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HomeMy WebLinkAbout1997-009224 - clean up lower lot PERMIT CITY OF ORONO PERMIT TYPE: :- - ;.w;-;-; s 275C7 Kelley Parkway- P.O. Box 66 �-�� - ���- Crystal Bay, Minnesota 55323 PermitNumber: . . �_'��•°�� 1 (612)473-7357 Date Issued: �.;. : _.`�- ��_�Y` SITE ADDRESS: - �.: _ _ ._. ,_ _. .._ :.:�; ._ . . :.� , _. _. _ _.. .. _ - - - _ _ , . ;._ ; , :._ : __. . ....... : : . ., ._..., ::, . C��i DESCRIPTION: _ _._._... .. . .. --f-'}:��-•L• _.._dT _ .._.... . _. . �=.':l.L . 'ts=+.;�• t_e-?=�;;� ;��_i%.:``•`.'1!W?.�r�i REMARKS: FEE SUMMARY: _.���_-�- --=- � - - . �;_ CONTRACTOR: OWN�R� _.. ;;�:_ : �� ;: ._;;:, - . _ -.._ _ �{� _ .. _. .. ��.��_;r,;r;i_;�;ri�r r, -- ;'t��t't�.i E; F,�t.3 _ _ ."*'�y i. 'S": 1 },: { i � �t`:::'M= '�1 I = - '�����;'=M�:�'C . "`", i 1 r:�� '::.' c:'�•,._.' �� ,�4� - � , .- . t t : ,`,'" � .,_ ..__. . ._ , _ .,._ . ....... ._. _. � . ._ ...... ..__. , _ -�. W.�� ._.�M,, . :�� '"r�_' �•. ��r ��s_•: r � . � : l....3.<�3,._��,.lL. ..°2*� i�<. ,:�:� !�f:,... �S � s i .i . . �.._ .:�.�...e��..�.. ..« �-..-ur . .._..•.:�w . . • � ` _._. _.._�.,r. . � . . �� �''�l 1 9 i' _ . } � 3 i i. r F..} ...�. '`�%"'j'..' a.`"' �;_:.�! . 4 � 4-�,.:. .__�.._ a t.� _. . � 'r..,.__ ..�_,. . . _. . _ _ _ � _ _.. .. _..�r�'.. ,..__ .. }. . i`' . ._._.. ,., ._ . . _ . s�. y f .r �.-�.�. �-a� il r ' ' I'r' 'L?!^'-. ` S T `tit^ "et:._ L�i.�..e� _ �:f.:. x_f. ..!�:,_, _i'`._,,•z��'�irit u•_�:'.-�� ,=';"�_ _ . . . . ... 'IS- . .:.I'�$'�::._-..•�_� � ;- _ _ __»_. ._. .. ._ . ._. _ _. .__. `=i: s _ . L � � ��n .� APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE � . .Total Fee: $ ` G . f�� Date Received: �% -��.;o�Y � � Entered By: �`,,L, Permit#: �)--�:�c� �— CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------...�-�------------------ ----------------------------------- THE APPLICANT IS: (circle one) � WNER�R CONTRACTOR �_ JOB SITE ADDRESS: ja{� Ca�,��,E,�I �t� �t'e�, ZIP: NAME OF OWNER: r ��,� � ��-��� PHONE: (home) 1 G - 1 � �- . (work) �S-f z22_�� MAILING ADDRESS:�--�(„C)����hL�-`��C �•r��CITY:( -���..J1��S �..��� ZIP: Sj-�3 i� CONTRACTOR: ��-�� PHONE: ���� -�=- t�� ;������� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration�_ PR ED WORK( scribe i detai� -- _� ' C'r_.��.; t,1� ��hC �i � � !x. � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 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 ordinances and codes of the City and with the State Building Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance wi��e approved plan. � � APPLICANT'S SIGNATiJR�:f�/� � � DAT'E: 7 3D L - r 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. � ' . Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the 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 confidenrial data concerning himself shall be informed of: (a)the purpose and inteaded use of the requested dara within the collecting'state agency,poliacal subdivision,or sratewide system; (b)whethet he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of ofher persons or enrities authorized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply invesrieadve dara, pursuanc to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the nodce recruired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classiFied as public, private or co�denaal. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown the data wirhout any charge to hun 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 infoaned of iu meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the indivi�.�al has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual coscs of making, certifying,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 possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of pubiic or private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccucate or incomplete and attempt to nodfy past recipienu of inaccurate or incompiete data, inciuding recipients named by the individual; or(b)notify the individual thac 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 responsible authority may be appealed pursuant to the provisions of the adaunistradve procedure act relating to contested 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 Ciry 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 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 with other local, state or federal agencies to the exteirt necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. $. 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 e� L �1i�.� ��. ��'�-�'�--� � -�€iL-S� First Middle Last �� C% ��c�li:"�2o��� �� Addr ss / ��7 ���� _ ���� � ������ �l� ���1� 1 City State Zip Phone I understand my ri�hts s ated above. � / r � Signamre DATE TIME CITY OF ORONO CALLED IN /.'_/� �'%� INSPECTION NOTICE SCHEDULED rZ/i Z/`� 7 .� = �' �� PERMIT N0. �'�`� COMPLETED T_ _[� ADDRESS / ?_� C� � � � �2���_� . �� � OWNER'' �?_,> CONTR.�� TELEPHON E NO. -� �/ -.�.,Z.,C �, � DESCRIPTION _��-:���. ���'2_0 �-�, � 01 FOOTING 11 MECHANiCAL RI 18 EXCAV/GRADING/FILLINd � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETtANDS Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z �_95�FI�q�i' 14 SEWER HOOK-UP 06 PiiOGRESS ~ 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 COVEii REMOVAL v BING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OWNE ONTRACTOR TO MEET YOU�-!r/ES NO � OMMENTS: � W 4 � � O > � O � W � Q � Z W � W � � d �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W W [� CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALL INSPECTOR – CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-73�J7 OwnerlContra ite: Inspector. White Copylinspector's F e Canary CopylSite Notice