HomeMy WebLinkAbout1992-004231 - porch foundation PERMIT
- G=ITY OF ORONO PERMIT TYPE: �;�;i�uii�i�
1335 Brown Rd. South • P.O. Box 66 Permit Number: ����4y=�y
Crystal Bay, Minnesota 55323 Date Issued: i�t:r i�+i__��
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY: ' _"` ''"'`"
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CONTRACTOR: — A�.F�1 i c�i-�t. — OWNER:
�ALI_P�A�J 4+ �=�i�P�I:t: 1�#75:�;5:::1 H I C;C;I hi'�: NANC:Y
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� APPLICANT/PERMITEE SIGNATURE � ��SUED BY:SIGNATURE
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� CITY OF ORONO - BUIZDING PERMIT A.PPLICATION
Total Fee: $ L�/. Qa Date Received:
Date Approved: ?i "�`"�2
Entered By: � `,�"�i Permit�: �-/ 3/ d
ALL INFORMATION MIIST BS SIIBMITTSD IN FL7LL BEFORE PLAN REVIEW WII.L Bg STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR
Jos si� AnDx$ss: ��'% � NOic'-�� �.��zr ��Z Z1P: .S�S`����/
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(work)
N� OF OWNER: `.�`'`��^-i �-`� � C G- /�� S PHONE: (home)
���/ = [�i2. SS���`/
MATLING ADDR.ESS: 7 /u�/� .��y- CITY: ZIP:
��y,z�;�, ;,, r,�..�
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CON2'RACTOR: ��ii��4.�.c $ =�_�,•� � PHONE: ���5 -��'_`r � r
MAILING ADDR.ESS: ��--�L� ��lZr:%�w/-�i���'--- CITY: �������`� ZIP: �>'7�-��J I
STATS LICENSE: � r/�i /�/G
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRSSS: CITY: ZIP:
NAME: RBGISTRATION tt
TYPE OF WOR.Rs New Addition Accessory S cture Move
Demo Remodel./Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : ���� 7�n/�C%�`ti �'`c�vJ�"{���"�i � �Lc'�%�'
STORIES: SQ. FEST OF EAGH FI,OOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �Z� �`�`�
I hereby apply for a building permit and I acknvwledge that the information
above is complete and accurate; that the wor}c 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 SIGNATDRE: /�"'��E�"�- DATE: `�' `� � ��'_
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CITY of ORONO
Post Office Box 66•Cryatal Bay,Minneeota 5b323•Municipal Officea
•
� - � � 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 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 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
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 to review priva�e
data on yourself.
6. Your ful.I name is required to process this application or
permit.
� iCS � "�i�-��rh��l
,� 7� /
First Middle Last
� �� /�D✓v C�i9-L� �}V�= -
Address
��-� ��- �� �v �.�� /
City State Zip
��.� 3�� /
Phone � �
I understand my r'ghts as stated above.
� �
Sig ure �
BUILDING&ZONING—473-7357 • ADMINISTRAT'ION Fc FINANCE—473-735H • PUBLIC WORKS—473-7359
ASSESSING . �
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�
�.p,� RIGSTS OF SIIBJP�TS OF DATA � �
Subdivision L Type of data- 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 r�d
to be given indivi�uel- An.individuel asked to
� ' su ply private or confidentiel data concernin�BmWit�lun th� collecting state agen�y,
P
purpose and intended use of the requ em;d �b� vyhether he ma� refuse or is legally
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested date; (�) anY �d (d) the identity of
supplying or refusing to supply private or cenfidential data;
other persons or entities authorized by state or�e�ke�to supplyein est gat ve da a
requirement shall not apply when an individual
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead o
on those orms. . - --- - - .
Ac� � �� � ��ri�. IIpon request to e responsible
Subd. 3.
authority, an individuel shall be informe�h ubl�c pr vateeor confident al.e Upon his
individuels; and M►hether it is classified p � ublic data on
further request, an individusl who is the subject of s�t to�mri�v�aae�he ��res, shall
individuels shall be sh°wn the data withou�f��t �ts. After an individuel hes b�en
�e informed of the eontent and meaning t� �� need not be disclosed te
shown the private data and informed of its uL��BC�on pu��t to this section is
him for six months thereafter unless a d�SP
ending or additional data on the individu e h�a e or public datarupon request by
' p require the
responsible authority shall provide copies o t P o�ible aut�rgy maY �in the
the individuel subject oft�e actual�cos h of making, certif n , and comp g
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate compliance is not
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so in�orth the
have an additional five daYs Wittun W�'u�h to comply
individuel, and may S�� �d legal holidays-
request, excluding Saturdeys, YS
Subd. 4. Proced�a'e �►hen data is not accurate or comPlete. An individusl maY
himself. To
contest the accuraoY or completeness�of public orlpriv`Rai� the�respens ble authority
exercise this right, an individusl shall notify rl
describing the nature of the disagreemen� 'The responsible authority shall within 30
days either: (a) correct the data found te be inae��e��u�g Peecipients namedt by
notify past recipients of inaccurate or incomp
the individuel; or (b) notify the individual that he believes the data to �em nt is
Data in dispute shall be disclosed only if the individual s statement of disagr
• included with the disclosed data. � 8ppe�ed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases. .
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CITY OF ORONO CALLED IN �� A�� � I -S��'�+
INSPECTION NOTICE SCHEDULED - 3-C�o js�-
PERMIT NO.��3,�I_ �— ��
COMPLETED LI
ADDRESS �� � -
OWNER ����� CONTR.�li-���e'
TELEPHONE NO. �7�5�'��S =�I
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1 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILL.ING
�
O 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — PHOTOTAKEN
INSPECTOR WILL RETURN
I:; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr o ite:
inspector.
White Copyllnspector's le Canary CopylSite Notice
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DATE TIM �
CITY OF ORONO CALLED IN —�� � `-'� ��
INSPECTION NOTI 3 SCHEDULED — ' I,-' � Q��
PERMIT NO. � ' COMPLETED "e+ �v �
ADDRESS �/ �''�
OWNER .�%+� CONTR.
TELEPHONE NO. `�' ��� 3� '-� !
� DESCRIPTION
� 01 FO j�' 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
Q 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED Ll ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. L' PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CA�I INSPECTOR '�- CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContracto o si
Inspector.
White Copyllnspector's File Canary CopylSite Notice