HomeMy WebLinkAbout1994-006590 - replace siding PERMIT
�ITY OF ORONO PERMIT TYPE: (
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2750 Kelley Parkway- P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permit Number. �`�i_�f;-,�._��:i
(612)473-7357 Date Issued: . .. . _ _ ;W;;.
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER: �� ��`� � ' -� �� � ' ��
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APPLICANT�PERMITEE StGNATURE ISSUED BY:SIGNATURE �'� •
` �' CITY OF ORONO - BIIILDING PERbLtT A.PPLICATION
Tci�al r^ee: $ �`� -.Z('�% Date Received:
Date Approved:
Entered By: ',�� �
Permit�: ;�-j`j �,
AI,L INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW T.�TSLL B$ STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWN R' or CONTRACTOR
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JOB SITE ADDR.SSS:�� 7 'i' � �f� F�r-� , y,�j.I ZIP: �--� `> ��f. �i
(work) �'�:=7 U " ��.�'��
f. + I'C l L�/_5 /�'.� /1 C`"� �f PHONE: (home) �f j " a:�--�
N� OF OWNER:� f Ci i� /C�
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MATLING AnDx.Ess: /S"�J f �` � �� �ri � c' ,� � czTr:�°%�;'G��C �'� zzp: ��.�:.3 �
CONTRACTOR: PHONE:
MAIZING ADDRBSS: CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAT�.ING ADDR$SS: CITY: ZIP:
N�: RBGISTRATION A
'�Y�PE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSF.D WORR (describe in detail) : � ��- �� �� �� ~ / ( �
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STORISS: SQ. FEBT OF EACH FLOOR:
:�0. OF BEDROOMS: GARAGE STAI�LS: ATT. DET.
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ESTSMATED CONSTRIICTION VALIIATION (eacluding I.and) : $ ��`'�G
.' 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. •
. � , '"' �;,,1 '{ , DATE: � � ..��J�
APPLICANT S SIGNATIIRE: � �,,� �� �r �•%� �r;��t:�1`�
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cITY o� oRONo
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Officee
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� � � � 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 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 that:
1. The information you furnish wi31 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 Iocal, state or
federal. agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or 3icense requires Counci3. action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review pri�ate
data on yourself.
6. Your full name is required to process this applicatian or
permit.
�^' �y� � %h� <"
First Mi d e Last
,,�S3S %���i �r;e �' _
Addr ss
o� �� S�
City State Zip
��/ - ��3 �
Phone
I understand my rights as stated above.
. �
Signature ,
BUILDING&ZONING-473-7357 • . ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING =
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. �.04 RIGSTS OF SIIBJP•CTS OF DATA � -
Subdivision L Z`9Pe of ��- The rights of individuals on whom the data is .
stored or to be stored shall be as set forth in this section.
__. Subd. 2. Information required to be given indivi�uaL An.individuel asked to
� ' su 1 rivate or confidentiel data concerning ham,slelfin the collecting state age�,
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purpose and intended use of the requested dat
political subdivision, or statewide system;
(b) whether he may refuse or is legally
the requested data; (c) any known consequence arising from his
required to supply rivate or confidentiel date; and (d) the identity of
supplying or refusing to supply p state or federel law to rece�eSte at ve da a
other persons or entities authorized by
requirement shall not apply when an individual is asked to supply g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
� The commissioner of revenue mg lert t8X re�und uLstructionsuinsteadh�s
subdivision in the individual income tax or r�
on those orms. . - � --- - " ,
Subd. 3. �
Access to data bY indivi�- Upon request to a responsible
authority, an individual shall be informed whe b�c Pr vateeor confident a.l.e Upon his
individu8ls; and whether it is classified as p � ublic data on
further request, an individuel who is the subject of Se to himrlande if he desires, shall
individuels shall be shown the data withou�f an�y ��ta. �ter an individual hes been
6e informed of the content and meaning the data need not be �isclosed to
shown the private deta end iniormed of its meaning, u�uant to this section is
him for six months thereafter unless e dispute or action p
� ending or additional data on Lhe individusl h� 8 e or public dataruPongr 9 est by
� p require the
responsible authority shall provide copies o t e p �in the
the individual subject of Lhe data•
The responsiblcert f �nityend comp g
requesting person to pay the actual costs of making, 3'1 g'
copies. immediately, if possible, with any request
The responsible authority sha]1 comply
made pursuant to this subdivision, or within.ag e �f Slmmediateat ompliance eisu not
excluding Saturdays, SundaYs and legal holi ys,
within which to comply with the
P
ossible. If he cannot comply with the request w�ithin that time, he shall so inform t e
individual, and may heve �Sunda l�atid legal ho days• -
request, excluding Saturdays, YS
Subd. 4. Procefiu'e �►hen data is not accurate or eomplete. An individuel maY
rivate data concerning himself. To
contest the accuracy or completeness of public oin �i� the respensible authority
exercise this right, e.n individuel shall notify �ible authority shall within 30
describing the nature of the disagreement. The resPo lete and attempt to
days either: (s) correct the data found to be inaccurate or incompeci ients named by
notify past recipients onon fec�hetin°�r.v dual that he belie esdthe data to be correct.
the individual; or (b) y eement is
Data in dispute shall be disclosed only if the individual's statement of �8�' to the �
• included with the disclosed data. � BPP��1ed pursuant
' The determination of the responsible authority may
provisions of the administretive procedure act relating to eontested cases.
D/ATE p TIME
CITY OF ORONO CALLED IN _��f'>i / -�50
INSPECTION NOTICE SCHEDULED /.i�`�����=� �? `�C>
PERMIT NO. �G' -��7� COMPLETED � �
ADDRESS�� � :i�-l��i��� y�%��--* .
OWNER �T ����.� CONTR. �,/��.��
TELEPHONE NO._��I/ -���/
� DESCRIPTION /��: o�/�
� 01 FOO -_ 11 MECHANICAL RI 18 D(CAV/GRADING/FIWNG
� 2 FRAMING ? 13 MECHANICAL FINAL 19 LAI�SHOREJWETIANDS
p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
2
F` 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
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�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
� COMMENTS:
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d WORK SATISFACTORY:PROCEED - PFOJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice