HomeMy WebLinkAbout1998-010537 - skylight PERMIT
CITY OF ORONO PERMIT TYPE: . . .
2750 Kelley Parkway- P.O. Box 66 �'��-'�=t����;_�
Crystal Bay, Minnesota 55323 Permit Number: ;;;�_;c,.;,;
(612) 473-7357 Date Issued: {;;;;•��;_��;_;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: , � _ r- OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,_ �
CiTY OF ORONO � 6124730510 09/29/97 13:53 �1 :02/03 N0:028
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� ?otal Fec: $ Datc Recxived:
� � Eatered BY: `�'� _-
Permit�: �� `� �-=;�--� ��
CITY OF QRONO - BUII,DING pERMIT AppLICATION
A1! isitorm�don mwt be aubmitted in fWU before ptaa review wilI be started.
(plrase prini a11 ir�'ornrntion)
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'T� APPLICANT IS: (ctrclt on�) OWNER OR CONTR,ACTpR �--- ---
JOB 3ITE ADDRESS: ZSO OC..fJ C2YSTal, ��q`( �.0.ZIp:
NAMTi OF OWtvER: Jo t�,t� ���1MPSo�,�, PHONE: (home) �7�J' o`��I`j
MAILIlYG ADDRFSS: 2 SO OLO C�Q.YSTI���RY CITY: t o Ro�j 0 ZIP:,�,�'3 S(�.
CONTRACTOR: ��K� Cou�T�R.`�' ���1.t��s2,5 pgoNE: y7`�- 7�2�
C4NTACT PERSON: �bE� p.. MOBII,E/pAGER:_s'it� - 5�(S 7 ,�t�
MAILIIYG ADDRE.SS: 33�1 S�co�l• T CTTY: �cc£.LSto2 ZIP: 55331
3TA�TE LICENSE: � Z?�`�Co
ARCHTTECT/ENGINEER: PHONE:
MAILIIYG ADDRESS: CTTY: ZIP:
NA,.'1�: REGISTRATION�Y
TYPE OF WORK: Ncw Addition Accessory Stivcttu�c
Move RemodeUAluratioa�C _ Land A,lteration
PROP0.4FD VVORK(dtscrtbe fn ci�tat�: R'�.W1oV E l.e.d.�t.�►J� Sit.`C ►.�c.�tdT F��Au�� ��J or'lE�.t���
�S}o ►�u-r��,la ,�T aw�o ►�1 AQ.� w,QEo 'To �Y.fST�M� Sw�Tc�l�,�lt�
9TO�S� SQ.FEET OF EACH FLUOR:
. NO. OF BEDRUOMS: GARAGE S3'ALIS: ATT. DET.
ESTIlViATED CONSTRUCTION VAY.UATION(tuludia�Innc�: $ • �
I hereby apply far a buildi�g permit and I aclmowlai�e thac the ir�formauon above is complete aud
accurate; that the work will b� in conform�ance with the ordinancts and codes of the Ciry and with
the S�te Bufiding Code; thst I understnn�d thia is not a pecmit and work is not ro start withvut a
pernalt; and thai �te work will be in acco e with the approved pian.
APPLICANT'S SIGNATURE: �%G� DA1E: �`Z`� ' q S
NOTEI PatQd� af^, gomes tyents require :eparate ptnnu approya!by Polke Dapam�mt a�rd
Clty Councll 60 days pr�or to tAt sv�nt. Nvn�s,�nla�d sverirs wiJ!Ro�ba allowed.
CiTY OF ORONO � 6124730510 09/29/97 13:53 �1 :03/03 NO:OZ8
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s�.�s.o4 wcFn's oF svarrcrs oF o,►r�
Subd. 1. Trpe ot da/a. Tht rt�ha of i�►vidual oa wttom tb�dsn is aocsd ar m be scoaQ sqsU be sa ut fo�th ut r!W tectop.
S�cbd.2. lntaemWoa req�dr*d ts��m fadMdoal. An Eadlridual a�i�td to faPD�Y Drivso�or con6dsndai daa eooeernia:bimseJf sAall
b�lato�d ot: (a)qee purpoa aod;aundsd uss o[�hs ieqossad Qao wtd�ia�be coUecrip�ataoe ajeoc:y,poliucal Ribdivisfon,or�aoewide sy�um;
(b)wAe�r h�nuy r.f1�w o^r is l�plly reQutiesd w aP9�Y rhe�eqvasud d�n:(�)�ay Imowq conscQue�o ui�iaY levm his auPP�r'�si v�rclL�in�[o wDF�Y
ptlwt�or eoMd�ndt!Qut;�r+d(d)tbe ideadty ot otlser penom or sariues w�bocit�cd by saro ar fedcral taw to recd�e tde Qia. TAis rvquiremsot sbill
ece�ppir wh�n ap lndtvidyai l�uksG to iupply Utvadpdra daa.purwa�t to ucnoo t3.31. abdi�ision 3, w�!aw entoecement of!lcer.
