HomeMy WebLinkAbout2008-00287-PERMIT VOIDED ,� ,V 1 �. _. . G C t ` �' ` I__t__� n �7�'� f V�WY/��'�/�'�4�'�� r p�C.I�!(� li'n �
� �i �, L ��� � �
' '.� � <<t �: —��;�I�► l�fj �ZE�ue.. 4�c�. s�si�.
s , h
�, � ,,� , �, �.o�
'I'otal Fee: $ � " ��� Date Received: � , ('r�
Enfered By: ��—fl"Z�,RtX , Permit#• �1 �l`�y, ' � ��
,
Cr��Y�� y 1� c`�
CITY OF ORONO - BiTILDING PERMI'I' APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 3�S C--f�'•A'r}R� CTt�-�— �� ��
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes `�No If yes, a special event permit is required with Police Department and City Council approval
7 60 days prior to the event. Shuttle bus service ivill be required unless applicant demorxrtrales
' suf�cient on-sile parking is avai(able. Non permitted events will not be allowect
NAME OF OWNER: � ��r �xl�u�r.�-s ULL PH4NE: (home)�''(52-- y��l—y 1 q 3
(work)
MAILING ADDRESS: (116(os r�V��� 2�9 CITY: G✓�F.�c�J4�� ZIP= fh1 r�
� CONTRACTOI2: ��'l� �c �-�S LLL PHONE: �ISZ-`17�I- '-Ilq3
� CONTACT PERSON: h�11k,� Ar C--h�u,� � MOBILE/PAGER: (,��Z- g(Q -Q 3 I S-J
MAILING ADDRESS: !.�h 1 e S Fiu R�zJ�_1�}- 2n CITY: ZIP:
y STATE LICENSE: #. O q I I D EXPIRATION DATE: 3 —O�
.�
� ARCHITECT/ENGINEER: I�ELSo ti1 f�tX tp�.�-n�kl.�K.�IG�iHONE: �(Q 3 -71�- l�o�7
,�� MAILING ADDRESS: 91or '(��r�.,��.orr�- s-r r.�E CITY: ��.�„���ZIP: �5 yy �
� NAME: R��J iJl��se� REGISTRATION: #
� TYPE OF�VORK: New Home _�_ Addition Accessory Structure
`n Move Home Remodel/Alteration(ie: Siding, Windows)
J Any earth movement may require MCWD review and permits!
� PROPOSED�+�VORK(describe in detain: 1�jE�„ �on�5-j'tz.��T1onJ
�
STORIES: 2 SQ.FEET OF EACH FLOOR: Z.Q(D �i
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED c� DETACI�ED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): � l ,3�, �nc7 �
I hereby apply for a building permit and 1 acknowledge that the information above is camplete and accurate;
that the work witl be in conformance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a pe it and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APFLICANT'S SIGNATURE• ATE: lO— (Q—DQ
31
� � � �
� �
Total Fee: $ Date Received:
Entered By: Permit#:
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 one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS ❑ NO If yes, a special event permit is required with Police Department and City Council appr�oval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonst��ates
sufficient on-site parking is available. Non-permitted events will not be allowed
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detai�:
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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 permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
31
r � .� �
. _
�
Sec13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu 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 dataconceming himselfshall be
informed of. (a)thc 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 identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investieative data,pursuant to section 13.82,subdivision�,to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in[he individual income tax or property tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his fuRher 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 ofthe content and
meaning ofthat data. Afrer an individual has been shown the private data and informed of its meaning the data need not be disclosed to him for six
months thereafter unless a dispute or ac[ion pursuant to this section is pending or addi[ional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe da[a. The responsible authority
may require the requesting person ro pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possibie,with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. If he cannot comply with[he request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excludine 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 writingthe responsible authority describing the nature ofthe 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 datato be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority 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 ofdata",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 permit 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.
",�P�IF �`� ����_
First Middlc Last
Address
°' City S[ate Zip Phone
I�erstand my rights as stated above.
