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Home My WebLink About1996-007988 - foundation wall � ' � �� PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 F;��j j��_ Crystal Bay, Minnesota 55323 Permit Number: {_{�.�,�;_;;� (612)473-7357 Date Issued: f��i�^�i��t�;. SITE ADDRESS: 1:�:_i; �aa��%TH Arii�l D� t:� �' . � . �`�. � i 1;�;—�. �.�—;�::':_:--:�:;:;'—t)i)',�:'�+ DESCRIPTION: �l�il l�Cyf t�'1 i it� �1h�-'.�LL ��ui l��iii� F��rr�i+• TyF�Y '=�F—r�aL�I�;EMi ii�E± F:�.a i 1=�i�� #��i:: f yF�� t�_�f�C��a!I i_�ISf ��►!�?LY ��ensu� C:��E�� :_��. �i�T . �;E'=:I�EN�T I r�L � REMARKS: FEE SUMMARY: ;;,�{..t1�'(�i't;i�{ �r:, L:�� a�u F�Y ��=i . '�� F'l��-� �;F_�i?�w ��.. 7�. =�ldt'C�'t�i''�ti -----__ `'�`.��a� �'��t.�I F�� +1�.� , i�,�. CONTRACTOR: — �;c��. i r�t�t. — :m��' . �T t: OWNER: �_;��_;__, i:E�ih{°=�'T�i�aC'T I��t�i 1.�i��.�.��-�„�; :;�:i;� :=��itWI�E��Fic� �_,�:i�TT i.�;iy i�iE�=�F;�C� '=:T 1:;;�:{? �l�t�F;TH ��;i� fi�� Eit�:E�°;��j;; C�i�! ��:?_�1 �?I;�=i�li�{ t�lt�i ��:=��,t�. t,i��f',Y '..�7�.—L�.._ri,F.:_: �.?�—.w��.F�i` . 1�� 11��..f�lltw�1{�f��I..l �lL��Y �.��ii t��i�.�s �'j�}'�a°j t .�s._�1��ti��€ 3 �� i�#�'�t'•.Y i �E� i�.l__t"��... i?�1f�Fy't�J�Y L._esf�i�!�. :��'Ei.:I��EC.j ;��f��? AC�F;E�:-� `!"�_:s �'i;,i y�i �,i�_��::. T��i ��i�I�:� i.::�:�t��'3_I�wi��:�: �T#H f:::i i ::i:`_` :::�;� ��i��_t i=3�iL�I��lui��i_�_� AtdG '==Tt�TE }��= t�I��t�i�'=;�=��i f� �:_!i( Lt I t�}� t�#►�a�. i��i;�E 1 i�,�i�1�it��i°r J L . ti � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE . '� � Total Fee: � DateReceived: Date Approved: Entered By: C�, Permit#: r�$�' �' CITY OF ORONO - BUII..DING PERNIIT APPLICATION AI.L liYFOR1VIATION viLJST BE SUBviITTED I�i 1 FULL BEFORE PLA1�1 REVIEW WILL BE STARTED ------------------------------------------------------------------------ - - - - - ----------------------- THE APPLICAI�IT IS: (circle one) OWNER OR CONTRACTO_l� JOB SITE ADDRESS: � ��% r'��' :%�'��'-' /�/t'ir1 �-�� ZIP: �� S_�' �3 �I � NAtv1E OF OWNER �GoT%<f- �-��t oL Si�'►'Dl�'�f'Cr PHONE: (home) �l 7l - ��' � � (work) NIAILINGADDRESS:l-��'G n�c'r, i`� ��r� !_?/t' CITY: G'hC�rY�.; ZIP: _��,u CONTRACTOR: S��S LGn5i2+�cT�or✓ PHONE: `� 7L'��' �'I -5 (� VIOBILE PHOVE/PAGER: S`�9 - �7 �� / 7 MAILINGADDRESS: /�''O (�-,FC�l�C�-�> » CITY: f=��,,L s,`c� ZIP: 5'S • STATE LICENSE: # 3 SD� ARCHITECT/ENGINEER: PHO�TE: MAILING ADDRESS: CITY: ZIP: N�v�: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ,�' Land Alterarion PROPOSED WORK(describe indetail): �[¢'�/�1� � � C. �;�v c.r��'�� ?�c�'c(_ �ti �� > ��5 � �� -t'� �-.�v� 3 � L�. Fi, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOVIS: GARAGE STALLS: ATT. DET. ESTIvi IATEDCONSTRUCTIONVALUATION(eYcludingland): $ _�, � � .S U`� 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 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. APPLICANT'S SIGNATURE: �k��r� ��Le''�%'�?; v DATE: ��f� �, NOTE! Parade of 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 RIGH'I'S OF SLIB.TECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency, polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the identiry of other penons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesagarive data, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propercv tax refund inscrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, private or confidenaal. Upon his fitrther request,an individual who is the subjec[ of stored private or public data on individuals shall be shown the data without any charge to hun and,'if he desires, shall be informed of the conteot and meaning of that data. Afrer ao individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or action pursuant to this secdon is pending or addidona]data on the individual has been collected or creaced. The responsible authoriry shall provide copies of the private or public data upon request by the individuai subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making, certifying, and compiling the copies. The responsible authoriry s6all comply immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply wi[h the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemen[. The responsible authoriry shail within 30 days either: (a)correcc che data found to be inaccurate or incomplete and attempt to nodfy past recipiencs of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara. The detzrminadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contes[ed 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 furnish 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 refusal may require that the City deny the pemut or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut 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. ��JIl/ / , -5��/��J) First Middle Lasc i n � ��c�/' c_�^ .� T Address ��3� L( ��— �Lf�� '��Q L 5?Ca�E' L�1/1� S — C�h, State Zip Phone I understand my rights as stated above. ,� r �� Signature T �! DATE TIME CITY OF ORONO CALLED IN � INSPECTION N TI SCHEDULED �'az� PERMIT NO. �9� COMPLETED ADDRESS � d �� OWNER CONTR. TELEPHONE NO. "�rI`�7� ' '�S�� DESCRIPTION ^ �� 01 FOOTIN� 11 MECFUWICAL RI 18IXCAV/ORADINCiIFIWN� y 02 FRAMINO 13 MECWINICAL FlNAL 18 LAI�SHOREIINETLANDS Q 03 INSUUTION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER FIOOK-UP 17 SITE INSPECTION � FlNAL 14 SEWER HOOK-UO O6 PROORESS ~ 07 ITE 27 SEPTIC MAINT. 21 COMPWNT v W 07 DEMO—FlNAL 15 SEPTIC INSTALL 22 FOLLOW-UP = OB PLUMBINO RI 23 SEP11C FlNAL 35 HARD COVER REMOVAL v 10 PLUMBINO FlNAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED �� PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W Q O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOPOROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-7357 OwnerlContractor si : Inspector. White CopyAaspecto�'s Flla Canary CopyfSNe Notice