HomeMy WebLinkAbout2000-P02769 - reside r
v � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po2�69
Crystal Bay, Minnesota 55323 Pe�mit Type: MinorAlterations
(612) 249-4600 Date Issued: 8/2�2000
SITE ADDRESS: 720 North Arm Dr
MOLJND,MN 55364
P ID: 06-117-23-43-0004
DESCRIPTION:
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Minor Alterations Permit Sub-type(s): Building Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,935.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 157.25
APPLICANT: TOP LINE CONSTRUCTION&ROOFI OWNER: J S LEECH&V E LAIS-LEECH
220 W 98TH STREET 720 NORTH ARM DR
SUITE 5 MOUND MN 55364
BLOOMINGTON,MN 55420
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MI SOTA BUII.DING CODE REQUIREMENTS.
1 ` V/�� �.J�-�i../, `
S A ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
�.
Total Fee: $ Date Received:
Entered By: Pemut#:
CITY OF ORONO - BUII.DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
---------------------------------------------=-----------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 1�D ivof{� � �m a �. ZIP: S�36�i
NAME OF OWNER: Q h �eGln PHONE: (home) �7�'6�1��
(work) I�-9 i as
MAILING ADDRESS: . CITY: ZIP:
corrrx.acTox: T� L►,� Cons�- �- �oU F►'nc PHONE: �S�- - �$ I-��SS
CONTACT PERSON: 5��TT' M BILE/PAGER: 6 t�.-y I 4 '0�6�
MAILINGADDRESS: '�a� W• `1� S�• STE 5 CITY: (�lo�r�.�n ov� ZIP: 554a'-�
STATE LICENSE: # aoa i���3
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_�___ Land Alteration
PROPOSED WORK(describe in detain: � i � i
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
a2 ao
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� ` J�
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 Building Code; that I unde nd this i not a pernut and work is not to start without a
permit; and that the work will be ' accord c ith the approved plan.
APPLICANT'S SIGNATURE: f DATE: � � �� �
NOTE! Parade Qf Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGFITS OF SilBJECTS OF D�TA
Subd. 1. Type of data. The rights of individual on whom che data is stored or co be stored shall be as set forth in this section.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,polidcal subdivision,or sratewide sysum;
(b)whether he may refuse oY is legatly required to supply the cequested data;(c)aay l�own coasequence arising from his supplying or refusing to supply
privace or confidential data;and(d)the identiry of o[her persons or enrides authorized by state or federal law to receive the da[a. This requirement shall
not apply when an individual is asked to supply invesrigadve dara,punuant to section 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income tax or aropertv tax refund
instmcdons instead'of on those forms. .
Subd.3. Access to data by individuai. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and wheche�it is classified as public,private or confidenrial. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown rhe dara wichout any charge to him and;if he desires,shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data aeed not be disclosed to him for
six monrhs thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or crea[ed.
The responsible authority shall provide copies of the privace or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall compiy immediately, if possible,with any request tnade pursuant to this subdivision,or within five days of
the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wi[h the request
within that time,he shall so inform the individual,and may have an addicion�l five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays. � ' '
Subd.4. Procedure when data is not accurate or complete. An individual may contest•the accumcy or compieteness of public or pri�•ate
data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing rhe nature of the disagreement.
The responsibie authoriry shall within 30 days either: (a)correct the data found to be inaccurau or incompiete and aaempt to nodfy past recipienu of
inaccurate or incomplete data, including cecipients named by[he individual;or(b)notify the individual thac he believes rhe data to be cocrect. Data
in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinaaon of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act relating to
contested cases.
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 fumish certain private or
confidential information.
You are notified that: ;
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 refii§�"�ay require that the Ciry 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 license requires Council action to approve, some information may become
public.
5. You have certain rights 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 permit.
First yfiddle Last
Address •
Ciry State Zip Phone
I understand my rights as stated above. .
Signature
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO I SCHEDULED
PERMIT NO. � COMPLETED � L� d
ADDRESS �� l/l %��D✓
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d ❑WORKSATISFACTORY:PROCEED f . PROJECTCOMPLETE
W
� ❑ CORRECT WORK&PROCEED f 1 ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,- PHOTOTAKEN
INSPECTOR WILL RETURN
�-' CITATION ISSUED
C7 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector. //Ul �'G ���
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