecti g state agency,
purpose and intended use of the requested
(b) whether he may refuse or is legally
political subdivision�he retauestede da 8� (c) any known consequence arising from his
required to supply 9
supplying or reftising to supply private tgte orlfeaeral ag�' to receive the data.1tThis.
other persons or entities authorized by s investi ative data,
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue mav place the reo�a i��°u�teonsu nsteadhoi
subdivision in the individuel income tax or pro�ertv tax
on those orms. . -— - -
Subd. 3.
Access to �ata bY in���' UPon request to a responsible
authority, an individuel shall be informed�h blic,hn ivateeor confident alre UP°n �
individuels, and whether it is classified p ublic data on
further request, an individu8l who is the subject of se tr�e�mrl�v�aae if he desires, shall
individuals shall be shown the data withou�f an�y ��g, �t�r an individuel has been
�e informed of the content and meaning the data need not be �isclosed to
shown the private data and informed of its mean�► u�usnt to this section is
him for six months thereafter unless a disPute or action p
, � ending or additional data on the individ�h h� 8te or public dataruponarequest by
P
responsible authority shall pcovide copies o P require the
the individual subject oftrie actual•cos h of making,l asrtl Yingy a�d compiling the
requesting person to pay -
copies. ssible with any request
The responsible authority shall comoly immediately, if po �
made pursuant to this subdivision, or within five �f S1I°mediateat ompliance ei�.su not
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so in�or h the
P have an additional five days within which to comply
individual, and may and le al holidays.
request, excluding Saturdays, Sunda}'S g
Subd. 4. Proce�u'e when �ata is not accurste or complete. An ind��d e�. To
contest the accuracy or completeness�Pnot�y inrl�it� the�responslble authori30
exercrse this, right� an lndiv�dugl nsible authority shall wittun
describing the nature of the disagreement. The respo
days either: (a) correct the data found to be ;eLe dataeincludingrec Pients nan►edt by
notify past recipients of inaccurate or incomp
the individuel; or (b) notify the individual that 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 �isclosed data. ealed ursuant to the
' The determination of the responsible authority to contes ed cases.
provisions of the administrative procedut'e act relating
� DATE TIME
CITY OF ORONO c,a��Eo iN ��-�� -70
INSPECTION NOTICE SCHEDULED ��`j� � � � U
PERMIT NO. ��`��/ COMPLETED � �
ADDRESS � ��J r C �` ��
OWNER CONTR. ��.Cfi ���" �- (�`�
TELEPHONE NO. 7 ��" O�O �
j; ❑ FOOTING ❑ MECHANICAL RI ❑ S�TE WELL
~ ❑ FRAMING ❑ MECHANICALFINAL ❑ WELLTESTPUMP
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� ❑ INSULATION ❑ FIREPLACE/WOOD BURNER ❑ EXCAV/GRADINGIFILLING
�
❑WALL BD ❑WATER HOOK-UP C LAKESHORFJWETLANDS
Z 'S�FINAL � rCX ❑ METER SETfTURN ON ❑TREE REMOVAL
_ �❑ DEMO—SITE � ❑ SEWER HOOK-UP ❑ SITE INSPECTION
� G DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
J
Q C PLUMBING RI ❑SEPTIC INSTALL. ❑COMPLAINT
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Z ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP
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d WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
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� i= CORRECT WORK&PROCEED L CITATION ISSUED
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OO �� CORRECT WORK,CALL FOR REINSPECTION I�pROJECT COMPLETE
V BEFORE COVERING �n'ISSUE CERTIF�CATE OF OCCUPANCY
Ci CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL REfURN
PERMANENT
❑ STOP ORDER POSTED.CALL INSPECTOR
[,: INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContr or n site:
Inspector.
White Copyllnspe tor's File Canary CopylSite Notice