HomeMy WebLinkAbout1998-010370 - roof repr/bedrm area PERMIT
C�TY OF ORONO PERMIT TYPE:
^2750 Kelley Parkway- P.O. Box 66 r��_1 I�!�j.!�`�r�
Crystal Bay, Minnesota 55323 Permit Number: �;�;�;;��:;
(612)473-7357 Date Issued: ���,:;��,��.;;4;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - ��.���i �F_���t. - OWNER:
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P IC T PERMITEE SIGNATURE ISSUED BY:SIGNA RE
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Tctal 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) Oti�TNER CONTR.ACTOR�
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JOB SITE ADDRESS: .�Z�� �� ��t;`Y . ^, ,�/ , ZIP:
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NAME OF OWNER: �1,0�T����I�� PHONE: (home),.s�G'/•���i�
(work)
�,nvG AnnxEss: �� �7L �'��Ck'�� �T 1�1� crrY: ��;����r���,� z�:
C0�ITRACTOR: �_/,��P"T���I PHO�tE: ��7��� ��DCFi'
CONT'ACT PERS ON: � NIOBILE/PAGER: �C'J /��/�J 3
MA.ILI�i 1G ADDRESS: 6fJ 'D� � � 'Gy CITY: l7 , �� � ZIP: �.��,�� 7
STATE LICENSE: # G�C���'7l�
A.RCHITECT/ENGINEER: JU��/U r= PHO�TE:
1VIAII�I'�i 1G ADDRESS: CITY: ZIP:
NA.ME; REGISTRATION#
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�-�iT�s��'r�1 ��a��� � �7 � !���,�� ►2, .
TYPE OF `VORIi: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK(describe in detai�: �� ,r ,�� " � " �� Z ��� ,
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STORIES: � SQ.FEET OF EACH FLOOR: �
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
, ,�- � �
ESTliI�LA.TED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a buildina pernut and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with � ordinances codes of the City and with
the State BuildinJ Code; that I understand ' a p 't work is not to start without a
pernut; and that the work will be in d ' i e oved plan.
... _
APPLICANT'S SIGNA . � DA�: � P�i� ! `S �/ �:
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NOTE! Parade q,f'Hornes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0..RIGHTS OF SUB.TECTS OF DaTa
Subd. 1. Type of data. Th� richcs of individual on whom[he data is s�ored or to be stored shall be as set forch in this secdoa.
Subd.2. Information reqirired to be given indiridual. An individual uked to supply privace or confidenaal dara concerning himseIf shall
be informed of: (a)the purpose and incEnded use of che requ�sc�dam within[he collecting�tac�ageacy,polidcal subdivision,or satewide sysum;
(b)whecher he may refuse or is legally required co supply the r.quesced da[a;(c)any iaiown coasequence arising from his supplying or refusing to supply
privace or confidenrial dara;and(d)the idendry of other penoas or enrides aachorized by state or federal law to receive the data. This requiremen�shalI
not appfy when an individual is asked to supply invesdgadve dara,pursuaa�to secaon 13.82,subdivision 5, co a(aw enforcemeat ofricer. -
The commissionAr oF r-venua mav olace chz nodce rouired und�r this subdivision in the individual income tax or orooem tax refund
inscrucrions inscead of on�hose forms.
Subd. 3. Access to data by indi�idual. Upon request to a responsible auchoriry,an individual shall be inforraed wherher he is che subject
of stored data on individuals,and whechzr it is class�ed�s public,private or conFidenrial. Upon his furcher requesc,an individual who is the subjecc
of scored privace or public dara on individuals shall be shown che data wichout any charge to him and;if he desires, shall be informed of the contznt
and meaning of chat data. Ahzr an individual has been shown[he priva�:data and informed of iu meaaing, the dara ne:d not be disclosed to him for
six monchs thereafcer unless a dispuce or acaon pursuan�to chis secaon is ptnding or addidoaal data on the individual has beea co(lecced or creaced.
The responsible authoriry shall provide copies of the privace or public data upon requesc by che individual subjecc of che data. Tne responsible auchoriry
may require che requesring person to pay the accual coses of making,cerrifying, and compiling the copies.
The�esponsible authoriry shall comply immedia�ely,if possible, wi[h any request made pursuant to this subdivision, or wichin five days of
the da[e of the requesc,excluding Sacurdays,Sundays and legal holidays,if immzdiate compliance is not possible. If he cannot comply wich the requesc
wi[hin[hac time,he shall so inform�he individual,and may have an addirional five days within which to comply with the requesc,exetuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An ir.dividual may contest�:e accuracy or completeness of public or pri�•ate
data concerning himself. To exercise�his ri¢h�,an individual shall noa"ry in wriung�he responsible au�horiry describing the nature of the disagreemenc.
The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incompiece and attempt to noafy past recipienu of
inaccurate or incomplece data, including recipiena named by tbe individual;or(b)noafy the individual that he be(ieves che dac.to be cocrecc. Data
in dispuce shall be disclosed orily if the individual's s�cemenc of disagreement is included with che disclosed dar�.
The determinarion of the responsible authoriry may be appealed pursuan�co the provisions oF the admirusaarive procedure act reladn� to
contestzd cases.
DATA PRIVACY ADVISORY
In accordance wich 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 Ciry of Orono or any of ics 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 wich ocher local, state or federal agencies to the ezcent necessary to proeess
the permit or license.
4. If your requested permit or license requires Council action to approve, some informa[ion may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data o y �self.
6. Your fuil name is required to process this application or permit. �
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DAT�/E TIME
CITY OF ORONO CALLED IN =/O � � �o Q!'1
INSPECTION NOTICE SCHEDULED i9- � //'�`.�U�-�
PERMIT NO. ��U 37� COMPLETED
ADDRESS C�o �
OWNER ���� CONTR.
TELEPHONE NO. +�" /D/-�11��3
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED I PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED C. ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
u STOP ORDER POSTED.CALL INSPECTOR f CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the ext nspection 24 hours in advance.473-7357
OwnerlContract n t :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN .'.-� / � J `�
INSPECTION NOTICE scHE�u�Eo ' � �. � ,%
PERMIT NO. %f�/� COMPLETED LI _ _�
ADDRESS � - ����- �"'•' t�� T��� �
OWNER; .. � (,",: -. . ,F CONTR. °_ � • , /: �,,, `�'e�w< r
TELEPHONE NO. � �' �'°� ' "�"�-c .
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q,_OZ FRAMING ' 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED i PROJECTCOMPLETE
� C CORRECT WORK&PROCEED ;
W ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,— pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-73�J7
OwnerlContra�t si :
Inspector.
White Copylinspector's File Canary CopylSite Notice