HomeMy WebLinkAbout1996-008416 - replace patio door . � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ��i,l T I i"i:��}t�
Crystal Bay, Minnesota 55323 Permit Number: �7t;c��.�.r�:
(612)473-7357 Date Issued: �_�_��t��_��,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ;a����1 i c�,�t. — L;T . €�i C: OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. CITY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522
To� Fee: $ Date Received: - - � `
Entered Hy: + � _ __ Permit�i: �;��, �
CITY OF ORONO - BUILDINC PERMIT APPLICAI'ION
Al� in�ormadon must be subm{tted in full before plan review will be started.
� � (please print al! informar�on)
' �rw.�..��.������..���_�._r_��..�����.�...�..�...�....�.�^�����..��.�������..��� ��.�����.^��� ��_�_^__^��_____..__..__.__�
THE APPLICANT I5: (circle one) OVVNER R ONTRACTOR
JO$ SITE ADDRESS: �3'7,S Lo�q�-e w C'�rGI� ZIP: S S3s,� „�
�. NAME OF OWNER: �C�dT s f c--/-�e�-- PHONE: (home)
. (work)
MAILIl�iGADDRESS: a3�s �bnyvr�� C;r���. CITY: Lo,�, c�,r�� ZTP: Ss�sy
. —.�.
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CONTRACT4R: e n e�r�-1 � �r�e�-s�.�, PY�ONE: �f,3 0-7a.s�'
CONTACTPERSON: ,����e Co��d�s 1VIO�II.E/PAGER:
. MAIi.ING ADDRESS: ��oc� �K er�-/e CTTY: l�lh,-�, 8�.-�<<.e ZIP: Ss��b
��AT� LICENSE: �l �o o �ta�3 v
. ARCHITECT/ENGINEER: �/�" PHONE:
M�ILING ADDRFSS: CITY: ZIP:
NAME: REGISTRATIUN#
TYP'� OF WORK: New Addition Accessory Scructure
Move Remodel/Alteratian �--- Land Alteration
PROPOSED�WORK(describe in detai�: �.e��u�e. l �a-� c!o��-
�
STORIES: SQ.FECT UF EACH FLOOIt:
NU. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUAI'YON (excluding lan�: $ �,R �� o J
r hareby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conforniance with the ordinances and �odes of the City and with
. ' the State Building Code; that I understand this is not a permit and work is not ta start without a
permit; aad that the work will be in acc ee �th the approved plan.
APPLICANT'S SIGNATURE: DA1"E: � �Y 9-
NOTE! P e nf Ho�es, eve requfre separate permit approval by Pol�ce Department and
G�ty Councll 80 days pr�tor to the event. Non pen►i�tted events wiU not be allowed.
Received Time Sep, 24. 1 :42PM Print Time Sep, 24. 1 :43PM
• CITY OF ORONO � 6124T30510 09/24/96 14:00 � :03/03 N0:522
. �
Sre.13.041tlGlfi'1'S OF Sf16�i8C'CS OF DA1'�
Subd. 1. Type of d�t�. Y'Ae tiyba of ladlvdwl oo Whcm d+e d�o b�rod oe ro be seoied�h�ll ba u see Med�In�hts�ecdan.
Subd.3. L�ormatlo�riq+�nd ta M p�snlcdf•idwl. M Iodlvidwl asked►o apply privue o�oonfi�deeod daa conasrolag�imeelf shalt
be(n[om�ed of: (�)dte porpose and iuteaded use of�he nquesred daa�widdn dx eo��eadai Ira�e�geaoy.PoUdcal aubdi�isioa�or�rouride syciem:
(b)r�ad�er M msy caAue ot i�kplly required ro s�+PplY du roquesoed d�a:(c)�nY known eon�equence�tising from Ws supplylnj or ceAult�ro supply
pdvw orcoaMendal d�a;and(d)dro kknriry ol od�er peRons or eadties wdwrized by sn�e oc feder�l l�w m r�eire d�e da►a. T6h nequir�mrnc shall
a�tpply when an Individuel i��ske4 0o wpply investi��dve daa.pursuont m�dnn l3.BZ,tub�ivirion S.to�h�enforcement olricer.
,.,�
��gner Qf rovenue a�o1�ce�e n e reauiccil undar thi�wfxiivision la the individwl in�me rsx or erooenv��l�nd
_ ... p� �..[on so to�s, ' " ,
Subd,3. Acee�s to dnta by indl�►idual. Upon requeH ro�rc�ansible w�oriry.tn lodiv�wt shall be intonaed wiad►er 6e 4�atbjecc
ot teared dau on iedlvidwls.and whnAer ic is e�sslfied a�public,ppvue or conAdeni4l. Upon his l�Mer�uea.�n ladivWual wlw{�d�e mbject
of�oorod pri��ro or publk dpu�oe individwls shall bs�6own rhe dan wGhou�suy chane oo him ud;if he desleea.�IuU be ioforn�d of die wnronc
�pd m6�ning ut thu da�a. Ahar�n iadividwt har bean showa�he pdwte da�u�d ia[omed of irs meaniag.tb,e tha need ooc b�di�xlosed to him for
d�eoond��thsres4ar uNeR�di:pute or�odon pursuuu oo�his s�don is pelWfa;or addilioml d�on 1he UWh�i�u!!w been oollee(ed or ereatecl.
