HomeMy WebLinkAbout1998-010602 - 2 sky lights PERMIT
CITY OF ORONO PERMIT TYPE:
275C�Kelley Parkway - P.O. Box 66 �_;�-��t:"`'�t;
� Crystal Bay, Minnesota 55323 Permit Number: i_i:�i_i=„_�:�
(612) 473-7357 Date Issued: _,;_;;�; •_;��;_;
SITE ADDRESS:
�_.r
_��;.i°_ �fi'•=��C_k-���•._ _� i
��,���
�` i t`a . —.1 �.�_.;�;;`:-�— -—i ii i>i_i
DESCRIPTION:
�. ��;::�7' �._;:��-;�:_
���.�I 1 !.f31 sl'� �'��"�!1 I=• �7�,,� -�4—::ij'(1`°%�'+`_�°'E-�-'�t_
' �.��:°-��,:.t� :'i.:rFil ;=.+�__
��ll� ��=;�1 El'� �i�•t'}:; I Y:+�� h.�_�w•_ yt-� _r . . _
t.�+ I (.: F� r+ +�•=� �-�!� . ►�.�;�T i i��'3��r-1!_
- ���=-a�� - - �-
REMARKS:
FEE SUMMARY:
v�i'•-�1_��i-z��R_!E`3 a�b i a i�:i_:(i
L�^_.�_. �YY �'.;�i.� . !•�� .
'w'��}~''�!Ci!~s�C.a �• L�i�
• ' ' .����_.��_��a..�s.a
� t�t i_.r�i,� �"i_�1-' fk.W�i.� :C
CONTRACTOR: OWNER: — ��=�s; �;-i.��f. —
_�,-��,'�'y�;j t.;-i;-�`�
_t.'�°,.��� �;'-:'._, i L_(-i:,.� `���
_'t;.''t {f`v3 I . �i`+I - - - - -
;.tv,i.�:�.?st.�'::�—•�_:;( i i�
; ._�.�.:�. 9 ' f_i�'� � i_t ��ii-��''•.` �€;"I+` �.�'.}I i�"Ft�`'.;•'i I i'r��{`#�Il I�
;�;iL I�fi.�i_tr`._���...��yt=j;f :-[i�`.__ . ••`s�`—- - __ . _ !''�.i�`.I'1� -�_ _ _ - - _ . __ . ; -
? . � ;, `� -�f_��.;: ''�,iyy_}�' ; �. } l_.} i€,i�.�rv��:�7:��;� iis i E � ,t--`;I i_. I �j� I i�
�'i-i. t� ��i f i-s i w 1 t :.:i l�i;:;I-t-�- i �_! :t l_i �;i_i , i, . _, .'_. _ ' _ _ _ _
� I_'s;=ti_Il�`�i t si=;�,t��.�:-}tr�::r`M� ;-�E':IJ ���ri�sM i"�i;= ;�f:.a?�,�•=`.�;s:�} ���. ,' j�� s�T;,};., {_ _4s+r �,.�:s�!_��,r;;`� �r. . . � . �
_ �.irn rX.Yi (,�,c�,
APPLICA P MITEE SIGNATURE ISSUED BY:SIGNATURE
'. . .� y "
Total Fee: $ ��` � � Date Received: ���z���
�
t Entered By: o,,��,; � Permit#: %D� � Z
CITX OF ORONO - BTJII�DING PERMIT APPLICATION �
All information must be submitted in fu11 before plan review will be started.
. (please print all information) .
THE�A.PPLICAIti"T IS: (circle one) O�NER OR CONTRACTOR���� � � . � .
JOB SITE ADDRESS: �`�i�r ����f ���=1 �'f s �-� znP: �_� ���.
. � ,
_�
� NAME OF OWNER: ,�'�-� ►�;C ���1��.�� / C.� Pxo�: �nome� �i�3 - �1/ �
(work) � -3� __ )c� �'y G
MAILING ADDRF�SS: "���%5- ��4 S f.�/-��1 ��t CITY: �,i:c:,.ti, c_. ZIP: S S �3� C
� �-
COti'TRA.CTOR: ��L. �� � PHONE: �
CO1'TACT PERSON: MOBILE/PAGER: �
MAII..ING ADDRESS: CITY: ZTP:
STATE LICENSE: # .
ARCHITECTlEI\TGINEER: PI30�TE: �
MAILING ADDRESS: CITY: ZIP:
1�tAME: REGISTRA.TION#
TYPE OF tiVOR�i: New ,� _ Addition Accessory Structure
Move � � RemodeUAlteration Land Alteration
PROPOSED`VORK(describe in detain: ,� ,� ;� ��., ; S� 1� 1 � I G I-1 -1 S
�-- �'�'��t c�L l�c..= `
STORIES: _�_ SQ.FEET OF EACH F'LOOR: �L>� - -
NO. OF BEDROOiI�IS: r GARAGE STALLS: ATT. DET._�
. ' .r . � C���^j.Q G b - . .