,,�
�— ,
Signature ��
�__._....---��� Reset Form �"" 32
-` ��y� - �,�r � ��- ; �i?S�
` •----=� ��r �_/�"�I-�� ��� V`D !.D ��j�'11 T
�, �`� ��-.�-�-� . ;.
oT' v�`' ��.,�;.� v`� �s �, �-°�.
�\. 'I'otal Fee: $ Date Received: �j,�
�� Entered B . � �
` Y' �'1 � �� -��X �� Permit#: ' . �'vD
1�'�' �y`����,�'�� y- Z c o� -
CITY OF ORONO - BUILD RMIT APPLICATION
All information must be submitted in full before plan review wilI be started.
(please print all informntion)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTUR
JOB SITE ADDRESS: 3?J)S _.��-}}� �� �p �p:
Will this be a Parade of Homes,Remodelers Showcase�ome or other Disptay Home?
❑ Yes ��No If yes, a special event permrt is required with Police Department and City Council approval
� 60 days prior to the event. Shuttle bus service will be reguired unless applicarrt demo»strates
� su,fficient on-sife parkirrg is uynilable. Non permitied evenLr will not be allowed
NAME OF OWNER: v 1�C� (�LG PHONE: (home) $2� 7�l-�f I�j 3
MAII.ING A.DDRESS: _(1t 6 G,� r.�V��i,,14 2 CITY: 5 (work)
��....WtY�� 7IP: �,
� C0�ITRACTOR: �o't►4 '�,t �-t��S L�--L- PHONE: aj Z-�-17�I-
v CONTACT'PERSON: (M �KF Ar C �u,� � MOBILE/PAGER: ��Z• �(Q �(� z r S�3
�..� MAI�TNG ADDRESS: �j�,S F.0���- 2n CITY: ZIP:
-� STATE LICENSE: # p��� Q EXPIRATION DATE: 3 —pe�
�
� ARCHITECT/ENGINEER: _���So tJ tp�,�.�r ArL�..�IG�HONE: ?(Q 3 - 717- )�Q'7
,,�, �ING ADDRESS: 91on ?��t�nM�orz�--„�-r w�e CITY: _P.�t.A��x��_7IP: s�yy �
v �� ��-Se REGISTRATIOl`d: #
�
� TYPE OF��4'4RK: New Home __�___ Addition Accessory Structure
J Move Home Remodel/Alteration(ie: Siding,`Nindows)
Any earth movement may require MCWD review and permits!
`= FROPOSED dVORK(describe in detai�: ►�j� „, ��„y.t.rw�o�
�
�
�
ST012IES: Z SQ.FEET OF EACH FLOaR Z g(D �
NO. QF BEDROOMS: � GARAGE STALLS: AT"i'ACHED c� DETAC�3ED_
�
ESTIMATED CON�TRUCTION VALUATION(excluding land): � __ 3O0 �nc —'
�ereby apply for a building permit and I acl�owledge that the information above is complete and accurate;
�e work wiIl be in conformance with the ordinances and codes of the City and with tt�e State Building
'�at I understand this is not a pe it and work is not to start withoat a permit;and that the work wiI1 be
�ce with the approved plan.
'S SIGNATURE• _ ATE: 10— (Q—OQ
� 31
! � � . �.
Evelyn M. Turner
From: Evelyn M. Turner
Sent: Wednesday, December 02, 2009 12:43 PM
To: 'mnusar@msn.com'
Subject: For JMA Builders- Plans for 3315 Graham Hill Road
We have had your building permit application and plans for over a year. We cannot
continue to store them. We will recycle them on December 17 unless you pick them up.
You can do this anytime between 8 and 4:30 Monday- Friday.
If you decide to go forward with the project in the future you would need to submit a new
application and pay the plan review fee.
Evelyn Turner
City Planner
City of Orono
952-249-4623
952-249-4616 (fax)
� � �.J"�
, , ��S
-� c
� _ �,�
_ �� �
