HomeMy WebLinkAbout1992-004674 - raise garage/block . PERMIT
CITY OF ORONO f � PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �i�i�.��q.�=�
Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: 1�:��t�:�/'��'
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CQ��1
` CITY OF ORONd - B�JILDING PERMIT APPLICATION
Total Fee: $ / 5 � � � Date Received:
Date Approved:
Entered By: ' ���--�- �
Permit�: =��� ���
AI.I, INFORMATION MIIST BB SDBMITTSD IN FIILL BEFORE PLAN REVIEW WI7�L BB STAR�ED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
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JOB SITE ADDR$SS: �JJ� Ly��� /�4 p ZIP: -���'���
(work) �.�'y-yLy3
N� OF OWNER: �a�z�� `''�-` `��/ -�"C�2:�� PHONE: (home) G�7�—�''7
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MATI,ING ADDR.ESS: �5��/ ��ir�� /-�}�P CITY: �.�:�n � ZIP: � /
CONTR.ACTOR: �i w"v�E;� PHONS:
MAII,ING ADDRESS: CITY: ZIP:
STATS LICENSE: $
ARCHITECT/ENGINEER: PHONE:
MATLING ADDRRSS: CITYs ZIP:
NAMI;: RBGI STR�TION n
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORK (describe in detail) : i��1 I S t' l t"":1 '��"�;r G� �--'l 7'� ��r%«'��� �'� ���-�1�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF B�DROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �V "
I hereby appl.y 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. .
AP PL I CANT'S S I GNATDRE: �'�`�c��G��S.t?���'�..G�--� DATE: ����/��-
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� • � e On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Iike 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 wiZl 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 Iicense requires Counci3. action
to approve, some information may become pub.Iic.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Your full name is required to process this applicatian or
permit.
�P , �� ��a�. �e����
First Middle Last
`��'? �-yr�� �V�
Address
�')�ar� M,/1�' S-S-��j �
City State Zip
4�7�-��7
Phone
I understand my rights as stated above.
`������filC��%�i�/��r
Signature '
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSING
� ,� � . ►...
�.04 RIGHTS OF SIIBJECTS OF DATA � �
Subdivision L T�►pe of ��- The rights of individuels on whom the data is
stored or to be stored shall be es set forth in this section.
Subd. 2. Information required to be given in��d�e�' An.individuel asked to
� ' supply private or confidentiel data coneerning gmwithin the collecting stat aBe�r
purpose and intended use of the requested da
politicel subdivision, or statewide system; (b) whether he may refuse or is legalty
required to supply the requested data; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by si adueolr�e�ke �to s pplyeinVe�gat ve data
requirement shall not apply when an ind
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg rolert tax re�und u�structionsuinsteadhos
subdivision in the individual income tax �r
on those orms. . _ __ -
A�� � . �� � ����. Upon request to e responsible �
Subd. 3.
authority, an individuel shall be informed whether h=VBteeor eonfident a1.e UPoh �
individuels; and whether it is classified as public, p ublic data on
further request, an individuel who is the subjecc o�f ge to himrland, if he desires, shall
individuels shau be shown the data witho of�hat data. After an individual 1�es been
�e informed of the content and meaning t� �ta need not be �isclosed to
shown the private dats and informed of its uL�l�action punuant to this section is
him for six months thereafter unless e �sP
� pending or additional data on the indi oduh h�8te or p blic dataruponarequest by
responsible authority shall Qrovide cepies P require the
the individuel subjeet of the data. The responsibl cert f �nity and compiling the
requesting person to pay the actual costs of making, Yl g�
copies. 1 immediately, if possible, with any request
The responsibls authority shall comp y of the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, Sundays and legal holidsYs�
possible. If he cannot comply with the request within that time, he shall so in�orth the
individuel, and may have an additional five daYS Within which to comply
request, excluding Saturdays, 3undaYS and legal holidays•
Subd. 4. Proced�ae when deta is not acc�8te or complete. An individuel inaY
himself. To
contest the eccuracy or completeness�of public or private � the�responsible authority
exercise this right, an individusl shall .notify in ���e authority shall within 30
describing the nature of the disagreemenL �e r�P°
days either: (a) correct the data found.tcom lete datae including ree�pi�� ngm dt by
notify past recipients of inaceurate or in p
the individual; or (b) notify the individuel that he believes the data to be correct.
Data in dispute shall be disclesed only if the individusl's statement of disagreement is
� included with the �isclosed data• � 8ppe�ed pursuant to the
" The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases. .
��. �-- �
, DATE TIME
CITY OF ORONO cA��E�irv -� n ���7
INSPECTION NOTICE SCHEDULED �C1 �- U�j ��7
PERMIT NO. COMPLETED �.—
ADDRESS � ` /`-' ✓ � ��'"`�
OWNER ���Y�Z�C''�- J� CONTR.
TELEPHONE NO. �� � — �U � � _
� DESCRIPTION
lL 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE R
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Q 05 FINAL 13 METER SETITUFN ON �INSPECTION.'
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra or,c�n site:
Inspector. �V�
White Copyllnspe tor's File Canary CopylSite Notice
G�.
CITY OF ORONO CALLED IN /i�/9�i L TIME
INSPECTION NOTICE�/ '/ SCHEDULED /� c �-z- �1' 3C
PERMIT N0. �`���� / '�" COMPLETED � �
ADDRESS ` `�-=�`l � -�-�:-� `
OWNER � � � �?� CONTR. „�����
TELEPHONE NO. �?� -'�"O 7�
� DESCRIPTION � �"
lU 01 FOOTING ' 1 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPIACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q FINAL�' 13 METER SET/TURN ON 17 SITE INSPECTION
� 7 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d 1NORKSATISFACTORY:PROCEED pROJECTCOMPLETE
� �CORRECT WORK R PROCEED [� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
Cl CORRECTUNSAFECONDITION WITHIN HOURS. -� pHOTOTAKEN
INSPECTOR WILL RETUFN
r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73�J7
OwnerlContract�y n slt :
Inspector. 4
White Copyllnspector's File Canary CopylSite Notice