HomeMy WebLinkAbout1998-010825 - storm damage PERMIT
CI�Y OF ORONO PERMIT TYPE:
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2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: :;1 t�=i;;���
(612) 473-7357 Date Issued: f i;i��;;;�::�.
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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APPLICANT/PERMITEE S NATURE ISSUED BY:SIGNATURE
' Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUII�DING PERNIIT 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 CONTRACTOR
JOB SITE ADDRESS: 3 �y� /�a.G�ll? Slrc�c���IP: �53�'rl
NAME OF OWNER:�j/F�' �o,b,i,s��v _ PHONE: (home) �7/ �3?z3
(work)
MAII.ING ADDRESS: � CITY: " ZIP: y
CONTRACTOR: �d�J�e� / ,� � � � PHONE: �SS- z 4�5�.
CONTACT PERSON: ���� S,oarTd,u MOBILE/PAGER: s' ��-'-7/z9'
MAILING ADDRESS: //7 Z� �o .�d z� C�: Lt/�T�.�,�g': S S 3�'s�
STATE LICENSE: #_ �/,�_
ARCHITECT/ENGINEER: 7�' PHONE:
MAILING ADDRESS: CITY: ZIP:
N,�ME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration_� Land Alteration
,
PROPOSED WORK(describe in detain: ��j���iit�� ��lJ�.�.t�ow s 5 Jo.�i� IJ.sti�,s�y,�
�- ' s i� -�
G�� To �T'�-� o�e��� S
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Oc�
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: " � �,A� �� DATE: per �' - ��
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 RIGHTS OF SUB.TECTS OF DATA
Subd. 1. Type of data. 'Ihe righrs of individual on whom the data is stored or to be stored shall be as set forth in chis section.
Subd.2. Information req�rired to be givw individual. M individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and intended use of the csquesr�d data within the collecting 31ate agency,poliacal subdivision,or statewide sysum;
(b)whether he may refuse oY is legally required to supply the requesud data:(c)anY known consequeuce arising hom his supplying or refusing w supply
private or confidential data;and(d)the idendry of o�her penons or enrides authorized by state or fedecal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesagadve data,pursuant to secdon 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the nodce reouired under this subdivision in the individual income taz or prooertv tax refund
inst�uctions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and wherher it is class�ed as public,private or confidendal. Upon his further request,an iadividual who is the subject
of stored private or public data on individuals shall be shown ehe dara without any charge to him and,-if he desires,shall be informed of the content
and meaning of chat data. Afur an individual has bcen shown che privau data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuanc to ehis secdon is pending or addiaonal data on the individual has been coltecud or created.
The responsib(e authoriry shalt provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry
may require the requesdng person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall compty immediately,if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannoc comply with the request
within that time,he shall so inform the individual,and may have an addidonal five days within which to compiy with rhe request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or compiete. An individual may conust the accuracy or completeness of public or private
data conceming himself. To exercise[his right,an individual shall notify in writing the responsible authority describing the nature of the disagnemenc
The responsible authoriry shall within 30 days either: (a)correcc the data found ro be inaccurate or inwmplete and aaempt to nodfy past recipients of
inaccurate or incomplete data, including recipients named by che individual;or(b)nodfy the individuaLthac he believes the data to be correct. Data
in dispute shall be disclosed oniy if the individual's stacement of disagreement is included with the disclosed data.
The determinadon of the responsible au[horiry may be appealed pursuanc to the provisions of the administraave procedure act retating w
contesud 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:
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 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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City State Zip Phone
I understand my rights as stated above.
Signature
DATE IME
CITY OF ORONO CALLED IN ___11�"i�� � �J
INSPECTION N TI E SCHEDULED 'D�
PERMIT NO. � �� COMPLETED �� �
ADDRESS��Gf G�y l'� ��l?�'�+� �/L��
OWNER <-'� K-2�-'�r�- CONTR.�w' J%.� Ct�`�k'.,,1'1��tc�<-�'':�
TELEPHONE NO. �S S �,� �/ S�c
� DESCRIPTION L�/�t'���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WtLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance.473-73rJ7
Owner/Contractor on '
Inspector.
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