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Home My WebLink About2008-00395 - siding CITY OF ORONO PERMIT NO.: 2008-00395 ' 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE�SSUEn: 1U19/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3675 LYRIC AVE PIN : 17-117-23-34-0040 LEGAL DESC : NAVARRO : LOT 004 BLOCK 003 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTNITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 4,000.00 APPLICANT PERMIT FEE SCHEDULE 103.25 OWNER/SELF � STATE SURCHARGE(VALUATION) 2.00 TOTAL 105.25 OWNER NIELAND, DOUGLAS 3675 LYR[C AVE WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible Yor assuring all rcquired inspections are requested in conformance with the State Building Code.This permit may be �� revo d at any time for ue cause. , � /� ' � � �� - � � �rn � ] //- %�-�� ;�� ' � � ,r�,i✓ i�i //i� � i o� �Applicant Pe ite�gnature Date Issued B � i "ature Date Y' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. TodAI�'�ee: � 1?ate�eceivQd:,.,,_��_��___._. P:ntered By: �� Penmit#: ._ .. - — ....,.._._., CCITY �F CfRQNC? -BU�I.�.1I3�1G PE�MIT A�FLI�`ATICDN ,A1!inf�rm�tio� �nust b�c submittcd in f�all befare p1�n review veFllll be started.. (Ftease print all injvrmat�'m�) �'HE_�hPl'L[C:�.NT IS: (ct«t'e one) OVYl�1F,R R�:`ONTitAC'�''0�2 ,It�B SITE A.DDI�ESSv ,��.-�...�...��.C_._...��-�._.._. ____�'� � ��— , WiIE i�is be a�'arade of�do�e�, Rennoc�el�rs Shc�vs�se Horne�r r�ther Di.rplay Hom�? [��X�s E��.�TO If yes, a specfal�venP�ermit is r�qaaired y�ith Pv(d�e Lkporlrrrenl artd�'ity Cvtr»cit�z�r��rnv,c�I 6fl c![1y.��?rfor!a the¢vend S/n�rr�e bus,seyvice will be requ�r>>d senles�s crppilcant d�r�aurxsermes su�cient on-site parking is availahle. �ti'ori-�,aerm/tae�t ev�at.�wil!nw e5e all�:r.•.od NAME O�4V�'NER: �_C�_u��i��s -� �j t`'(��c'�P�IONE: {hc�:ne)��''?�� tw�}.�:LZ.:�.'y5'�/ ;�IA,II.,iN�AD17►KE5�: ,,,�?.��_��.��:%�'� ��'._C1'['Y: � ��. ��I�': �-'� . CO.N'Y''RA�'TOR: ��,'�`L.> P�UN�:• ._._. COl'�iTACT PFR'SON: _�_�� _ P��J►�&IL�,/P.�GER: NiAIi.P.�it.i ADDR�;SS: .______--____.,.�_...._____ C�7'Y: -- 7�': �-_______ �TATE�I�C'EN�E: #_ ...._._._._.. �XP%12.A7'[�l"�bA'�E: __ .�._._._._ A►][�CHiTECT/ENGINE�R: �_.,..._..____. 1'H�?1�F;: __._ ......__._...._... �N�A��..ING,�DRES5; .�._..__...._._..�,,.._...._ CY'i'�': , ,ZtP: ___�_�_...� NA►I�E: _.._. ______._.._�RE,Gkfi'I'�tA'I'tt'��: # _______�..._r_ TYPE UF�Vtg12K: �ter+v Hc�me .._ Acidition ,��ce�s�ry Structure � Move��oma Re��x�ie[iA�ter�tyan �ie� Slding, Windo��s) _ x �ny earth mcavement. mr.3y r�q�ii.re M�� x�ev�,�w �n�a p�rmi .e!. PR4POSED''�dO1�,lK(d��cr�ibeln detait}a ��' w_,....�1�..�__��''�_'�.��'.'._.�� ,�..,� � n,��.�.�.... — _ ___.._...____.__. -_._._._._______.__._ _ S"�'"CaRIESc._� S�2A FEE�'OF�.�.�."lFI�,C.1��:,�,_��_- -- --_ _ :�i0.CiF AED�2QC111�S: Gt+�RA�AGF S'�.AL,GS: A�TTA�HE� D�:'T�Ckt�ll� �� E57[�tv�.ATIE��'�1�t5Tl��t�'i'tt�1�u��,t1AsTId�N(excluding l�nd}� �.-��`....�..w.._...._.. I lhez�eby appty fc�r a huildeng permit and�ackn»e�rlyd�e that the infc�rnyati�zn akrov�'rs ccrmpl�te r�s�d ac:,=�r�te; that the wcrrk will be in conforn�rsce+xith the or�inanc�s�nd codes�?�ii}�CYCS/$i]i�WI�PI IhC SttiB�BUlIL�.1iS� t',ucle;rh�t f nz�derstand tt�as i�nat a E�,7mit and work is not°,n start w�ithc,ut a p�rrmit;arad thaf.th�w�rk�71!Me in acGorda.nce with the approved ptan. ,� .��'}9�.ICtL��s�l��t��.,��: '" -' � �l^»1:�-[,+'�.G� �'��'l: ,,,�..J.Y.L.�..._.�'!�� % 31 'jer.13.0r IliGH'i'lR OF SUBJECTS OF DATA Subd.! 7ype of d�ta 'I7u righb of�ividu�on whom she deta is sturcd or to be st�ed shatf be ss set PortM i�s thu�snctiott. Suld 2.[nfiurnutiots roq�b be�ivq1 irdividuat.An individuel aalcad ro supply priveUe or oonfi�k:nti�l dats�sinbt himself sfiaH 1?e infomied ot' �s1 the purpose and intended u�e of the na�uested data within rhe coliecting suKe agencY>Politicai sub�4ivisicm,o.r smtewide eysrc.m;(b) wArther he may rafu9c or is IegattY raN�ed�s�►pp1Y dK roquemd daG�;(c;any known umsequence arising from his sunplying or refusir�t ca wFP�Y pr.