G (:
FSTliV1ATED CONSTRUCTION VALUATION (excludi.ng land):
I hereby apply for a buildin�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 Ciry 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 accord ce with the approved plan.
. � ���
APPLICANT'S SIGNAT'URE:�� � � DAT'E: � �-�� �' �'�� �
NO?'E! Parade Q Flomeg events require �eparate permi't"approval by Police Deparfinent and
� City Counci160 days prior to the event. Non permitted events will not be ailowed.
� _ _;Y
. „ +
_ . �
Scc.13.U;RIGHTS OF SLJBJECTS OF D?,Ta - ,
Subd. 1. Type oE data. The ri¢ha of individual on whom[he data is scoced or to be scor:d shaIl be as set fo�u4 in this secdon. •
Subd.2. Information reqi3red to be givea individual. An individual uYed w supply private or confidenaal data eoncerning himself shall
be informed of: (a)che purpose and inmadcd use of the requesc�daca wi[hia ehe collecang Sute agency,polidcal subdivisioa,or scatewide rystem;
(b)whecher he may r:vse or is Icgally requird ro suppty the requesud dan;(c)any frnown coasequence arising from his supplying or refusing to supply
privace or eontidenrial dara;and(d)[he idenriry of o[her persoas or cnad:s auchorized by snte or federal!aw to receive the data. Zhis requirement shali .
no[appiy when an individual u asked to suppiy invesdeadve daca,pursuaac to secdon 13.83,subdivision 5.to a law enforcement oE�icer. •
Zhe eomr,.issioner of revenue mav p(ace che noace rauir.d under rhis subdivision in the individual incone taz or orooem taz tefund
ins�rucdons insuad of an chose forms.
Subd.3. Acc�ss to data by tndiridual. Upon request to a responsible auchociry,aa individuai shall be informed whether he is the subject �
of scocrd dac�on individuals,and whecher ic is ciusified as public,privac�or conFdenaal. Upon his furcher request,an individual who is the subjecc
of s�ored privac�or pubiic dae on individuals shal!be shown che data wichout any charge to tiim and;if he des'ires,shall be informed of[he concent
and meaniag of[hat dara. Afcer an individuat has been shown che privam daca and informed of iu meaning,[he data need not be d'uclosed to him for
six monchs chereaccer uriless a dispuu or acdon pucsuan[to chis sccdon is pending oc addiaonal dara oa the individual hu been collecced or created.
The r.sponsible auchoriry shall provide copies of the priva�e or pubtic data upon request by[he individual subjccc of[he dara. The responsible auchoriry
may require che reques:ing person to pay the acaial cost�of making,cerrifying,and comp�ing the copies.
The responsible au�horiry shall comply immedia�ely,if possible,wich any requcst made pursuant to this subdivision,or wichin five days oF
the da�e of che requesc,exciuding Sacurdays,Sundays and legal holidays,if immediaca compliance is not possible. If he canaot comply with che cequesc
wi[hin chat ame,he shatl so inform[he individual,and may have an addidonal five days wi�hin which to comply wich the request,excludiag Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure vvhen data is not accurate or eomptete. M individual may coatest che accuracy or completeness of pubiic orpriti ate
dara conceming tiir.ssetf. To ezercise�his ri¢h4 an individual shall noafy in wridng the responsibie auchoriry describing che nature of[he disagreemen�
'Ihc responsible authoriry shall wichin 30 days ei[her: (a)correcc the dara found to be inaccurate or incomplece and attempt W no¢fy past recipieacs of
inaccurdte or incomptece dara, including recipients named by[ha individusl; or(b)noufy[he individual that he believes che data to be coaecc Data
in dispute shall be disclosed only if the individual's scicement o!disagreement is included wirh th:disciosed daca.
Tht de�erminadon of[he responsible auehoriry may be appealed puauant to che provisions of the administrndve procedure act relaang to
contested eases.
DATA PRIVACY ADVISORY .
In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request
for a pernut or license from the Ciry of Orono or any of ics departments may require you to fumish certain private or
confideatial information.
You aze 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 ocher local, state or federal a�encies to the extent necessary to process
" the perm.it or license.
4. If your requested permit or license requires Council actibn 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. �
�i��� /� �I`�b;�l �� �
First �fiddle t
'3�//s ��1 S�f L<�) �- f � S �
Addreu a .
<-:,�G �;' c� ���1 c,% iS���� c -� 3 - �Jl �
Ciry Sace ZiQ Phone
I understand my ri�hcs az stated above.
. �����.= - ��
s����« , � � ,/ .
f DATE TIME
CITY OF ORONO CALLED IN /���
INSPECTION NOTICE �� �j;�- SCHEDULED �� -g'9�' 3. 3��
PERMIT N0. I COMPLETED � �
�
ADDRESS '� � � �
OWNER �� CONTR.
TELEPH N0. y 7�'� �/! 7
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADtNG/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQU�RED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
Owner/Cont�r` site:
Inspector. �
Whiie Copy/lnspector' File Canary CopylSite Notice