HomeMy WebLinkAbout1997-009220 - temprorary sign PERMIT
EITY OF ORONO PERMIT TYPE: - =. .�
� 2750 Kelley Parkway- P.O. Box 66 ;':::`,:���i�^;
Crystal Bay, Minnesota 55323 Permit Number: -T =�
Date Issued: �'.�'�:_"='.���:=��
(612) 473-7357 �
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. Total Fee: $ 3�•�� Date Received: �" � y g'
Entered By: Permit#: Z Z a
� 16/Il
CITY OF ORONO - 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 O CON TO ��'��
{ry1'��n e�n� ��/�� R� �
JOB SITE ADDRESS: 22-�C7 �S�►o��e. �r ZIP: � � 39� "��Z-�
�A-'�-Z,e•
NAME OF OWNER: �_ G1 ��11r-�-- PHONE: � � �J�� �� I
(work)
MAII.ING ADDItESSt Q� CITY: ZIP:
Qe��"e�- I�-a��.� ��-� - -��'�'��- -
. ��,�, �I I�e. L C���,� �PHONE: gd C� ��� ZS
CONTACT PERSON: BILE/PAGER:
MAILING ADDRESS: q 3�� � o rG c�: r�, ��► '��: 5 T� � 3�'
STATE LICENSE: # Al-A-
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CITY: ZIP:
N�; REGISTRATION#
--------�_______ �a n �.l�-�
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
OPOS D WORK(describe in detain: ��" ��t n h?J�-- �'"� -
_� I'���.�n��n vti. 29 � 9' 9' � �a�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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 tlus is not a permit and work is not to start without a
permit; and that the work will be in ac ordanc i the approved plan.
APPLICANT'S SIGNATLJRE• f DATE: �
�1�b ��_��
NOTE! rade f Homes events require separate perm�t approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGHTS OF S[JBJECTS OF DATA
Subd. 1. Type of data. The righ[s of individual on whom the data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the pu�pose and intended use of the requested data within the collecting�tate agency,potidcal subdivision,or sratewide sysum;
(b)whether he may refuse oY is legally mquired to supply the requested data;(c)any known consequence arising from his supplying or refusing co supply
private or confidenaal data;and(d)the idenary of other penoas or enddes auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to suppiy invesrigadve dara,punuaac to secdon 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsibie authority,an indi�'idual shall be informed whether he is the subject
of stored data on individuals,and whecher it is class�ed as public,private or confidentiat. Upon his further request,an individual who is the subject
of stored private or public dara on individuals shall be shown the data 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 iu meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuant to[his secrion is pending or addiaonal data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual cosa of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he canaot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal hotidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himseif. To exenise chis right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu of
inaccurate or incomplete dara,including recipients named by the individuai;or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's stacement of disagreement is included with[he disclosed dara.
The decerminadon of the responsible authoriry may be appealed pursuanc to the provisions of the administrative 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 pemut or license from the City of Orono or any of its depaztments may require you to furnish certain private or �
confidential information.
You are notified that:
1. 1fie information you furnish will be used to detemune 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 eztent 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.
Sin t� I'Y� , e�L� �� �� � '�
First � �� � i Middl� , Last '
lar
AddressIn /�� � � �� ^� ,, (�-i��,__9 p�?/\
` V/ � U [pOU
IE.7 {>C�1�}�(/�� i'1 f ""i/ -
C�ry State Zip Phone
I understand my rights as stated above.
��`
Signature
July 29, 1997
To whom it may concern:
The Minnetonka Center for the Arts gives permission for the Smith
College Club of Minnesota to apply for a temporary banner sign to be
put in front of our building from August 29 - September 7, 1997 for
an event they are having here.
t �
��L`L.w�,.,L..'�:,•��..k��
i�Furneisen
J
Administrative Services Director
MINHETONKR
CENTER s NHTS
2�40 �orfh Jhore �ri�e
Wayaata '�ti 99591-9127
Tel 612 473 7i6t
Faz 612 475 7i63
FROM : FASTSIGNS-BLOOMIMGTON PHONE N0. : 612 888 4150 Jun. 1� 1997 05:42PM P2
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D �E TIME
CITY OF ORONO CALLED IN �- � '
INSPECTION NO ICE SCHEDULED - 9 �✓
PERMIT N0. aa O COMPLETED
ADDRESS ..7��b �i�� �•�1-
OWNER IYl`{�C�a CGJ' �.� CONTR.
TELEPHONENO. O D(v - 1�'���
� DESCRIPTION �
� 01 FOOTINQ 1 MECHANICAL RI 18IXCAV/GRADINO/FIWNO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z BD. 12 WATER HOOK-UP 17 SITE INSPECTION
p5 FlNAL' 14 SEWER HOOK-UP O6 PROGRESS
� �SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINCi RI 23 SEPTIC FINAL 35 HARD COVER flEMOVAL
v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION flEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTEO.CALL INSPECTOR =CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next spection 24 hours in advance.473-7357
OwnedContracto s
Inspector.
White Copyllnspector's File Canary Copy/Site Notice