HomeMy WebLinkAbout1998-011065 - basement finish PERMIT
�CITY OF ORONO PERMIT TYPE:
2750 I�elley Parkway- P.O. Box 66 �:����L_C3��w?:�
Crystal Bay, Minnesota 55323 Permit Number: - -
Date Issued: tY��; F i"}```�
(612)473-7357 ���:':���.'_�:'`��-�
SITE ADDRESS: I�i
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ;��,�,� �,�.��-�x. — �;� _ �;�_: . OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
' Tota� Fee: $ �'/G ��� Date Received: /� . ��� ��
Entered By: r�` Permit#: l�C' (� �;
CITY OF ORONO - BUII�DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLIC�\'T IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 232d �,a�(,IllE6c! G�r/2CL�- Z�: 5�3��
NAl�TE OF Oti��R: C'f(,2�STdPH,E,Q ��,(Ff�«� �i��S PHONE: (home) �7 3 — 5a�7
(work)
MAILING ADDRESS: St�M'.E CITY: ZIP:
CONI'RACTOR: TNoMR1 B�FN' �dM�s, .rkC. PHONE: �,�a • ��q- �'l�7
COi�1TACT PERSO�': 7-o M �RE,v MOBILE/PAGER: �s�'- 56i a
MAIL�'G ADDRESS: 7526 ?'uR�v,��Q ,Q,A CITY: �2i,ypc�E ��i�sr ZIP: 5535�i'
STATE LICEI\'SE: # 2 0/z S/��f
ARCHITECT/ENGI'�i'EER: PHO'vE:
MAILING ADDRESS: CI�: Z��
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
1�Sove Remodel/Alteration�C_ Land Alteration
PROPOSED`VORK (describe in detai�: �/•wffti�v6 iN>���/Z �/.•��o�r �7�
�'wi,s'7'/�lc� 5 t•�Lt C ylc�� —
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
od
EST�IATED COti'STRUCTION VALUATION (excluding land): $ ,2.� �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 Buildinj 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.
APPLICAl�'T'S SIGNATURE: DATE: /2 /a 98
NOTE! Parade o,�Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
s .
Sea13.04 RIGHTS OF SLIB.fECTS OF D�TA
Subd. 1. Type oF data. The righrs of individual on whom the data is stored or co be scored shall be as sa forth in this secdon.
Subd.2. Iaformation reqirired to be given individual. An individual uked to supply priva�e or confidearial dara concerning himself shal!
be informed of: (a)the purpose and in[ended use of the requesud dara wichin[he collecang�tate agency,polirical subdivision,or sratewide sysum;
(b)whect:er he may refuse oi is legally required to supply the cequested data;(c)any Irnown consequence arising from his supplying or refusing to suppty
priva�e or confidenaal data;and(d)the idenary of other persoas or endaes authorized by sc�ce or federal law to receive the data. This requirement shalI
not apply when an individual is asked to supply inv�sagadve dara,pursuan[to secdon 13.82, subdivision 5, ro a law enforcement officer.
The commissioner of re�enu r-�av plac che nodc teauited under[his subdivision in the individual income rax or oropem taz refund
instruccions inscead of on chose forms.
Subd. 3. access to data by indi�idual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is che subjecc
of scored data on individuais,and whether i�is classified as public, private or confidendal. Upon his furthzr request,aa individual who is the subjecc
of stored private or public data on individuals shall be shown[he dara wichout any charge to him and,-if he desires, shall be informed of the concent
and meaning of[hat dara. Aftzr an individual has been shown che priva[e data and informed of i�s meaning,the data need not be disclosed to him for
six monchs�hereaner unless a dispute or acdon pursuanc to chis secaon is pending or addiaonal data on the individual has been collecced or crear�d.
'Ihe responsible auchoriry shall providz copies of the privace or public data upon request by the individual subject of the daca. The responsible authoriry
may require rhe requesdng person to pay the accual coscs of making,cercifying,and compiling the copies.
The responsible au[horiry shall comply immediately, if possibte, wi�h any request made pursuant to this subdivision,or wi[hin five days of
the date of che requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is noc possibie. If he cannot comply with the request
wichin rhat rime,ht shall so inform ehe individual,and may have an addidonal five days wichin which to comply wich the request,excluding Saturdays,
Sundays and legaC holidays. •
Subd:4. Procedure when data is not accurate or complete. An individual may concesc thz accuracy or completeness of public or pm•ate
da[a conceming himself. To exerciSe this ri¢ht,an individuai shall nodfy in wridng ehe cesponsible auchoriry describing the nature of the disagreement.
The responsible au[horiry shall within 30 days either: (a)correct the data found to be inaccurate or incomplece and attempt to nodfy past recipiencs of
inaccurate or incomplece data, including recipiencs named by che individual; or(b)nodfy[he individuaI th��he believes[he data to be correcc. Data
in dispute shall be disclosed only if�he individual's stacemtnt of disagreement is included wi[h the disclosed data.
The decerminadon of the rasponsible au�horiry may be appealed pursuanc to the provisions of the adaunistrarive procedure act relating to
con[ested cases.
DATA PRIVACY ADVISORY
In accordance wi[h M.S. 13.04, Subd.2, "Ri;.hts 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 thar.
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 wich other local, stace or federal a;encies to the ettent 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 riQhts 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 perm.it.
S��r= �/�-0�0 T
Firsc
�Siddle Lasc
Address
Ciry Sate Zip Phone
I understand my ri�hcs � stated above. �
Signature
DATE TIM�F
CITY OF ORONO CALLED IN `� '�� t G'� �.� L'C/1��
INSPECTION NOTICE SCHEDULED :���7-� � '�z1 ' t
PERMIT N0. S} COMPLETED _�� �_
ADDRESS ! �� �' �-•�-�' ��
OWNER llr� CONT������j
TELEPHON 0. ��Lv�J- J� /�
� DESCRIPTION � �-�-�-Y��-z-�-L�
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z 04 W D. 12 WATER HOOK-UP 17 SITE INSPECTION
��OS FINAL� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED [: PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance.473-7357
Owner►Contract sit
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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