�au or conflde�isi Aetu;and(d)the idprtity of o�ar peraons or entities euthorized by state or feAer�i Iaww raxive d�e de�'!'hia soquirert�ont,�hal1 �+ot a�ty when en indivk�el n�lecd to aupply invaci�,rovo d�,p�sue�to aection i 3.82,mMivuion S,to e law e�cforcam�mt officer. T��RI11f�Qt30t.s��A1AY.1��tIIQ.��[�4. � his , �visbn in inAivickeal jp�p�tax or orenertv sax re_�yy� Sahd.3.Aoccsa eo dnta by individaet. Upon request tio a respon.�cible authority.an inclividual shatl be:nfortned wfietbu he is the s�►Gjoct oY sWred dav on individuels,and wheiltcr it is clmsit5ed aa public,privatc ar crmt�de�+rtial. Upon his!'wtt�r�equest,an+n�dividual who is thc aubj�t of scored private or public dnta w+indiriduala�1 be afwwn t6e data witho�a airy clmrge to bim and,if he dssirw�s,sha�l he infomced o£tl�e�rttent and meaning of that dats, Aftec an individuaf Iw 6�oen shown ehe privale data end(rtfc�nned of i�mc�ning,the deta nead not Ne disclo9ad to him fbr s� mrmsh9 thectaftes unEesa a dispute or action pnra�nt to this aectir.n is pending vr additi�ntal dasa on the indivbival Ns been coliec�ad or creaEacl Tha respos�aible autNoiity shall ptovide co�+ies of tlu private or puM+c tl�fa upan roquest by tha indivisival subject of�data. The responsiMe authoriry ms�+re9uire d�e requeetieB P��PsY Me aaud rnets of rreking certifying,ar►d compilin�the copies 71re reaponaibk authority�heli compiy im�rbdiately,if possible,wnh any neyuest made}xsrsuant to lhis<ubdivision,or witAirt five Qays of ihe date ofthe tequest,eucludi�SaAuasys,S�u�deys and te�sl holidays,iPimrr�ediace compiience i�not podsible. If Ik.cannot comply whh the reqixse withln tl�at theu.ka ieffrell so inform the individusl.�d mey hnve an edditionel five daya within which to owoply witli the roqupt,exciud�nE,t 3sturdeya, Sundrys and legsl�alidnys. 5e�bd.4.Pr000�►re wh�data h nat aocurat�or�eoe. An individ�)may co�Nest thc ec�aecy or c�rt�pleoer�ess of�whlic a private Aeu, �conetming himself.To erercise thie rigMt,an individad shal!naify in writing tl+e res�c�nsibk authority cieacrib�g the ne�ue�f ffie disngresmerrt.1�te �ewprm�ibk autht►rity si�sll within 30 days eithor: (a?earr�et dKs ders faw�d to be inaccuiate ar incomplelt ar�d atoennpt to notit�post recipients of inaccunKe or i�tcort�tere deta,including nr,ipients nenxx!by the individual:or(by nc�ttiP�+t!�iMirvi�e!thet he bo�ieves thc data to be comect. Data in dispuie sbt11 Do diecio�only if tlx individual'r spuanent of desagreoment q inc!uded wilh @re;iixclawed dnta. Tha dexemination of thr respoMiblo aud�ority may Ix eppeel�+d purauant to thc provisions�f the administrative prc+ccdnte uct relating tn tonldsted ceses. �.TA..1'B�1'A��.t1��.1�.41�Y In ac;cx�rc�nce with M.S,l 3.04,Siabsf.2,"R}ghis of subjects of data",we wouid like to infcmn yov that y�iur request fur a pc�mtt or licease from the Gity af f�mna or a�y ot lts departments may require you xo furnish�erwin pmate or c�nfidential informatian, Yan cuc notifiad that: 1. The information you ftamish witl bc used tcr determine your quatlticaiiott for the permit or license requestEd 2. You may refuse u�supply date,but refus�l may rec�uire that the City deny the permit or 1'scense. 3, The infrnmati�on may be shartd with othcr focal, state or t"ederal agencies ta the.extent �tcoessary w process the�ennit or iicense. 4. If y�ur requestcd pertnk or iicense requir�Council action eo appr+c�ve,sc►me informati�n may bac�me pnblic. 5. You have certain rights u�r M.S. 13.t?4(a�ail�bfe apon reque�t)to review privxte daza on yourself. S. Yaur fiill name is requlre�3 U3 proce.ss this appSicstian or pe�mit. � ��.._.._. �_._�..._._.._ ��...� ��-..�- ��, � � .��-7s - ,�.,<l�� .�..��..___._ ��. - - �� .',�... _ �S3 _--��/.��.Y�'y C+� �<< � � I ngde�ahod e�y rl tr�rs stpted abarr. � �.are G� _. _.._._ �_ .. r_' ^� i ,��z��y�� . 32 �. �/� �� Z ATE/' �p TIME " CITY OF ORONO ' CALLED IN �' � �� INSPECTION NO.-1TICE $CHEDULED � PERMIT N0. .�C D��OMPLETED �1 1 ADDRESS ��o ��J L L!(`I C` OWNER � CONTR. TELEPHONE NO. C� � a � � g " ��-I� � � DESCRIPTION �� - � �'�1 � r � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � ^LDC� �, /�.JG SS �-� (� � J O a � O � W � Q � Z W c4 W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETItRfJ ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice