HomeMy WebLinkAbout1991-003593 - re-siding/windows � PERMIT .
I CITY OF ORONO PERMIT TYPE:
' 13M5 Brown Rd. South • P.O. Box 66 Permit Number: �::i�},�I�i�j�ti
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Crystal Bay, Minnesota 55323 Date Issued: t�:Y;;���,:'�}.
(612) 473-7357
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R�MARKS:
FEE SUMMARY:
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� APPLI NT' ERMITEE SIGNATURE ISSUED BY:SIGNATURE
�• ' CZTY OF ORONO - BDILDING PERMIT APPLICATION
Total Fee� $ � `� � " � � Date Received:
Date Approved:
Entered By:
Permit#: 2 ��� �
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AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILL B$ STARTED
(See Check-off List Enclosed)
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Z'HE APPLICANT IS: (circle one) OWNER or CONTRACTOR
�oB sz� AnDx$ss: I (� S � �o h n>S CJ o'� ,�'t- �r�, Z1P: ��� ;� `I l
l,v `�'y 1a"a' -�' c`' �l�n� ' (wo rk)
NAME OF OWNER: �U..Sl �n rv � � �.`�cz. � CL Y �O N PHONE: (home) �/ ? / - 7�� l
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MAILING ADDRESS: � 6 5 Fj � oh m:' `i (�M,n��}- �� CITY: � a y �.(t f"Q, ZIP: .Tj � 3 � �
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CONTRACTOR: � 2 � � , Lj C p(L S`�"'� U. �-� ( �r� PHONE: �-�/a. - ��? ' a.l-j/ J�
MAILING ADDRESS : 11 �( �o l l 5 t~ �A�� , n� r, CITY: r�'j/�}� Z IP: � �, ,'�j .�2�
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate_� Land Alteration
PROPOSED WO� (describe in detail) : ]�a,� � p�� � ,"�, �- ,',v� S���,'�-✓s✓ u:�]ow SL,� 4�a.�a-g'L
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STORIES: a SQ. FEET OF EACH FLOOR:
NO. OF B$DROOMS: GARAGE STALLS: ATT. DET. ,
ESTIMATED CONSTRDCTION VALIIATION (egcluding land) : $ 3�f pvo ; ofii
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 work is not to start without a permit; and
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATORE: DATE: � �l J ' �` -
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� j�'��.� .� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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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 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 wi3.I be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may reguire that
the City deny the permit or l.icense.
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.
R �f� a-�� �e.�c��{^ 1✓ ��rC ��_{'
First Middle Last �
�) � i�i �1 i=� �l� ��' �LJ �• �� —
Address
'of�f /y�� , ,.�'��3.� %
�ty State Zip
G � � � � �rS 7 +a2`// Jr
Phone
I understand my rights as stated above.
�j '^ _
Signature
BUILDING&ZONING—473-7357 • ADMIN[STRATIO[�i&FINANCE—473-7358 • PUBL[C WORKS—473-7359
ASSESSING
�� �
513.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
gubd, Z. Information required to be g��� ����' An.individusl asked to
suQply private or confidentiel data concer a d tamw hin the c�llect ng state agency,
purpose and intended use of the requeste
(b) whether he ma� refuse or is legally
political subdivision, or statewide system; �oWn consequence arising from his
required to supply the requested dats; (c) any
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by staau��eeskedlto supplyeinvest gat ve da a
requirement shall not apQly when an indivi
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue m8° ropert tax re�und instr�uctionsu nstead ho5
subdivision in the individuel income tax •r �
on those orms. . - -- -
Subd. 3.
Access to data by in�ividusl- Upon request to a responsible �
authority, an individusl shall be informed whether h=vgteeor confident al.e Upon his
individuels, and whether it is classified as public, p ublic data on
further request, an individuel who is the subject of Se to himrlande if he desires, shall
individuels shall be shown the data witho ofan�y ��tg. After an individual hes been
�e informed of the content and meaning the data need not be �isclosed to
shown the private date and informed of its meaning� ��uant to this section is
him for six months thereafter unless a disPute or action p
� pending or additional data on the indivif�e h� a e or p bl c datarupongrequest by
responsible authority shall provide copies o P require the
the individuel subject of the ��'�os h of mak ng,l cert fying y and compiling the
requesting person to pay the ac ,
copies. ssible, with any re9uest
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or Wlth Iida e,�f Simmediateg compliance eisu not
excluding Saturdays, SunaeYS and legel Ys
possible. If he cannot comply with the request within that time, he shall so in�orth the
hsve an additional five daYS Within which to comply
individual, and maY �d le al holidays.
request, excluding Saturdays, SundeYs g
Subd. 4. Proce�e �►hen data is not accurate or complete. An individusl may
himself. To
contest the accuracy or completeness of public or private data conce o�lble authority
exercise this right, an individual shall notify in writing the resp
describing the nature of the disagreementbeTnacciu�pa e or in omplete and at pt to
days either: (a) correct the data found to
notify past recipients of inaccurate or inuamP�t he belie esdthe rdatalto be correcty
the individual; or (b) notify the individ eement is
Date in dispute shall be disclosed only if the individual's statement of disag�'
• included with the c�isclosed data. � BPpe�ed pursuent to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
DAT� TIME
CITY OF ORONO CALLED IN ��� �(1
INSPECTION NOTIC �—Z�� scHEou�Eo ��! ��'�r !;.��
PERMIT NO. � � � COMPLETED II
ADDRESS �`�' SS � +�-'� �'� � f It�--C�
OWNER 1 �' � `� CONTR. `� �'
� '
TELEPHONE NO. '
�
� DESCRIPTION
��OTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 AMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED L, PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra on s te:
Inspector.
White Copylinspector's ile Canary CopylSite Notice