HomeMy WebLinkAbout2000-P03187 - windows PERMIT
CITY OF ORUNO Permit Number:
2750 Kelley Parkway - PO Box 66 Po31s�
Crystal Bay, Minneso�ta 55323 Permit Type: Minor Alterations
(612) 249-4600 Date Issued: ioi2�i2o
SITE ADDRESS: 1510 North Arm Dr
I��[OUND,MN 55364
PID: og-i»-2�-3�-oo�s
DESCRIPTION:
Proposed Use:
Bu������� Census Code 434
Permit Class: �
Permit Type: Minor Altera�ioils 1'ermit Sub-type(s): Buildings Windows
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
r;e u e_r,F r�nnu
FEE SUMMARY: Permit Fee: $ g�•25 Valuation: $ 2,885.00
State Surcharge Fee: $ 1.45
TOTAL FEE: $ 84.70
APPLICANT: PROFESSIONf1L, GARAGE SERVICE OWNER: PETER S DUNLAVY
P.O. BOX 163 1510 NORTH ARM DR
CHAMPLIN. MN �5316 MOLJND MN 55364
THE UNDERSIGNED HEREBY Rf:QUGSTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WOR6< lN STRICT COMPLIANCE WITH ALL CITY OF�NO ORDINANCES AND
STATE OF MINNESOTA BUILD[NG CODE REQUIREMENTS.
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APPLICANT PERM11'EG SIGNA�I�I!RE � ISSUEDBYSIGNAT[JRE
Copies: City,Applicant, Assessor. Finance Page 1
.
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING 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 O " C TRACT���
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---_ ______.
JOB SITE ADDRESS: /5'�C'� �c� �,�'J ,�f/ ZIP: (�
NAME OF OWNER: �� �'Z ,'r�,�, ,-;z�� " PHONE: (home) y`7�-- /�.3�
(work)
MAILING ADDRESS: S�'-m� CITY: ZIP:
CONTRACTOR: �o�"�S�e�r�.q/ G���c ��v; PHONE: �7�3 `�a,�5��'
CONTACT PERSON: ��,�' �,�, �MOBILE/PAGER: -���-����
MAILING ADDRESS: � � �� � � CITY: ���,���,ZIP:��� S�/��
STATE LICENSE: # ����
ARCHITECT/ENGINEER: PHONE:
I�IAIL�IG ADDRESS: CITY: ZII':
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_� Land Alteration
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PROPOSED WORK(describe in detai�: ��y,�� �� �,��Z.���� ��r�� �fi�.-��
� �/� //� i'lr��� .i'(r=�7�i� �"df�:��=,%C' ,� �C�i��_��/>f.����
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.���- z
ESTIMATED CONSTRUCTION VALUATION (excluding 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 ardinances and codes of the City 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 accor nce ' h the approved plan.
�PPLICANT'S SIGNATURE: � •--- �:_. � DATE: l�� %
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGHTS OF SLBJECTS OF DaT�
Subd. 1. Type of data. The righ�s of individual on whom[he data is stored or to be stored shall be as set fonh in this secaon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and ia[ended use of the requesced data wirhin the collecting'state agency, poliacal subdivision,or statewide system;
(b)whe[her he may refuse oY is legally required to supply the mques[ed data;(c)any known consequence arising from his supplying or refusing to supply
privace or confidendal data;and(d)the identity of other persons or enrioes au[horized by state or federal law to receive[he data. This requiremeot shall
not apply when an individual is asked to supply invesd2adve dara, pursuant to secdon 13.82, subdivision 5, ro a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propercv tax refund
instructions instead 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 whetl�er it is classified as public, private or confidenaal. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to hirn and, if he desires, shall be informed of the content
and meaning of that data. After an individual 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 acaon pursuant to this secrion is pending or addidonal data on the individuai has been collected or created.
The responsibie authoriry shali provide copies of the private or public data upon reques[by the individual subject of rhe data. The responsible authoriry
may require the requesting person to pay the actual costs of makin¢,certiCying; and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot comply with the request
within that time,he shall so infornt[he individual,and may have an addiaonal five days within which to comply with 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 himself. To exercise this right,an individual shall nodfy in wridng the responsible authority describing rhe na[ure of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and attempt to nndfy past recipienu of
inaccurate or incomplete data, including recipients named by the individual; 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 disclosed data.
The determination of the rzsponsible au[hority may be appealed pursuant[o the provisions of the administradve procedure act reladng 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 fumish will be used to determine your qualification for the pemut or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pemut or license.
3, The information may be shared with other local, state or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
j, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
First Vfiddle Last
Address
C�� State Zip Phone
I understand m�Iid �ts as stat j; ove.
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Signature
DATE IME
CITY OF ORONO CALLED IN � -� � ��
INSPECTION�VOTICE� SCHEDULED ' ^���- � �' � �
PERMIT NO.��� � COMPLETED ��
ADDRESS ISl� 1J � C�/��-n..% �` /�t^�-�
OWNER ���� CONTR:-;!' ` ' G��-�C��`��.
TELEPHONE N0.�� �o� � � S�"S
� DESCRIPTION � --h-�-c' �"''C-�-C'�/ � c` ��-ey�
lu 01 FOOTING � 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS 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
Z OWNER/CONTHACTOR TO MEET YOU:_YES_NO
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W� �ORKSATISFACTORY:PROCEED yP�IOJECTCOMPLETE
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W Cl CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CA�L INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cali for the next inspection 24 hours in advance. 249-460�
OwnerlContra tor on site:
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Inspector. G�,v�O(�!/1..1
White Copyllnspector's File Canary CopylSite Notice