HomeMy WebLinkAbout1998-01065 - soffit/fascia/gutter � PERMIT
" C,�TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �.:i!i I �i t��i;
Crystal Bay, Minnesota 55323 Permit Number: :;�t;Z_,.�
(612) 473-7357 Date issued: ���;,�,.�,,,,�,l,
SITE ADDRESS:
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APPLICANT;PERMITEE SIGNATURE � ISSUED BY:SIGNATURE �l•
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'' Total Fee: $ Date Received:
Entered By: Pernut#: ;: j�; _
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: ��g�J ���'l GG'G��I� �G�; ZIP: �S� .� � �
NAME OF OWNER: ,����z-i/�%��c [�C�-�S /� PHONE: (home) �7�- � ���
(work)
MAILING ADDRESS: // �v G G��J������/I7�.CITY: ��o�z.�; ZIP: 5�' 5'3 ��f
CONTRACTOR � G/�ia c�z , ,.— �/�'v< C�-,`�Ci PHONE: rJ/U� `f ��
CONTACT PERSON: �0<2.��-� ��:�VI4BILE/PAGER: 7�i�S� 3� �--
MAII.ING ADDRESS: l f�UU �c'c-��-�r �� S�ITY: �'% �c-c�S /�.�ZIP: 5_s,_,�� �
STATE LICENSE: # 9 �G �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_� Land Alteration
PROPOSED WORK(describe in detain: ,��c-=�'7, SG=F'1'� T �.�S'c�:.4 . (/�«-%<--��
� �-�i�,�'S -
STORIES: �_ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. �'_ DET.
ESTI�l�1ATED CONSTRUCTION VALUATION (excluding land): $ ���i'�. -
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
pernut; and that the work will be in accordance with the a roved plan.
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APPLICANT'S SIGNATURE: �� �"�✓ DATE: `t/>y'/1� �
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.
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Sec.13.04 RIGHTS OF Si1BJECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be scored shall be as set forth in this section.
Subd.2. Informa[ion reqtirired to be given individual. Att individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and iatended use of the requested dara within the collecang'state ageacy, poliocal subdivision,or statewide system;
(b)whethe�he may refuse oY is legally required ro supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply
� private or confidendai data;and(d)the idenary of other persons or enades auchorized by state or federal law to receive the data. This requiremenc shall
not apply when an individual is asked to supply invesrieaave dara, pursuanc to secdon 13.82, subdivision 5, to a law enforcement officer. -
The commissioner of re�enu� mav ptace che noace reauired under this subdivision in the individual income tax or propem tax refund
instrucdons instead of on chose forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher it is class�ed as public, private or confidential. Upon his further request,an individual who is the subject
of stored private or pub(ic dara on individuals shall be shown che data wichout any charge to him and, if he dzsires, shall be informed of the content
and meaning of chat data. After an individual has been shown che privace data and informed of its meaning, the data need not be disclosed to him for
six monchs rhereaiter unless a dispute or acdon pursuanc to chis secrion is pending or addidonal data on the individuai has been cotlected or creat�d.
The responsible authoriry shall provide copies of the privace or public data upon requesc by the individual subject of che data. The responsible authoriry
may require the requesdng person to pay the actual cos�s of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediatzly, if possible, with any request made pursuant co this subdivision, or wichin five days of
the dace of the request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wi[h the requesc
wi[hin chac tune,he shall so inform[he individual,and may have an addidonal five days wirhin which to comply wich the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest thz accuracy or completeness of public or pri�•ate
data conceming himself. To exercise this right,an individuai shall norify in wriang the responsible authoriry describing the nature of the disagreement.
The responsible au[horiry shall within 30 days either: (a)correct the data found to be inaccurate or incomp(ete and attempt to noafy past recipien�s of
inaccurare or incomplete data, including recipients named by[he individual; or(b)nodfy che individual that he believes the data to be coaec[. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The de[erminarion of the responsible au[horiry may be appealed pursuant to the provisions of the admuustrarive procedure act relaring to
concesced 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 pernut 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 will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require tha[ the City deny the permit or license.
3. The informa[ion may be shared with other locai, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
j. 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 permit.
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I unders[and rights as sta[ed above.
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Signature
DATE TIME
CITY OF ORONO / cn��E�iN -��=�' �'<''
INSPECTION NOTICE scHE�u�E� =%-'� �'-�' �'-,,zt-�-=
PERMITN0. �� �� COMPLETED T-
ADDRESS i"/ �'D �Q�=z<< �r� �.c c,-� �
OWNER CONTR. �il���"
TELEPHONE NO. ��G � 'c7<7.� - :��--:} � ..r,�'-#'��J ' %!�✓-�=
� DESCRIPTION -r���-� ' r� ��� � •
� O1 FOOTING 11 MECHANICAL RI �/� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� OS FI—NA�' 14 SEWER HOOK-UP 06 PROGRESS
� 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 COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS: ..���.���� ,f.. � �P �.�� ���.�.
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d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� f 1 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O i-1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Ci CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
i_; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac o i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice