HomeMy WebLinkAbout1998-010959 - attached garage PERMIT
`�ITY OF ORONO PERMIT TYPE: �-�'����`�i��'�
Permit Number: `-"-'-'='='��
2750 Kelley Parkway- P.O. Box 66 i ; .;�},�::�;_;
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: #, ;Ti;�,�� .�;�;;�;� �,;;�
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ISSUED BY:SIGNATURE . �
' APPLICAN PERMITEE SIGNAT RE
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Total Fee: $��j, _� Date Received:
Entered By: �'� Permit#: /�-^ ��� �
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: `�1 ° ���+`"�'� �vre��-ZIP:
NAME OF OWNER:��'�4'ah � Y��'"� `�-����'`� PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
corrrxacTOR:�a.w��vs� ;����,��rs PHONE: �3 3��3��1
CONTACT PERSON: � � o��^ MOBILE/PAGER: .�j�(a— �
MAILING ADDRESS: p CITY: �o�O�v� a � ZIP:�
STATE LICENSE: # �, $a
ARCHITECT/ENGINEER: �+ PHOi�1E:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: ��'�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��''� ��'�
I hereby apply for a building pernut 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
pernut; and that the work will be in accordance with the approved plan.
' SIGNATURE: f DATE: Ill ��� �
APrLICANT S
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.
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Sce.13.04 RIGH'TS OF SLfBJEC'TS OF DaTA
Subd. 1. Type of data. 'Ihe righa of individual on whom the data is stoced or to be stored shall be as set fo�th in this uction.
Subd.2. Information reqirired to be givw iadividual. .1n individual uked ro supply privaee or confideadal dara coacerning himself sha11
be informed of: (a)the purpose and iamaded use of the requesud data within the collecting�tate agency,polidcal subdivision,or sratewide rystem;
(b)whechec he may refuse oY is legally required to supply the czquesud data:(c)any Imown coauquence arising from his supplying or refusing to supply
private or conHdenaal data;and(d)the ideariry of o[her persons or enddes authocized by state or fedecal law w receive the data. 'Ibis requirement shall
not aQply when an individual is asked to supply invesdgadve data,pursuanc to secdon 13.82,subdivision 5, to a Iaw enfocoement officec.
The commissioner of revenue mav alace the nodce czwired under this subdivision in che individual income rax or prooem tax refund
instructions instead of on those forms. �
Subd.3. Access to data by individual. Upon request to a responsibte authoriry,an individual shall be informed whether he is the subjecc
of stored data on individuals,and whe[her it is c(ass�ed as public,private or confidenrial. Upon his further reQuest,an individual who is the subjecc
of stored private or public data on individuals shall be shown the data wirhout any chacge ro him and;if he desires,shall be informed of the content
and meaning of chat data. Afur an individual 6as been shown the private data and informed of its meaning,the data need not be disclosed to him for
six mondu theteafter unless a d'upute or acdon panvant to[his secdon is pending or addiaonal data on the individual has been collected or created.
The responsible authority shall pmvide copies of the private or public data upon request by the individual subject of�he data. The responsible authoriry
may require the requesring person to pay the acaal cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any requesc made pursuant to this subdivision,or within five days of
the dau of rhe tequesc,eacluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc comply with the request
within chat dme,he shall so inform ehe individual,and may have an addidoaal five days wirhin which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individuat may contest the accuracy or completeness of public or private
data conceming himself. To exercise chis right,an itidividual shall nodfy in wridng ehe respoasible authoricy describing the naare oF the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccucate or incomplece and atcempc m nodfy past recipienu of
inaccurate or incomplete data, including recipients named by che individual;or(b)nodfy the individual that he believes the data to be correcc. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included wi[h the disctosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of rhe admuusaadve procedure act reladng co
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 Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
� � i. 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 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.
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Ciey State Zrp Phone
I understand my rights as stated above.
Signamre
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trus and correct representation � o_;z . �e;
of a s�9s of' the bc►undaries �f
that �art �� Lots �4 and 15, `��, -�, p��� 4 r
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o� 90 feet alon� sdid cer.terline to the point - \ �p•
of be�fnr.�r.€ o�' th�s land to be deccribed; thance � � s�
tc th� ri�t q0� and running Svuth�rly par�lle� Q �� p.
to the l:eat line of eaid r,ot 14 a di�tar.ce of ��� y�0��
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�ine 90 feet or more to a point an a line pare��el
to aad et a dl�tance of 50 feet at a right angls from �o-�-G
flrst-described line; thence Northerly alon� Asid parallel �
line 339.3 Peet mo�e or less to the centez'13t�e o�' $afd elley;
Lhence tc the left at 90� a distsnce of 90 feet to the po3nt vf begSnr�in$,
sub�ect ta the exiating travelled road, end reservin� the. North 8 feot of �
. . eaid prooer:y for el�ley puraoaes� and the 3.ocation of all existing build-
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T 'd LS�Z-SLb-ZT9 131 dd� Nd�J3�l 1�I NdQ 80�T ti 86. z 'd aS
CITY OF ORONO CALLED IN /r�1 7d �MO�
INSPECTION NOTICE SCHEDULED j/-�3-�br l0'
PERMIT N0.t�/ � �'S"9 COMPLETED �t �-
,
ADDRESS �
OWNER CONTR.
TELEPHONE NO. 5.�3 O ��r
� DESCRIPTION
� FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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� �WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice