HomeMy WebLinkAbout1992-004119 - replace windows PERMIT
CITY OF ORONO PERMIT TYPE:
- 1335 Brown Rd. South • P.O. Box 66 Permit Number: ='`� � �'���
Crystal Bay, Minnesota 55323 `"t�'�''�'
(612) 473-7357 Date Issued: �`y� ��k�,�,�i
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR
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CITY OF ORONO - BIIILDING PERMIT APPI�ICATION
`�ota1 ��ee • $ (�,� �j5 uate xeceived: ,;2�3� �9�
T�L- 1_��____ _l _
Ud l.0 tiLiUi U V-L'Cl: �,�. ,?�� /��
Lntered By: �'��'
Permit#: "� /I�
AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILI, B$ STARTED
(See Check-off List Enclosed )
--------------------------------------------------------------------------------
THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR
JOB SITS ADDRESS:�-� �C` � �`� "� ZIP: -� R� -3 ��
(work) � �
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NAME OF OWNER: PHONE: (home) / ��' `��� l'
MAILING ADDRESS:-.���� l.'� `', -,-`�''`'�-�r�l�� CITY: �/��1�� �:-:. ZIP���� -� �
CONTRACTOR: �� `1✓ �'���%�u-c/�~-- PHONE: �/� /�� �
MAILING ADDRESS: �J �'� �( � � � CITY:' � � ;/�'��� ZIP:�-�� �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration_� Renovate Land Alteration
�
�� � i-�y�,,-a-- �-r-`�� !✓� <
PROPOSED WORR (describe in detail) : V .
. ��'�%'L'-�-,-�J-- .l� �!1-- . D"l
STORIES:�_ SQ. FEET OF EACH FLOOR:
�IO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
Y �.7 L� L' �w
ESTIMATED CONSTRDCTION VALIIATION (egcluding 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.
Q� �
APrL
ICANT'S S IGNATURE:`� ���'"� �' -'������ DATE: � ���l �
�
. �
" +�ITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
•
• ' s • On the North Shore of Lake Minn.etonka
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
Iicense 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 I.icense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or ].icense.
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 to review priva��
data on yourself.
6. Your full name is required to process this application or
permit.
��v�`� ` 11�7��
First Middle Last
I��.�D� 3�Z
Address
�S * ��- yr�n ��'�.� �
Ci y State Zip
T�� —�� � �
Phone
I understand my rights as stated above.
< �s"
Signature .
BUILDING&ZONING—473•7357 • ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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$13.44 RIGH15 OF SIIBJP.C� �r t'3iiT'�
Subdivision L Type of dat�- The rights e tion�viduals on whom the data is
stored or to be stored she11 be es set forth in th�s s
gubd, Z. Information r�
to be given in���' An.individual esked to
� ' su 1 rivate or confidentiel data concerning BmWi�in the collecting state a8ency,
PP Y P
purpose and intended use of the req t med �b� Whether he ma� refuse or is legally
political subdivision, or statewide sys ' �own consequence arising from his
required to supply the requested date; (c) any . �d (d) the identity of
n or refusing to supply privete or confidentiel data,
supplyi g state or federal law to ricei�v1veth�ga�ve da a
other persons or entities autWheneenbndividual is asked to supp y
requirement shall not apply
pursuant to section 13.82, subdivisicn 5, to a law enforcement officer. �aer this
Ths commissioner of revenue�o� rolert tax re�und mstructio instead o
subdivision in the individuel inc�me t
on those orms. . - -— - � .
Ac� to �� � ����y Upon request to e responsible
Subd. 3.
authority, an individuel shall be informed whe b c h r YBteeor confidential.e UPon �
individusls; and whether it is classified 8s p � P u�u� data on
to him and, if he desires, shall
turther. request, an inaividual who is the subject of stored private or��u� � been
individuels shall be shown the date witho of�hat ds ae After an ind�
�e informed of Lhe content and meaning the data need not be �sclosed to
shown the private data end informed of its meaning, u�uant to this section is
him for six months thereafter unless a diSPute or aetion P t8 u n request by
endin or additional data on the individuel ►� ate or public da or �eated. The
+ p g require the
responsible authority shall provide copies The responsible authority may
the individual subje�t of the data- csrtif n and compiling the
requesting person to pay the actusl eosts of making, Yi g�
copies. immediately, if possible, with any request
The responsible authority shall comply of the date of the request,
made pursuant to this subdivision, or withia five days
excludin Saturdays, Sundays and legal holid�thinithat time8he ha]1 soainfo m the
g with the request with the
possible. If he cannot comply within which to comply
individual, and may have an additio� i���lidays.
request, exeluding Saturdays, Sundays g
te or complete. An individual m8y
Subd. 4. Proced�n'e when data is not aceura ivate data concerning himself. To
contest the accuracy or completeness�of public or p �e �onsible authority
exercise this right, an individual shall notify in writing
The respcnsible authoritq sha]1 within 3 0
describing the nature of the disagreement. lete and attempt to
days either. (a) correct the data found to be inaccurate or incomp
notify past recipients of inaccurate or incomple te ��e esdthe datalto be correcty
the individusl; or (b) notify the individual tha eement is
Data in dispute she71 be disclosed only if the individual's statement of ��' to the
• included with the disclosed data. � eppe8led pursuant
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
v
DATEq TIME
CITY OF ORONO CALLED IN ��� /� �����
INSPECTION NOTICE SCHEDULED '/'I'Q� /D�3d a,ih
PERMIT NO. �� �T COMPLETED � �
ADDRESS �5�� �''J "�`�S�n t��s_.
OWNER ��-+'`t' CONTR. (� • � �e� Co-tic:�
TELEPHONE NO. ��a- �I"3 3 �
� DESCRIPTION
� 01 FOOTING ti MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 I LATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINA�
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �I WORKSATISFACTORY:PROCEED �'PROJECTCOMPLETE
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W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_�, pHOTOTAKEN
INSPECTOR WILL RETURN r_, CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac n si e
Inspector.
White Copyllnspector's File Canary CopylSite Notice