HomeMy WebLinkAbout1996-011062 - straighten garage .�='ERMIT
C)ITY �JF ORONO PERMIT TYPE:
2'750 Kel�ey Parkway- P.O. Box 66 -- ;�;{ �:;;�•�t;
Crystal Bay, Minnesota 55323 Permit Number: i;.E �s_;L.A
(612) 473-7357 Date Issued: ._ _.
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT;PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
-'fotal �ee: � Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERIVIIT A.PPLICATION
All infornaation must be submitted in full before plan review will be started.
(please print all information)
THE APPLICAI�'T IS: (circle one) OWNER OR:CONTRACTOR
JOB SITE ADDRESS: � (� � �-. �`"`�� .� � ZIP:
NAME OF Oti�NER: 1.> ���:
��� I " �� PHOivE: (home) �{?G � S �� Y
(work) ��.�� , i ��- �
NIAILING ADDRESS: S�� v CITY: ZIP:
CON'TR.ACTOR: --ar,� GC. E7 r�s. C 6�s f- PHONE: ,Sr�7- g 1�'�
CONTACT PERSON: �� ��- i . ZOBIL lPAGER: �a l - y/G�
MAILINGADDRESS: f� G` L �-, ITY: ���� �.e% ZIP•�51:3i/ -occc
STATE LICENSE: # �o�� Y
ARCHITECT�ENGItii'EER: PH���
MAIL�'G ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration ✓ Land Alteration
S'fz.,.'�f ,�k 3 f; � <
PROPOSED`VORK(desciibe rn detain:f Ge���f :� l�f��f -•� - � .�"��rm • ����",`�
� � R.r-�v�, �" Se S`� �— C''��, '�s �-- —
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
EST�IATED CONSTRUCTION VALUATION (excluding land): $ .' .S'�G��.° y _
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 Buildin� 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.
APPLICAi�tT'S SIGNATURE: .� DATE: �'Z / /v l `��
NOTE! Parade qf Homes events equire 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.13.04 RIGHTS OF SUB.TECTS OF D?�TA
Subd. 1. Type of daca. 'Ihe righ�s of individua!on whom the data is storcd or to be storcd shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. An individual asked ro supply privace or confidenrial dara concerning himself shall
be informed of: (a) the purpose and in�cnded use of rhe requesud dara wirhin the collecring"sta[e agency, golidcal subdivision,or stacewide rysum;
(b)whe�:er he may refuse or is legally required to supply the requesced data;(c)any imown coasequcnce arising from his supplying or refusing to supply
private or conndenoal daca;and(d)the identiry of ocher persoas or enrides authorized by sta[e or federal law to receive che data. 'Ihis requircment shall
not apply whan an individual is asked to supply invesdgadve dam,pursuant to secdon 13.82, subdivision 5, [o a taw enforcemeac officer.
Tha commissioner of te�enu mav plac che nodce r-auired und^r this subdivision in the individual income rax or oropem_taz refund
instructions inscead of on chose forms.
Subd. 3. Access to data by indiridual. Upon request to a responsible auchoriry,an individual shall be informed whecher he is the subjecc
of s�or.d daca on individuals,and whe�her i�is classified as public, privace or confidendal. Upon his furthe�request, an individual who is the subjecc
of stor:l privace or public dara on individuals shall be shown[he dara wichouc any charge to him and, if he dasires, shall be informed of the contenc
ar.d mzaning of chat data. Aher an individual has been shown[he private data and informed of ics meaning, che dara need not be disclosed to him for
six mon[hs�hereaEter unless a dispu�e or acaon pursuanc co [his secdon is ptnding or addidoaal data on the individual has been coliecced or creaced.
"Ihe responsib(z authoriry shall providz copies of the private or public data upon requesc by the individuai subjecc of the data. The responsible au[horiry
may require che requesring person to pay the accual cos�s of making, cerdfying,and compiling the copies.
The resQonsibla auehoriry shall comply immediacely, if possible, wich any requesc made pursuant to this subdivision,or within five days of
[he dace of[he request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is noc possible. If he canaot comply with the requesc
wichin rhat rime,he shall so inform che individual,and may have an addidooal five days wirhin which[o comply wirh�he request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may concest the accuracy or completeness of public or pri�•ate
data conceming himself. To ezercise chis righe,an individual shall norify in wricing che responsible auchoriry describing the nacure of the disagreement.
The responsible authoriry shall within 30 days either: (a)correc[thz data found to be inaccucate or incomplete and aaempc to nodfy past recipienu of
inaccura�e or incomplete data, including recipients named by �he individual; or(b)norify[he individual thac he believes[he dara to be correcc. Data
in dispute shall be disclosed only if the individual's statemtnt of disagreement is includtd with the disclosed data.
The decerminarion of the responsible aurhoriry may be appealed pursuanc to the provisions of che admiruscrarive procedure act relacing co
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would li.ke 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 wiil be used to decemune 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 a�eocies to the ez[ent necessary to process
the permit or license.
4. If your requested permi[ or license requires Council action to approve, some information may become
public.
5. You have certain ri;hts under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permic.
Firsc
�fiddl� Last
Addrus
Ciry State Zip Ptione
I understand my rights as stated above.
Signacure
J DATE /,� nTIMf„
CITY OF ORONO CALLED IN /���?- `F� �' `-k � a`f�
INSPECTION NOTICE SCHEDULED J � f'� ��'�=J��
PERMIT N0. �^��V � COMPLETED , �_ �
ADDRESS y�� �l�. ^ -z.-,/C!t �
OWNER CONTR.,,,��� � hC�r�.
TELEPHONE NO. �G/- `�/Lo�
� DESCRIPTION � -�`2-�- -- -`'�k r.'�-%
l� 01 FOOTING 11 fW ANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z��04 WA-�L--L�BD. 12 WATER HOOK-UP 17 SITE INSPECTION
_�0� 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR L CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContrac o s' •
inspector.
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