The mpc,nr�bk�ythoriqr�p pcovide copia of�he privare or publk daa upon neques��y d�e indlvidua!abJect of d�s dara. The teiponsbk�udw�iry
rtuy tequi�e the req11eu1n�per�on 10 pay d�acou�l cosrs of makina.�erdyin�.aad eotnpiNn��he wpi�t.
The ee�pondble wda�iry.sh�N comply immedi��sly,if possibk.wld��roquea nwde punu�nt ao Wis�bdivition,or wi�hia Ave daya of
rbs�ta of dte roquea.excluAfnP 9a�uid�ys.Sw�d�ys��M leid hoUd�yt�it i�dlue aompltancs u not po�s'blo. I(�e eama�comply aGh�he roquos�
wld�ln dut tLne.he abaU w inform dw lndividwl.aad nuy hs�e+�n�ddiriootl Ave d�rs wldiin whicb w comp�y ahb ehe e�equest,�xciudlqr Sawtd�ys.
9tia�d�Ye�nd k�wl hollday�.
Subd.4. Preeednn�6w dota ts not aaanrota or eompkte. An bWivi�Ual naY co�aL die zccunap or eompleronest of publk or priviue
d�a eeaoernlns himrelf. ?o exerci�a dus ri`ht.�n indiYlenN sh�ll nodly ia Mrttino ehe responalbk�udaeiqr de�erml�d�e n�aro ot dw dlasroemenc. .
The ee�pondbk�u�horiq dull wid+in 30 d�ya etther. (�correcc d�e d�lound�0 6e inuacate or i�utnplea�nd a�apt m aotify p�a reclpkrus oE
�nte or I�aaPlete dPa.Mcludin�mcipieaW nam�d br�he Individwl:or(b)eo�iA�da individual dut he belbvaa d�e d�n to bs ooneae. Dap
!n dlipute ih�ll be disclaad oNY if tha iadlridusl's sn�ament of dla/�ame�n brcludod.vid�die di�cloted daa�.
39►e detsrn►i�tion of�he ro�onsible au�lariry m�y bo appeded pu�u�u m�M p��fslona of d�e admini:aadve procaduro ux rel�dna o0
oonc�ed eraea. .
: p�,�_�ttvA�t j�RY
]n�c�cordaneo wich M.S. 13.04�Subd.2, "Iti�ha of'u6Jects of daca", we would like w infocm you that your request
for a permit oc llcense from the City of Omno or at�y ot its departments may requlre you to ilirntsh certain privato or
aoafidenNal informuion.
You ue aottfied that:
i. The inforn�adon you h+rnish wiU be used to decern�ine your qualificacton for the permic oriicense requesc�.
2. You au+y r�fuse co supply daca. bue nilisal may requlre thac che City deny tha permit or licerue.
3. The information may be shaced witb ot4cr loeel.staro or f�cal agencies to tliee ex�ent necessery to process
the permic or lkeosa
• 4. . If your tequasted pecmit or licensa requira C��ii �etion to appmve. some infarnietlon may become
' public.
S. You have e.ercain righcs undec M.S. 13.04 (avaitable upon requesc) to reviow prfvate data on yau�rself.
6. Ynur full a�ne is requirod w process thla�pplicuion or pennic.
• , _...K:.,� ��! I3.`� J`'F-i�,Gt�F rst r.-_
, g�� Middle Lnt.
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.�.���-e be.�� �-4.&� W�N � SSIiU Lf30-_7as�' '
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c;ya, a� z� r�n.
• 1.uqd rlghte a�c stana abov�.
Bljn�a��a
pnneivea TiMe Cen 9/ 1 �A9DlI �..:�1 T:�_ n__ n� � _ �nn�r
DATE TIME
CITY OF ORONO CALLED IN / �>�,
INSPECTION NOTI E SCHEDULED /o/ %E. =< '� c-� ��
PERMIT N0. ����� COMPLETED
ADDRESS �- `" �7 ��' � �
OWNER ' CONTR��.��2d2��
TELEPHONE NO. %� %' -_�� 7 7
� DESCRIPTION � /C� ��� ,r�r�_�
� 01 FOOTIN(3 11 MECHANICAL RI 18IXCAV/GHADINO/FIWNO
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
5 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
J
�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COM ENTS:
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d C WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� L CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W �/'
O pp CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� �v BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN `-
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
OwnerlContract site
Inspector. �
White Copyllnspector's File Canary CopylSite Notice