I�t ��s�tontT of[ars,:s4 msr DIisC the nanee reoulted uadtr dii�ubdivqion in ihe indiYidu� incorty sax or v�owtxy aa roft+nd
iatteuet�oas msuad o(Qn tf��e lornu.
$ubd.3. Ascas to Q�ts br todJ�idwJ. Upon nquex m a rsspoasiD�e wshorfry,ao lnJirMn�l shall be inlonaed whe�hcr ha is tha subjcct
o!tmad dltt oa Ldividu�.�nd whe�er it i�classifi�d as publie.priraa or conl:dtncal. Upon his furthrr aeques�an iadiridual who iy tde iupjecc
of uored pd��ae or puDlk Qsu on wdi•iduals�s�i!De shown du dua Widwuc aar ct�arss co him aoci, f!he desues, �6al1 De intocspod of dys coaaa�
ud awain�of d�u dw. Albr�n Indiv�dual Au Dsea slwwn tlse peivw Qsts uq ial6,ms�d o!;a,ac:nia�,ih.daa n.ed aoc b�disclo�ed oo Aim for
tbt n�ood�s�natfer unbea a dl�uos oc.crion punuarc w slJs ucnon 4 pecdle�or addiooaa!daa on tM iad+v�dw[bss Deen cuileeeed u eresud.
'I'h�nipoaslbt�awhaciry tlt�ll pco�ide copicr ot die pcivioe or pubtic daa upon csquar Or�e tndtrtdwl wh}ecc o!dse E�n. The respoiufbl�aunc�riry
suy hquin Qtt nqw�aln�ps�son co pay chs actu�t cosa of makh►i.attltyie�,u+d compitin�the copia.
Th�eriponsiDN wtbotity�a1i coniplY iovacdisoclr,if pouibts,wub aay roqupt made pursuanc ro thu�ubdi.rvi�ion.or witLia 5r�days of
du daw al ths ssqwu.�xcfudia=Suordayi.snnday�.nd k�d holid,r�.i!irtutadiu+ccrtsptiaact it no�pos�fible. If he caaaot complr wid�the nyuesc
ntd�fn dat dme.M sAslt w IMonn�hs iadhldusl,ud mry Asve an addiconal�days wichin wluch ro wmply wi�h the rpwai�exUudta=JawrdaY:,
3utdsy��ad k�sl HolWays.
Subd.4. psocsdnre wh�n data y not securst�or compkte. M tndirid¢a!may contrst the aceuacy Or completeaes�of Qublk oc privace
4aa tonarnii►�him�lf. To txsrei�t dtiis ri�ht,tn indir iduai�hali aonty�wrida��e respon�(bie:uCwnry descnbin�tl�s aanice of��dfu=reemeat.
7T»re�pon�ibl�andsoriry th�ll Wi�!►in 30 d�yi ei�her: (a)correct ths dua fouod ro b�itaccursw vr incompleu�ad ae�empe to notify pase eeeiyienu of
iaaccutaae ot i�orQpisca dsn. itscludity recipieaq aameQ bp�s fndtridwJ:or(�!aodty du tndividcul thu E�belieres the Qaca ro bo correcc. Data
tA El�pat�sh�U b�dlsc�on0 onlY if ttx individual't�stemeet of dltyrte�utet b tac.bded wi�tae di�ctoted dan.
'Ihe d�ntmfaatioa of�tse rsspoRsibN wdsocity rasr bs �ppaled purruu�t ee tps prorisans of tha�dmini�eativs procedure ut relatin� co
conaa�d caw.
AATA PRIVACY AD ORY
In occord�ace with M.S. 13.04, Subd.Z, "Ri�.hu of subjcct�of data", we would likc co inform you�hat your rcqueat
for a penait ar license from the Cicy of Orono or any of its dtputmcats may n�quire you to fuinish csrtaiu privace or
confidentiai infotmuiou.
You era notified that:
1. The informatian you t4�raisA wilt be used to Caera�ine your qualiCculon for the permit or licanse requ�sccd.
2. You uuy nfuse to supply data, but refusal uuy tcquire thtt the Ciry deny the peralit or Ifcease.
3. The ialormuioa may be shared with achu local� itue or lederal agencia to the excsnt neces:ary to process
the pecmit or licecue.
4. It your ttqtusted permit or licease requfre� Cou8cil action to spprove, some infortaation may become
�ai�.
3. You have certain c��hts uader M.S. 13.04 (available upoa requat) to review privace daca on younetf.
6. Yaur t1i11 nune Is requind to prvcat chia sppiira[ion vr permis.
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�isnaars
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE 2 SCHEDULED — ` �
PERMIT N0. �� ���✓ � COMPLETED � N
ADDRESS � J�� `� �
OWNER t(-�' TR. �' ���'�
U //
TELEPHONE NO. �77 ��
� DESCRIPTION __ C��S� �.(� SKh L�7�?
l� 01 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q�FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 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� �eR/JORK SATISFACTORY:PROCEED �OJECT COMPLETE
W �❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� U CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
C CORRECT UNSAFE CONDITION WITHIN HOURS. f" PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract n sit •
Inspector.
White Copyllnspector's File Canary CopylSite Notice