HomeMy WebLinkAbout1997-009300 - deck PERMIT
CI��X OF ORONO PERMIT TYPE: : � _ � : _
2750 K�Iley Parkway- P.O. Box 66 ='-`�= �
4;rystal Bay, Minnesota 55323 Permit Number: .''.{�-�W<i,'�.f�
(612) 473-7357
Date Issued: .�'=.�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPL C �PERMI EE SIGNATURE ' ISSUED BY:SIGNATURE f �
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� �otal Fee: $ Date Received:
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�ntered By: Permit#: �-� l�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 on OWNER R CONTRACTOR
JOB SITE ADDRESS: 85- Go�oe� V l� (✓� ZIP: ,�S3S�
NAME OF OWNER: � 1�tr- �� I��2,I t tJ� PHONE: (home) y�( '�3<.3�''
(work)�-� - / � �7 �
MAILING ADDRESS: �� �p��QQ,� ��� �ITY: [�(Z�/r�� ZIP: 5�
CONTRACTOR: 5 E L,� PHONE:
CONTACT PERSON: �'j� MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAIVIE: REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �t.i.t�..�..Q � o1nr�� �A-T�wv� 02c„�
l���- S�-t'c S �i''v►�►� �,Rer CCe.c,k— 14P� 3' t� �1�..�r- (�c...
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. L/�\�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a, �l� 0
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 perm' nd work is not to start without a
permit; and that the work will be in accordance wit e p ed plan.
APPLICANT'S SIGNATURE: DAT`E: � �( �
NOTE! Parade of Homes events require separate permit approval by Police Deparlment 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 SUBJECTS OF DATA �
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Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the idenury of other persons or enaues authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or oro�ertv tax refund
instructions instead of on those 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 whether it is classified as public,private or conf'idential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him 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 informed of iu meaning,the data need no[be
� disclosed to him for six months thereafter unless a dispute or action pursuant to this secaon is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certify,�ig,and compiling the copies.
The responsible authority 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 additional five days within which to comply with the request,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that 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 determinauon of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 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 that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
5. You have certain rights 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 un y rights as stated above.
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DATE �TI�EO
CITY OF ORONO CALLED IN /6_ 3_q 7 �
INSPECTION NOTICE SCHEDULED �U -(o -S 7 ���
PERMIT N0. �30 0 COMP ETEO
ADDRESS �o�-1�G��t E�
OWNER l �L ��NIL CONTR.
TELEPHONE NO.
� DESCRIPTION �-h�� �I�ILs o !J �--�.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPIAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d J NORK SATISFACTORY:PROCEED �OJECT COMPLETE
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� f` CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pH0T0 TAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
�� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor it :
Inspector.
White Copy/l�spector's File Canary Copy/Site Notice
DA E TIME
CITY OF ORONO CALLED IN �/`//`�%
INSPECTION NOTICE SCHEDULED � - �'' <
PERMIT NO. `��=����' COMPLETED � ^ � �
ADDRESS .��`1 , ���� ! �r;� , � t � - � L.
OWNER ���° ` ��' '�� ���� CONTR.
TELEPHONE NO. `� ��`� �3 �� �
� DESCRIPTION _ � ` '� `�---
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
Q 03 INSULATION 24l25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL ' 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM4—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS•
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d ORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� C RRECT WORK&PFOCEED - ISSUE CERTIFICATE OF OCCUPANCY
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O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V C' PERMANENT
C]CORRECT UNSAFE CONDITION WITHIN HOURS. — pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ STOPORDER POSTED.CALL INSPECTOR -- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContra t sit :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice